Symposium 2010

On 29 November 2010, the Graduate Institute’s Global Health Programme (GHP), in cooperation with the Global Fund to Fight AIDS, Tuberculosis and Malaria (the Global Fund), held its fourth high-level symposium entitled ‘Fragile states – Analysing the Interface of Health and Diplomacy’. The list of 200 participants and guests included a diverse range of country representations and a mixture of affiliations – from international organisations, national public administrations, non-governmental organisations (NGOs) and academia. In addition, the event was webcasted live via the Graduate Institute’s website. At this year’s symposium, the new website of the Global Health Diplomacy Network (GHD.Net), www.ghd-net.org, was launched.

Professor Ilona Kickbusch, Director of the Global Health Programme, moderated the event which highlighted the strategic opportunities and challenges that the dynamic relationship between health and foreign policy faces in the context of fragile states. In a system of multi-level, multi-actor health negotiations, meta-leadership was offered as a Harvard School of Public Health approach by Dr Lenny Marcus to multi-dimensional problem-solving, where responses to health challenges require efforts beyond silo thinking.
A panel discussion with representatives of different agencies featured the positive experience of the Global Fund for project evaluations within fragile states, and the complicated ‘persuasion’ process at different levels with diverse stakeholders – from nation states to NATO – which the International Committee of the Red Cross (ICRC) has to face in its strategic action and day-to-day business. Even in sensitive situations when health and human rights concerns – as well as issues such as security and national sovereignty – have to be balanced, health negotiations can lead to improved delivery for vulnerable groups, as underlined in the message from UNHCR. Against the background of chronic underdevelopment and the need for emergency action, the World Health Organisation’s perspective stressed the importance of coherence.
Careful preparation ‘at home’ ahead of international negotiations, broader engagement at the local and regional level as well as the need for capacity-building were emphasised by Dr Mary Amuyunzu-Nyamongo, Director of the African Institute for Health and Development. The dilemma between the need for immediate action and the desire for legitimacy also characterised the afternoon panel. The case study Negotiating health in a fragile state: a civil society perspective – A case study of the Global Fund tuberculosis project in Somalia, prepared by World Vision International together with the GHP, was taken as an entry point to analyse and debate the challenges and characteristics of health negotiations in fragile states.
Next year’s symposium will focus on the tenth anniversary of the Doha Declaration, with a public conference and high-level dialogue on the future agenda at the interface of global public health and intellectual property rights.

Programme [pdf]

Opening addresses

	Introduction to the Symposium by Professor Ilona Kickbusch Director, Global Health Programme  excerpt from the intervention
	Prof. Elisabeth Prügl Deputy Director, Graduate Institute excerpt from the intervention
	Prof. Rifat Atun Director of Strategy, Performance and Evaluation Cluster, The Global Fund to Fight AIDS, Tuberculosis and Malaria excerpt from the intervention
	Mr. Daniel Rychner Counsellor, Swiss Permanent Mission to the UN Geneva excerpt from the intervention

Keynote address: 

Meta-Leadership and the Global Health Challenge: Negotiating Connectivity of Strategy & Operations

Dr. Leonard J. Marcus Director of the Program for Health Care Negotiation and Conflict Resolution at the Harvard School of Public Health (HSPH) excerpt from the intervention PowerPoint Presentation Meta-leadership Distribution[pdf] Primer Meta-leadership and Public Health [pdf] Walk in the woods [pdf]

Panel:

Negotiating Improved Health Governance in Fragile States: Agencies’ Perspectives (video)

	Prof. Rifat Atun Director of Strategy, Performance and Evaluation Cluster The Global Fund to Fight AIDS, Tuberculosis and Malaria
	Ms. Angela Gussing-Sapina Deputy Director of Operations ICRC
	Dr. Paul Spiegel Chief Public Health and HIV Section  UNHCR PowerPoint Presentation
	Dr. Daniel Eduardo López-Acuña Director, Health Action in Crisis WHO

Website Launch:

Global Health Diplomacy Net – GHD.net

Dr. Chantal Blouin Associate Director, Centre for Trade Policy and Law Carleton University excerpt from the intervention PowerPoint Presentation

Keynote Address:

Negotiating Health in Fragile States: An African Perspective

Dr. Mary Amuyunzu-Nyamongo Executive Director African Institute for Health and Development excerpt from the intervention PowerPoint Presentation

Panel:

Negotiating Health in Fragile States: Country experiences from different perspectives (video)

	Somalia: Ms. Ann E. Claxton Sr. Technical Advisor – Global Health World Vision International
	Sudan: Ambassador Philip Mwanzia Director Foreign Service Institute, Nairobi, Kenya
	Afghanistan: Lt.-Gen. (Rtd) Louis Lillywhite Focal Point Health in Fragile States, Centre on Global Health Security Chatham House, UK
	Timor Leste: Prof. Anthony Zwi Convenor, Global Health, University of New South Wales, Australi
	Burundi: Prof. Dr. Jean-Louis Arcand Professor, International Economics and Development Studies Graduate Institute

Short Bios of Speakers

Useful documents:

• Global Fund Investments in Fragile States: Early Results [pdf]