Abstract
The global-health landscape has changed radically in recent years. Key factors are the substantial increase in the number of donors and in funding. Agencies, such as the Global Fund for AIDS, Tuberculosis and Malaria, the Bill & Melinda Gates Foundation, and the World Bank, now contribute more to global-health programmes than WHO. Although this growth of resources and interest is a positive development, its lack of global coordination and strategic direction is problematic. 1 Garrett L The challenge of global health. Foreign Affairs. 2007; 86: 14-38 Google Scholar The weakness of global coordination is apparent in the response to recent global emergencies. A UN review of events such as the Indian Ocean tsunami illustrated that, despite an unprecedented level of resources, the response fell short because of poor coordination. 2 UN Joint Inspection UnitTowards a United Nations humanitarian assistance programme for disaster response and reduction: lessons learned from the Indian Ocean tsunami disaster. 2006. http://www.reliefweb.int/rw/lib.nsf/db900sid/EGUA-6XQSWW/$file/unjiu-tsunami-dec06.pdf?openelement Google Scholar
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