ABSTRACT

The discourse on global health governance (GHG) arose around the turn of the Millennium as a response to the new dynamics of the global health system. These dynamics were characterized by growing challenges to the management of health issues associated with trans-national as well as inter-sectoral interdependence, with an increasing pressure to address health problems in developing countries (whether seen as security problems or as a matter of human rights) and with a significant increase and plurality of health actors. These developments were accompanied by important changes of the institutional form of international health policy leading in particular to new hybrid organizations and a new relationship between health, foreign and development policies. The driving force was a new global context and a dominance of neo-iberal policy which had led to a crisis of multi-lateralism in the 1980s and 1990s.