Edited by Soonhee Kim, Shena Ashley and Henry W. Lambright
Chapter 15: Insights from public administration scholarship for addressing global health governance challenges
Global health scholars have noted a sea change over the past two decades in efforts around the world to improve health and wellbeing. In particular, the transition from ‘international health’ to ‘global health’ has been marked by two trends: a dramatic increase in the number of actors involved in the health arena and a significant reconfiguration of the traditional relationships among these actors (Hill, 2011). The bulk of these new actors fall into the non-state category, both for-profit and not-for-profit, and many of them increasingly compete with state actors – both nation-states and intergovernmental organizations such as the World Health Organization (WHO) – for power and influence. For example, analysts note the outsized influence of the Gates Foundation and a host of global health partnerships that it has supported (Rushton and Williams, 2011). In short, the landscape of global health has been fundamentally transformed. This large influx of diverse actors has complicated attempts to govern the realm of global health. It generates a practical concern: how can policies and programs be implemented effectively in such a crowded and disorganized environment? In addition, it raises the question of how to hold these actors – new and old – accountable.
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