Department of Arts and Cultural Sciences, Lund University, Lund, Sweden.
Global Health. 2019 Nov 26;15(1):79. doi: 10.1186/s12992-019-0499-1.
Sweden is a long-standing and significant contributor to overseas development aid. This commitment to global health and development is part of Sverigebilden, or the view of Sweden in the world that is formally promoted by the Swedish government. Sweden is seen by many in the global health community as leader on human rights and health and has traditionally been one of the most engaged countries in multilateral affairs more broadly.
This article places Sweden's engagement in global health within the wider context of domestic changes, as well as transitions within the broader global health landscape in the post-World War Two (WWII)- era. In doing so, it reviews the globalization of health from a Swedish perspective. It also addresses broader questions about what it means for a country to be 'active' or 'engaged' in global health and responds to recent suggestions that Swedish influence in health has waned. The article finds that in Sweden there is wide political consensus that international development and global health engagement are important, and both are part of the maintenance of Sverigebilen. While there is a not one single Swedish approach to global health, there are norms and values that underpin global health engagement such as human rights, solidarity, equity and gender equality. A sustained focus on key issues, such as sexual and reproductive rights and health (SRHR), creates a tradition which feeds back into Sverigebilden.
The Swedish experience demonstrates the linkages between foreign and domestic policies with regard to international health and development, and to the globalization of public health practice and diplomacy. In global health Sverigebilden is tied to credibility. Sweden is able to exercise influence because of a successful welfare model and strong research traditions; conversely, long-standing and new threats to this credibility and to Sverigebilden pose challenges to Sweden's future engagement in global health.
瑞典是海外发展援助的长期且重要的贡献者。这种对全球健康和发展的承诺是“瑞典形象”的一部分，即瑞典政府正式推广的瑞典在世界上的形象。在全球卫生界许多人看来，瑞典是人权和卫生方面的领导者，并且在更广泛的意义上一直是参与多边事务最多的国家之一。
本文将瑞典在全球卫生领域的参与置于国内变化以及后二战时代（二战后）更广泛的全球卫生格局转型的更广泛背景下。在这样做的过程中，它从瑞典的角度审查了卫生的全球化。它还解决了关于一个国家在全球卫生中“积极”或“参与”意味着什么的更广泛问题，并回应了最近有关瑞典在卫生方面影响力减弱的说法。文章发现，在瑞典，人们普遍认为国际发展和全球卫生参与很重要，这两者都是维护“瑞典形象”的一部分。虽然瑞典在全球卫生方面没有一种单一的方法，但有一些规范和价值观支撑着全球卫生参与，例如人权、团结、公平和平等性别。对性和生殖权利及健康（SRHR）等关键问题的持续关注，创造了一种反馈到“瑞典形象”的传统。
瑞典的经验表明，在国际卫生和发展以及公共卫生实践和外交的全球化方面，国内外政策之间存在联系。在全球卫生领域，“瑞典形象”与信誉息息相关。瑞典之所以能够发挥影响力，是因为其成功的福利模式和强大的研究传统；相反，对这种信誉和“瑞典形象”的长期和新威胁，对瑞典未来在全球卫生领域的参与构成了挑战。
