WHO fills an essential role in global health institutional architecture, but over the past three decades, it has struggled to maintain a leadership role and find a useful balance between its norm-setting and support to countries. As a number of new initiatives, institutions, foundations and funds have played an increasingly central role in determining priorities and outcomes in global health WHO has lived through several existential crises. The current focus on pandemic preparedness may restore the organisation’s central position or push it into irrelevance.


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