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Development Assistance in Health (DAH) has always been an important component of Official Development Aid and has been considered the “tracing sector” for innovation in the aid system (e.g. for innovative financing and the establishment of Global Public-Private Partnerships). Over the past two decades, both the number of actors and their influence in determining the profile and nature of development cooperation policy have changed substantially. The emergence of new donors and influencers among emerging economy countries (whether OECD members or non-members) as well as Non-State Actors has substantially contributed to the change of scenario. Multi-stakeholder initiatives and organisations are another spectacular example of the remarkable shift from the traditional international bilateral and multilateral development cooperation system to an extremely complex global cloud of transnational actors. This chapter uses the health domain to describe the evolution of global aid policies and actors; it analyses DAH on trends in predominant ideas, resources and their sources, leadership, institutions, DAH channels, and policy networks.
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