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, 6 (4), 183-189

Four Challenges That Global Health Networks Face


Four Challenges That Global Health Networks Face

Jeremy Shiffman. Int J Health Policy Manag.


Global health networks, webs of individuals and organizations with a shared concern for a particular condition, have proliferated over the past quarter century. They differ in their effectiveness, a factor that may help explain why resource allocations vary across health conditions and do not correspond closely with disease burden. Drawing on findings from recently concluded studies of eight global health networks-addressing alcohol harm, early childhood development (ECD), maternal mortality, neonatal mortality, pneumonia, surgically-treatable conditions, tobacco use, and tuberculosis-I identify four challenges that networks face in generating attention and resources for the conditions that concern them. The first is problem definition: generating consensus on what the problem is and how it should be addressed. The second is positioning: portraying the issue in ways that inspire external audiences to act. The third is coalition-building: forging alliances with these external actors, particularly ones outside the health sector. The fourth is governance: establishing institutions to facilitate collective action. Research indicates that global health networks that effectively tackle these challenges are more likely to garner support to address the conditions that concern them. In addition to the effectiveness of networks, I also consider their legitimacy, identifying reasons both to affirm and to question their right to exert power.

Keywords: Coalition-Building; Effectiveness; Framing; Global Health Networks; Governance.

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    1. Shiffman J, Quissell K, Schmitz HP. et al. A framework on the emergence and effectiveness of global health networks. Health Policy Plan. 2016;31(suppl 1):3–16. doi: 10.1093/heapol/czu046. - DOI - PMC - PubMed
    1. Shiffman J. Networks and global health governance: introductory editorial for health policy and planning supplement on the emergence and effectiveness of global health networks. Health Policy Plan. 2016;31(suppl 1):i1–i2. doi: 10.1093/heapol/czw019. - DOI - PMC - PubMed
    1. Shiffman J, Schmitz HP, Berlan D, Smith SL, Quissell K, Gneiting U, Pelletier D. The emergence and effectiveness of global health networks: findings and future research. Health Policy Plan. 2016;31(suppl 1):i110–i123. doi: 10.1093/heapol/czw012. - DOI - PMC - PubMed
    1. Quissell K, Walt G. The challenge of sustaining effectiveness over time:the case of the global network to stop tuberculosis. Health Policy Plan. 2016;31(suppl 1):17–32. doi: 10.1093/heapol/czv035. - DOI - PMC - PubMed
    1. Berlan D. Pneumonia’s second wind? A case study of the global health network for childhood pneumonia. Health Policy Plan. 2016;31(suppl 1):33–47. doi: 10.1093/heapol/czv070. - DOI - PMC - PubMed

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