Environmental Engineering Reference
In-Depth Information
and environmental determinants of disease in both the developing South and in the
developed north (Garrett 2007). the comprehensiveness, coherence, and credibility
of global health governance are ultimately at stake.
Recent Innovations
In light of these growing health challenges and failures in the governance response,
there has been considerable innovation, especially as many new actors have gotten
into the global health governance game (cooper 2007). In the realm of institutions,
PPPs have demonstrated their value in areas where the public sector lacks skills and
resources, such as product development, manufacturing, and marketing, even if PPPs
are not appropriate for policy development or regulation itself (widdus 2001). In the
realm of ideas, the concept of global public goods has arisen as an effective way to
raise money for mechanisms to strengthen communicable disease control (Smith
et
al. 2004). the proposal to develop a global health research fund through direct public
investment in vaccine development, as well as an international health treaty to enshrine
countries' commitments for such a fund, has been widely embraced, showing that
new international norms are being developed regarding the concept of global health
(Archibugi and Bizzarri 2004). Investing in public health is increasingly perceived
to be a core criterion of 'good governance' (Dodgson, lee, and Drager
2002; Fidler
2004). Philanthropists led by bill and Melinda Gates and faith-based communities,
private sector corporations, and celebrities from the arts, athletics, and entertainment
have come forward to mobilise much more money, awareness, expertise, and political
pressure than before. and because of the intersection of domestic and foreign policy,
consensus is mounting toward pooling state sovereignty and organising global health
governance through a series of intergovernmental networks, with an unencumbered
wHo coordinating global health policy (Kickbusch 2000; taylor 2004). Indeed,
there is a cornucopia of innovative individuals, institutions, ideas, and instruments
now engaged and available. the central challenge for global public health is not
only to add more, but above all to determine in disciplined fashion which ones work
under different circumstances to generate the heath all deserve.
The Analytical Framework
This topic takes up that task. Its irst and central purpose is to develop and test in critical
cases an analytical framework that explains the process of innovatively delivering
global public health in today's complex, rapidly changing, globalised world. Its
second purpose is to assess on this basis the current state of innovation in global
health governance. Its third purpose is to evaluate and expand the innovations that
could improve the way the governance system works and the health that results.
this volume builds directly on a general framework of global health governance
first constructed to assess and improve the performance of the major intergovernmental
