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Gridlock, Innovation and Resilience in Global Health Governance

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  • David Held
  • Ilona Kickbusch
  • Kyle McNally
  • Dario Piselli
  • Michaela Told

Abstract

Global health governance is in many ways proving more innovative and resilient than other sectors in global governance. In order to understand the mechanisms that have made these developments possible, this article draws on the concept of gridlock, as well as on the additional theoretical strands of metagovernance and adaptive governance, to conceptualize how global health governance has been able to adapt despite increasingly difficult conditions in the multilateral order. The remarkable degree of innovation that characterizes global health governance is the result of two interrelated conditions. First, developments that are normally associated with gridlock in multilateral cooperation, such as institutional fragmentation and growing multipolarity, have transformed, rather than gridlocked, global health governance. Second, global health actors have often been able to harness the opportunities offered by three important pathways of change, namely: (1) a significant degree of organizational learning and active feedback loops between epistemic and practice communities; (2) a highly polycentric system of governance; and (3) the increased role of political leadership as a catalyst for governance innovation. These trends are discussed in the context of three case studies of significant political, social and health relevance, namely HIV/AIDS, the 2014 Ebola outbreak and antimicrobial resistance.

Suggested Citation

  • David Held & Ilona Kickbusch & Kyle McNally & Dario Piselli & Michaela Told, 2019. "Gridlock, Innovation and Resilience in Global Health Governance," Global Policy, London School of Economics and Political Science, vol. 10(2), pages 161-177, May.
    • Handle: RePEc:bla:glopol:v:10:y:2019:i:2:p:161-177
    DOI: 10.1111/1758-5899.12654
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    Cited by:

    1. Josephine Borghi & Garrett W. Brown, 2022. "Taking Systems Thinking to the Global Level: Using the WHO Building Blocks to Describe and Appraise the Global Health System in Relation to COVID‐19," Global Policy, London School of Economics and Political Science, vol. 13(2), pages 193-207, May.
    2. Andonova, Liliana B. & Piselli, Dario, 2022. "Transnational partnerships, domestic institutions, and sustainable development. The case of Brazil and the Amazon Region Protected Areas program," World Development, Elsevier, vol. 157(C).
    3. Orlando, Beatrice & Tortora, Debora & Pezzi, Alberto & Bitbol-Saba, Nathalie, 2022. "The disruption of the international supply chain: Firm resilience and knowledge preparedness to tackle the COVID-19 outbreak," Journal of International Management, Elsevier, vol. 28(1).
    4. Lauren Winkler & Taylor Goodell & Siddharth Nizamuddin & Sam Blumenthal & Nurcan Atalan-Helicke, 2023. "The COVID-19 pandemic and food assistance organizations’ responses in New York’s Capital District," Agriculture and Human Values, Springer;The Agriculture, Food, & Human Values Society (AFHVS), vol. 40(3), pages 1003-1017, September.
    5. Julian Eckl, 2021. "Focal Times and Spaces: How Ethnography Foregrounds the Spatiotemporality of International Organizations and Global Governance," Global Policy, London School of Economics and Political Science, vol. 12(S7), pages 34-44, December.
    6. Lange, Thomas & Villarreal, Pedro A. & Bärnighausen, Till, 2023. "Counter-contestation in global health governance: The WHO and its member states in emergency settings," Health Policy, Elsevier, vol. 131(C).

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