Governing Global Health: Who Runs the World and Why?

ISBN : 9780190253271

Chelsea Clinton; Devi Sridhar
304 Pages
163 x 238 mm
Pub date
Mar 2017
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  • Presents an even-handed and thorough empirical analysis of global health organizations
  • Provides the first ever analysis of public-private partnerships (PPPs) that exist to combat health problems
  • Examines how PPPs might grow to be even more effective in their combatting of communicable diseases

The past few decades have seen a massive increase in the number of international organizations focusing on global health. Campaigns to eradicate or stem the spread of AIDS, SARS, malaria, and Ebola attest to the increasing importance of globally-oriented health organizations. These organizations may be national, regional, international, or even non-state organizations-like Medicins Sans Frontieres. One of the more important recent trends in global health governance, though, has been the rise of public-private partnerships (PPPs) where private non-governmental organizations, for-profit enterprises, and various other social entrepreneurs work hand-in-hand with governments to combat specific maladies. A primary driver for this development is the widespread belief that by joining together, PPPs will attack health problems and fund shared efforts more effectively than other systems. 
As Chelsea Clinton and Devi Sridhar show in Governing Global Health, these partnerships are not only important for combating infectious diseases; they also provide models for developing solutions to a host of other serious global health challenges and questions beyond health. But what do we actually know about the accountability and effectiveness of PPPs in relation to the traditional multilaterals? According to Clinton and Sridhar, we have known very little because scholars have not accumulated enough data or developed effective ways to assess them-until now. In their analysis, they uncovered both strength and weaknesses of the model. Using principal-agent theory in which governments are the principals directing international agents of various type, they take a closer look at two major PPPs-the Global Fund to Fight HIV/AIDS, TB and Malaria and the GAVI Alliance-and two major more traditional international organizations-the World Health Organization and the World Bank. 
An even-handed and thorough empirical analysis of one of the most pressing topics in world affairs, Governing Global Health will reshape our understanding of how organizations can more effectively prevent the spread of communicable diseases like AIDS and reduce pervasive chronic health problems like malnutrition.


1. Governing Global Health
2. Big Questions and Case Studies
3. Shifts in Governance
4. Who Funds Global Health?
5. Twenty-First-Century Govbernance
6. Disruption and Reform
7. Final Reflections

About the author: 

Chelsea Clinton, Vice Chair of the Clinton Foundation and a Lecturer at the Mailman School of Public Health at Columbia, Clinton Foundation and Columbia University
Devi Sridhar, Professor and Chair in Global Public Health at Edinburgh University and a Senior Research Fellow at the Blavatnik School of Government at Oxford University, Edinburgh University and Oxford University

"This is smart research with nuanced conclusions" - Barbara Kiser, Nature

"Clinton and Sridhar's writing is precise and persuasive, and they offer a plethora of facts and data that are sometimes hard to find. This timely book is a must read for all stakeholders in global health and certainly for the current and future candidates for leadership positions in global health but also for students, governors, and practitioners of multilateral organisations. Perhaps they can enact some of the important messages in this insightful book" - Peter Piot, Lancet

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