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Governance

There is a new world of challenges for global health governance, with shifting donor priorities and evolving health needs in many low- and middle-income nations. This section offers an inside look at the ways in which global health governance is adapting to these changes, with a focus on the institutions, rules, and processes that govern the health of people across the world

Governance

14.2 M

As many as 14.2 million Americans could lose their insurance over the next decade

14.2 Million Americans

Amid ACA Subsidy Fight, Access Broadens for Catastrophic Health Plans

$11 B

The Global Fund secured $11 billion of its $18 billion replenishment goal for 2026–28

Global Fund Commitments

The United States Maintains Its Global Fund Commitment

$6.5 B

In 2024, USAID provided $6.5 billion in humanitarian assistance to sub-Saharan Africa

Life After USAID: Africa's Development, Education, and Health Care

Life After USAID: Africa's Development, Education, and Health Care

1 in 127

An estimated 1 in 127 people were on the autism spectrum in 2021

Autism and Identity: Navigating Disability Versus Difference

Autism and Identity: Navigating Disability Versus Difference

1.2 M

More than 1.2 million people across the globe died of antibiotic resistant superbugs in 2019

Antibiotic Resistance Is a Smoldering Crisis

Antibiotic Resistance is a Smoldering Crisis

70%

More than 70 percent of adult men smoke in Indonesia

Tobacco Control Goes Missing from Indonesia's Presidential Ballot

Tobacco Control Goes Missing from Indonesia's Presidential Ballot

1,200

Nearly 1,200 attacks on health-care workers and facilities have taken place in the three years since the coup

In Myanmar, Health Care Has Become a Battleground

In Myanmar, Health Care Has Become a Battleground

3.3 Times

Where there was trust in local health workers people were 3.3 times more likely to wear a mask during COVID

Ending the COVID-19 Pandemic Hinges on Trust

Ending the COVID-19 Pandemic Hinges on Trust

9.3 M

In 2021, 9.3 million people lost their jobs across Southeast Asia

Southeast Asia's Economic Future After COVID-19

Southeast Asia's Economic Future After COVID-19

Featured

The World Health Organization headquarters is seen in Geneva, Switzerland, on January 28, 2025.

Reforming WHO: Five Considerations for the Next Director General

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The World Health Organization's next chapter could become more focused, technically authoritative, and strategically disciplined through strategic reforms

Making Aid Transition Work: Seven Lessons From the Private Sector

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As global health financing shifts toward country self-reliance, emphasis on principles like measurement and accountability can guide implementation

A forklift unloads boxes containing vials of the R21 malaria vaccine inside a cold room at the Serum Institute of India, in Pune, India, on February 27, 2024.

Using Guinea's Approach to Contain Ebola in the DRC

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Negotiating access, earning trust, and building a tightly coordinated response are essential to stopping transmission, according to two advisors of Guinea's 2014-16 Ebola response

Rose Komono poses for a picture at a health clinic after overcoming the Ebola virus, in Gueckedou, Guinea, on April 3, 2014.

How Talanoa Can Guide Inclusive Global Health Dialogues

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Pacific health leaders have been drawing on talanoa, a form of group discussion, to confront challenges such as climate change and noncommunicable diseases

The headquarters for the Pacific Islands Forum, in Suva, Fiji, on August 7, 2026.

Tracking the "America First" Bilateral Health Agreements

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Think Global Health's analysis found gaps between country needs and new cofinancing commitments with the United States

Tracking the "America First" Bilateral Health Agreements

The State of Global Health Funding: October 2026

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This year, the largest drop in foreign aid for health came from the United Kingdom, while Japan increased its contributions

The headquarters of the African Development Bank (AfDB) are pictured, in Abidjan, Ivory Coast, on September 16, 2016.

Global Health Research in the America First Era

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Reciprocal innovation, when researchers find and adapt solutions to improve health across borders, could be an answer to the ongoing political challenges in financing research

Research associates prepare samples at Yemaachi Biotechnology, a cancer research laboratory, in Accra, Ghana, on May 19, 2022.

Bird Flu on Utah Mink Farm Raises Biosecurity Questions

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An outbreak of H5N1 on a Utah mink farm puts the public at risk, and a bill in Congress could expand fur farming

A caged mink looks on at a mink farm, in Hjoerring, in North Jutland, Denmark, on October 8, 2020.

Russia's Suspected Plague Incident and the Limits of Disease Reporting

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The Irkutsk incident highlights the shortcomings of international law around potentially harmful disease events, according to an expert in the region

A satellite image shows the Anti-Plague Institute of Siberia and the Far East, in Irkutsk, Russia, on May 8, 2025.

Ukraine Keeps HIV Response Steady Under Fire

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War has strained Ukraine's HIV programs, but capacity built years earlier has kept most prevention and treatment in place

A view shows a torn flag of Ukraine hung on a wire in front an apartment building destroyed during Ukraine-Russia conflict, in Mariupol, Ukraine, on April 14, 2022.

Could Economic Incentives Encourage Faster Outbreak Reporting?

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A new funding mechanism could speed up early disease reporting, which could prevent outbreaks like Ebola from spiraling out of control

John Macki, a public health expert, controls motorcycle taxis before a health check point screening along the street, in Mongbwalu, Djugu Territory of Ituri province, Democratic Republic of the Congo, on May 23, 2026.

Tracking Measles and the World's Vaccine-Preventable Diseases

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This weekly map visualizes outbreaks of nine childhood diseases in collaboration with the International Society for Infectious Diseases

A world map showing vaccine-preventable disease hot spots, with colored circles indicating outbreak size and location. Measles outbreaks (red) appear across the Americas, Europe, Africa, Asia, and Oceania. Large chicken pox (green) and RSV (purple) outbreaks are visible in Asia. Yellow circles mark whooping cough in the Americas and Oceania, while smaller circles show diphtheria, hepatitis A and B, mumps, and polio outbreaks in Africa, Europe, and Asia. Circle size corresponds to outbreak magnitude, with a sample scale showing 10,000 cases. The map is labeled “Think Global Health.”

Myanmar's Health System Is Under Siege, Endangering the Region

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Myanmar's war has displaced health-care workers and destroyed its infrastructure, enabling disease transmission to neighboring Bangladesh, India, and Thailand

A patient rests in her bedroom in National League for Democracy's AIDS center, in Yangon, Myanmar, on November 27, 2019.

The U.S. Vaccine Pullback is a Strategic Mistake

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When U.S. commitment to public health declines, so does the world's capacity to prevent the next crisis, say two medical epidemiologists with the World Health Organization

The exterior of the U.S. Capitol is seen at sunset in Washington, DC, on January 4, 2023.

WHO Elections: Reform Without Reckoning

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The organization cannot be reshaped without confronting its internal structure, partnership rules, and expanding operational role

Delegates attend the 79th World Health Assembly of the World Health Organization, in Geneva, Switzerland, on May 18, 2026.