The New Realities of Global Health: Dynamics and Obstacles
- 290 Downloads
The past 15 years have seen the arrival of new actors in the field of global health and an increase in development aid in the healthcare sector. These actors have claimed a significant share of the additional public and private resources available becoming the driving force in this new paradigm, often at the expense of traditional institutions, which have gradually lost their policy hegemony. Making choices and formulating policies on the matter of healthcare have ceased to be the sole prerogative of the institutions that had hitherto held the mandate and the responsibility for doing so. Entire areas of the healthcare sector are now dominated by private funders, which have become the de facto decision-makers on public health policy. This new situation raises fundamental questions about governance and accountability. Who decides policy? How are decisions made? All too often, countries in receipt of aid continue to suffer from inadequate coordination between donors and from the lack of a common agenda. With this in mind, it is worth exploring a number of ways of ensuring that global healthcare policies best reflect the beneficiary countries’ actual needs and aspirations.
KeywordsGlobal Health Healthcare Sector Private Partnership Healthcare Policy Donor Country
Unable to display preview. Download preview PDF.
- AFP (Agence France Presse) (2011) L’OMS ouvre sa 64 e Assemblée sur fond d’austérité budgétaire et de réforme, 5 May.Google Scholar
- AidWatch (2011) Between Austerityand Political Will: EU MS ODA Budgets in 2011, February.Google Scholar
- Balabanova, D., M. McKee, A. Mills, G. Walt and A. Haines (2010) ‘What Can Global Health Institutions Do to Help Strengthen Health Systems in Low Income Countries?’, Health Research Policy and Systems, 8(22), DOI 10.1186/1478–4505-8–22.Google Scholar
- Benkimoun, P. (2011) ‘La complaisance à l’égard d’un laboratoire peut miner une institution’, Le Monde, 23–24 January.Google Scholar
- Birdsall, N. and B. Deese (2004) ‘Hard Currency: Unilateralism Doesn’t Work for Foreign Aid Either’, Washington Monthly, March, http://www.washingtonmonthly.com/features/2004/0403.birdsall.html (accessed on 22 April 2011).
- Chow, J.C. (2010) ‘Is the WHO Becoming Irrelevant?’, Foreign Policy, 8 December.Google Scholar
- Delaunay, S. (2011) Etats des lieux de l’infection VIH en république de Centrafrique et piste de réflexion pour MSF, MSF internal report, April.Google Scholar
- De Torrenté, N. (2009) The Global Health Landscape: Mapping Trends and Developments of Relevance to MSF, MSF internal report, June.Google Scholar
- DFID (Department for International Development) (2007) The International Health Partnership Launched Today, 5 September, http://webarchive.nationalarchives.gov.uk/+/http://www.dfid.gov.uk/Media-Room/News-Stories/2007/The-International-Health-Partnership-Launched-Today/ (accessed on 15 April 2011).Google Scholar
- Doughton, S. and K. Heim (2011) ‘Does Gates Funding of Media Taint Objectivity?’, The Seattle Times, 19 February, http://seattletimes.nwsource.com/html/localnews/2014280379_gatesmedia.html (accessed on 5 May 2011).
- Duparc, A. (2011a) ‘L’OMS face à un nouveau conflit d’intérêts’, Le Monde, 23–24 January.Google Scholar
- Duparc, A. (2011b) ‘L’Organisation mondiale de la santé, une agence de plus en plus privée’, Le Monde, 19 May.Google Scholar
- England, R. (2007) ‘Head to Head: Are We Spending too much on HIV?’, British Medical Journal, 334(7589), DOI 10.1136/bmj.39113.402361.94.Google Scholar
- Fay, S. (2011) ‘Les “philanthropes” confisquent l’action publique’, Le Nouvel Observateur, 31 March–6 April.Google Scholar
- Fidler, D.P. (2007) ‘Architecture amidst Anarchy: Global Health’s Quest for Governance’, Global Health Governance, 1(1), http://www.ghgj.org/Fidler_Architecture.pdf (accessed on 4 October 2011).
- GFATM (Global Fund to Fight AIDS, Tuberculosis and Malaria) (2011) Making a Difference. Global Fund Results Report2011 (Geneva: GFATM).Google Scholar
- GHW (Global Health Watch) (2008) Global Health Watch 2: An Alternative World Health Report (London and New York: Zed Books).Google Scholar
- Hanefeld, J. and M. Musheke (2009) ‘What Impact Do Global Health Initiatives Have on Human Resources for Antiretroviral Roll-Out? A Qualitative Policy Analysis of Implementation Processes in Zambia’, Human Resources for Health, 7(8), DOI 10.1186/1478–4491-7–8.Google Scholar
- HLTF (High Level Task Force on Innovative Financing for Heath Systems) (2009) Working Group 1: Constraints to Scaling Up and Costs, final draft, 5 June.Google Scholar
- IHME (Institute for Health Metrics and Evaluation) (2010) Financing Global Health 2010: Development Assistance and Country Spending in Economic Uncertainty (Seattle, WA: IHME).Google Scholar
- Martens, J. (2007) Multistakeholder Partnerships: Future Model of Multilateralism? Dialogue on Globalization no. 29, occasional paper (Berlin: Friedrich-Ebert-Stiftung).Google Scholar
- McCoy, D., G. Kembhavi, J. Patel and A. Luintel (2009) ‘The Bill and Melinda Gates Foundation’s Grant-Making Programme for Global Health’, The Lancet, 373(9675), pp. 1645–53, DOI 10.1016/S0140–6736(09)60571–7.Google Scholar
- McDonald, R. and R. Horton (2009) ‘Trade and Health: Time for the Health Sector to Get Involved’, The Lancet, 373(9660), pp. 273–4, DOI 10.1016/S01406736(08)61773–0.Google Scholar
- McNeil, D. (2008) ‘Gates Foundation’s Influence Criticized’, The New York Times, 16 February.Google Scholar
- McNeil, D. (2011) ‘Gates Calls for a Final Push to Eradicate Polio’, The New York Times, 31 January.Google Scholar
- Richter, J. (2004) Public-Private Partnerships and International Health Policy-Making: How Can Public Interests Be Safeguarded? (Helsinki: Ministry for Foreign Affairs of Finland, Development Policy Information Unit).Google Scholar
- Spicer, N., D. Bogdan, R. Brugha, A. Harmer, G. Murzalieva and T. Semigina (2011) ‘“It’s Risky to Walk in the City with Syringes”: Understanding Access to HIV/AIDS Services for Injecting Drug Users in the Former Soviet Union Countries of Ukraine and Kyrgyzstan’, Globalization and Health, 7(22), DOI 10.1186/1744–8603-7–22.Google Scholar
- Stuckler, D., S. Basu and M. McKee (2011) ‘Global Health Philanthropy and Institutional Relationships: How Should Conflicts of Interest Be Addressed?’, PLoS Med, 8(4), DOI 10.1371/journal.pmed.1001020.Google Scholar
- The Economist (2011) ‘The End of AIDS? Fighting Transmission’, The Economist, video, 3 June, http://www.economist.com/blogs/multimedia/2011/06/end-aids (accessed on 10 June 2011).
- UNIS (United Nations Information Service) (2000) Security Council Holds Debate on Impact of AIDS on Peace and Security in Africa, press release, 11 January, UNIS/SC/1173 (New York: United Nations).Google Scholar
- WHO (World Health Organization) (2010a) The Future of Financing for WHO, report of an informal consultation convened by the Director-General, WHO/DGO/2010.1 (Geneva: WHO).Google Scholar
- WHO (2010b) Voluntary Contributions by Fund and by Donor for the Financial Period 2008–2009, A63/INF.DOC./4 (Geneva: WHO).Google Scholar