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October 4, 2024Open Access

Understanding the political economy of reforming global health initiatives – insights from global and country levels

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Authors

SWSophie WitterNPNatasha PalmerRJRosemary James

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Overview

Cross-sectional mixed-methods study reveals resistance to reforming global health initiatives across 66 countries, highlighting upward accountability to funders over national health systems.

Key Points

  • Global health initiatives prioritize upward accountability to bilateral and private funders, while national health systems remain secondary to donor-driven resource tracking.
  • Across 66 countries, qualitative feedback from 335 key informants demonstrated that competitive funding structures suppress collaboration among global health initiatives.
  • Cross-sectional, mixed-methods approach utilizing a political economy framework reveals that stasis on global boards hampers realignment toward non-communicable diseases.

Cite This Study

Witter et al. (2024) studied this question.

synapsesocial.com/papers/68e55c8ae2b3180350efa336https://doi.org/10.1101/2024.10.04.24314895
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