Kerman University of Medical Sciences International Journal of Health Policy and Management 2322-5939 12 Issue 1 2023 12 01 The Dynamics of Power Flow From the Global Health Financing; Comment on “Power Dynamics Among Health Professionals in Nigeria: A Case Study of the Global Fund Policy Process” 1 4 4434 10.34172/ijhpm.2023.7806 EN Garrett Wallace Brown University of Leeds, Leeds, UK 0000-0002-6557-5353 Natalie Rhodes School of Politics and International Studies (POLIS), University of Leeds, Leeds, UK Journal Article 2022 11 08 <span class="fontstyle0">This article agrees with Lassa et al that biomedical paradigms and medical professionals are a dominating force within the policy dynamics of the Global Fund to Fight AIDS, Tuberculosis and Malaria (GFATM) and that there needs to be greater community involvement in how global health initiatives (GHIs) are adopted, designed, implemented and evaluated. However, we argue that many of the conditions identified are entrenched and perpetuated by how GHIs are financed and the financing modalities employed in Development Aid for Health (DAH), particularly in low resource settings. As a result, the dynamics of power not only flow from traditionally entrenched epistemic authorities but are disproportionally sustained by global health financing modalities that favour particular GHIs over others. As we argue, these DAH modalities can exert forms of power with problematic effects on policy-making.</span> https://www.ijhpm.com/article_4434_3c8a49145944fed2bbcaade178a426c4.pdf