Governance Issues in Global Health- Setting the Agenda Straight

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Abraar Karan
Dr. Abraar Karan is an MPH candidate at the Harvard T.H. Chan School of Public Health. He has worked in several countries in Latin America, Asia, and Africa on global health and human rights projects. His current interests include health systems improvement, medical ethics, political leadership in health, and anti-corruption. Abraar graduated from UCLA David Geffen School of Medicine and Yale College. t: @AbraarKaran

Even for those relatively well-versed in the “global health” dialogue, it can be excessively confusing to figure out the who, what, where, when, and whys of the field, particularly given the rate at which the paradigm is shifting.

In an opportune paper in the New England Journal of Medicine, Dr. Julio Frenk, the Dean of the Harvard School of Public Health and former Minister of Health of Mexico, along with Dr. Suerie Moon, helps us navigate what he cites as the now greater than “175 initiatives, funds, agencies, and donors” that comprise the system.

In Table 1 above, the various players and their annual expenditures are listed, showing the vast and often disconnected groups, many of which are working toward the same general goal.

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