SW Final

 response of the global health system

 need a collective global cooperation
◦ generate global public goods and manage negative externalities
◦ mobilize
 Look at interaction between circles
 Global Health system
◦ Architecture
▪ “anarchy”
▪ there is no architecture currently
◦ Governance
▪ There is none
▪ There has been cross international partnerships which can accomplish specific goal,
bur the global system has been bleh
◦ Actors
▪ 1990- UN dominated
 bilaterals- combination of our government and other country's gov't (have a
cooperative agreement)
 multilateral- variable governments
▪ 2011- UN system diluted and marginalized, bilateral agencies still influential, but
priorities are now more shaped by the bilateral agencies than the system
 As there has been a push for global attention to improve health, we have had a
shift away from country's priorities and national system.
▪ Organizer slides- go back to
 weakening idea that each country has 1 voice/1 vote
◦ Global Fundamental
▪ founded because of perceived weakness of WHO
▪ set up as consortium to fight directly HIV and TB
▪ to finance
▪ all advantages of vertical system and all disadvantages of vertical system
◦ World Bank Group
▪ not part of the UN
▪ a group that consists of 5 orgs
▪ reduce poverty and promote growth
▪ World bank is IBRD and IDA
▪ vote is weighted by your GNP
▪ Africa is 5% vote, 25% membership
▪ Very different from WHO
 if you have a weakened WHO, there is then a push in the World Bank for certain
interests to develop
 Actors have more influence
◦ 1993- World development Report
▪ health good for economy
▪ eligible for different types of loans
◦ Bilateral
▪ USAID
 lowest of all rich country, but highest in absolute amount
 national government have self interest (they range and are expressed different
 ways)
◦ Functions
▪ What is organizational function? v. What is the perspective of the country?

 Form should follow function

◦ helping country to have information system
◦ medicines should be a global public good

 Humanitarian assistance and emotional effects

◦ don't respond how one would want us to
 Should we be doing development financing? Dependence?
 Technical cooperation- working together against common goal
◦

◦ Need to do global health through lens of the country

 Policy Brief/Final
◦ First thing you'll do is read through the three choices
◦ Think through and outline with contexts of the slides shown
◦ Pick one with thought and look at it through lens of the slides
◦ Title excc summary- writing guide
▪ Making the case/problem
 when you go back to the global health definition, go back to the red box, and
discuss all of the ingredients -social determinants, clusters of health problems,
etc.
 Discuss how diseases are interrelated
▪ Cheat sheet and vocab
 need to understand the country, political social context, is it rural urban, cultural
religious, etc.
 Look at how problem manifests and how youre gonna fix it
▪ Non health consequences
▪ Use social determinants
▪ The options
 what are we gonna do?
 Need to weigh positive and negative of many different choices
 im choosing x, y, z, because of this....
 population which correlates with the options
 Lower part of global health slide
 WHERE PEOPLE GET POINTS OFF!!!
 What intervanetions program and strategies?
 How are they structured?
 Different types of strategies you should be thinking about
 HOW WILL STRATEGY BE DELIVERED?
 Context o the country
 community
 global alliance
 government
 Community factors
 NEED TO MENTION GLOBAL HEALTH SYSTEM!!!!!!!!
◦ why is how I handle this problem important to the rest of the world?
 If you need to draw on global health system

◦ recommendations
◦ Provide 1/2 key resources and can attach an appendix
 FINAL CHECK
◦ A – v. A!!!
◦ USE!
◦ Tradeoffs
◦ Unvertainty, time etc.
◦ Think about how you can inforporate
◦ you can say idk but I will find out this way
 Final thoughts
◦ 1. cases will help us see how they fix problems
◦ 2. We can change world.