Governing Global Health: Who Runs the World and Why?
The past few decades have seen a massive increase in the number of international organizations focusing on global health. Campaigns to eradicate or stem the spread of AIDS, SARS, malaria, and Ebola attest to the increasing importance of globally-oriented health organizations. These organizations may be national, regional, international, or even non-state organizations-like Medicins Sans Frontieres. One of the more important recent trends in global health governance, though, has been the rise of public-private partnerships (PPPs) where private non-governmental organizations, for-profit enterprises, and various other social entrepreneurs work hand-in-hand with governments to combat specific maladies. A primary driver for this development is the widespread belief that by joining together, PPPs will attack health problems and fund shared efforts more effectively than other systems.
As Chelsea Clinton and Devi Sridhar show in Governing Global Health, these partnerships are not only important for combating infectious diseases; they also provide models for developing solutions to a host of other serious global health challenges and questions beyond health. But what do we actually know about the accountability and effectiveness of PPPs in relation to the traditional multilaterals? According to Clinton and Sridhar, we have known very little because scholars have not accumulated enough data or developed effective ways to assess them-until now. In their analysis, they uncovered both strength and weaknesses of the model. Using principal-agent theory in which governments are the principals directing international agents of various type, they take a closer look at two major PPPs-the Global Fund to Fight HIV/AIDS, TB and Malaria and the GAVI Alliance-and two major more traditional international organizations-the World Health Organization and the World Bank.
An even-handed and thorough empirical analysis of one of the most pressing topics in world affairs, Governing Global Health will reshape our understanding of how organizations can more effectively prevent the spread of communicable diseases like AIDS and reduce pervasive chronic health problems like malnutrition.
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accessed 15 January agency agenda Annual arguably Bank’s bilateral donors billion Board meetings budget CCMs challenges chapter civil society commitments cooperation CSOs December decisions developing countries Devi Sridhar disbursed Ebola efforts engage Evaluation example Executive Board extrabudgetary Fight AIDS financing Fund and Gavi Fund to Fight Fund’s Gates Foundation Gavi Alliance Gavi’s Geneva Global Fund Global Fund Board Global Fund grants global health health systems strengthening HIV/AIDS IBRD implementing Independent Evaluation Group initiatives institutions international organizations investments loans Melinda Gates ment monitoring NCDs Ngaire Woods NGOs nonstate actors Nutrition outbreak pandemic partnerships PEPFAR percent PPPs principal-agent theory principals priorities private sector programs projects public health reform replenishment Review Secretariat September 2015 significant specific tions transparency Tuberculosis Tuberculosis and Malaria UNICEF vaccine Vaccine Alliance vertical voluntary contributions WHO’s World Bank Group World Health Assembly World Health Organization Zika