Regulating Health Systems in Fragile States

Regulating Health Systems in
Fragile States
Alice Street
Nuffield Foundation New Career Development Fellow
Department of Anthropology
University of Sussex
How Global Health Governance Shapes
Local Health Infrastructures
• Papua New Guinea a place where state has always been
absent from many rural areas
• How have health reform programs and technical
interventions by international organisations transformed
the health system and people’s access to care?
– E.g. State-building efforts of AusAID
– E.g. Vertical programs by Global Fund
– E.g. Medical and Bureaucratic Technologies
Why it is important
• Need more research on health in unstable/peripheral places
• New health inequalities being generated by global health
• Need more research on health systems as opposed to
specific disease programs
• Ethnographic approach
• Working closely with
PNG Government
• Stakeholder
presentations in
• Telling accessible