ABSTRACT
Introduction After World War II, international public policies understood as “international actions that serve broadly agreed public ends” (Severino and Ray 2009) largely coincided with North-South relations and the international development cooperation system. With the acceleration of the globalization process, the rapidly changing geo-political scenario, and the ever-expanding range of transnational challenges confronting the international community, the situation changed substantially over the last two decades, dramatically increasing the scale and complexity of public policies. These changes can be described as a triple revolution of objectives, players and instruments. Indeed, development goals and targets are being reset “post-2015” to respond to the new challenges. Public policies are increasingly subject to transnational actors and new power balances that override the traditional domain of international relations and policymaking, and may undermine the mandate of existing multilateral institutions, while a “bustling creativity of development nance is precipitating a change of era” (Severino and Ray 2009). Indeed, the global health domain oers a good example of such changes and challenges.
