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Post-Accra: is there space for country ownership in global health?

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  • Devi Sridhar

Abstract

On 4 September 2008 the Accra Agenda for Action, which emphasised that country ownership over health must be strengthened, was agreed upon. While the Agenda for Action, which builds on the 2005 Paris Declaration, is a major step forward, there are still structural factors that impede developing country ownership in health. This paper outlines the key issues in the governance and resourcing of public health in low- and middle-income countries focusing on three major structural challenges for developing countries: the proliferation of initiatives, donor influence on priority setting and donors' lack of accountability, and the sustainability of current levels and types of external financing. How can these structural obstacles be overcome? Three avenues hold considerable promise: creating new mechanisms to hold donors to account, developing national plans and strengthening national leadership in health, and building South–South collaborative networks through bilateral, multilateral and plurilateral relations.

Suggested Citation

  • Devi Sridhar, 2009. "Post-Accra: is there space for country ownership in global health?," Third World Quarterly, Taylor & Francis Journals, vol. 30(7), pages 1363-1377.
    • Handle: RePEc:taf:ctwqxx:v:30:y:2009:i:7:p:1363-1377
    DOI: 10.1080/01436590903134981
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    Cited by:

    1. Esser, Daniel E. & Keating Bench, Kara, 2011. "Does Global Health Funding Respond to Recipients' Needs? Comparing Public and Private Donors' Allocations in 2005-2007," World Development, Elsevier, vol. 39(8), pages 1271-1280, August.
    2. Pourraz, Jessica, 2022. "Making medicines in post-colonial Ghana: State policies, technology transfer and pharmaceuticals market," Social Science & Medicine, Elsevier, vol. 311(C).
    3. Amanda Glassman, Denizhan Duran, 2012. "An Index of the Quality of Official Development Assistance in Health - Working Paper 287," Working Papers 287, Center for Global Development.

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