Big Ideas for Big Problems: Reimagining the global health architecture?
by Gladys We, special to the Faculty of Health Sciences
You could say that Faculty of Health Sciences (FHS) Professor Dr. Kelley Lee wrote the book on the World Health Organization (WHO). In fact, she has written two of them 鈥 alongside hundreds of journal articles 鈥 including a historical dictionary of the WHO, and several more on the politics of global health. Earlier this year, she was invited to co-lead a national expert panel and co-author a report for the Canadian Academy of Health Services and Royal Society of Canada: .
This summer, Lee was commissioned by The Wellcome Trust to reimagine the institutions underpinning global health cooperation. She was one of five world-renowned thought leaders selected to share their ideas and global health expertise from different regions. Lee wrote the paper for the North America and European Region with support from Research Fellows Julianne Piper (who is also a FHS PhD candidate) and Miranda Nonis. are now available in seven languages.
Lee says, 鈥淭he current crisis facing global health is one of those moments in history when people either come together or pull apart. This Wellcome Trust initiative is about the former but it challenges us to come up with fresh thinking and decisive action. These papers are meant to push this critical conversation forward at speed.鈥
The Wellcome Trust asked for bold ideas that would start ambitious and inclusive conversations with a broad range of stakeholders, and Lee delivered: .
The paper begins by comparing the current global health landscape to a poorly planned town built up over time, but with no central coordination so that some parts receive no services, while other parts are flush with infrastructure. The authors propose a more intentionally designed Global Health Nexus overseen by a non-partisan Stewards Council which consolidates and rationalizes currently disparate global health initiatives into specialized hubs focused on core functions of delivering global public goods.
Lee argues for the application of innovation thinking to this reimagining of global health, including product innovation to focus on core functions that cannot be produced by individual countries as efficiently or effectively, and process innovation to reconfigure decision-making power and strengthen transparency, accountability and public trust. Given the urgency of the current crisis, the paper sets out an ambitious timeline to deliver this new structure in 24 months.
Lee states, 鈥淎s authors, we were challenged to be provocative, transformative and forward looking. For our paper, Julianne, Miranda and I began with the recognition that rearranging deck chairs on a torpedoed ship is not enough. Instead, we focused on boldly reimagining global health architecture, driven by what we now need in a 21st century world of polycrises.鈥
The ideas proposed by the five papers aim to spark bold thinking and actions, kicking off with global and regional dialogues supported by The Wellcome Trust. hosted by The Wellcome Trust to discuss these papers, on September 11 at 7 am Pacific time (15:00 BST).
Kelley Lee is a Tier I Canada Research Chair in Global Health Governance at 51社区黑料鈥檚 Faculty of Health Sciences. She is a Fellow of the UK Faculty of Public Health, Royal College of Physicians; Fellow of the Canadian Academy of Health Sciences and Fellow of the Royal Society of Canada.
____
Aussi disponible en francais: 芦 &苍产蝉辫;禄
(This paper is also available in Arabic, Chinese, Portuguese, Russian, and Spanish)
from Asia and the Pacific, Africa, Latin America and the Caribbean, and Middle East and Central Asia.