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[afro-nets] The Global Health System: Institutions in a Time of Transition

Cross posted from:

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 

January 2010

Available online at:

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 
health challenges?


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)

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