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Global Health Watch 1 in one file

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Recommendations<br />

WHO’s core purpose Below are proposals for WHO’s core roles derived from<br />

our literature review and <strong>in</strong>terviews, which can be debated and fleshed out <strong>in</strong><br />

the future:<br />

• Act<strong>in</strong>g as the world’s health conscience, promot<strong>in</strong>g a moral framework for<br />

health and development policy, and assert<strong>in</strong>g the human right to health.<br />

• Promot<strong>in</strong>g the pr<strong>in</strong>ciples of the Alma Ata declaration on <strong>Health</strong> for All.<br />

• Establish<strong>in</strong>g, ma<strong>in</strong>ta<strong>in</strong><strong>in</strong>g and monitor<strong>in</strong>g global norms and standards on<br />

health and health care.<br />

• Strengthen<strong>in</strong>g its role as an <strong>in</strong>formed and trusted repository and dissem<strong>in</strong>ator<br />

of health <strong>in</strong>formation and experience.<br />

• Conduct<strong>in</strong>g, commission<strong>in</strong>g and synthesiz<strong>in</strong>g health and health systems<br />

research, <strong>in</strong>clud<strong>in</strong>g research on the health impact of economic activities.<br />

• Promot<strong>in</strong>g and protect<strong>in</strong>g the global commons, <strong>in</strong>clud<strong>in</strong>g the creation of<br />

transnational goods such as research and development capacity, and control<br />

of transnational externalities such as spread of pathogens.<br />

• Provid<strong>in</strong>g a mechanism for coord<strong>in</strong>at<strong>in</strong>g transnational/cross-boundary<br />

threats to health.<br />

• Strengthen<strong>in</strong>g WHO’s presence <strong>in</strong> countries to play a stronger stewardship<br />

role <strong>in</strong> coord<strong>in</strong>at<strong>in</strong>g and br<strong>in</strong>g<strong>in</strong>g together <strong>in</strong>ternational and bilateral agencies<br />

and <strong>in</strong>ternational NGOs to develop a unified, purposeful multisectoral<br />

health strategy and activities to implement it.<br />

Democratization/ governance<br />

• Take measures to position WHO as an organization of the people as well as<br />

of governments. This <strong>in</strong>volves representation of broader groups of <strong>in</strong>terests<br />

<strong>in</strong>clud<strong>in</strong>g civil society, and processes that ensure a wide range of voices is<br />

heard and heeded.<br />

• Support and expand the Civil Society Initiative at WHO. Southern civil society<br />

organizations need support to have a more direct voice. Public-<strong>in</strong>terest<br />

organizations must be differentiated from those represent<strong>in</strong>g commercial<br />

<strong>in</strong>terests, <strong>in</strong>clud<strong>in</strong>g front organizations funded by transnational corporations.<br />

• The politicized nature of the elections of the director-general and regional<br />

directors needs to be tempered. Possible solutions <strong>in</strong>clude a wider franchise,<br />

perhaps with an electoral college of <strong>in</strong>ternational public health experts<br />

to complement the member states' votes, <strong>in</strong>clud<strong>in</strong>g representatives<br />

from civil society organizations. Candidates should be required to publish<br />

a manifesto and WHO should facilitate widespread debate about them, with<br />

World <strong>Health</strong> Organization<br />

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