Governance, public health and the Millennium Development Goals: Some lessons from Burma

Abstract

Current discussions around the lack of progress towards the Millennium Development Goals tend to emphasize deficiencies in governance as a major contributory factor. While agreeing with this assessment, this paper takes issue with the conventional understanding of what “governance” implies. Using Burma as an illustration, it suggests the current focus on purely administrative and organizational concerns must be broadened to encompass the wider political context in which these Goals are to be pursued. Authoritarian political structures must be confronted and challenged, if these worthy Goals are to have any realistic chance of being attained.