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5 - The Performance of Life

Comparing the WHO, UNAIDS, Gavi, and GFATM

Published online by Cambridge University Press:  16 February 2023

Ranjit Lall
Affiliation:
University of Oxford
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Summary

Chapter 5 presents the book’s second comparative case study, which examines four major global health agencies: the World Health Organization (WHO); the Joint United Nations Programme on HIV/AIDS (UNAIDS); Gavi, the Vaccine Alliance; and the Global Fund to Fight Aids, Tuberculosis and Malaria (GFATM). The structure of the examination is analogous to Chapter 4’s. After enumerating the characteristics on which the four institutions are matched, I chronicle how differences in their de facto policy autonomy have given rise to disparate performance outcomes: The WHO and UNAIDS have been characterized by relentlessly declining autonomy and performance over their life cycles, Gavi and GFATM by the opposite trends. I then delve into the operational origins of these differences, which, once again, defy a purely design-based explanation. Like Chapter 4, the case study draws on extensive interviews and archival material.

Type
Chapter
Information
Making International Institutions Work
The Politics of Performance
, pp. 167 - 236
Publisher: Cambridge University Press
Print publication year: 2023

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  • The Performance of Life
  • Ranjit Lall, University of Oxford
  • Book: Making International Institutions Work
  • Online publication: 16 February 2023
  • Chapter DOI: https://doi.org/10.1017/9781009216265.007
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  • The Performance of Life
  • Ranjit Lall, University of Oxford
  • Book: Making International Institutions Work
  • Online publication: 16 February 2023
  • Chapter DOI: https://doi.org/10.1017/9781009216265.007
Available formats
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Save book to Google Drive

To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive.

  • The Performance of Life
  • Ranjit Lall, University of Oxford
  • Book: Making International Institutions Work
  • Online publication: 16 February 2023
  • Chapter DOI: https://doi.org/10.1017/9781009216265.007
Available formats
×