SPL4 • Global Health Governance

Global health governance refers to the structures, policies, and processes that govern international collaboration and coordination in addressing global health challenges. In an interconnected world, where health threats transcend borders, effective global health governance is essential for responding to pandemics, managing health crises, and advancing global health goals. One of the key aspects of global health governance is the role played by international organizations.

The World Health Organization (WHO) is a central player in setting global health standards, providing technical assistance, and coordinating responses to health emergencies. Its role has been particularly prominent in addressing diseases like HIV/AIDS, Ebola, and COVID-19. However, the effectiveness of these organizations often depends on member states’ willingness to cooperate, fund, and abide by their recommendations. Multilateral agreements and treaties also form a critical component of global health governance.

Agreements like the International Health Regulations (IHR) provide a legal framework for countries to report and respond to health emergencies, ensuring transparency and cooperation during crises. While these agreements are essential, compliance can be a challenge, and enforcement mechanisms can be limited. Non-governmental organizations (NGOs) and civil society play a vital role in global health governance by advocating for health issues, providing humanitarian assistance, and filling gaps in healthcare delivery, particularly in low-resource settings. Their contributions are often essential in addressing health disparities and promoting global health equity.

In recent years, global health governance has faced numerous challenges. The COVID-19 pandemic exposed weaknesses in the international response system, including delays in information sharing, vaccine distribution inequities, and questions about the power dynamics between countries and organizations. These challenges have led to calls for reform and strengthened global governance mechanisms. Global health security is another critical dimension of global health governance. The Global Health Security Agenda (GHSA) and related initiatives aim to enhance countries’ capacities to detect, prevent, and respond to public health emergencies.

These efforts are essential for preventing and mitigating the impact of pandemics and other health threats. Ensuring equitable access to healthcare and essential medicines is a pressing global health governance issue. The Access to Medicines movement advocates for greater affordability and availability of medicines, especially in low- and middle-income countries. Issues related to intellectual property rights, pricing, and pharmaceutical industry practices are central to this debate. In conclusion, global health governance is a complex and evolving field that addresses the challenges of an interconnected world.

It involves a web of international organizations, treaties, NGOs, and civil society actors working together to promote global health and respond to health crises. While progress has been made, the COVID-19 pandemic has underscored the need for continued reform and strengthened collaboration to address the global health challenges of the 21st century. Effective global health governance is essential to safeguard the health and well-being of populations worldwide.

May 31st | 09h30-11h00 | Coordinator: Maria do Céu Machado

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