The purpose of the strategy is to help american

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Unformatted text preview: al community. The purpose of the Strategy is to help American business succeed in foreign markets and help developing countries create conditions for investment and trade [32]. Added emphasis on the trade and industrial policies has been part of global development policies. The eighth MDG is to develop global partnerships for development, which includes developing an open trading and financial system that is rule-based and non-discriminatory in cooperation with both the pharmaceutical sector, for the purpose of providing access to affordable medicines, and in co-operation with the private sector in order to make available the benefits of new technologies. The CMH also argues for increased partnerships with business [24]. Approaches for improved global health Health policy-making has become increasingly fragmented and verticalized, with the increasing emphases on selected interventions, the increasing number of partnerships and especially because of the founding of new entities for various health issues. Little emphasis has been put on comprehensive infrastructure building. These trends are in contrast to the stated aims of integrating health policy making with the broader development agenda or with comprehensive health sector planning. An emphasis on innovations and innovative approaches encourages the use of new technologies and the building of new structures. Problems of unsustainability and inequity have arisen with the high levels of funding required, an emphasis on fast results, and the construction of new structures both at global and national levels [2,33-35]. In the initial faces of GAVI serious concerns were raised that those children that had been without basic vaccine coverage before GAVI funding would remain so and also be out of the reach of the new vaccines [33,36]. The GAVI emphasis on new and more expensive vaccines have raised the costs of the immunizations programmes at country level making the future financing of the programmes highly vulnerable [37]. National priorities often differ from the global priorities, and the thinking around global public goods recognizes this as a starting point. Yamey [34] has argued that the increased emphasis on global programmes and global priority setting is problematic from the point of view of national sovereignty and empowerment. He furthermore states that partnerships rarely synchronise their activities with emerging processes within countries aimed at developing their national health systems. This observation has also been made in relation to GAVI country level action [38]. Partnerships are commonly defined as voluntary and collaborative relationships between state and non-state participants who agree to work together to achieve a common purpose or undertake a specific task, and to share risks, responsibilities, resources, competencies and be...
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