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Translation and Impact

Global Health Financing and Governance

Translation and Impact Lines of Action

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.

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