Democracy, Globalization and Health: The African Dilemma

The aim of this paper is, firstly, to explore the process of globalization in relation to public health in Africa. The decay of public institutions and the privatisation of global health interventions raise two related issues: firstly, the ways in which states, particularly in Africa, are able to represent their citizens in the international arena is fundamentally open to question. And at the same time, these imperfectly representative states are being bypassed altogether in decision-making.