We examined recent special health initiatives to control HIV/AIDS, malaria,
and tuberculosis, and make four policy recommendations for improving the s
ustainability of such initiatives. First, international cooperation on heal
th should be seen as an issue of global public goods that concerns both poo
r and rich countries. Second, national health and other sector budgets shou
ld be tapped to ensure that global health concerns are fully and reliably f
unded; industrialized countries should lead the way. Third, a global resear
ch council should be established to foster more efficient health-related kn
owledge management. Fourth, managers for specific disease issues should be
appointed, to facilitate policy partnerships. Policy changes in these areas
have already begun and can provide a basis for further reform.