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Governance Challenges in Global Health (Four Functions of the Global…
Governance Challenges in Global Health
Introduction
Health threats are evolving within a global context which is very different in norms, values, interests, health risks and health resources.
Understanding Global Health and Governance
Many dimensions
populations of interest
geographical focus
types of health problems
specific mission
Two key elements in definition
The world population
binding interdependence of social organisation
Good governance has drawn increased political attention
Key traits
effectiveness
equity
credibility
efficiency
legitimacy
The Global Health System: The New reality of Pluralism
Many actors whose primary intent is to improve health along with rules and norms governing their interactions (Refer Table 1)
Major Governance Challenges for Global Health
Sovereignty
Sectoral
Accountability
Four Functions of the Global Health System
Management of externalities across
Mobilization of global solidarity
Production of global public goods
Stewardship
Implications for policy
All influential actors (governments, multilateral institutions, civil society organisations, firms, foundations etc) should identify new governance arrangements that are more effective, equitable, and accountable