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The Global Health System: Institutions in a Time of Transition

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  • Clark, William C.
  • Szlezak, Nicole Alexandra
  • Moon, Suerie
  • Bloom, Barry R.
  • Keusch, Gerald T.
  • Michaud, Catherine M.
  • Jamison, Dean T.
  • Frenk, Julio
  • Kilama, Wen L.

Abstract

The global health system is in a period of rapid transition, with an upsurge of funds and greater political recognition, a broader range of health challenges, many new actors, and the rules, norms and expectations that govern them in flux. The traditional actors on the global health stage—most notably national health ministries, the World Health Organization (WHO) and a relatively small group of national medical research agencies and foundations funding global health research—are now being joined (and sometimes challenged) by a variety of newer actors: civil society and nongovernmental organizations, private firms, and private philanthropists, and an ever-growing presence in the global health policy arena of low- and middle-income countries, such as Kenya, Mexico, Brazil, China, India, Thailand, and South Africa. We present here a series of four papers on one dimension of the global health transition: its changing institutional arrangements. We define institutional arrangements broadly to include both the actors (individuals and/or organizations) that exert influence in global health and the norms and expectations that govern the relationships among them. We focused on three central questions regarding the global health system: (1) What functions must an effective global health system accomplish? (2) What kind of institutional arrangements can better govern the growing and diverse set of actors in the system to ensure that those functions are performed? (3) What lessons can be extracted from analysis of historical experience with malaria to inform future efforts to address them and the coming wave of new health challenges?

Suggested Citation

  • Clark, William C. & Szlezak, Nicole Alexandra & Moon, Suerie & Bloom, Barry R. & Keusch, Gerald T. & Michaud, Catherine M. & Jamison, Dean T. & Frenk, Julio & Kilama, Wen L., 2017. "The Global Health System: Institutions in a Time of Transition," Scholarly Articles 32062576, Harvard Kennedy School of Government.
  • Handle: RePEc:hrv:hksfac:32062576
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    References listed on IDEAS

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    1. Kristjanson, Patti & Reid, Robin S. & Dickson, Nancy M. & Grace, Delia & Clark, William C. & Romney, Dannie & Puskur, Ranjitha & MacMillan, Susan, 2009. "Linking International Agricultural Research Knowledge with Action for Sustainable Development," Scholarly Articles 9774655, Harvard Kennedy School of Government.
    2. Jamison, Eliot A. & Jamison, Dean T. & Hanushek, Eric A., 2007. "The effects of education quality on income growth and mortality decline," Economics of Education Review, Elsevier, vol. 26(6), pages 771-788, December.
    3. James Putzel, 2004. "The global fight against AIDS: how adequate are the national commissions?," Journal of International Development, John Wiley & Sons, Ltd., vol. 16(8), pages 1129-1140.
    4. Nicole A Szlezák & Barry R Bloom & Dean T Jamison & Gerald T Keusch & Catherine M Michaud & Suerie Moon & William C Clark, 2010. "The Global Health System: Actors, Norms, and Expectations in Transition," PLOS Medicine, Public Library of Science, vol. 7(1), pages 1-4, January.
    5. Szlezák, Nicole A & Bloom, Barry R. & Jamison, Dean T. & Keusch, Gerald T. & Clark, William C. & Moon, Suerie & Michaud, Catherine M., 2010. "The Global Health System: Actors, Norms, and Expectations in Transition," Scholarly Articles 5341871, Harvard Kennedy School of Government.
    6. David R. Bell & Pernille Jorgensen & Eva Maria Christophel & Kevin L. Palmer, 2005. "Estimation of the malaria burden," Nature, Nature, vol. 437(7056), pages 3-4, September.
    7. Julio Frenk, 2010. "The Global Health System: Strengthening National Health Systems as the Next Step for Global Progress," PLOS Medicine, Public Library of Science, vol. 7(1), pages 1-3, January.
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