The Global Health System: Institutions in a Time of Transition

PLOS Medicine, 2010

This is the first in a series of four articles that highlight the changing nature of global health institutions.

PLOS Medicine, 2010

This is the fourth in a series of four articles that highlight the changing nature of global health institutions.

American journal of public health, 2017

Global Health Diplomacy, 2012

The Transformation of Global Health Governance, 2014

This chapter identifies how transformations in global health governance are reflected in the governances of specific health issues such as human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS), pandemic influenza, tobacco control and access to medicines. It illustrates the importance of ideas such as security, rights, economics, development and bio-medicine in the formation and legitimisation of interests in global health. The chapter explains the link between global health governance and other areas of global governance. It also underscores the multisectoral nature of global health governance and how this is reflected in institutions and actors. Finally it suggests that the way forward in improving global health governance is to link health and other concerns both in the framing of issues and in institutional architecture.

2007

The growing role of civil society in global health governance reflects profound and wellknown changes in the overall system of global governance. In many respects, however, health governance is actually leading those changes. This paper uses the lens of Liberal international relations theory to explore innovations in global health governance that are not only interesting and significant in their own right, but are also of broader importance for global governance. These include (1) the role of civil society organizations (CSOs) as "proponents" or advocates of policy and the advocacy partnerships formed by CSOs and public organizations; (2) the changing nature of inter-state regimes, such as the WHO/international health regime, due to the growing participation of domestic, non-state actors; (3) the strategies of organizations like the Global Fund to Fight HIV/AIDS, TB and Malaria to engage with and empower domestic CSOs in dealings with their own governments; and (4) the emerging role of CSOs, private sector firms and other non-state actors as "protagonists" or direct participants in international governance, independently or in collaboration with states and international organizations. The paper uses the Governance Triangle to map and analyze the forms and patterns of private and privatepublic governance arrangements.

British Medical Bulletin, 2009

2012

"Despite extraordinary successive increases in international aid, we have not achieved desired gains in health equity. There has been a tendency to focus on vertical programmes and specific diseases, rather than supporting countries to develop sustainable health financing systems that would lead to universal coverage. Despite the statements agreed to in the Paris and Accra declarations aid has in many cases reinforced the organizational and institutional health care divide between developed and developing countries. The premise of international aid has recently changed, with the Busan Partnership for Effective Development Cooperation statement calling for greater ownership of development priorities, greater cooperation between various stakeholders for development, greater accountability for development efforts and more support for South-South and triangular cooperation. Within this framework, supporting health financing and health systems should be an important component of sustainable development. Achieving the right to health - a central goal for global health outlined in the WHO constitution - is intertwined with social, economic and environmental development. Health equity is not the only goal, as access to processes of participation in agenda setting and cross-sectoral policy mechanisms, along with transparency and accountability are crucial. In our modern globalised system, we need to ensure that citizen's right to participate is not undermined and that social inclusion is a primary goal. Global Health Europe, together with World Vision International, have developed this resource based on World Health Summit sessions held in October 2011, in order to highlight key recommendations on global health governance and financing mechanisms made at this forum. Through a range of mechanisms, we are advocating for stronger multi-stakeholder and citizen engagement in policy processes for global health, and fairer and more sustainable health financing mechanisms for universal coverage."

2021

By analysing the roles and problems faced by international regimes as major players in global health governance, this book looks into the root causes of the often insufficient supply of global public goods for health and of the deficiencies in current global health governance. Combining several different methods of analysis and methodologies, this book sketches out the landscape of international public health governance involving a range of international actors. These actors include the World Health Organization, the World Trade Organization, the Biological Weapons Convention and international human rights regimes. Through a novel theoretical framework that synthesises the theory of securitisation, public goods and international regimes, the author focuses on factors that have resulted in observed deficiencies in global health governance. Based on these examinations, the book also tries to explore feasible approaches for institutional refinement and innovations for greater effectiveness in global health governance. The book will appeal to academics and policymakers interested in global health, international relations and international law.

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