The Gates Foundation brought billions of dollars to the sector — and a business-friendly ethos consultants could exploit.
When Dr. Tedros Adhanom Ghebreyesus took the helm of the World Health Organization in July 2017, his first speech at headquarters in Geneva landed on a hopeful audience. WHO staff had seen a recent string of new bosses, each with a plan to reinvigorate and shake up the organization. The leaders’ reforms often involved bringing inmanagement consultants, such as McKinsey, one of the world’s most influential and secretive firms. But every attempt had ultimately failed to solve WHO’s most vexing — and decades-old — challenges, like the agency’s problematic financing structure and related chronic funding shortfalls.
Tedros, as he’s known, suggested things would be different this time. He seemed to sense the staff’s reform fatigue and their leeriness of external consultants, reassuring his rank and file: “Any enduring change at WHO will come from the staff outwards. I do not believe in perpetual reform, and I think WHO staff are reformed out.”
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