Coordinating U.S. global health policy Public Deposited

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  • February 27, 2019
  • Luzum, Matthew
    • Affiliation: Gillings School of Global Public Health, Public Health Leadership Program
  • The United States (U.S.) has a longstanding history of providing foreign assistance and public health for varying political, economic, and humanitarian reasons. Each set of imperatives has led to its own individual intervention strategies reflecting the discreet goals of its own agenda. These interventions have resulted in parallel delivery systems whose distinct and independent operations have certainly provided some therapeutic and supportive services while they have also neglected other basic needs important to the overall health of recipient populations. The Obama Administration’s Global Health Initiative (GHI) builds upon the previous successes of global health strategies but takes a more comprehensive approach by establishing a representative leadership group tasked with aligning all governmental global health activities with federal policy objectives by consolidating the various departmental, agency, and initiative processes. My research question asks why such a leadership group was not established earlier, and the purpose of this study is to determine whether by avoiding doing so, political leaders enjoyed greater freedom to pursue individual agendas and were able more flexibly to respond to emerging global health needs. My data are from my examination of publicly available documents, interviews of elite stakeholders, and a systematic review of previous interagency committees. I analyzed these data using a theoretical framework drawing from advocacy coalitions and institutional veto points. I conclude that, while executive and legislative decision makers may have greater policymaking latitude in the absence of a coordinating interagency committee, it is unlikely that these freedoms are responsible for delaying the establishment of a body like the GHI leadership.
Date of publication
Resource type
Rights statement
  • In Copyright
  • Paper type: Policy
  • Track: HC&P
  • Tolleson-Rinehart, Sue
  • Master of Public Health
Degree granting institution
  • University of North Carolina at Chapel Hill
Graduation year
  • 2011
Deposit record
  • b6f6bdeb-f0b9-4907-a2ad-769b5d2e1080

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