Center for International Development Working Paper 193
January 2010
Abstract
The global health system is in a period of rapid transition, with an upsurge of funds and
greater political recognition, a broader range of health challenges, many new actors, and the
rules, norms and expectations that govern them in flux. The traditional actors on the global
health stage—most notably national health ministries, the World Health Organization
(WHO) and a relatively small group of national medical research agencies and foundations
funding global health research—are now being joined (and sometimes challenged) by a
variety of newer actors: civil society and nong