COVID-19ツールアクセラレータの管理:より大きな参加,透明性,および説明責任に向けて
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
まとめ
COVID-19ツールアクセラレータ (ACT-A) イニシアティブは,グローバルで医療技術への公平なアクセスに影響を与えるガバナンス上の課題に直面しています. 参加,透明性,説明責任の改善は,将来のパンデミック対策に不可欠です.
科学分野:
- 世界保健
- 健康政策
- 国際協力
背景:
- COVID-19ツールアクセラレータ (ACT-A) は,COVID-19のパンデミック中に世界的な協力の失敗に対処するために設立されました.
- ACT-Aは,重要なCOVID-19の医療技術への公平なアクセスを確保するための重要な国際的取り組みを表しています.
- ACT-Aのガバナンス構造は,その公共の重要性とそれに関連する実質的な公共資金のために非常に重要です.
研究 の 目的:
- ACT-Aのガバナンスメカニズムの進化を分析する
- ACT-Aのガバナンスについて,参加,透明性,説明責任の基本原則を評価する.
- これらのガバナンス原則の実現を阻む主要な課題を特定する.
主な方法:
- ACT-Aのガバナンスに関する公開文書の定性分析
- ACT-Aの意思決定プロセス,組織的な役割,透明性の取り決めの評価
- ACT-Aの枠組みにおける政府の役割の検討
主要な成果:
- 参加組織の役割が明確でないと 責任の境界が曖昧になる.
- 多数の分散した意思決定センターと一貫性のない透明性対策は,効果的な参加を妨げています.
- 政府の役割は限られているため,政治的正当性や公的な説明責任が懸念されます.
結論:
- ACT-Aのガバナンスには緊急の改善が必要で 世界的な公衆衛生と資金の危機が迫っています
- 特定された課題に取り組むことは,ACT-Aの有効性と正当性を強化するために不可欠です.
- 将来のパンデミック対策は 倫理的で正当なガバナンス構造を優先しなければなりません
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