Suchergebnisse

This STG Resilience Paper is part of the Commission Research Report and Interim Progress Report (June 2021) published by Reform for Resilience. ; • Prior to the Covid-pandemic, the 'Political Declaration of the High-Level Meeting on Universal Health Coverage' signalled a high point for an approach to global health focussed on health systems. • The Covid pandemic has served to highlight the critical importance of the fundamental goals of Universal Health Coverage ie broad and equitable access to services and essential technologies; multi-stakeholder participation in decision making; increased funding; and, protecting citizens against debilitating health care costs. • The Covid pandemic has also demonstrated the need to delve deeper into the organisation and administration of health systems as the key factor in achieving universal health coverage and effective pandemic control. • Four elements of health system governance have been exposed as key to maintaining resilient, adaptable, strong and equitable health systems and are manifest in how the relationships within health systems are organised, legitimised and maintained. First, relationships between levels and types of health services; second, relationships between levels of government and health administration; third, relationships between technical experts and decision makers; and fourth, relationships between public and private actors in health. • Global health policy, the Universal Health Coverage paradigm and the drive to improve health will be strengthened by increasing attention to these factors and the empirical evidence base for improved health governance and administration

AbstractThe 2011 high‐level meeting of the United Nations General Assembly on non‐communicable diseases (NCDs), and subsequent developments in global public policy on NCDs can be seen as a contemporary case study in global health governance. As the debate on what constitutes appropriate and desirable governance continues, highly contrasting models are being compared as starting points. We define these as the global health initiative model and the convention/strategy model. Each has a different strategy at its core and represents a different response to key normative challenges that are said to plague global health governance – participation, scope of action, balancing power, legitimacy and effectiveness. As the current structure of the Global Coordinating Mechanism for NCDs within the WHO emerges as a possible new model, we argue that these normative challenges need to be addressed to safeguard against potential policy ineffectiveness.