States, Nonstate Actors, and Economics in Global Health Governance

Abstract

Abstract The economic landscape for global health politics has shifted dramatically over the past generation as private and nonstate actors become increasingly important sources of development assistance for health. The growing economic clout of nonstate actors in the global health space raises questions about the role of states in funding development programs, whether state and nonstate actors work in a complementary fashion, and if there are fundamental shifts in the nature of global governance, legitimacy, and authority under way. This chapter examines the intersection of state and nonstate actors in the economic dimensions of global health governance by examining the different types of nonstate actors getting involved in funding global health programs, the historical experience of nonstate actors in global health, the informal division of labor within global health governance, and potential pathways for facilitating positive economic engagement between state and nonstate actors in the economics of global health.