PHM-Exch> The Global Health System: Institutions in a Time of Transition

[Claudio Schuftan]

From: Ruggiero, Mrs. Ana Lucia (WDC) ruglucia at paho.org
crossposted from: EQUIDAD at 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
University*

January 2010

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
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?



*Papers

*

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,

http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1000183
;


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,
http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1000089
;


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,

http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1000179
,


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,
http://www.plosmedicine.org/article/info%3Adoi%2F10.1371%2Fjournal.pmed.1000193
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