University of Technology Sydney · FACULTY OF HEALTH & MEDICINE

95739 Chap.4 Globalisation, Migration and Health Partnerships

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Chapter 4 of 12 · 95739

Globalisation, Migration and Health Partnerships

Globalisation and health

Week 2 uses Huynen and colleagues’ framework: globalisation works at the contextual level and reaches health through distal and proximal determinants.

Migration

More than 258 million people live outside their country of birth.

Poor regulation, culturally unsuitable messaging and low-wage work expose migrants to harm, and the non-binding Global Compact for Migration sets shared values.

Partnerships

SDG 17 partnerships share information, technology and resources, with data networks and registries as examples.

For any global change, name the condition it alters and the determinant that reaches people, and remember the same pathway can carry benefits as well as harms.

In this chapter

What this chapter covers

  • 01

    Globalisation as a determinant of health

  • 02

    Contextual, distal and proximal determinants

  • 03

    Migration benefits and harms

  • 04

    The Global Compact for Migration

  • 05

    Culturally accessible health messaging

  • 06

    Low-wage migrant workers and social determinants

  • 07

    SDG 17 and global partnerships

Worked example · free

Place a trade change on the globalisation pathway

Q [4 marks]. AskSia-authored practice. A free-trade deal makes cheap processed food widely available in a Pacific nation. Using the pathway from Huynen and colleagues’ framework, place the change at each layer from globalisation to population health. The marks shown are an AskSia study allocation, not an official University marking scheme.
The path from globalisation to health in Huynen and colleagues’ framework.The path from globalisation to health in Huynen and colleagues’ framework. Globalisation acts at the contextual level, through institutional, economic, social-cultural and ecological conditions, and reaches population health only through more distal and then more proximal determinants.GlobalisationContextual levelDistal factorsProximal factorsPopulation healthinstitutional, economicsocial-cultural, ecological
The path from globalisation to health in Huynen and colleagues’ framework. Globalisation acts at the contextual level, through institutional, economic, social-cultural and ecological conditions, and reaches population health only through more distal and then more proximal determinants.
  • 1Globalisation: an international trade agreement opens the market.
  • 1Contextual level: economic and social-cultural conditions change as imported processed food becomes cheap and common.
  • 1Distal determinant: household diets shift toward processed food.
  • 1Proximal determinant and health: higher intake of salt and sugar raises the risk of diet-related disease in the population.
Trade deal, then changed economic and cultural food environment, then diet patterns, then individual intake and disease risk.
Sia tip — Never jump from globalisation straight to illness; name the condition and the determinant in between.
Glossary

Key terms

Distal Determinant
A factor further from the individual, such as economic conditions, through which wider forces affect health.
Global Compact for Migration
The first UN agreement on a common approach to migration, grounded in shared values but not legally binding.
SDG Actions Platform
A global registry where governments and other actors record policies and partnerships that support the goals.
Proximal Determinant
A factor close to the individual, such as diet or exposure, through which distal conditions reach health.
FAQ

Globalisation, Migration and Health Partnerships FAQ

How does globalisation affect population health?

Huynen and colleagues argue it reshapes four groups of health determinants: institutional, economic, social-cultural and ecological. It works mainly at the contextual level, so its influence reaches people only through more distal and then more proximal factors, bringing opportunities as well as risks.

Is the Global Compact for Migration legally binding?

No. Recommended in 2016, it was the UN’s first shared approach to migration, but it creates no legal obligations. Its values are the sovereignty of states, shared responsibility, non-discrimination and human rights, and it seeks the benefits of migration while managing the risks.

Why did some COVID-19 health messages fail migrant communities?

The module says some messaging was culturally inaccessible, inappropriate or unrelatable. A reading on Muslim communities in Western Sydney shows why community-specific communication channels matter when public health advice needs to reach diverse populations quickly.

How many people live outside their country of birth?

The module cites an estimate of over 258 million migrants living outside their country of birth. It stresses the benefits of multicultural societies for migrants and host countries, while warning that poorly regulated migration can overwhelm infrastructure and expose migrants to assault, rights violations and detention.

Why does SDG 17 matter for the other goals?

SDG 17 covers partnerships, which the module calls essential to meeting every other goal. Partnerships connect people across the world so they can share information, technology, knowledge, ideas and resources, and examples include a data network of more than 150 data champions and a registry of SDG initiatives.

How are low-wage migrant workers affected by social determinants?

Many low-wage occupations are held by migrants, and low socio-economic status turns into health inequities through the social determinants of health. A set reading by Saparamadu and colleagues examines this for low-wage migrant workers in Singapore, Korea and Brazil during COVID-19.

What does the Week 2 tutorial ask about partnerships?

It asks you to consider what helps and what blocks global partnerships working toward the SDGs, using a reading by Leal Filho and colleagues that summarises ten partnerships. Prepare by noting, for each type of partnership, one enabler and one barrier you could defend in discussion.

Study strategy

Assessment move

Draw the pathway once from memory, then place three examples on it: a trade change, a migration policy and a climate shock. For migration, learn the four values of the Global Compact and the three risks in the module. For partnerships, be ready to name one data partnership and say what sharing data makes possible.

For the tutorial on partnerships, read Leal Filho and colleagues’ summary of ten global partnerships and list one enabler and one barrier for each type.

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