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3 | 2012
Aid, Emerging Economies and Global Policies
Dossier | L'aide bousculée. Pays émergents et politiques globales - Revue | Évolutions des politiques de développement

The New Realities of Global Health: Dynamics and Obstacles

Marine Buissonnière
This article is a translation of:
La nouvelle donne de la santé globale : dynamiques et écueils


Published by Palgrave Macmillan

The past 15 years have seen the arrival of new actors in the field of global health and an increase in development aid in the healthcare sector. These actors have claimed a significant share of the additional public and private resources available becoming the driving force in this new paradigm, often at the expense of traditional institutions, which have gradually lost their policy hegemony.

Making choices and formulating policies on the matter of healthcare have ceased to be the sole prerogative of the institutions that had hitherto held the mandate and the responsibility for doing so. Entire areas of the healthcare sector are now dominated by private funders, which have become the de facto decision-makers on public health policy. This new situation raises fundamental questions about governance and accountability. Who decides policy? How are decisions made?

All too often, countries in receipt of aid continue to suffer from inadequate coordination between donors and from the lack of a common agenda. With this in mind, it is worth exploring a number of ways of ensuring that global healthcare policies best reflect the beneficiary countries’ actual needs and aspirations.

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Cite this article

Electronic reference

Marine Buissonnière, « The New Realities of Global Health: Dynamics and Obstacles », International Development Policy | Revue internationale de politique de développement [Online], 3 | 2012, Online since 27 March 2012, connection on 09 April 2020. URL : ; DOI :

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About the author

Marine Buissonnière

Director of the Public Health Program at the Open Society Foundations. From 2003 to 2007, she served as Secretary-General of Médecins Sans Frontières International, where she oversaw coordination and cooperation between the 19 sections that make up the MSF movement. She has also held key positions for MSF in Korea, Japan, China and the Palestinian Territories.

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Creative Commons Attribution-NonCommercial 3.0 Unported License.

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