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How must the global health and AIDS architecture be modernized to achieve sustainable global health?. Preliminary Findings. University College London 2 December 2013. Underlying political economy of incentives Drivers of funding engagement at global level

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how must the global health and aids architecture be modernized to achieve sustainable global health

How must the global health and AIDS architecture be modernized to achieve sustainable global health?

Preliminary Findings

University College London

2 December 2013

slide2

Underlying political economy of incentives

    • Drivers of funding engagement at global level
    • Post-ODA focus & nature of public-private engagement
  • Concrete focus on options
    • Acquisitions, mergers and abolition (equivalent internal logics)
    • Integration & fragmentation/plurality (at top and bottom)
  • Need for clear-eyed reflection on UNAIDS by WGs
    • Dig down on examples of success and failure & counter-factual
  • Activist fatigue and accountability deficits
    • Pathways of change & alliance structures
    • Can architecture capture the ‘spirit’ of the movement

Taking Stock: Opportunities and Lessons Learnt from the AIDS Response for Global Health Governance

slide3

Assumption of equivalence: AIDS & global health

    • Disease targets and/or
    • Social determinants of health
  • Principles: justice, human rights, equity and rule of law
    • Framework Convention on Global Health
  • Building scenarios – MDG versus SDG lens
    • Market mechanism (‘survival of the fittest’)
    • UN as legitimate focal point (global public goods)
    • Consolidation around country-level (e.g. IHP)
    • Form follows function (SDG: goal-oriented)
  • How scenarios affect current decision-making (finance)
  • Modernising the global heath and AIDS architecture: Law, Institutions, and Public-Private Authority
slide4

Caution in seeking out ‘low-hanging fruit’

  • Responsive architecture
    • Incentives & distributional consequences (winners & losers)
  • Recipient-led and/or donor-led reform
    • LIC (financing) and MIC (data-demand/what works?)
      • The BRICS
    • Exercising different forms of power (hard versus soft)
  • Reporting and soft law approach
    • Arbitration body
  • Enhance accountability system (beyond reporting)
    • Independent accountability arrangement
  • Pathways to enhancing coherence of the global health architecture