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A Proposed Model for Global Health Governance

Lawrence O. Gostin, JD

JAMA. 2007;298:225-228.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

International health assistance is provided in an ineffective way that does not enhance the capability for human functioning.¹ Most funding is driven by emotional, high-visibility events, including large-scale natural disasters such as the Asian tsunami; diseases that capture the public's imagination such as the human immunodeficiency virus and AIDS; or diseases with the potential for rapid global transmission such as hemorrhagic fever, severe acute respiratory syndrome, or pandemic influenza. These funding streams skew priorities and divert resources from building stable local systems to meet everyday health needs.

A relatively small number of wealthy donors currently wield considerable influence in setting the global health agenda. Although well intentioned, rich countries and philanthropists often set priorities that do not reflect local needs and preferences. Sometimes donors exert control over the use of funds that discourages local leaders from taking ownership over programs. Conditions attached to funding can even . . . [Full Text of this Article]

Basic Survival Needs

Author Affiliation: O’Neill Institute for National and Global Health Law, Georgetown University Law Center, Washington, DC; and Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland.

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