Globalisation of international health
Walt, G.
Lancet 351(9100): 434-437
1998
ISSN/ISBN: 0140-6736 PMID: 9482320 DOI: 10.1016/s0140-6736(97)05546-3Document Number: 272586
The World Health Organization (WHO) used to be the main directing and coordinating body of international health work. WHO is now, however, just one of many UN organizations concerned with health. The World Bank plays a considerable financial and technical role in the sector, and bilateral agencies contribute significantly to health at both the global and national levels. The private sector is also deeply involved in international health. With regard to foreign aid, about US$55 billion was disbursed in 1996 in bilateral aid compared to only about US$5 billion through the UN system. As the globalization of trade and markets occurs, new coalitions and alliances are being formed to examine and address the direct and indirect consequences upon health. The author considers the changing context of cooperation in international health and how growing inequalities in health both within and between countries will affect the actions of organizations working in the field.