GIGA Research Project "Global Health Governance"

Research Group | Research Project

Welcome to the website of the research project "Global Health Governance"!
We would like to provide some information on our research project and on our research group on globalisation and social development, which designed and conducts the project.


Research Group "Globalisation and Social Development"

The research group "Globalisation and Social Development" at the German Overseas Institute concentrates on health in the context of globalisation and the institutional change in global and national health politics.

Global Health Governance

The globalisation process has led to a growing importance of international and transnational politics and of transactions and institutions beyond the control of nation states (global governance) in a broader sense as well as in the specific policy area of social and health policy. Health is seen as an important global field of action as a) it is part of the conditions of competitive capacity, economic growth, social development and reducing poverty. At the same time b) globalisation and the evolving global governance structure change the conditions for health politics in the local, national and international context. Especially the WTO-agreements TRIPS and GATS have an impact on international and national health politics. Furthermore, we witness an increasing importance of non-governmental organisations (NGOs) and the development of new types of organisations like global public private partnerships (GPPPs). A phenomenon which has become known under the name of global health governance (GHG) is emerging from this multiple dynamic interactions in the health sector. The characteristics, importance and changing nature of this global health governance are in the centre of the research group’s work.

Interfaces in Global Health Governance

One of the main focuses of the groups research concerns the interfaces of global and national/local politics. As this research group consists of scholars specialised in certain countries (Brazil, South-Africa, India, Egypt, China, Ghana) as well as scholars dealing with more general aspects of globalisation and global health, it is based on expertise and competence in this field.


Research Project "Global Health Governance: Institutional Change and the Interfaces Between Global and Local Politics in the Poverty-Oriented Fight of Diseases"

This research project started in January 2004 (financed by the Volkswagen-Foundation) and was completed in February 2006. It is based on the research groups concepts outlined above and explores the interaction of global and national/local actions in global health governance. Its focal point is on the multiple interactions concerning the battle against three major infectious diseases: AIDS, tuberculosis and malaria (ATM) with a main focus on HIV/AIDS. As the connection between health and poverty has become one of the central aspects of global health governance, special consideration will be given to those issues relating to health and equitable development.

Major Research Questions

The following general questions are addressed in the overall research project:

(1) In which way have developing countries tried to establish just and efficient health systems? What have been and what are the patterns of in- and exclusion?
(2) How have developing countries’ interactions with international actors of the private and public sector in pursuing health politics changed over the last three decades? Where and how do national policy makers and authorities in these countries interact with their counterparts on the provincial and local level?
(3) What are the types and forms of those interactions as well as conflicts and co-operations in the case of the infectious diseases ATM?
(4) What are the major features of an emerging global health governance in that process and what is the possible role GHG can play in furthering the co-operation process or resolving conflicts?
(5) What are the different parts played by various actors in the field of GHG, what are the interactions and power relationships between these actors?
(6) To which extent can the emerging patterns of GHG be used for the analysis of interface and interactions in other policy areas?

Case Studies

To attain these general objectives of research the project includes several case studies on international organisations and private actors in global health governance as well as on two important developing countries:

  • World Trade Organisation, NGOs (Wolfgang Hein)
  • GPPPs with focus on the Global Fund to Fight Aids, Tuberculosis and Malaria , NGOs (Sonja Bartsch)
  • World Health Organisation and Joint United Nations Programme on HIV/AIDS (UNAIDS) and World Bank , NGOs (Lars Kohlmorgen)
  • Pharmaceutical industry; World Bank (Jan-Peter Wogart)
  • Brazil (Gilberto Calcagnotto)
  • South Africa (Gero Erdmann. Christian von Soest, Martin Weinel)

Zuletzt geändert: 29.08.2006, Verantwortlicher: Lars Kohlmorgen