在COVID-19疫苗部署中存在腐败风险:为未来的流行病准备做好准备所吸取的教训
Gul Saeed1, Jillian Clare Kohler2
1Yale School of Public Health, Yale University, 60 College Street, New Haven, CT, 06510, USA. g.saeed@yale.edu.
Globalization and health
|March 7, 2025
概括
在COVID-19疫苗部署,包括采购和分发的腐败风险在疫情期间得到了放大. 加强反腐败,透明度和问责制 (ACTA) 机制对于公平的疫苗接种至关重要.
科学领域:
- 全球卫生安全 全球卫生安全
- 公共卫生政策 公共卫生政策
- 卫生系统研究 卫生系统研究
背景情况:
- COVID-19大流行加剧了全球卫生系统的腐败风险,扩大了健康不平等.
- 疫苗采购和分发面临着由于大量资金,紧迫性,众多利益相关方和监督不足而增加的腐败风险.
研究的目的:
- 进行一项定性研究,探索COVID-19疫苗部署过程中的腐败风险.
- 确定疫苗采购和分发的特定弱点和挑战.
主要方法:
- 使用三角化数据源进行描述性,定性研究 (2022年5月至8月).
- 分析了44个学术和灰色文学文件.
- 与参与COVAX机制的利益相关者,捐助国/接收国以及疫苗部署专家进行了16次关键信息采访.
主要成果:
- 确定了腐败风险,包括采购和COVAX运营缺乏透明度,,疫苗盗窃以及不合格/伪造的疫苗.
- 关键信息提供者强调了疫苗定价,合同和民间社会排斥等问题.
- 实施的反腐败,透明度和问责制 (ACTA) 机制包括机构监督,区块链和民间社会参与.
结论:
- 公共卫生紧急情况需要政府和国际组织的敏捷反应.
- 该研究强调,迫切需要加强ACTA机制,以减轻腐败,并确保平等获得基本疫苗.
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