著者

山越 裕太

出版者

上智大学大学院グローバル・スタディーズ研究科国際関係論専攻『コスモポリス』編集委員会

雑誌

コスモポリス (ISSN:18822967)

巻号頁・発行日

no.5, pp.61-81, 2011

著者

山越 裕太

出版者

一般財団法人 日本国際政治学会

雑誌

国際政治 (ISSN:04542215)

巻号頁・発行日

vol.2018, no.193, pp.192_44-192_59, 2018-09-10 (Released:2018-12-19)

参考文献数

63

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This article analyzes how the League of Nations Health Organization (LNHO) constructed health governance.Regarding the globalizing world, health governance was primarily discussed after the Cold War and it was clarified that functional cooperation was one of its foundations. However, previous studies have not completely verified how functional cooperation evolved into health governance. Therefore, this article examines the interwar period according to the following questions: what is the significance of the co-existence of the LNHO and the Office International d’Hygiène Publique (OIHP) in establishing health governance; why did the field of health expand from addressing infectious diseases to various spheres; and how did the LNHO contend with the Great Depression.The first section of the article examines how functional cooperation in the field of health was established and why two international health organizations co-existed during the interwar period. The second section analyzes the driving force of the LNHO in seeking health governance. The third section examines how the LNHO constructed health governance through the Great Depression.The article concludes that the construction of health governance did not progress as effortlessly and linearly as reported in previous discussions. Although it certainly developed based on functional cooperation, during the process of the LNHO expanding its activities to various spheres, the states resisted, concerned about the erosion of sovereignty. However, these resistances were overcome by the logic of functional cooperation that promotes cooperation to the extent that can be agreed. For example, the spheres of standardization, interaction between experts, and medical statistics. Conversely, this process had exogenous opportunities. The LNHO was established under the influence of American foreign policy. Its activities were gradually incorporated because of the co-existence of the two international health organizations. The Great Depression—the turning point—served as an opportunity to reconsider the construction of health governance. It gradually became clear that recovery would be difficult by merely continuing LNHO’s activities as usual. Thus, observing the Great Depression’s widespread effect on economy and agriculture, the LNHO expanded its activities to cooperate with organizations in related fields in order to take unified action. The LNHO was no longer limited to anti-disease measures but was required to resolve new issues that had not been considered traditionally. This development was not caused by the extension of functional cooperation. The process from functional cooperation to health governance was characterized by flexibility and robustness. Therefore, health governance was constructed in the interwar period after several complicated circumstances.