Post-Accra: is there space for country ownership in global health?

On 4 September 2008 the Accra Agenda for Action, which emphasised that country ownership over health must be strengthened, was agreed upon. While the Agenda for Action, which builds on the 2005 Paris Declaration, is a major step forward, there are still structural factors that impede developing coun...

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Main Author: Sridhar, D
Format: Journal article
Language:English
Published: 2009
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author Sridhar, D
author_facet Sridhar, D
author_sort Sridhar, D
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description On 4 September 2008 the Accra Agenda for Action, which emphasised that country ownership over health must be strengthened, was agreed upon. While the Agenda for Action, which builds on the 2005 Paris Declaration, is a major step forward, there are still structural factors that impede developing country ownership in health. This paper outlines the key issues in the governance and resourcing of public health in low-and middleincome countries focusing on three major structural challenges for developing countries: the proliferation of initiatives, donor influence on priority setting and donors' lack of accountability, and the sustainability of current levels and types of external financing. How can these structural obstacles be overcome? Three avenues hold considerable promise: creating new mechanisms to hold donors to account, developing national plans and strengthening national leadership in health, and building South-South collaborative networks through bilateral, multilateral and plurilateral relations. © 2009 Third World Quarterly.
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spelling oxford-uuid:fe843852-515e-4cc1-889a-49be74ba44d52022-03-27T13:37:15ZPost-Accra: is there space for country ownership in global health?Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:fe843852-515e-4cc1-889a-49be74ba44d5EnglishSymplectic Elements at Oxford2009Sridhar, DOn 4 September 2008 the Accra Agenda for Action, which emphasised that country ownership over health must be strengthened, was agreed upon. While the Agenda for Action, which builds on the 2005 Paris Declaration, is a major step forward, there are still structural factors that impede developing country ownership in health. This paper outlines the key issues in the governance and resourcing of public health in low-and middleincome countries focusing on three major structural challenges for developing countries: the proliferation of initiatives, donor influence on priority setting and donors' lack of accountability, and the sustainability of current levels and types of external financing. How can these structural obstacles be overcome? Three avenues hold considerable promise: creating new mechanisms to hold donors to account, developing national plans and strengthening national leadership in health, and building South-South collaborative networks through bilateral, multilateral and plurilateral relations. © 2009 Third World Quarterly.
spellingShingle Sridhar, D
Post-Accra: is there space for country ownership in global health?
title Post-Accra: is there space for country ownership in global health?
title_full Post-Accra: is there space for country ownership in global health?
title_fullStr Post-Accra: is there space for country ownership in global health?
title_full_unstemmed Post-Accra: is there space for country ownership in global health?
title_short Post-Accra: is there space for country ownership in global health?
title_sort post accra is there space for country ownership in global health
work_keys_str_mv AT sridhard postaccraistherespaceforcountryownershipinglobalhealth