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Gobernando el Acelerador de Acceso a las Herramientas COVID-19: hacia una mayor participación, transparencia y

Suerie Moon¹, Jana Armstrong², Brian Hutler³

¹International Relations and Political Science Department & Interdisciplinary Programmes, Global Health Centre, Graduate Institute of International and Development Studies, Geneva, Switzerland.

Lancet (London, England)

|December 13, 2021

Resumen

La iniciativa Acceso al Acelerador de Herramientas COVID-19 (ACT-A) enfrenta desafíos de gobernanza que afectan el acceso equitativo a la tecnología de salud global. Las mejoras en la participación, la transparencia y la rendición de cuentas son cruciales para la preparación para futuras pandemias.

Área de la Ciencia:

Salud global
Política de salud
Cooperación en el ámbito internacional

Sus antecedentes:

El Acceso al Acelerador de Herramientas COVID-19 (ACT-A) se estableció para abordar las fallas de cooperación global durante la pandemia de COVID-19.
ACT-A representa un esfuerzo internacional significativo para garantizar el acceso equitativo a las tecnologías de salud esenciales para el COVID-19.
La estructura de gobierno de ACT-A es crítica debido a su importancia pública y la financiación pública sustancial involucrada.

Objetivo del estudio:

Analizar la evolución de los mecanismos de gobierno de ACT-A.
Evaluar la gobernanza de ACT-A en relación con sus principios fundadores de participación, transparencia y responsabilidad.
Identificar los principales retos que obstaculizan la realización de estos principios de gobernanza.

Principales métodos:

Un análisis cualitativo de los documentos de acceso público relacionados con el gobierno de ACT-A.
Evaluación de los procesos de toma de decisiones, las funciones organizativas y los mecanismos de transparencia de ACT-A.
Examen del papel de los gobiernos en el marco de ACT-A.

Principales resultados:

Los roles poco claros entre las organizaciones participantes oscurecen las líneas de responsabilidad.
Los centros de toma de decisiones múltiples y fragmentados y las medidas de transparencia inconsistentes impiden una participación efectiva.
El papel limitado de los gobiernos plantea preocupaciones sobre la legitimidad política y la responsabilidad pública.

Conclusiones:

Las mejoras urgentes en la gobernanza de ACT-A son necesarias dado lo que está en juego en la salud pública mundial y la financiación.
Abordar los desafíos identificados es esencial para reforzar la eficacia y la legitimidad de ACT-A.
Los esfuerzos futuros de preparación para pandemias deben dar prioridad a las estructuras de gobernanza éticas y legítimas.

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