ABSTRACT
This chapter presents a brief overview of the global health governance landscape, mapping its conceptual terrain and key shifts with respect to its architecture and ideological convergence achieved through the application of global ideas and innovations to health investments. By examining the rhetoric of partnership, participation and the health system strengthening agenda, I highlight the deficiencies and the fault lines in global health governance and illustrate the role of stringent protocols and their underlying neoliberal ideas in determining these. I argue that mainstream policy debates and writings on global health have been largely uncritical and forgiving of institutions that produce and sustain democratic deficits and disparities in power and conceal market failures. An understanding of emergent paradoxes inherent in policy innovations along with a critical examination of the role of structure and material power in constituting and constructing practices in global health is imperative to reduce the fault lines in global health governance.
