The global development landscape has witnessed a transformation with previously held development roles and priorities changing and increasingly overlapping with others. This is compounded by the intersection of emergent challenges, such as the climate crisis and economic downturn, that create additional inequities, making the landscape increasingly complex to navigate. The social work profession has actively engaged with international entities through service provision, education, and advocacy. Social workers have historically recommended actions or changes on behalf of individuals, communities, and groups, guided by principles of social justice, dignity, and worth of each person, as well as the importance of human relationships, integrity, and competence while interfacing with development efforts in multiple other ways. Development as a topic on a global scale emerged in response to evolving conceptualizations beyond the idea of development as growth alone. For instance, originating from development economics and initially focused on modernizing new nation-states at the end of colonialism, social development aimed to achieve economic growth as the primary means of development. Practice and scholarship on development have also moved from an “international development” framework to a “global development” framing to highlight the interdependence among various societal actors rather than a linear pathway. Finally, sustainable development and its derivative, sustainability, have become central components of the current developmental discourse due to their commitment to addressing the present needs without jeopardizing future generations’ capacity to fulfill their own. To understand this complex landscape better, it is important to identify the various actors in global development and the differential goals, strengths, and constraints they bring to the table. The public sector is the traditional source of funding and action for global development projects worldwide, with governments at all levels playing a central role in resource provision, policy setting, and program implementation. The private sector, encompassing nongovernmental organizations, civil society and community-based organizations, philanthropic foundations and entities, and social entrepreneurs focused on social initiatives, has increasingly become involved in global development. Relatedly, the corporate sector, too, has emerged as a key player with a different structure and access to infrastructural and other resources. With individual strengths and constraints, these global development actors play specific roles and often collaborate to address social and developmental causes. At the same time, important complexities and shortcomings across these sectors need to be taken into cognizance to ensure continued efforts toward global development. The global development landscape offers numerous prospects for social workers to apply their knowledge and professional expertise. An understanding of this landscape equips social workers in developing a holistic approach to cross-sectoral development initiatives.
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Global Development Actors (Public, Private, Corporate)
Smitha Rao, Javier Reyes-Martinez, and Carlos Andrade-Guzmán
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Global Goal Setting and the Human Right to Water
Cristy Clark
Since the 1970s, global goal setting to increase access to safe drinking water has taken a number of different approaches to whether water should be primarily understood as a “human right” or a “human need.” In the Mar del Plata declaration of 1977, states both recognized a human right to water and committed themselves to achieving universal access by 1990. By the 1990 New Delhi Statement, with universal access still out of reach, the goal was renewed with a new deadline of 2000, but water was described as a human need rather than a human right. This approach was coupled with an emphasis on water’s economic values and the need for increased cost recovery, which in turn increased the focus on, and uptake of, private-sector participation in the delivery of water and sanitation services across the Global South.
A similar needs-based approach was adopted at the start of the new millennium in Target 7 of the Millennium Development Goals (MDGs), but during this decade a consensus on the recognition of the human right to water also emerged in international law. As the normative status and content of this right came to be better articulated and understood, it began to influence the practice of providing water and sanitation services, and by the end of the MDG process a rights-based approach featured more prominently in the Sustainable Development Goals (SDGs) of 2015.
While the provision of water and sanitation services is multifaceted, the evidence of global achievements from the 1970s onward indicates that a rights-based approach increases the priority given to the social values of such services and focuses attention on the need to go beyond technical solutions to address the structural issues at the heart of water inequality. Going forward, approaches to the provision of water and sanitation services and the human right to water will need to continue to adapt to new challenges and to changing conceptualizations of water, including the growing recognition that all living things have a right to water and that water itself can have rights.
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Rethinking Water Markets
Rupert Quentin Grafton, James Horne, and Sarah A. Wheeler
Global water extractions from streams, rivers, lakes, and aquifers are continuously increasing, yet some four billion people already face severe water scarcity for at least one month per year. Deteriorating water security will, in the absence in how water is governed, get worse with climate change, as modeling projections indicate that much of the world’s arid and semiarid locations will receive less rainfall into the future. Concomitant with climate change is a growing world population, expected to be about 10 billion by 2050, that will greatly increase the global food demand, but this demand cannot be met without increased food production that depends on an adequate supply of water for agriculture. This poses a global challenge: How to ensure immediate and priority needs (such as safe drinking water) are satisfied without compromising future water security and the long-term sustainability of freshwater ecosystems? An effective and sustainable response must resolve the “who gets what water and when” water allocation problem and promote water justice. Many decision makers, however, act as if gross inequities in water access can be managed by “business as usual” and upgrades in water infrastructure alone. But much more is needed if the world is to achieve its Sustainable Development Goal of “water and sanitation for all” by 2030. Transformational change is required such that the price paid for water by users includes the economic costs of supply and use and the multiple values of water. Water markets in relation to physical volumes of water offer one approach, among others, that can potentially deliver transformational change by: (a) providing economic incentives to promote water conservation and (b) allowing water to be voluntarily transferred among competing users and uses (including non-uses for the environment and uses that support cultural values) to increase the total economic value from water. Realizing the full potential of water markets, however, is a challenge, and formal water markets require adequate regulatory oversight. Such oversight, at a minimum, must ensure: (a) the metering, monitoring, and compliance of water users and catchment-scale water auditing; (b) active compliance to protect both buyers and sellers from market manipulations; and (c) a judiciary system that supports the regulatory rules and punishes noncompliance. In many countries, the institutional and water governance framework is not yet sufficiently developed for water markets. In some countries, such as Australia, China, Spain, and the United States, the conditions do exist for successful water markets, but ongoing improvements are still needed as circumstances change in relation to water users and uses, institutions, and the environment. Importantly, into the future, water markets must be designed and redesigned to promote both water security and water justice. Without a paradigm shift in how water is governed, and that includes rethinking water markets to support efficiency and equitable access, billions of people will face increasing risks to their livelihoods and lives and many fresh-water environments will face the risk of catastrophic decline.
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Public Health and the UN Sustainable Development Goals
Claire E. Brolan
The COVID-19 crisis—the most catastrophic international public health emergency since the Spanish influenza 100 years ago—provides impetus to review the significance of public and global health in the context of Sustainable Development Goal (SDG) achievement. When countries unanimously adopted the 17 SDGs in September 2015, stakeholders had mixed views on global health goal SDG 3 (Good Health and Well-Being). Concern arose over the feasibility of achieving SDG 3 by 2030 when countries pursued its nine targets and four means of implementation with sixteen other ambitious global goals. Nonetheless, health surely cuts across the SDG framework: for instance, the underlying health determinants are expressed in many goals as is urban and planetary health. Although health (and its different constructions) is central to overall SDG achievement, SDG success depends on a paradigm shift toward whole-of-government policy and planning. Indeed, the 2030 Agenda echoes calls for a Health in All Policies (HiAP) approach to public health programming. This depends on another paradigm shift in public health tertiary education, practitioner training, and policy skills development within and beyond ministries of health. Added to this are the underlying problematics around SDG health financing, human resources for health, health target and indicator localization for equitable country responses that leave no one behind, strengthening civil registration and vital statistics systems for inclusive and accountable health implementation, and the sidelining of human rights from SDG metrics. While COVID-19 has derailed SDG efforts, it could also be the ultimate game changer for intergenerational human and environmental health transformation. Yet strong global health governance and rights-based approaches remain key.
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Well-Being and Mental Wellness
Gerard Bodeker, Sergio Pecorelli, Lawrence Choy, Ranieri Guerra, and Kishan Kariippanon
The scientific landscape of wellbeing and mental wellness has developed significantly through interdisciplinary cross-pollination by researchers in molecular genetics, neuroscience, sociology, economics, including traditional and complementary medicine. The public health challenge lies in using this diverse body of scientific evidence to reframe wellbeing and mental wellness within a 21st-century global public health framework that incorporates evidence-based modalities alongside Western biomedical practice. Evidence on modalities, case studies, policy examples, and emerging directions in societal objectives in wellbeing and mental wellness are discussed in the context of a way forward that focuses on individual self-care, development of resilience, lifespan pathways for wellbeing, and a different economic calculus in framing public health priorities and policies.
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Environmental Health in Latin American Countries
Luiz Augusto Cassanha Galvao, Volney Câmara, and Daniel Buss
The relationship between environment and health is part of the history of medicine and has always been important to any study of human health and to public-health interventions. In Latin America many health improvements are related to environmental interventions, such as the provision of better water and sanitation services. Latin America’s development, industrialization, and sweeping urbanization have brought many improvements to the well-being of its populations; they have also inaugurated new societies, with new patterns of consumption. The region’s basic environmental-health interventions have needed to be updated and upgraded to include disciplines such as toxicology, environmental epidemiology, environmental engineering, and many others. Multidisciplinary and inter-sector approaches are paramount to understanding new profiles of health and well-being, and to promoting effective public-health interventions.
The new social, economic, labor, and consumption aspects of modern Latin American society have become more and more relevant to understanding the complex interactions in the region’s social, biological, and physical environment, which are essential to explaining some of the emerging and re-emerging public-health problems. Environmental health, as concept and as intervention, is simple and easily understood, but no longer sufficient to achieve the levels of health and well-being expected and required by these new realities. Many global changes such as climate change, biodiversity loss, and mass migrations has been identified as main cause of ill health and are at the center of the sustainable development challenges in general, and many are critical and specific public health. To face this development, other frameworks have emerged, such as planetary health and environmental and social determinants of health. Public health remains central to some, such as the improved environmental-health agenda, while others assign public health a relative position in a variety of overarching frameworks.