The Lancet: The U.S. Centers for Disease Control: a crucial actor in global health
Johanna Hanefeld of the London School of Hygiene and Tropical Medicine

“…At the heart of U.S. [global health] engagement is a tension between an agency accountable to domestic policy audiences — the U.S. Congress and through it the people of the USA — while shaping the health and services of people abroad with little say in setting these agendas. Overcoming this tension holds the most important lesson of U.S. engagement in global health: the need for more open and crucial dialogue about what works, to adapt, to evolve, and allow learning from implementation rather than a one-size-fits-all approach to reaching targets” (9/13).