Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
, 16 (Suppl 1), 91

Globalisation and Neoliberalism as Structural Drivers of Health Inequities

Affiliations

Globalisation and Neoliberalism as Structural Drivers of Health Inequities

Rama V Baru et al. Health Res Policy Syst.

Abstract

In this paper, we draw upon and build on three presentations which were part of the plenary session on 'Structural Drivers of Health Inequities' at the National Conference on Health Inequities in India: Transformative Research for Action, organised by the Achutha Menon Centre for Health Science Studies in Trivandrum, India. The three presentations discussed the influential role played by globalisation and neoliberalism in shaping economic, social and political relationships across developed and developing countries. The paper further argues that the twin process of globalisation and liberalisation have been important drivers of health inequities. The first segment of the paper attempts a broader conceptualisation of neoliberalism beyond the economic realm. Using Stephanie Lee Mudge's conceptualisation (Soc Econ Rev 6:703-3, 2008) we have analysed how the political, bureaucratic and intellectual domains of neoliberalism have intersected and redefined the role of state and commercialised health services leading to inequities. Neoliberal ideas have reconfigured the role and changed the priorities of non-governmental organisations resulting in a fracture within this movement. n the second segment, we focus on the rise of American philanthro-capitalism, and how the two major foundations, the Rockefeller Foundation (early twentieth century) and the Bill and Melinda Gates Foundation (twenty-first century), have shaped the ideology of institutions engaged in international health and influenced the global health agenda. We discuss how the activities of philanthro-capitalists have transformed the architecture of health governance through their top-down organisational culture and deficit of structures to ensure accountability. The third and final segment of the paper focuses on how neoliberalism as a political project and cultural movement has forged alliances with conservative politics and religious fundamentalisms, resulting in negative consequences for women and other marginalised groups. These alliances have resulted in the control of women's bodies and contributed to the reversal of hard-won rights for health and gender justice in many parts of the world.

Keywords: AMCCON 2018; Globalisation; Health equity research; Health inequities in India; Neoliberalism; Philanthrocapitalism; Structural drivers.

Conflict of interest statement

Ethics approval and consent to participate

Not applicable.

Consent for publication

Not applicable.

Competing interests

The authors declare that they have no competing interests.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Figures

Fig. 1
Fig. 1
Mudge’s conceptualisation of neoliberalism. Redrawn from Mudge [1]

Similar articles

See all similar articles

Cited by 1 PubMed Central articles

References

    1. Mudge SL. The state of the art: what is neoliberalism. Soc Econ Rev 2008;6:703–3. doi:10.1093/ser/mwno16.
    1. Qadeer IK, Nayar KR. Structural Adjustment and the Paucity of Reforms in South Asia. New Delhi: Sage; 2001.
    1. Mackintosh M, Koivusalo M. Commercialisation of Health Care: Global and Local Dynamics and Policy Responses. London: Palgrave; 2005.
    1. Rao M. Disinvesting in Health: The World Bank’s Prescription for Health. New Delhi: Sage Publications; 1999.
    1. Baru RV, Nanda P. Understanding the Health Sector Reform Process in India: A Historical and Analytical Overview. Paper Presented at a Seminar Organised by CHANGE. Washington: Centre of Health and Gender Equity; 2004.
Feedback