The international global health system and the 2030 Agenda itself are undergoing a profound transformation marked by geopolitical tensions, budgetary constraints and changes in the architecture of their governance. Fluctuations in the funding of international cooperation and the reconfiguration of multilateral agencies pose significant risks for essential global health programmes, including those aimed at the prevention and treatment of HIV, malaria and other communicable diseases, as well as for the health systems that sustain them. In a context of growing inequalities and simultaneous crises, understanding how the architecture of this model is evolving and what its effects are on the health of the most vulnerable populations has become one of the priorities of our translation strategy, as has defining the roadmap that will succeed the Sustainable Development Goals (SDGs).
Spain plays a relevant role in this debate. The approval of the Global Health Strategy marked a turning point, providing the country with a coherent and ambitious vision for its external, health and scientific action. This leadership is exercised through different international forums and initiatives that seek adequate financing for a fairer and more efficient international architecture. Through this, Spanish society and institutions not only aim to improve the lives of millions of people, but also to consolidate our country’s role in the defence of multilateralism, universal health coverage and gender equality.
ISGlobal addresses these challenges by combining policy analysis, applied research and the generation of evidence to support decision-making. Our work examines how changes in international financing affect health systems, disease control programmes and the wellbeing of populations, contributing to the global debate on the effectiveness, sustainability and equity of global health financing and governance. A central element of this approach is collaboration with the Health Impact Assessment (HIA) group, which develops methodologies to systematically assess the health consequences of political, economic or budgetary decisions, including the potential effects of cuts to development aid. Translating this analysis into public policy makes it possible to anticipate impacts and design strategies that minimise risks for the most exposed populations.
Key publications
- Spain: an emerging leader in global health
- A decade of stagnation: strengthening commitment to avoid setbacks in the fight against malaria
- Decades of progress at a crossroads: how cuts and inaction threaten the fight against HIV
- Trump’s earthquake and its aftershocks: how the implosion of the global health system increases inequality, weakens global governance and threatens us all
- How global health initiatives contribute to strengthening health systems
- The role of health in the new European political agenda
- Recommendations of the UN Sustainable Development Solutions Network for the Summit of the Future
- Why a pandemic agreement is urgent: a proposal for a European position
- Universal health coverage: important for Spain
- Spain’s role in addressing the global challenges of our time
- Global health on the political agenda of the new legislature
- Spain’s role in current global challenges
- The flu-stricken agenda
- The role of immunisation in preparedness for health crises
- Opportunities and challenges of the EU global health strategy
- A child dies of pneumonia every 42 seconds worldwide
- Spain and the global effort to end preventable child deaths from pneumonia by 2030
- How Spain’s regional international cooperation agencies responded to the COVID-19 pandemic
Featured projects and initiatives
- Health Impact Assessment (HIA) Programme
- Studies on global health financing
- Collaborations with multilateral agencies and policy networks
