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Governance for health

Section Editor:  Raphael Lencucha, McGill University, Canada
Deputy Section Editors:  Arne Ruckert, University of Ottawa, Canada and Philip Baker, Deakin University, Australia

In the absence of global government, increased attention is being given to global governance: the intergovernmental and multi-stakeholder institutions engaged in setting policies and promoting accountability and transparency at a supranational level. Some of these institutions are health specific (e.g. the World Health Organization, UNAIDS and UNICEF), others have multiple agendas (e.g. World Bank), while others have non-health agendas that nonetheless affect health outcomes within and between countries (e.g. the World Trade Organization, International Labour Organization, International Monetary Fund, and United Nations Development Program, to name a few). Several have treaty-making authority with direct or indirect global health implications. Meanwhile, the re-emergence of powerful global philanthropies and the rise of global public/private partnerships pose particular governance challenges, while the proliferation of global commissions (as knowledge generators capable of influencing norms, but not actual decision-making) presents both opportunity (continuing to refine what a global government playbook might look like) and threat (creating a lot of conceptual noise that could obfuscate underlying issues of power imbalances and wealth inequalities). Papers submitted under this topic examine global governance opportunities and risks, including studies of power politics, conflicts of interest, membership and membership criteria, effectiveness in creating health equitable policies and programs at international and national scales, critical debates over the regulatory regimes or framework conventions versus voluntary corporate social responsibility initiatives, the health impacts of international health treaties and human rights covenants, and the role of national or global taxation policies or agreements in promoting health equity within and between countries.

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  1. Donors often fund projects that develop innovative practices in low and middle-income countries, hoping recipient governments will adopt and scale them within existing systems and programmes. Such innovations ...

    Authors: Neil Spicer, Yashua Alkali Hamza, Della Berhanu, Meenakshi Gautham, Joanna Schellenberg, Feker Tadesse, Nasir Umar and Deepthi Wickremasinghe
    Citation: Globalization and Health 2018 14:74
  2. Proponents have promoted sexuality education as a means of empowering adolescents, yet it has been thwarted in many low and middle-income countries. Nigeria represents an exception. Despite social opposition, ...

    Authors: Jeremy Shiffman, Michael Kunnuji, Yusra Ribhi Shawar and Rachel Sullivan Robinson
    Citation: Globalization and Health 2018 14:63
  3. Development assistance from governments of high income countries represents the vast majority of international funding for global health. Recent stagnation of this important source of funding may affect attain...

    Authors: Alexander Huepers, Henock B. Taddese and Filippos T. Filippidis
    Citation: Globalization and Health 2018 14:61
  4. South Africa’s mineral resources have produced, and continue to produce, enormous economic wealth; yet decades of colonialism, apartheid, capital flight, and challenges in the neoliberal post-apartheid era hav...

    Authors: Barry Kistnasamy, Annalee Yassi, Jessica Yu, Samuel J. Spiegel, Andre Fourie, Stephen Barker and Jerry M. Spiegel
    Citation: Globalization and Health 2018 14:60

    The Correction to this article has been published in Globalization and Health 2018 14:78

  5. The resolution adopted in 2006 by the World Health Organization on international trade and health urges Member States to understand the implications of international trade and trade agreements for health and t...

    Authors: Mariyam Suzana, Helen Walls, Richard Smith and Johanna Hanefeld
    Citation: Globalization and Health 2018 14:58
  6. Between 2011 and 2013, global and national guidelines for preventing mother-to-child transmission (PMTCT) of HIV shifted to recommend Option B+, the provision of lifelong antiretroviral treatment for all HIV-i...

    Authors: M. F. Chersich, E. Newbatt, K. Ng’oma and I. de Zoysa
    Citation: Globalization and Health 2018 14:55
  7. In 2012, the European Commission funded Go4Health—Goals and Governance for Global Health, a consortium of 13 academic research and human rights institutions from both Global North and South—to track the evolut...

    Authors: Vannarath Te, Nadia Floden, Sameera Hussain, Claire E. Brolan and Peter S. Hill
    Citation: Globalization and Health 2018 14:51
  8. Sexual and gender-based violence (SGBV) is a widespread public health problem and a violation of human rights rooted in gender and power inequities. Refugees, asylum-seekers and migrants living in European asy...

    Authors: Charlotte Oliveira, Ines Keygnaert, Maria do Rosário Oliveira Martins and Sónia Dias
    Citation: Globalization and Health 2018 14:48