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The Global Fund's China Legacy

An IIGG Working Paper

Authors: , Senior Fellow for Global Health, and Jia Ping, Chief Executive Director, Health Governance Initiative

The Global Fund's China Legacy - yanzhong-huang-and-jia-ping-the-global-funds-china-legacy

Publisher Council on Foreign Relations Press

Release Date March 2014

22 pages


Over the past decade, the Global Fund's presence in China has left behind a deeply mixed legacy. Although the Fund's money has made important contributions to China's fight against AIDS, TB, and malaria, as well as its domestic health governance in ideational, institutional, and policy domains, it is associated with uneven progress in grant performance, low value for money, unintended effects on civil society–building, and enduring challenges to scaling-up and sustainability.

In this International Institutions and Global Governance program Working Paper, CFR Senior Fellow Yanzhong Huang and Jia Ping, chief executive director of the Health Governance Initiative, argue that the mixed legacy has important implications for global health governance, the Fund's future financing model, and China's handling of its own public health challenges.

More About This Publication

Yanzhong Huang is senior fellow for global health at the Council on Foreign Relations, where he directs the Global Health Governance Roundtable Series. He is also an associate professor and director of the Center for Global Health Studies at the School of Diplomacy and International Relations at Seton Hall University, where he developed the first academic concentration among U.S. professional schools of international affairs that explicitly addresses the security and foreign policy aspects of health issues. He is the founding editor of Global Health Governance: The Scholarly Journal for the New Health Security Paradigm. Huang has written extensively on global health governance, health diplomacy and health security, and public health in China. He has published numerous reports, journal articles, and book chapters, including articles in Foreign Affairs, Survival, and Bioterrorism and Biosecurity, as well as op-ed pieces in the New York Times, International Herald Tribune, Lancet, and South China Morning Post, among others. His book, Governing Health in Contemporary China, looks at the health-system transition in post-Mao China, including health care reform, the government's ability to address disease outbreaks, and food and drug safety. He is frequently consulted by major media outlets, the private sector, and governmental and nongovernmental organizations on global health issues and China. In March 2012, he was listed by InsideJersey as one of New Jersey's "20 exceptional intellectuals who are changing the world." He has taught at Barnard College and Columbia University. Huang was previously a research associate at the National Asia Research Program, a visiting senior research fellow at the National University of Singapore, a public intellectuals fellow at the National Committee on U.S.-China Relations, and a visiting fellow at the Center for Strategic and International Studies. He received his BA and MA degrees from Fudan University and PhD degree from the University of Chicago.

Jia Ping is chief executive director and founder of the Health Governance Initiative (formerly China Global Fund Watch Initiative), a not-for-profit organization and civic think tank focusing on health governance, transparency, public participation, and public policy/law research. Jia is a leading human rights lawyer and researcher on right to health, HIV/AIDS, and law. Since 2009, he has been a Young Global Leader of the World Economic Forum (Davos). He is a member of the Sino-European Platform on Biomedical Research Ethics and a member of the expert committee of China Red Ribbon Beijing Forum on HIV and Human Rights. In 2006, he became the first elected NGO/CBO representative for the China Country Coordinating Mechanism for the Global Fund Programs (China CCM). He was previously an Asia 21 Young Leader Fellow at Asia Society, a visiting scholar at the Institute for the Study of Human Rights at Columbia University, a member of the expert committee on HIV/AIDS for China CDC, and the executive director of the human rights and constitutional law center at Tsinghua University Law School. He obtained his BA degree from East China University of Political Science and Law and MA degree from Renmin University Law School.

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