Global Health Initiatives: A Healthy Governance Response? - Innovation in Global Health Governance - page 303

2 Vertical programmes are defined as 'centrally managed, disease-specific initiatives that are
isolated from broader health services' (center for Global Development 2008a, point 7).
3 For a discussion of world bank policies during the 1980s and '90s, see thomas biersteker
(1995), adrian leftwich (1993), lloyd Pettiford and Melissa curley (1996, 21-37),
anthony Payne (1999, 373), and bonnie campbell (2000).
4 For example, see the national Intelligence council (2000).
5 For a description of successful global health initiatives see the center for Global
Development's (2008b) Millions Saved Project.
6 even if actors do not participate, global health initiative have a sensitising effect that
provides a framework for contributions toward the disease. For example, the 2003 United
States President's emergency Plan for aIDS relief (PePFar) has contributed a large
amount of money and activity to meeting the challenge of HIv/aIDS. It is no surprise that
the bush administration, as an actor that did not traditionally work through multilateral
initiatives, chose to create a purely american initiative; however, the decision to establish a
programme for HIv/aIDS is likely related to the various existing global health initiatives,
specifically the Global Fund, and to the pressure to act on the issue.
7 See the comment by nobel laureate Dr. Harold varmus in the press release published by
Grand challenges in Global Health (2005).
8 a global health initiative can also ensure that more funds are spent. the development
agencies of some donor countries have difficulties spending their entire budget in a year;
thus the initiative provides an outlet for absorbing funds for projects that fit goals of the
agencies.
9 See, for example, DFID (2004) and Stephanie nolen (2005).
10 Personal correspondence with the cIDa information service.
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