Formation of global health strategy: institutional dimension

Lviv Regional Institute for Public Administration of the National Academy for Public Administration under the President of Ukraine

Problem setting. The strategies for a safe, fair and healthy world by 2030, which are supported by the governments, are identified by the goals of sustainable development and laid the foundation for launching the integration of specific measures concerning the maintenance of health in various fields and sectors. New challenges, the healthcare system is facing, forces governments to review health policy and managerial approaches in this direction.

Achieving such a level, when medical and social services will be equally accessible for different groups of population, regardless of their financial ability or age, requires coordinated efforts in several areas at the same time and the development of strong, sustainable and fair health systems that aims at improving the results of the health of population. Various partners can and must work together to unite their knowledge and experience at the country level, as well as to gain the international donors’ support. Therefore, developing countries should understand the holistic institutional mechanism through which the greatest influence of international structures on the formation of global policy and national priorities concerning the maintenance of health is made.

Recent research and publications analysis. The paper objective is to analyze the collaboration of structures that establish approaches to the formation of the policy of maintaining and improving the health of the population at the global and national levels. Hence it forms a network of international cooperation that can be considered as an integral part of the institutional mechanism of public administration in the field of healthcare.

Highlighting previously unsettled parts of the general problem. By participating in various international professional organizations, it is possible to evaluate the strategies that governments use to choose priorities in healthcare, as well as the cost and the list of services offered, particularly in the presence of age-related diseases such as, for example, Alzheimer's. It is also possible to develop its own national approaches and review existing policies by analyzing the differences in the indicators of the cost aimed at organizing medical and social assistance to older people, the clinical results and quality indicators of the provision of medical care, taking into account the difference of economic development at the level of countries.

Paper main body. Networking has emerged as a result of the urgent need for collective action in the field of administration and is aimed at providing suggestions for addressing healthcare management issues and building a strategy based on local practices. According to scientists and practitioners in the field of health care, two issues that need to be addressed are critically important, in particular:

  • changing the roles and opportunities of managing ministries of healthcare when these systems face numerous local, national and global challenges;
  • defining the main framework, dimensions and administrative indicators that will support an effective health system development program.

The formation of a policy of preserving and improving the health of the population at the global level takes place through a complex network of international cooperation that defines key approaches for the development of national strategies. Participation in these networks provides significant benefits for countries in order to strengthen their national capacities in the medical sector, but these issues are politically motivated.

One of the European values is to respect for the right to health care. Permanent monitoring and policy analysis allows developing effective strategies for achieving results for further advocacy. According to the European Commission and the World Health Organization, universal health insurance reflects these values in the best way and provides sound scientific arguments based on international law and public health to support this approach.

At the same time, it is necessary to identify new approaches to the development of a public health strategy that focuses on strengthening institutional and staffing capacities in order to direct and effectively implement healthcare reforms. It also will help to develop and implement science-based policies, to improve cross-sectoral cooperation and work with donors, and, finally, to make effective communication concerning the common intentions and results.

Conclusions of the research and prospects for further studies. By forming a global health strategy, the world community calls on all countries to focus their efforts on public health issues and emphasizes the necessity to bring together all public and non-governmental sectors to find new strategies, the priority of which are the interests of the healthcare system in all directions of state policy.

  1. United Nations. (2013). MDG Acceleration and Beyond 2015. URL :
  2. Mathur, M. R., Williams, D. M., Reddy, K. S., Watt, R. G. (2015). Universal health coverage: a unique policy opportunity for oral health. Journal of dental research94 (3 Suppl), рр. 3-5. URL : https://www.ncbi.nlm.nih. gov/pmc/ articles/PMC4541093.
  3. Sustainable Development Goals. URL :
  4. Hambrey, J. (2017). The 2030 agenda and the sustainable development goals: the challenge for aquaculture development and management, FAO Fisheries and Aquaculture Circular, № C1141. URL :
  5. Institute for Health Metrics and Evaluation. (2017). Financing Global Health 2016: Development Assistance, Public and Private Health Spending for the Pursuit of Universal Health Coverage.
  6. Ibid.
  7. Joint WHO/World Bank new release. New report shows that 400 million do not have access to essential health services. URL :
  8. World Bank. FundsforNGOs. URL :
  9. Svitovyi bank ta Ukraina. URL : 6425374845/WBUkraineUkr.pdf [in Ukrainian].
  10. General Assembly. (1977). Restructuring of the economic and social sectors of the United Nations System. URL :
  11. WHO Uchrezhdenija Organizacii Obedinennyh Nacij. URL : [in Russian].
  12. European Commission. European platform against poverty and social exclusion. URL :
  13. European Commission. (2014). Investments in health. Policy guide for the European structural and investment funds (ESIF) 2014 – 2020. URL :
  14. The Organisation for Economic Co-operation and Development. URL :
  15. The European Observatory on Health Systems and Policies. URL :
  16. Van de Pas, R., Hill, P. S., Hammonds, R., Ooms, G., Forman, L., Waris, A., Sridhar, D. (2017). Global health governance in the sustainable development goals: Is it grounded in the right to health?, Global Challenges, № 1(1), pp. 47-60.
  17. Go4Health (Goals and Governance for Health). URL :
  18. UHC2030 Health Systems Governance Collaborative. URL :
  19. Ibid.