The last 15 years of working towards the achievement of the Millennium Development Goals (MDGs) have brought about profound implications for health governance in many African states. Some refer to a reinvigorated political will towards health care policies and programs as a major force behind important achievements in public health outcomes across Africa. Others take a more critical approach, and question the relationship and implications of strong state commitments on issues related to human rights and justice in health. In this panel, scholars are invited to participate in a discussion about health governance in Africa, paying particular attention to the effects of global, MDG-driven forces of community health interventions and programs on the ground. What are the intended and unintended consequences of different governance arrangements and structures on health care in Africa? What roles do state and non-state actors play? How do African health care workers and communities negotiate global and state-led campaigns to improve health? Moving forward in a new, post-MDG era, this panel seeks to explore questions surrounding health governance in African states, and the ways in which health programs and interventions intersect with the needs, desires and priorities of local health care workers and communities. African studies scholars from a wide range of fields are invited to join in this conversation but those researching in the fields of anthropology, history, political science, and development are especially encouraged to submit.