ABSTRACT Despite health’s prominent place in Canadian foreign policy, as evidenced in the on-going support for maternal newborn and child health (MNCH) initiatives, little is known about the driving forces behind the integration of health into foreign policy. Based on document analysis and expert interviews, we provide an empirically grounded but theoretically informed perspective on health’s role in Canadian foreign policy. We argue that the integration of health into Canadian foreign policy cannot be understood by drawing on a single theoretical perspective. Instead we suggest that the integration of health into foreign policy follows competing logics, depending on whether or not health concerns intersect with high politics (such as national security and economic interests). In cases where health is directly or indirectly related to major security threats, realist theory (and the securitization logic) can best explain health’s positioning in foreign policy by highlighting the role that state interests play in maximizing security. In instances where health is not related to high politics concerns, liberal internationalism with its focus on the cultural and normative driving forces provides a more useful theoretical understanding of how or why health enters foreign policy prominence.

中文翻译：

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加拿大外交政策中的健康：规范和安全利益的作用

摘要 尽管健康在加拿大外交政策中占有突出地位，正如对孕产妇新生儿和儿童健康 (MNCH) 倡议的持续支持所证明的那样，但人们对将健康融入外交政策背后的驱动力知之甚少。基于文件分析和专家访谈，我们就健康在加拿大外交政策中的作用提供了一个有经验但有理论依据的观点。我们认为，不能通过单一的理论视角来理解将健康纳入加拿大外交政策。相反，我们建议将健康纳入外交政策遵循相互竞争的逻辑，这取决于健康问题是否与高级政治（例如国家安全和经济利益）相交。在健康与重大安全威胁直接或间接相关的情况下，现实主义理论（和证券化逻辑）可以通过强调国家利益在最大化安全中发挥的作用来最好地解释健康在外交政策中的定位。在健康与高度政治关注无关的情况下，专注于文化和规范驱动力的自由国际主义为健康如何或为何进入外交政策提供了更有用的理论理解。