a Institute for Global Health Delivery and Diplomacy , University of California , San Francisco , CA , USA.
Glob Public Health. 2019 Jan;14(1):147-151. doi: 10.1080/17441692.2018.1471147. Epub 2018 May 21.
In the twenty-first Century, the developed world attempts to provide global health assistance, to poorer countries - at least in part in the pursuit and maintenance of world order and stability. Rarely, however - and in most cases, then on an ad hoc basis - are related foreign policy tools deployed in combination with each other. Nonetheless, there is currently greater openness than ever before to such interdigitation. Not least this reflects the unprecedented challenges of modern political and security conditions - struggling to operate amidst a broader culture of global adverserialism, and conflict which conventional systems of intervention have struggled to successfully resolve. The problems presented in this regard by the Iraq and Afghanistan conflicts have evolved into, and been magnified by, the limited range and availability of effective responses to contemporary threats such as the Islamic State, international terrorism, jihadism, and the Syrian civil war. The risk of further contagion to even more severe world stability concerns that these situations present calls for an urgent restructuring of the way in which foreign policy processes and initiatives work, including systems of coordination and consultation between national and international agencies of defense, diplomacy, and development.
在 21 世纪,发达国家试图向较贫穷的国家提供全球卫生援助——至少部分是为了追求和维护世界秩序和稳定。然而,很少有——而且在大多数情况下,只是临时地——将相关的外交政策工具结合起来一起部署。尽管如此,目前这种相互交织的开放性比以往任何时候都要大。这在一定程度上反映了现代政治和安全条件前所未有的挑战——在更广泛的全球敌对文化和冲突中努力运作,而传统的干预体系难以成功解决这些冲突。伊拉克和阿富汗冲突在这方面提出的问题,以及对当代威胁(如伊斯兰国、国际恐怖主义、圣战主义和叙利亚内战)的有效应对手段有限,都加剧了这些问题。这些情况对世界稳定造成的更严重的潜在威胁,要求对外交政策进程和举措的运作方式进行紧急调整,包括协调和协商系统,涉及国防、外交和发展方面的国家和国际机构。