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Institutional innovation in global health

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TitleInfo
Title
Institutional innovation in global health
SubTitle
changing roles of state and non-state actors in governance of vaccine preventable diseases
Name (type = personal)
NamePart (type = family)
Da Silva
NamePart (type = given)
Anna
NamePart (type = date)
1971-
DisplayForm
Anna da Silva
Role
RoleTerm (authority = RULIB)
author
Name (type = personal)
NamePart (type = family)
Böröcz
NamePart (type = given)
József
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József Böröcz
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
chair
Name (type = personal)
NamePart (type = family)
McLean
NamePart (type = given)
Paul
DisplayForm
Paul McLean
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
internal member
Name (type = personal)
NamePart (type = family)
Lee
NamePart (type = given)
Catherine
DisplayForm
Catherine Lee
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
internal member
Name (type = personal)
NamePart (type = family)
Smith
NamePart (type = given)
David
DisplayForm
David Smith
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
outside member
Name (type = corporate)
NamePart
Rutgers University
Role
RoleTerm (authority = RULIB)
degree grantor
Name (type = corporate)
NamePart
Graduate School - New Brunswick
Role
RoleTerm (authority = RULIB)
school
TypeOfResource
Text
Genre (authority = marcgt)
theses
OriginInfo
DateCreated (qualifier = exact)
2013
DateOther (qualifier = exact); (type = degree)
2013-10
Place
PlaceTerm (type = code)
xx
Language
LanguageTerm (authority = ISO639-2b); (type = code)
eng
Abstract (type = abstract)
This dissertation examines the changes in global governance of vaccine preventable diseases precipitated by the transformations of national infrastructures and international institutions since the 1990s. Neoliberal policies promoted by the transnational elites prompted privatization of healthcare and decline in public healthcare expenditures and resulted in concentration of economic and political power, crumbling of the welfare state, and deepening inequalities. Emergence in public health of a new institutional form -- Public-Private Partnership (PPP), signals a reconfiguration of the governance space. I focus on one such PPP -- the Global Alliance for Vaccines and Immunization (GAVI). GAVI’s philanthropic goals are balanced against accountability to its partners. Collaborating with the pharmaceutical industry to further its philanthropic objectives, GAVI mediates the market’s pull by effecting state policies. I document the vectors of power that GAVI both exerts and is subjected to in its institutional entanglement with the states, multilateral agencies, and the industry. These mechanisms of influence are functionally different from market pressures or ‘soft’ rules of traditional multilateral organizations and forge new paths for exercising power within PPPs. Finally, I examine the networks of vaccine trade between countries from 1996 to 2010. Trade networks retain a pronounced core-periphery structure, and the majority of countries lack capacity for vaccine production. Over time some traditionally strong vaccine producers scale down, and some export-oriented developing countries, -- scale up their vaccine production. Congruent with the industrial convergence hypothesis, I find that industry late-comers no longer accrue significant returns and that some of the formerly dominant vaccine-exporting countries engage in innovative funding ventures, such as GAVI’s Advanced Market Commitment (AMC). AMC creates stable demand for new patent-protected and expensive vaccines, subsidizing the industry. I also find that industrial growth does not always reduce inequality for populations most affected by endemic diseases. I take a closer look at India as a country which houses both a thriving vaccine-producing industry and a third of the world’s un-immunized children, and examine the rift between capital accumulation and state decision making.
Subject (authority = RUETD)
Topic
Sociology
RelatedItem (type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier (type = RULIB)
ETD
Identifier
ETD_5126
PhysicalDescription
Form (authority = gmd)
electronic resource
InternetMediaType
application/pdf
InternetMediaType
text/xml
Extent
viii, 186 p. : ill.
Note (type = degree)
Ph.D.
Note (type = bibliography)
Includes bibliographical references
Note (type = statement of responsibility)
by Anna Da Silva
Subject (authority = ETD-LCSH)
Topic
World health
Subject (authority = ETD-LCSH)
Topic
Public health--International cooperation
Subject (authority = ETD-LCSH)
Topic
Vaccination
Subject (authority = ETD-LCSH)
Topic
Immunization of children
RelatedItem (type = host)
TitleInfo
Title
Graduate School - New Brunswick Electronic Theses and Dissertations
Identifier (type = local)
rucore19991600001
Location
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NjNbRU
Identifier (type = doi)
doi:10.7282/T3M61H8X
Genre (authority = ExL-Esploro)
ETD doctoral
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Rights

RightsDeclaration (ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder (type = personal)
Name
FamilyName
da Silva
GivenName
Anna
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2013-10-02 06:38:16
AssociatedEntity
Name
Anna da Silva
Role
Copyright holder
Affiliation
Rutgers University. Graduate School - New Brunswick
AssociatedObject
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
RightsEvent
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2013-10-31
DateTime (encoding = w3cdtf); (qualifier = exact); (point = end)
2014-05-02
Type
Embargo
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after May 2nd, 2014.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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Technical

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ETD
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windows xp
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