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Global Health Watch 1 in one file

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Hold<strong>in</strong>g to account | E1<br />

role. ‘It is for all (this) work that the world recognises the need for WHO as a<br />

cornerst<strong>one</strong> of <strong>in</strong>ternational relations’ (Lee 1998).<br />

Many formal and <strong>in</strong>formal evaluations and commentaries on WHO mention<br />

its traditional strengths (for example Godlee 1997, Lee 1998, Lerer and<br />

Matzopoulos 2001, Wibulpolprasert and Tangcharoensathien 2001, Buse and<br />

Walt 2002, DFID 2002, M<strong>in</strong>elli 2003, Selbervik and Jerve 2003, Kickbusch 2004,<br />

Murray et al. 2004, <strong>in</strong>terviews and personal communications). These <strong>in</strong>clude:<br />

• advocacy for marg<strong>in</strong>alized population groups such as the poor, people<br />

with AIDS and people with mental illness;<br />

• perform<strong>in</strong>g important global communicable disease surveillance and control<br />

functions, as with SARS;<br />

• production of authoritative guidel<strong>in</strong>es and standards that support excellent<br />

practice;<br />

• global, regional and national health reports and cross-country studies provid<strong>in</strong>g<br />

an evidence base for policy, practice and advocacy;<br />

• excellent staff whose technical expertise and <strong>in</strong>ternational health experience<br />

are unsurpassed;<br />

• provision of effective technical support <strong>in</strong> some countries, with<strong>in</strong> tight resource<br />

constra<strong>in</strong>ts;<br />

• promotion of agendas that are value-based, knowledge-based and support<br />

health, rather than ideologically driven or politically motivated;<br />

• <strong>in</strong>novative <strong>in</strong>tersectoral programmes such as <strong>Health</strong>y Cities.<br />

There is also praise for recent work, some of which builds on these traditional<br />

strengths, and some of which is tak<strong>in</strong>g WHO <strong>in</strong>to new areas of work:<br />

• return<strong>in</strong>g health to the <strong>in</strong>ternational development agenda;<br />

• good practical and analytical work on key areas such as violence and<br />

health and complex emergencies;<br />

• the gradual renaissance of primary health care and health promotion, <strong>in</strong>clud<strong>in</strong>g<br />

challenges to commercial <strong>in</strong>terests that damage health;<br />

• <strong>in</strong>teragency alliances such as the Partnership for Safe Motherhood and<br />

Newborn <strong>Health</strong>;<br />

• active support for a greater <strong>in</strong>vestment <strong>in</strong> relevant and applied health systems<br />

research;<br />

• emerg<strong>in</strong>g <strong>in</strong>novative approaches to knowledge management us<strong>in</strong>g new<br />

technology;<br />

• more active and transparent engagement <strong>in</strong> WHO reform processes with<br />

some <strong>in</strong>fluential member states, such as the Multilateral Organizations<br />

Performance Assessment Network of eight lead<strong>in</strong>g donor countries;<br />

276

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