title: A Framework for Assessing Responsibility in Intergovernmental Partnerships.
abstract: Advancing the health of the poor requires aligning a wide array of interests, all of which influence how health care is delivered. Global health professionals often face difficult decisions that can affect their working relationships with government officials, local colleagues, nongovernmental organizations (NGOs), and private sector interests. This article proposes a "compass-based" framework that urges global health professionals to act in a way that is both morally sound and pragmatically effective. Global health professionals must follow their "moral compass" and act in alignment with the interests of the communities they seek to serve while, at the same time, utilizing their "effectiveness compass" to navigate complex situations in ways that ensure achievement of practicable change that can motivate better health outcomes for those in need.
authors.affiliation: Instructor in medicine in the Division of Global Health Equity at Brigham and Women's Hospital and Harvard Medical School in Boston.
authors.forename: Ranu S
authors.initials: RS
authors.lastname: Dhillon
authors.forename: Pranay
authors.initials: P
authors.lastname: Nadella
mesh_terms: D003299:Cooperative Behavior; D003695:Delivery of Health Care / Q000941:ethics; D026690:Ethics, Clinical; D014943:Global Health; D006076:Government; D006282:Health Personnel / Q000941:ethics*; D006801:Humans; D007391:International Cooperation; D007400:Interprofessional Relations; D009014:Morals; D009938:Organizations; D011203:Poverty; D017149:Private Sector; D000068616:Professionalism; D012111:Residence Characteristics; D012941:Social Responsibility