Global Health Initiatives and Public Health Policy

Global health initiatives (GHIs), which include new global health partnerships such as GFATM and GAVI, have become major funders of disease control in developing countries. These partnerships represent new governance models, which have enabled a wider set of actors, especially civil society, to engage in health policy processes at the global and country levels. Early country experiences of many GHIs, which include bilateral initiatives such as PEPFAR, are that they have established parallel systems, reversing efforts toward coordinated development assistance. In response, donor harmonization initiatives have been seeking to align the more complex set of actors in support of coordinated country disease control.