Complicating The Narrative
What happens when the global health architecture built over 80 years is changed drastically in 16 months and what should replace it? Dr. Gbenga Ogedegbe is the Dr. Adolph & Margaret Berger Professor of Medicine and Population Health and the director of the Division of Health & Behavior in the Department of Population Health at NYU Grossman School of Medicine. His research focuses on the prevention and treatment of cardiovascular diseases among minority and low-income populations in the US and sub-Saharan Africa. Dr. Benjamin Mason Meier is Professor of Global Health Policy in the Department of Public Policy and the Department of Health Policy and Management at the University of North Carolina at Chapel Hill. His research focuses on human rights frameworks in global health law. Gbenga and Ben join Salma, right after WashU's Building for a New Era of Global Health convening, to trace how the post-war global health system was built, what it achieved, and the tensions it carried from the start: vertical, siloed, funding; neocolonial dynamics; the securitization of health; and a deficit-focused, donor-centric approach that left recipient countries with infrastructure they didn't control. They then turn to what has changed over the past year—the simultaneous withdrawal of U.S. funding across USAID, PEPFAR, and NIH, the exit from WHO, and the decline of European contributions—and what that means for active programs on the ground, from HIV clinics in Lagos to safety-net health centers in Brooklyn. The conversation then moves to what comes next. Gbenga makes the case for reciprocal innovation drawing on his own work adapting task-shifting strategies between Ghana, Brooklyn, and Nigeria. Ben argues for the enduring power of global normative standards and human rights frameworks to guide health policy even when funding disappears. Both push for a shift in how the field communicates and for governments in the Global South to increase domestic health financing rather than wait for donor systems to return. This episode offers a clear-eyed history of global health as we know it, an honest account of the crisis it faces, and reason for hope about what comes next. Useful resources: 1. WashU School of Public Health. Building for a New Era of Global Health. 2026. https://www.youtube.com/watch?v=3mLohUgBu9U [https://www.youtube.com/watch?v=3mLohUgBu9U] Host: Dr. Salma Abdalla Editors: Catalina Melendez Contreras Marketing: Kinkini Bhaduri Music: Eden Avery / Melting Glass from Epidemic Sound https://www.epidemicsound.com/track/2fqOXWpHab/ The views and opinions expressed by the guest in this episode do not necessarily reflect those of their institution, the funders, or the podcast team.
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