a Global Health and Development , London School of Hygiene and Tropical Medicine , London , UK.
Glob Public Health. 2019 Apr;14(4):584-599. doi: 10.1080/17441692.2018.1468474. Epub 2018 Apr 26.
Since 2000, the eight Millennium Development Goals (MDGs) provided the framework for global development efforts transforming the field now known as global health. The MDGs both reflected and contributed to shaping a normative global health agenda. In the field of global health, the role of the state is largely considered to have diminished; however, this paper reasserts states as actors in the conceptualisation and institutionalisation of the MDGs, and illustrates how states exerted power and engaged in the MDG process. States not only sanctioned the MDGs through their heads of states endorsing the Millennium Declaration, but also acted more subtly behind the scenes supporting, enabling, and/or leveraging other actors, institutions and processes to conceptualise and legitimize the MDGs. Appreciating the MDGs' role in the conceptualisation of global health is particularly relevant as the world transitions to the MDGs' successor, the Sustainable Development Goals (SDGs). The SDGs' influence, impact and importance remains to be seen; however, to understand the future of global health and how actors, particularly states, can engage to shape the field, a deeper sense of the MDGs' legacy and how actors engaged in the past is helpful.
自 2000 年以来，八项千年发展目标（MDGs）为全球发展努力提供了框架，改变了现在被称为全球卫生的领域。千年发展目标既反映了也有助于塑造规范的全球卫生议程。在全球卫生领域，国家的作用在很大程度上被认为已经减弱；然而，本文重申国家在千年发展目标的概念化和制度化中的作用，并说明了国家如何行使权力并参与千年发展目标进程。国家不仅通过国家元首签署《千年宣言》批准千年发展目标，而且还在幕后更微妙地支持、授权和/或利用其他行为体、机构和进程来概念化和使千年发展目标合法化。认识到千年发展目标在全球卫生概念化中的作用尤为重要，因为世界正在向千年发展目标的继任者可持续发展目标（SDGs）过渡。可持续发展目标的影响、作用和重要性还有待观察；然而，为了了解全球卫生的未来以及行为体，特别是国家如何参与塑造该领域，更深入地了解千年发展目标的遗产以及过去参与的行为体是有帮助的。
