管理获取COVID-19工具加速器:实现更大的参与,透明度和问责制
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
概括
获取COVID-19工具加速器 (ACT-A) 倡议面临的治理挑战影响了公平的全球卫生技术获取. 提高参与度,透明度和问责制对于未来的疫情准备至关重要.
科学领域:
- 全球健康
- 卫生政策
- 国际合作
背景情况:
- 获取COVID-19工具加速器 (ACT-A) 是为了解决COVID-19大流行期间全球合作失败而建立的.
- ACT-A代表了一项重要的国际努力,以确保平等地获得必要的COVID-19健康技术.
- 由于其公共重要性和涉及的大量公共资金,ACT-A的治理结构至关重要.
研究的目的:
- 分析ACT-A的治理机制的演变.
- 根据其参与,透明度和问责制的创始原则评估ACT-A的治理.
- 确定阻碍这些治理原则实现的关键挑战.
主要方法:
- 对与ACT-A治理相关的公开文件进行定性分析.
- 评估ACT-A的决策流程,组织角色和透明度安排.
- 审查政府在ACT-A框架中的作用.
主要成果:
- 参与组织之间的角色不清楚,
- 多个分散的决策中心和不一致的透明度措施阻碍了有效的参与.
- 政府的作用有限, 引发人们对政治合法性和公共责任的担忧.
结论:
- 鉴于全球公共卫生和资金的风险,需要紧急改善ACT-A的治理.
- 应对所发现的挑战对于加强ACT-A的有效性和合法性至关重要.
- 未来的疫情准备工作必须优先考虑道德和合法的治理结构.
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