기능주의 관점에서 본 세계보건기구의 설립과 역할 = Establishment and Functions of World Health Organization: With a Functionalism Perspective

다국어 초록 (Multilingual Abstract)

Since its establishment in 1948, World Health Organization (WHO) has tried and facilitated international cooperation of public health under the goal of “the highest attainable health,”and gained outcomes like the eradication of smallpox and polio, turning itself into the representative of international public health. However, there was discord between member nations during the cold war era, and the status of WHO experienced rise and fall after its establishment. WHO, the representative international health organization, also has not been freed from influences from international regime changes, which means that the discussion on the internal causes of WHO functionings should be expanded more.
In this study, functionalism was tested as one of international relations theory that tries to explain the establishment and role of WHO. Especially, this study analyzed the problems and problem-solving process that WHO had to face by using Imber’s five steps theory that arranged chronologically the theory of Mitrany. We mainly investigated the secondary source that described historic facts on the rise and fall of WHO in terms of roles and functionings during establishment of WHO, the cold war era, and international cooperation of public health. The roles of WHO were analyzed by selecting the gains of WHO in the post cold war era. The functionalism arrangement of Imber was appropriate to some extent in explaining the establishment and role of WHO. The first step was International Sanitary Conference in 1851 that made nations to recognize international cooperation of public health, and the second step was the establishment of WHO that handles public health as an international organization. Recent cases of the Framework Convention on Tobacco Control and International Health Regulations showed that each nation agreed with an international norm that they had to cooperate each other to tackle infectious diseases and smoking, and this implies that these were emergence of global governance. This process was the third step of Imber’s theory (nations had a gain from international cooperation would agree with the expansion of authority of international organization). However, the last two steps of the theory are still not realized. The partial success of WHO was based on the functional elements that WHO deals with non-political elements, human resources centering on professionals, and democratic decision making process. This essential and non-political characteristics mean that necessity of international cooperation catalyzed by WHO would continue despite of the global governance era when global health governance get faced more challenges.

참고문헌 (Reference)

1 김용우, "통합이론으로서 기능주의와 신기능주의의 국제적 적용상황에 대한 비교연구: 대북통합정책에 주는 정책적 함의" 한국정책과학학회 8 (8): 2004

2 조동준, "인류공동의 유산’의 국제제도화 과정: 심해저 관리를 중심으로" 한국국제정치학회 50 (50): 127-158, 2010

3 박재영, "의사결정 방식을 중심으로 본 주권국가와 국제기구와의 관계" 38 (38): 43-62, 1998

4 장신, "신 국제보건규칙(IHR 2005)제정에 따른 국제보건법의 발전 - 적용범위 확대를 중심으로 -" 대한국제법학회 52 (52): 399-426, 2007

5 조동준, "생각의 힘과 돈의 힘: 노예제 폐지론과 자유무역의 상호작용" 2006

6 박종철, "상생공영 정책과 대북포용정책의 비교: 기능주의의 한계와 제도주의의 실험" 49 (49): 419-426, 2009

7 김학노, "마스트리히트 사회정책협정 형성과정: 구성주의적 신기능주의 설명" 35 (35): 437-453, 2001

8 김용우, "기능주의와 신기능주의: 국제연합체 성장에의 응용성에 관한 비교 연구" 18 (18): 535-547, 1984

9 한승헌, "국제커피기구(ICO)의 창설 및 붕괴 과정 연구" 이화여자대학교 대학원 2009

10 조동준, "국제연합총회에서 미국의 영향력 분석 - 영향력 자원(power resource)과 선호의 상호작용" 한국정치학회 38 (38): 327-353, 2004

11 이덕형, "국제보건규칙의 개정과 전염병 관리 및 검역체계 개선의 과제" 48 (48): 784-794, 2005

12 최동주, "국제기구의 이해" 명인문화사 2007

13 박흥순, "국제기구와 국제제도" 49 (49): 401-417, 2009

14 김태운, "국제기구 형성과 역할에 관한 이론적 고찰 : IAEA의 경험적 사례를 중심으로" 한국콘텐츠학회 6 (6): 79-89, 2006

15 강성학, "국제기구 연구경향과 유엔체제" 30 (30): 49-76, 1991

16 김관옥, "국제기구 역할에 관한 이론적 재고찰: 미국의 패권적 국제질서를 중심으로" 대한정치학회 12 (12): 245-267, 2004

17 정효민, "국제기구 역할에 관한 이론적 고찰 : 국제노동기구(ILO)의 문제제기 구조와 관련된 경험적 사례를 중심으로" 고려대학교 정책대학원 2010

18 문돈, "거래비용이론, 신제도주의, 그리고 제도의 변화: GATT에서 WTO로의 분쟁해결제도의 변화" 24 (24): 95-124, 2002

19 Ferguson N, "You were expecting statehood?"

20 Allen C., "World health and world politics" 4 (4): 27-43, 1950

21 WHO, "Working for health: an introduction to the World Health Organization" 2007

22 Godlee F, "WHO in retreat: Is it losing its influence?" 309 : 1491-1495, 1994

23 Yamey G, "WHO in 2002: Why does the world still need WHO?" 325 : 1294-1298, 2002

24 Gaddis JL, "The long peace: Elements of stability in the postwar international system" 10 (10): 99-142, 1986

25 Meier B, "The highest attainable standard: The World Health Organization, global health governance, and the contentions politics of human rights" Columbia University 2009

26 Mitrany D, "The functional approach to world organization" 24 (24): 350-363, 1948

27 Mitrany D, "The functional approach in historical perspective" 47 (47): 532-543, 1971

28 WHO, "The first ten years of the World Health Organization" 1958

29 Jolly JE, "The evolution and development of international health collaboration" University of British Columbia 1987

30 Kickbusch I, "The development of international health policies: accountability intact?" 51 (51): 979-989, 2000

31 Cox RW, "The anatomy of influence: decision making in international organization" Yale University Press, Ltd 1974

32 World Bank, "The Wrold Bank annual Report 2010" World Bank 2010

33 Brown TM, "The World Health Organization and the transition from“International”to“Global”public health" 96 (96): 62-72, 2006

34 Buse K, "The World Bank and global cooperation in health: the case of Bangladesh" 351 (351): 665-669, 1998

35 Riggs RE, "The FAO and the USDA: Implications for functionalist learning" 33 (33): 314-329, 1980

36 Riggs RE, "The Bank, the IMF, and the WHO: More data on functionalist learning" 24 (24): 329-357, 1980

37 Wilson K, "Strengthening the International Health Regulations: lessons from the H1N1 pandemic" 25 (25): 505-509, 2010

38 Imber MF, "Re-reading Mitrany: a pragmatic assessment of sovereignty" 10 (10): 103-123, 1984

39 Roemer R, "Origins of the WHO framework convention on tobacco control" 95 (95): 936-938, 2005

40 Mclaren RI, "Mitranian functionalism: possible or impossible?" 11 (11): 139-152, 1985

41 Andresen S., "Leadership change in the World Health Organization: Potential for increased effectiveness?" The Fridtjof Nansen Institute 2002

42 Bettcher D, "International public health instruments, In Oxford Textbook of Public Health. 5th ed" Oxford University Press 2009

43 Rothwell C, "International organization and world politics" 3 (3): 605-619, 1949

44 WHO, "International code of marketing of breast-milk substitutes" 1981

45 Gostin LO, "Global regulatory strategies for tobacco control" 298 (298): 2057-2059, 2007

46 Tarantola D, "Global health and national governance" 95 (95): 8-, 2005

47 Ruger JP, "Global functions at the World Health Organization" 330 : 1099-1100, 2005

48 "Economist. Repositioning the WHO: The World Health Organisation is about to given a much-needed kick in the backside. 1998년 5월 7일"

49 Peabody JW, "An organizational analysis of the world health organization: Narrowing the gap between promise and performance" 40 (40): 731-742, 1995

50 Mitrany D, "A Working peace system" Quadrangle Books 1966

51 박찬봉, "7.7선언체제의 평가와 대안체제의 모색: 기능주의에서 제도주의로" 한국정치학회 42 (42): 341-367, 2008

52 WHO, "63rd World Health Assembly document A63/40"

53 WHO, "58th World Health Assembly 58.3 – Revision of international health regulations" 2005

54 카, E.H., "20년의 위기" 녹문당 2005

55 김태운, "'신현실주의'와 '신자유주의'의 국제정치관 : 인식의 공유와 차이" 한국정치정보학회 8 (8): 190-211, 2005