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11. A new funding approach could bring clean water to the world’s poorest households

Author:
Matthew Eldridge and Chloe Hauenstein
Publication Date:
09-2018
Content Type:
Commentary and Analysis
Institution:
Urban Institute
Abstract:
The World Health Organization estimates that more than 2 billion people lack access to safely managed drinking water services. At the current pace, the world will fall short of meeting one of the United Nations’ sustainable development goals (SDGs): to achieve universal and equitable access to safe and affordable drinking water for all by 2030. Accelerating to meet the SDGs for water and sanitation will cost as much as $166 billion a year for capital expenditures alone. Although critical to global efforts, utilities and municipalities serving the poorest households face three large hurdles, resulting in a funding gap that prevents them from meeting customers’ demand for clean water: They often cannot cover their operational and maintenance costs through existing tariffs and transfers alone. Higher tariffs, without improved service, would create an unsustainable burden for the poorest households, who may prefer not to connect to piped services at all. Operating at a loss, these utilities are not creditworthy and cannot tap private finance to make needed investments.
Topic:
Poverty, World Health Organization, Water, and Funding
Political Geography:
Global Focus

12. Compelling Priorities for Global Health

Author:
Tedros Adhanom, Lee C. Bollinger, Jeffrey D. Sachs, Elizabeth Cameron, Gavin Schmidt, and Wilmot James
Publication Date:
09-2017
Content Type:
Video
Institution:
Columbia University World Leaders Forum
Abstract:
A discussion featuring an address by Dr. Tedros Adhanom, Director General of the World Health Organization (WHO). The world today is trying to manage health risks associated with population growth, climate change, deforestation, institutional collapse, state failure, accidents, human error, war and terrorism. The full range of risks include infectious disease outbreaks, biological, chemical, radiological and nuclear spill-overs or attacks, multiple hazards, food insecurity, state fragility and cyber security failure or attacks. This is a breath-taking range of risks and no single institution can tackle it alone. It truly is humanity's common concern. As the UN agency responsible for global health, the World Health Organisation (WHO) is the organizational expression for humanity's common concern and we are honored to have the recently elected Director-General Dr. Tedros Adhanom address us on the priorities for his leadership. To discuss and debate with Dr. Tedros, we are delighted to have world leading experts in development, disease control and prevention and climate change and health dissect the opportunities and challenges in managing the health risks the world faces today. Welcoming remarks by Lee C. Bollinger, introduction by Jeffrey D. Sachs. Participants: Jeffrey D. Sachs, Elizabeth Cameron, and Gavin Schmidt. Moderator: Wilmot James
Topic:
Climate Change, Health, War, World Health Organization, Nuclear Power, and Food Security
Political Geography:
New York, Global Focus, and United States of America

13. High-Priced Medicines and Lack of Needs-Driven Innovation: A Global Crisis that Fuels Inequality

Author:
Oxfam Publishing
Publication Date:
09-2017
Content Type:
Policy Brief
Institution:
Oxfam Publishing
Abstract:
On 14 September 14 2016, the UN Secretary-General’s High-Level Panel on Access to Medicines publicly released its final report entitled ‘Promoting innovation and access to health technologies’. One year after the release of the landmark report and building upon Oxfam’s September 2016 assessment, this paper provides an update on where the HLP report and its recommendations stand. It assesses the level of implementation by countries and institutions – especially the UN and the World Health Organization – and recommends ways to use the report to improve both innovation and access to medicines.
Topic:
Health, International Cooperation, United Nations, World Health Organization, Inequality, Innovation, Humanitarian Crisis, and Medicine
Political Geography:
Global Focus

14. Pandemic Declarations of the World Health Organization as an Exercise of International Public Authority: The Possible Legal Answers to Frictions Between Legitimacies

Author:
Pedro A. Villarreal
Publication Date:
06-2016
Content Type:
Journal Article
Journal:
The Goettingen Journal of International Law
Institution:
The Goettingen Journal of International Law
Abstract:
The institutional decisions regarding the 2009–2010 influenza A(H1N1) pandemic displayed how the World Health Organization’s (WHO) role as the international organization in charge of coordinating the pandemic response amounts to an exercise of authority. Notably, the 11 June, 2009 Pandemic Declaration was grounded in the WHO’s guidelines that do not have a binding nature according to international law. However, this is not an obstacle for considering them as an act of authority, since their effects can constrain the decision-making of States. If these non-binding acts have an authoritative nature, then it is necessary to address various legitimacy issues that may be present. This is where the concept of international public authority (IPA) can prove useful, since it enables to combine the non-binding nature of Pandemic Declarations and the respective guidelines with broad legally-oriented figures such as transparency and accountability. The controversies surrounding the 2009 Pandemic Declaration illustrate how the strictly technical-scientific elements that led to such a decision were not necessarily harmonious with other aspects more related to political decision making in general, such as transparency and accountability. This can be considered as an example of how so-called ‘technocratic legitimacy’ sometimes generates friction with lato sensu ‘political legitimacy’. As the 2009–2010 pandemic period unraveled, it became clear that expertise-based legitimacy is not sufficient in itself to consider the act as generally legitimate. On the contrary, the strongest criticisms directed at the decision-making process of the WHO during this event were leveled against deficits of transparency and accountability. This article purports to discuss the issue of how both types of legitimacies, technical-scientific and political, are necessary components for deeming Pandemic Declarations as legitimate enough, since they amount to an exercise of international public authority.
Topic:
International Law, World Health Organization, Public Health, and H1N1
Political Geography:
Global Focus

15. Law as an Antidote? Assessing the Potential of International Health Law Based on the Ebola-Outbreak 2014

Author:
Robert Frau
Publication Date:
11-2016
Content Type:
Working Paper
Institution:
The Goettingen Journal of International Law
Abstract:
The Ebola-Outbreak of 2014 has put international health law in the limelight. This contribution assesses the measures taken by the international community with regard to the outbreak of 2014 with a special focus on the World Health Organization and the UN Security Council. International law provides different actors with means to cooperate in order to fight the outbreak. The list of actors does not include the UN Security Council, which has addressed the outbreak in one resolution under chapter VII without taking any effective legal remedies. In addition, the relevant human right to health has not been addressed by actors, creating leeway in further emergencies.
Topic:
International Cooperation, United Nations, World Health Organization, Ebola, Public Health, and Pandemic
Political Geography:
Global Focus

16. Better Hospitals, Better Health Systems, Better Health – A Proposal for a Global Hospital Collaborative for Emerging Economies

Author:
Center for Global Development
Publication Date:
11-2015
Content Type:
Special Report
Institution:
Center for Global Development (CGD)
Abstract:
Hospitals are central to building and maintaining healthy populations around the world. They serve as the first point of care for many, offer access to specialized care, act as loci for medical education and research, and influence standards for national health systems at large. Yet despite their centrality within health systems, hospitals have been sidelined to the periphery of the global health agenda as scarce financial resources, technical expertise, and political will instead focus on the expansion of accessible primary care. As a result, many hospitals in low- and middle-income countries have failed to evolve and modernize, both in operations and infrastructure, while the knowledge base on hospital effectiveness and efficiency remains small and inadequate. In turn, the standard of care and efficiency achieved by these hospitals has stagnated. The gap in treatment capacity and quality between wealthier and poorer countries—and between hospitals serving wealthier and poorer populations—is widening, just as emerging economies are poised to expand the range and depth of healthcare through universal health coverage.
Topic:
World Health Organization and Health Care Policy
Political Geography:
Global Focus