Reforming Global Health for an Age of Mistrust, Fragmentation and Overlapping Crises

The authors argue that global health architecture must be reformed to respond more effectively to an era of polycrisis. They propose three interlinked priorities: rebalancing power by strengthening country ownership, regional institutions, and the participation of affected communities; reinforcing health systems by moving beyond fragmented, disease-specific approaches and building capacity to address interconnected and emerging threats; and restoring trust among communities, governments, donors, and multilateral institutions. The authors emphasize that these reforms must account for the geopolitical forces shaping global health and strengthen coordination across health, climate, humanitarian, development, finance, and security agendas.