Aid, Emerging Economies and Global Policies
The New Realities of Global Health: Dynamics and Obstacles
- This article is a translation of:
- La nouvelle donne de la santé globale : dynamiques et écueils
The past 15 years have seen the arrival of new actors in the field of global health and an increase in development aid in the healthcare sector. These actors have claimed a significant share of the additional public and private resources available becoming the driving force in this new paradigm, often at the expense of traditional institutions, which have gradually lost their policy hegemony.
Making choices and formulating policies on the matter of healthcare have ceased to be the sole prerogative of the institutions that had hitherto held the mandate and the responsibility for doing so. Entire areas of the healthcare sector are now dominated by private funders, which have become the de facto decision-makers on public health policy. This new situation raises fundamental questions about governance and accountability. Who decides policy? How are decisions made?
All too often, countries in receipt of aid continue to suffer from inadequate coordination between donors and from the lack of a common agenda. With this in mind, it is worth exploring a number of ways of ensuring that global healthcare policies best reflect the beneficiary countries’ actual needs and aspirations.
Thematic keywords :civil society, governance, enterprises, official development assistance (ODA), international cooperation, aid effectiveness, policy coherence, funding mechanisms, global public goods, global public policies, transparency and accountability, private aid, public private partnership (PPP), advocacy, health
Institutional keywords :United Nations (UN), Bill and Melinda Gates Foundation (BMGF), Global Alliance for Vaccines and Immunisation (GAVI Alliance), World Health Organization (WHO), Global Fund to Fight AIDS Tuberculosis and Malaria (GFATM)
Marine Buissonnière, « The New Realities of Global Health: Dynamics and Obstacles », International Development Policy | Revue internationale de politique de développement [Online], 3 | 2012, Online since 27 March 2012, connection on 19 May 2013. URL : http://poldev.revues.org/997 ; DOI : 10.4000/poldev.997Top of page
Article L.111-1 du Code de la propriété intellectuelle.Top of page