Modisenyane Simon Moeketsi, Hendricks Stephen James Heinrich, Fineberg Harvey
a Faculty of Health Sciences, School of Health Systems and Public Health , University of Pretoria , Pretoria , South Africa.
b President of Gordon and Betty Moore Foundation , Palo Alto , CA , USA.
Glob Health Action. 2017;10(1):1339533. doi: 10.1080/16549716.2017.1339533.
South Africa, as an emerging middle-income country, is becoming increasingly influential in global health diplomacy (GHD). However, little empirical research has been conducted to inform arguments for the integration of domestic health into foreign policy by state and non-state actors. This study seeks to address this knowledge gap. It takes the form of an empirical case study which analyses how South Africa integrates domestic health into its foreign policy, using the lens of access to antiretroviral (ARV) medicines.
To explore state and non-state actors' perceptions regarding how domestic health policy is integrated into foreign policy. The ultimate goal of this study was to achieve better insights into the health and foreign policy processes at the national level.
Employing qualitative approaches, we examined changes in the South African and global AIDS policy environment. Purposive sampling was used to select key informants, a sample of state and non-state actors who participated in in-depth interviews. Secondary data were collected through a systematic literature review of documents retrieved from five electronic databases, including review of key policy documents. Qualitative data were analysed for content. This content was coded, and the codes were collated into tentative categories and sub-categories using Atlas.ti v.7 software.
The findings of this work illustrate the interplay among social, political, economic and institutional conditions in determining the success of this integration process. Our study shows that a series of national and external developments, stakeholders, and advocacy efforts and collaboration created these integrative processes. South Africa's domestic HIV/AIDS constituencies, in partnership with the global advocacy movement, catalysed the mobilization of support for universal access to ARV treatment nationally and globally, and the promotion of access to healthcare as a human right.
Transnational networks may influence government's decision making by providing information and moving issues up the agenda.
南非作为一个新兴的中等收入国家，在全球卫生外交（GHD）中发挥着越来越大的影响力。然而，关于国家和非国家行为体将国内卫生纳入外交政策的论据，实证研究却很少。本研究旨在填补这一知识空白。它采用实证案例研究的形式，以获取抗逆转录病毒（ARV）药物的情况为视角，分析南非如何将国内卫生纳入其外交政策。
探讨国家和非国家行为体对国内卫生政策如何纳入外交政策的看法。本研究的最终目标是更深入地了解国家层面的卫生和外交政策进程。
采用定性研究方法，我们考察了南非和全球艾滋病政策环境的变化。采用目的抽样法选取关键信息提供者，即参与深度访谈的国家和非国家行为体样本。通过对从五个电子数据库检索到的文件进行系统的文献综述收集二手数据，包括对关键政策文件的综述。对定性数据进行内容分析。对这些内容进行编码，并使用Atlas.ti v.7软件将代码整理成初步的类别和子类别。
本研究结果说明了社会、政治、经济和体制条件在决定这一整合过程成功与否方面的相互作用。我们的研究表明，一系列国内和外部的发展、利益相关者、宣传努力和合作促成了这些整合过程。南非国内的艾滋病毒/艾滋病群体与全球宣传运动合作，推动了在国内和全球范围内为普及抗逆转录病毒治疗提供支持，并促进将获得医疗保健作为一项人权。
跨国网络可能通过提供信息和推动议题提上议程来影响政府的决策。
