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Global Redesign Initiative: New Architecture for Global Health Governance

Author(s): O. M. Raynaud*1, R. Samans2
Affiliation(s): 1Global Health and Healthcare sector, World Economic Forum, Geneva, Switzerland, Head, Global Redesign Initiative
Keywords: Global Health, Governance, policies, International Organisations, Architecture, cooperation
Background:

The Global Redesign Initiative (GRI) is an unprecedented multistakeholder dialogue that is developing recommendations for adapting the structures and systems of international cooperation to the challenges of the 21st century. The GRI was launched by the World Economic Forum in 2009 under the patronage of the governments of Qatar, Singapore and Switzerland

Methods:

A specific Council of International Health experts and leaders has been formed. It will meet in Dubai at the end of November 2009 and present its first recommendations in Davos in Janunary 2010. The council will work on the following aspects :
- The landscape of global agencies working in the international health arena is confusing. Coordination among them, standardized processes, information sharing and efforts to counter duplication need to be improved.
- Emphasis should be put on a macro approach, there is too much silo-thinking and too little focus on efficiency. Interaction between the different parts of the system takes place without identifying the goals of the interaction in the first place.
- Accountability of global health players is weak; it is not clear to whom they are accountable, for what and how they can be held accountable for actions as well as lack of actions.
- There are significant differences in terms of quality of governance in health-related areas globally. Particularly the development field was highlighted as lacking architecture and structure.

Results/Conclusions:

The recommendations of the Council will be presented and debated with Geneva Health Forum participants before final recommendations are made in a final report to be released at the time of a special intergovernmental and multistakeholder meeting in Doha, Qatar, in the spring of 2010.

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