Monday, June 27, 2011

[EQ] Global Health Governance at a Crossroads

Global Health Governance at a Crossroads

Nora Y. Ng -  Research Assistant - Yale University School of  Public Health

Jennifer Prah Ruger -Associate Professor at Yale University Schools of Medicine, Public Health and Law (Adjunct) and Graduate School of Arts and Sciences.
Currently a member of the Institute of Medicine’s (IOM) Board on Global Health

Available online PDF file [32p.] at:

“…..This review takes stock of the global health governance (GHG) literature. We address the transition from international health governance (IHG) to global health governance, identify major actors, and explain some challenges and successes.


We analyze the framing of health as national security, human security, human rights, and global public good, and the implications of these various frames. We also establish and examine from the literature Global Health Governance GHG’s major themes and issues, which include:

1) persistent Global Health Governance GHG problems;
2) different approaches to tackling health challenges (vertical, horizontal, and diagonal);
3) health’s multisectoral connections;
4) neoliberalism and the global economy;
5) the framing of health (e.g. as a security issue, as a foreign policy issue, as a human rights issue, and as a global public good);
6) global health inequalities;
7) local and country ownership and capacity;
8) international law in Global Health Governance GHG; and
9) research gaps in Global Health Governance GHG.


We find that decades-old challenges in GHG persist and Global Health Governance GHG needs a new way forward. A framework called shared health governance offers promise….”



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