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The COVID-19 pandemic is challenging the international system and the regional order in which the European Union (EU) aims to re-define its role in global health. The article seeks to tease out the role of the EU amidst the COVID-19 crisis by outlining three key dimensions: self-perception, external perception and performance. The paper contributes to the broader understanding of the EU's role in global health through a focus on its self-perception. This is examined by the conduct of interviews with EU representatives in 2021 and the analysis of EU press releases with reference to global health from 2014 to mid-March 2021. The results show that the EU mainly draws from a donor and provider role leaving a facilitating, partner or normative role underdeveloped – except for the EU's leading role in the context of the World Health Organisation. The COVID-19 pandemic is a driver for a more ambitious global political role. However, the main challenges identified by EU representatives constitute a lack of capacities and resources, insufficient backing by EU member states and a lack of coordination. The strongest EU conception in global health is seen when policy actions are based on multiple roles ranging from a provider and partner to a facilitating or normative role.

The Covid-19 crisis has laid bare weaknesses in the capacity of the European Union (EU) to act as a global health player. Most of those challenges have existed prior to the pandemic and are linked to a limited implementation of the Sustainable Development Goals (SDGs) - the global agenda acknowledging interconnections between different policy fields. Despite the EU's commitment to implement the Agenda 2030 in its internal and external policies, there is a lack of visibility and sufficient reference to the SDGs on a strategic level as well as in the EU's actions and partnerships in global health. The Union has shown during the Covid-19 pandemic that it is a relevant global health actor; however, there seems to be a lack of strategic visions and resources. The poster aims to illustrate on the one hand the weaknesses and challenges of the EU global health policies in times of Covid-19 and beyond. On the other hand, it identifies advantages of the EU in the field of global health and explores future pathways. Applying a mixed-method approach I did a review of academic and grey literature; content analysis of official EU documents and statements, expert interviews and gathered insights from events such as policy dialogues. Preliminary results indicate that the EU has a strong focus on infectious disease control in its external health policies and hereby neglects the health system dimension and interlinkages with other foreign policies such as trade. Covid-19 has highlighted the importance of resilient health systems in a crisis and the interlinkages between different policies for an effective response. To pursue a genuine health-in-all-policies approach prioritising health system strengthening within a updated strategic roadmap is necessary. Moreover, efforts to ensure an equitable distribution of vaccines, therapeutics and diagnostics should be pushed through the development and implementation of respective criteria. Key messages The focus of the EU in global health should shift from a narrow health security lens towards health system strengthening including disease control. The EU should prioritize and implement the health-in-all-policies approach in its global health policies through an ambitious roadmap.

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