health systems
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Global health architecture: what are we missing?
The 79th World Health Assembly launched a formal process to reform the architecture that governs global health. The design of that process — who sits in the room, what questions it is permitted to ask, whose knowledge it is built to receive — will determine whether reform produces structural change or a more sophisticated version…
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Why guidelines fail: on consequences of the false dichotomy between global and local knowledge in health systems
Global health continues to grapple with a persistent tension between standardized, evidence-based interventions developed by international experts and the contextual, experiential local knowledge held by local health workers. This dichotomy – between global expertise and local knowledge – has become increasingly problematic as health systems face unprecedented complexity in addressing challenges from climate change to…
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