Theoretical underpinnings of state institutionalisation of inclusion and struggles in collective health in Latin America

Qamar Mahmood, Carles Muntaner

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Community participation as a strategy in health aims to increase the role of citizens in health decision-making which are contextualised within the institutions of democracy. Electoral representation as the dominant model of democracy globally is based on the elite theory of democracy that sees political decision-making a prerogative of political elites. Such political elitism is counter to the idea of democratic participation. Neoliberalism together with elitism in political sphere have worsened social inequities by undermining working class interests. Latin America has seen adverse consequences of these social inequities. In response, social movements representing collective struggles of organised citizens arose in the region. This paper explores the theoretical underpinnings of democratic participation in contemporary Latin American context at the nexus of emerging social movement activism and policy responses. The paper will use empirical examples to highlight how such democratic practices at the societal level evolved while demanding political inclusion. These societal democratic practices in Latin America are redefining democracy, which continues to be seen in the political sphere only. Health reforms promoting participatory democracy in several Latin American countries have demonstrated that establishing institutions and mechanisms of democratic participation facilitate collective participation by the organised citizenry in state affairs.

Original languageEnglish
Pages (from-to)1-12
Number of pages12
JournalGlobal Public Health
DOIs
Publication statusAccepted/In press - 2018 Mar 29
Externally publishedYes

Fingerprint

Democracy
Institutionalization
Latin America
Health
Decision Making

Keywords

  • Health inequalities
  • health sector reform
  • Latin America
  • participation
  • social inclusion

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Theoretical underpinnings of state institutionalisation of inclusion and struggles in collective health in Latin America. / Mahmood, Qamar; Muntaner, Carles.

In: Global Public Health, 29.03.2018, p. 1-12.

Research output: Contribution to journalArticle

@article{637e4a782a944a4198191c67f8f0f8c4,
title = "Theoretical underpinnings of state institutionalisation of inclusion and struggles in collective health in Latin America",
abstract = "Community participation as a strategy in health aims to increase the role of citizens in health decision-making which are contextualised within the institutions of democracy. Electoral representation as the dominant model of democracy globally is based on the elite theory of democracy that sees political decision-making a prerogative of political elites. Such political elitism is counter to the idea of democratic participation. Neoliberalism together with elitism in political sphere have worsened social inequities by undermining working class interests. Latin America has seen adverse consequences of these social inequities. In response, social movements representing collective struggles of organised citizens arose in the region. This paper explores the theoretical underpinnings of democratic participation in contemporary Latin American context at the nexus of emerging social movement activism and policy responses. The paper will use empirical examples to highlight how such democratic practices at the societal level evolved while demanding political inclusion. These societal democratic practices in Latin America are redefining democracy, which continues to be seen in the political sphere only. Health reforms promoting participatory democracy in several Latin American countries have demonstrated that establishing institutions and mechanisms of democratic participation facilitate collective participation by the organised citizenry in state affairs.",
keywords = "Health inequalities, health sector reform, Latin America, participation, social inclusion",
author = "Qamar Mahmood and Carles Muntaner",
year = "2018",
month = "3",
day = "29",
doi = "10.1080/17441692.2018.1455886",
language = "English",
pages = "1--12",
journal = "Global Public Health",
issn = "1744-1692",
publisher = "Routledge",

}

TY - JOUR

T1 - Theoretical underpinnings of state institutionalisation of inclusion and struggles in collective health in Latin America

AU - Mahmood, Qamar

AU - Muntaner, Carles

PY - 2018/3/29

Y1 - 2018/3/29

N2 - Community participation as a strategy in health aims to increase the role of citizens in health decision-making which are contextualised within the institutions of democracy. Electoral representation as the dominant model of democracy globally is based on the elite theory of democracy that sees political decision-making a prerogative of political elites. Such political elitism is counter to the idea of democratic participation. Neoliberalism together with elitism in political sphere have worsened social inequities by undermining working class interests. Latin America has seen adverse consequences of these social inequities. In response, social movements representing collective struggles of organised citizens arose in the region. This paper explores the theoretical underpinnings of democratic participation in contemporary Latin American context at the nexus of emerging social movement activism and policy responses. The paper will use empirical examples to highlight how such democratic practices at the societal level evolved while demanding political inclusion. These societal democratic practices in Latin America are redefining democracy, which continues to be seen in the political sphere only. Health reforms promoting participatory democracy in several Latin American countries have demonstrated that establishing institutions and mechanisms of democratic participation facilitate collective participation by the organised citizenry in state affairs.

AB - Community participation as a strategy in health aims to increase the role of citizens in health decision-making which are contextualised within the institutions of democracy. Electoral representation as the dominant model of democracy globally is based on the elite theory of democracy that sees political decision-making a prerogative of political elites. Such political elitism is counter to the idea of democratic participation. Neoliberalism together with elitism in political sphere have worsened social inequities by undermining working class interests. Latin America has seen adverse consequences of these social inequities. In response, social movements representing collective struggles of organised citizens arose in the region. This paper explores the theoretical underpinnings of democratic participation in contemporary Latin American context at the nexus of emerging social movement activism and policy responses. The paper will use empirical examples to highlight how such democratic practices at the societal level evolved while demanding political inclusion. These societal democratic practices in Latin America are redefining democracy, which continues to be seen in the political sphere only. Health reforms promoting participatory democracy in several Latin American countries have demonstrated that establishing institutions and mechanisms of democratic participation facilitate collective participation by the organised citizenry in state affairs.

KW - Health inequalities

KW - health sector reform

KW - Latin America

KW - participation

KW - social inclusion

UR - http://www.scopus.com/inward/record.url?scp=85044503708&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85044503708&partnerID=8YFLogxK

U2 - 10.1080/17441692.2018.1455886

DO - 10.1080/17441692.2018.1455886

M3 - Article

AN - SCOPUS:85044503708

SP - 1

EP - 12

JO - Global Public Health

JF - Global Public Health

SN - 1744-1692

ER -