弥合“雄心”与“低能”——规范本土化与东盟地区卫生合作制度化的协同演进

Bridging Ambition and Low Capacity:The Synergy of Norm Localization and Institutionalized Health Cooperation in the ASEAN Region

全球卫生治理深受地区活动的影响,发展中国家和地区卫生治理能力的提升已成为决定全球卫生治理成效的重要因素。文章基于文件档案分析和专家访谈,追踪了东盟以传染病防控为核心的地区卫生合作实践进程,认为规范本土化与合作制度化在多重实践进程中的互动演进推动了地区卫生合作。一方面,规范本土化通过产生共同利益认知与集体身份,引领了地区卫生合作制度化;另一方面,本土化后的规范也会随着合作制度的持续发展而发生自我演化,从而使规范本土化得以保持引领作用。深入理解东盟地区卫生合作中规范、理念、身份以及制度的互动及其演进机理,不仅可为全球卫生治理改革提供思路,也有助于维护中国周边卫生安全,促进中国—东盟共建人类卫生健康共同体。

Global health governance is deeply impacted by regional activities,and the enhancement of health governance capacity in developing countries and regions has become a critical factor in determining the effectiveness of global health governance.On the basis of analysis of archival documents and expert interviews,this article considers the progress of ASEAN in regional health cooperation on infectious diseases.It argues that in practice,the synergy of norm localization and institutionalized cooperation advance the evolution of regional health cooperation.On one hand,the norm localization creates perceptions of shared interests and collective identity,which drive the institutionalization of regional health cooperation.On the other hand,the continuous development of regional health governance institutions becomes an important reference for the evolution of localized norms,which will result in the continuation of norm localization.An in-depth understanding of interactions between norms,concepts,identities,and institutions in ASEAN’s regional health cooperation will benefit global health governance reform,safeguarding China’s neighboring health security as well as construction of a community of common health for mankind between China and ASEAN.