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Regulating Health Systems in Fragile States Alice Street Nuffield Foundation New Career Development Fellow Department of Anthropology University of Sussex How Global Health Governance Shapes Local Health Infrastructures • Papua New Guinea a place where state has always been absent from many rural areas • How have health reform programs and technical interventions by international organisations transformed the health system and people’s access to care? – E.g. State-building efforts of AusAID – E.g. Vertical programs by Global Fund – E.g. Medical and Bureaucratic Technologies Why it is important • Need more research on health in unstable/peripheral places • New health inequalities being generated by global health interventions • Need more research on health systems as opposed to specific disease programs • Ethnographic approach Impact • Working closely with PNG Government • Stakeholder presentations in PNG/Australia • Telling accessible stories:
