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date: 28 February 2021

Abstract and Keywords

This chapter will introduce health as a policy field and carve out the implications of limited statehood for health governance. It will discuss broader trends in the literature on health governance in areas of limited statehood and introduce major controversies revolving around the notions of effectiveness, legitimacy, and sustainability. The chapter starts by discussing different definitions of health governance, arguing that the differentiation between domestic and global health governance makes little sense in the face of contemporary developments. It further engages with the question of which actors are involved in health governance, their motivations, resources, and core areas of activity. The chapter goes on to discuss how limited statehood affects health governance—nationally and globally—using the case of polio eradication. The last part will introduce the reader to issues of effectiveness and legitimacy with a particular focus on contemporary debates about the legitimacy of non-state actors in global health.

Keywords: health, stewardship, legitimacy, non-state actors, polio eradication

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