The global institutional architecture
The global institutional architecture
Entangling health and its social determinants
There is no global government, but a growing myriad of global governance platforms. Some are intergovernmental (United Nations and affiliated agencies, differing ‘clubs’ of nations such as the G-7 or G-20); others are multi-stakeholder, drawing together governments, private sector interests, civil society organizations, philanthropists, and academics or other prominent individuals. The plurality and questionable democratic legitimacy of many of these governance platforms is problematic in terms of who has authority or influence over global norms and rules affecting the social determinants of health. Four intergovernmental organizations are profiled for the distinct roles they play in global health governance: the World Health Organization (WHO) (nominally the lead global health governance body), the World Bank (whose financial resources eclipse those of the WHO), United Nations Children’s Fund (with a particular remit to improve children’s health), and the International Labour Organization (a unique tripartite body advocating for global social protection floors).
Keywords: global governance, WHO, World Bank, ILO, UNICEF, G-7, G-20, private philanthropy, regime complexity
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