Cross posted from: EQUIDAD@listserv.paho.org
The Global Health System: Institutions in a Time of Transition
William C. Clark, Nicole A. Szlezak, Suerie Moon, Barry R. Bloom, Gerald T.
Keusch, Catherine M. Michaud, Dean T. Jamison, Julio Frenk, and Wen L. Kilama
*CID Working Paper No. 193 Center for International Development at Harvard
Available online at: http://bit.ly/bb38JF
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
(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
1. Szlezák, Nicole A., Barry R. Bloom, Dean T. Jamison, Gerald T. Keusch,
Catherine Michaud, Suerie Moon, William C. Clark. 2010.
The global health system: Actors, norms and expectations in transition. *Public
Library of Science Medicine*. 7(1):e1000183,
2. Frenk, Julio. 2010. The global health system: Strengthening national health
systems as the next step for global progress.
Public Library of Science Medicine*. 7(1):e1000189,
3. Keusch, Gerald T., Wen Kilama, Suerie Moon, Nicole A. Szlezák, Catherine
Michaud. 2010. Global health system: Linking knowledge with action -- learning
from malaria. *Public Library of Science Medicine*. 7(1):e1000179,
4. Moon, Suerie, Nicole A. Szlezák, Catherine Michaud, Gerald T. Keusch, Dean
T. Jamison, William C. Clark, Barry R. Bloom. 2010. The global health system:
Lessons for a stronger institutional
framework. *Public Library of Science Medicine*. 7(1):e1000193,
Ruggiero, Mrs. Ana Lucia (WDC)