Anderson, E-L orcid.org/0000-0002-0631-8744, Considine, L orcid.org/0000-0002-6265-3168 and Patterson, AS (2021) The Power-Trust Cycle in Global Health: Trust as Belonging in Relations of Dependency. Review of International Studies, 47 (4). pp. 422-442. ISSN 0260-2105
Abstract
Trust between actors is vital to delivering positive health outcomes, while relationships of power determine health agendas, whose voices are heard and who benefits from global health initiatives. However, the relationship between trust and power has been neglected in the literatures on both international politics and global health. We examine this relationship through a study of relations between faith based organisations (FBO) and donors in Malawi and Zambia, drawing on 66 key informant interviews with actors central to delivering health care. From these two cases we develop an understanding of ‘trust as belonging’, which we define as the exercise of discretion accompanied by the expression of shared identities. Trust as belonging interacts with power in what we term the ‘power-trust cycle’, in which various forms of power undergird trust, and trust augments these forms of power. The power-trust cycle has a critical bearing on global health outcomes, affecting the space within which both local and international actors jockey to influence the ideologies that underpin global health, and the distribution of crucial resources. We illustrate how the power-trust cycle can work in both positive and negative ways to affect possible cooperation, with significant implications for collective responses to global health challenges.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Copyright, Publisher and Additional Information: | © The Author(s), 2021. Published by Cambridge University Press on behalf of the British International Studies Association. This article has been published in a revised form in Review of International Studies, https://doi.org/10.1017/S0260210521000346. This version is free to view and download for private research and study only. Not for re-distribution, re-sale or use in derivative works. |
Keywords: | Global Health; Health Diplomacy; Power; Trust; Dependency; Africa; Malawi; Zambia |
Dates: |
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Institution: | The University of Leeds |
Academic Units: | The University of Leeds > Faculty of Education, Social Sciences and Law (Leeds) > School of Politics & International Studies (POLIS) (Leeds) |
Depositing User: | Symplectic Publications |
Date Deposited: | 15 Jun 2021 11:05 |
Last Modified: | 01 Dec 2021 01:49 |
Status: | Published |
Publisher: | Cambridge University Press |
Identification Number: | 10.1017/S0260210521000346 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:175007 |