BACKGROUND Sweden is a long-standing and significant contributor to overseas development aid. This commitment to global health and development is part of Sverigebilden, or the view of Sweden in the world that is formally promoted by the Swedish government. Sweden is seen by many in the global health community as leader on human rights and health and has traditionally been one of the most engaged countries in multilateral affairs more broadly. RESULTS This article places Sweden's engagement in global health within the wider context of domestic changes, as well as transitions within the broader global health landscape in the post-World War Two (WWII)- era. In doing so, it reviews the globalization of health from a Swedish perspective. It also addresses broader questions about what it means for a country to be 'active' or 'engaged' in global health and responds to recent suggestions that Swedish influence in health has waned. The article finds that in Sweden there is wide political consensus that international development and global health engagement are important, and both are part of the maintenance of Sverigebilen. While there is a not one single Swedish approach to global health, there are norms and values that underpin global health engagement such as human rights, solidarity, equity and gender equality. A sustained focus on key issues, such as sexual and reproductive rights and health (SRHR), creates a tradition which feeds back into Sverigebilden. CONCLUSIONS The Swedish experience demonstrates the linkages between foreign and domestic policies with regard to international health and development, and to the globalization of public health practice and diplomacy. In global health Sverigebilden is tied to credibility. Sweden is able to exercise influence because of a successful welfare model and strong research traditions; conversely, long-standing and new threats to this credibility and to Sverigebilden pose challenges to Sweden's future engagement in global health.

中文翻译：

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瑞典对全球卫生的参与：历史回顾。


背景 瑞典长期以来一直是海外发展援助的重要贡献者。这种对全球健康和发展的承诺是瑞典政府正式倡导的“Sverigebilden”的一部分，即瑞典对世界的看法。瑞典被全球卫生界的许多人视为人权和卫生领域的领导者，并且历来是最广泛参与多边事务的国家之一。结果 本文将瑞典对全球卫生的参与置于国内变化的更广泛背景下，以及第二次世界大战后 (WWII) 时代更广泛的全球卫生格局的转变中。在此过程中，它从瑞典的角度审视了健康的全球化。它还解决了一个更广泛的问题，即一个国家“积极”或“参与”全球卫生意味着什么，并回应了最近有关瑞典在卫生领域影响力减弱的建议。文章发现，瑞典存在广泛的政治共识，即国际发展和全球卫生参与很重要，两者都是维护 Sverigebilen 的一部分。虽然瑞典在全球卫生问题上没有单一的做法，但有一些规范和价值观支撑着全球卫生参与，例如人权、团结、公平和性别平等。对性权利和生殖权利与健康 (SRHR) 等关键问题的持续关注创造了一种回馈给 Sverigebilden 的传统。结论 瑞典的经验表明，在国际卫生和发展以及公共卫生实践和外交全球化方面，国内外政策之间存在联系。在全球卫生领域，Sverigebilden 与信誉息息相关。 瑞典之所以能够发挥影响力，是因为其成功的福利模式和强大的研究传统；相反，这种信誉和瑞典政府面临的长期和新的威胁对瑞典未来参与全球卫生工作构成了挑战。