"我认为从一开始,雄心壮志就被妥协了":作为疫苗公平政策的操作化,COVAX的案例研究
Charnele Nunes1, Martin Mckee1, Simon Rushton2
1London School of Hygiene and Tropical Medicine (LSHTM), Faculty of Public Health and Policy, London, UK.
The International journal of health planning and management
|October 1, 2025
概括
COVID-19疫苗全球接入 (COVAX) 计划在很大程度上复制了现有的全球卫生伙伴关系 (GHP) 模式,显示出有限的公平性. 未来的流行病应对需要更大的低收入和中等收入国家 (LMIC) 和民间社会组织 (CSO) 的参与.
科学领域:
- 全球卫生政策 全球卫生政策
- 疫苗股权公司的疫苗股权
- 国际卫生伙伴关系 国际卫生伙伴关系
背景情况:
- COVAX的目标是全球COVID-19疫苗的发现,开发和分发.
- 本研究分析了COVAX在促进疫苗公平方面的作用,并确定了关键的教训.
研究的目的:
- 检查COVAX设施如何促进疫苗公平.
- 为未来的全球卫生危机确定从COVAX学到的经验教训.
主要方法:
- 关于COVAX和其他全球卫生伙伴关系 (GHPs) 的109份文件的范围审查.
- 使用Rushton和Williams的框架进行数据的主题综合.
- 与GHP,民间社会,学术界和私营部门的代表进行了23次关键信息采访.
主要成果:
- 全球卫生政策背景和之前的GHP经验 (Gavi,CEPI) 影响了COVAX的治理.
- 在透明度,问责制和利益相关者参与 (CSO,LMICs) 中发现了弱点.
- 突出了有争议的政策辩论,优先考虑技术/财务而不是政治解决方案.
结论:
- 科瓦克斯复制了现有的GHP模型,补贴研发和产品采购.
- 呼吁增加LMIC和CSO参与决策,知识产权共享和技术转让,以应对未来的健康危机.
- 倡导重新平衡公共和私营部门的创新成本和收益.
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