Rethinking Global AIDS Governance

  • Michael Merson
  • Stephen Inrig


In this chapter, we detail how the external review of the Global Programme on AIDS (GPA) was used by the GPA Management Committee and, more particularly, its donors to review and reform the global AIDS response, particularly the role of World Health Organization (WHO). We describe the results of the review, notably the recommendation that GPA's mandate needed “clarification, reaffirmation, reform, and operationalization.” Complicating matters was the controversial reelection of WHO Director-General Hiroshi Nakajima to serve a second term. Following the external review, a series of meetings and consultations were held that resulted in a resolution in the World Health Assembly to study the feasibility of a joint United Nations Programme on HIV/AIDS, setting in motion a new chapter in global AIDS governance.


External review GPA Management Committee Donors Reform Leadership Task Force on HIV/AIDS Coordination Hiroshi Nakajima UNAIDS Joint United Nations Programme on HIV/AIDS 

Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  • Michael Merson
    • 1
  • Stephen Inrig
    • 2
  1. 1.Duke Global Health InstituteDuke UniversityDurhamUSA
  2. 2.Mount Saint Mary’s UniversityLos AngelesUSA

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