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Title: Global health inequality : Justice and public health ethics
Author: Shah, Rebecca Sonul
ISNI:       0000 0004 2701 4437
Awarding Body: Keele University
Current Institution: Keele University
Date of Award: 2010
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This thesis is motivated by the intuition that current extremes of global health inequality and deprivation constitute moral problems of the utmost importance. It aims to advance our understanding of how we should think about and be morally guided in our responses to global health inequality by engaging critically with literature and arguments at the intersection of global health, public health and social justice. Part I addresses the more conceptual question of how we should think about global health inequality. I suggest that we reject international empirical, operational and normative accounts of global health inequality in favour of genuinely global approaches. I suggest five core features of public health practice and ask whether they are meaningful at the global level. I find no argument for why the features of public health may not relate to the global sphere convincing and therefore tentatively conclude that we might think of global health inequality as a matter of public health. Part II addresses the more normative question of how we should be morally guided in our responses to global health inequality. Through engagement with the public health ethics literature I propose two roles for justice as a core public health value. First, justice may be an ethical principle guiding how public health is practiced, and second justice may provide the normative justification for why public health is practiced. I identify existing accounts of public health ethics and theories of justice reflecting these twin justice roles and evaluate how well they can morally guide our responses to global health inequality. I conclude by suggesting that public health may be a social institution governed by the principles ofjustice at the global level and that public health may be a human right which should be globally fulfilled as requirement of justice.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available