ABSTRACT

The shift from international to global health governance has opened up space for ideas and the delivery of services to be made by a number of different private, public, state, non-state, and hybrid actors. For some, the last 20 years has been heralded as “the era of partnerships” within global health governance.1 This chapter builds upon the institutions discussed in Chapter 2, to provide a broader conception of what global health governance is and who the actors that compose it are, where they are located, and what it means for the broader strategies for global health. The chapter pursues this aim in the following way. First, it considers

the role of policy forums such as the G8 and G20, their evolving mandate on health, and how they have contributed to the wider discourse between health and development. In so doing, it considers the origins and functions of the Global Fund to Fight AIDS, Tuberculosis and Malaria (hereafter the Global Fund). Second, the chapter considers new forms of partnership supported by the Bill and Melinda Gates Foundation and states to produce new technologies and vaccines to address large health concerns. These partnerships are the International AIDS Vaccine Initiative (IAVI), the Global Alliance for Vaccines and Immunisation (GAVI), and UNITAID. Third, the chapter explores the shift in attention towards civil society organizations away from international non-governmental organizations (NGOs), towards more community-based initiatives. Finally, the chapter considers a

contentious and emerging arena of health governance: celebrities. This section explores the role of high-profile celebrities in popular media in contrast to the role and influence of institutional celebrities and charismatic leaders.