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WHO
mandate to set norms and standards, shape global research agenda, provide technical support to countries, and monitor disease trends;
Every country gets one vote
waning influence over time
UNICEF
highly involved in child survival programs and immunization programs;
has a substantial budget
World Bank
believes that markets are the best way to deliver health care
Lends money to countries that it thinks will generate a return on investment
Countries have voting power proportionate to economic size; the US has had effective veto power
IMF (international monetary fund)
steps in when countries are in financial crisis;
structural adjustment programs;
privatization of national industries and cutback in government payroll
bilateral organizations
aid agencies created by governments to assist other governments;
often have political goals that benefit the military or economic interests of the donor govt;
the withdrawal of the US from its long-standing role in global health impacts this significantly!
Private Foundations
bill and melinda gates foundation, Rockefeller Foundation historically;
Donate to WHO, NGOs, and develop own agendas
global gag rule
prohibits the use of US funds to support organizations that provide referrals to abortion providers, educate patients about a full set of reproductive healthcare options including abortion, or engages in advocacy for abortion rights in their own countries.
PEPFAR (president's emergency plan for AIDs Relief)
provide lifesaving medications to people with HIV and AIDS; largest health initiative ever undertaken