Governing the Access to COVID-19 Tools Accelerator: towards greater participation, transparency, and accountability

Moon, Suerie; Armstrong, Jana; Hutler, Brian; Upshur, Ross; Katz, Rachel; Atuire, Caesar; Bhan, Anant; Emanuel, Ezekiel J.; Faden, Ruth R.; Ghimire, Prakash; Greco, Dirceu Bartolomeu; Ho, Calvin Wai-Loon; Kochhar, Sonali; Schaefer, G. Owen; Gooshki, Ehsan Shamsi; Singh, Jerome Amir; Smith, Maxwell J.; Wolff, Jonathan

doi:10.1016/s0140-6736(21)02344-8

Cited by 35 publications

(39 citation statements)

References 9 publications

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“…A pertinent example is the scarcity of PPE early on in the pandemic, which sometimes resulted in hoarding by countries and by individuals. This “catastrophic breakdown in global cooperation” 120 highlighted the need to develop global strategies to improve equity and access equipment, treatment and vaccines to treat COVID-19 (refs. 120 , 121 ).…”

Section: A Global Health Perspectivementioning

confidence: 99%

“…This “catastrophic breakdown in global cooperation” 120 highlighted the need to develop global strategies to improve equity and access equipment, treatment and vaccines to treat COVID-19 (refs. 120 , 121 ). Unfortunately, a lack of equity and empathy persists, with booster doses of vaccines being administered to most adults and children in some countries before adults at risk of poor outcomes even receive their first vaccine in others 122 .…”

Section: A Global Health Perspectivementioning

confidence: 99%

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Impact of the COVID-19 pandemic on the kidney community: lessons learned and future directions

et al. 2022

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The coronavirus disease 2019 (COVID-19) pandemic has disproportionately affected patients with kidney disease, causing significant challenges in disease management, kidney research and trainee education. For patients, increased infection risk and disease severity, often complicated by acute kidney injury, have contributed to high mortality. Clinicians were faced with high clinical demands, resource shortages and novel ethical dilemmas in providing patient care. In this review, we address the impact of COVID-19 on the entire spectrum of kidney care, including acute kidney injury, chronic kidney disease, dialysis and transplantation, trainee education, disparities in health care, changes in health care policies, moral distress and the patient perspective. Based on current evidence, we provide a framework for the management and support of patients with kidney disease, infection mitigation strategies, resource allocation and support systems for the nephrology workforce.

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Section: A Global Health Perspectivementioning

confidence: 99%

Section: A Global Health Perspectivementioning

confidence: 99%

Impact of the COVID-19 pandemic on the kidney community: lessons learned and future directions

et al. 2022

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“…But COVAX’s failure to ensure global equity in vaccine access raised questions about the effectiveness of this tool (Ahen, 2021; Ekström et al. , 2021; Moon et al. , 2021).…”

Section: Results and Findingsmentioning

confidence: 99%

“…, 2021). Other investigators of ACT-A also stated that the lack of transparency, accountability and participation were the main causes of its ineffectiveness so far, and showed that those three challenges are interrelated (Moon et al. , 2021).…”

Section: Results and Findingsmentioning

confidence: 99%

“…Public-private partnerships (PPPs) are often considered to be the main mechanism for addressing global health challenges. But COVAX's failure to ensure global equity in vaccine access raised questions about the effectiveness of this tool (Ahen, 2021;Ekstr€ om et al, 2021;Moon et al, 2021). In 2020, Norway started a research project which investigates how such public-private collaboration operates in practice in Norway's pandemic preparedness and response, both domestically and globally.…”

Section: Partnershipsmentioning

confidence: 99%

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Governance for global health: the role of Nordic countries

Ibragimova¹

2022

IJHG

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PurposeGlobal health challenges and threats could be confronted by collaborative efforts of international community. Governance for global health is a set of formal and informal processes, operating beyond state boundaries, and refers to institutions and mechanisms established at the national, regional and international levels. Nordic countries demonstrated a long-standing commitment to development assistance for health (DAH), and more recently to governance for global health. Governance for global health tools could be used effectively to achieve collective solutions for the maintenance and promotion of health as a common good, could ensure accountability and transparency, and reconcile the interests of different actors on the international and national levels. The aim of this paper is to provide an overview of tools and approaches in support of eight sub-functions of governance for global health applied by the Nordic countries. This will help international audience to compare those mechanisms with similar mechanisms that are available or planned in their countries and regions, and may benefit policy scholars and practitioners.Design/methodology/approachThis study uses qualitative review of research literature, policy documents and information available from institutional websites related to the governance of global health in four Nordic countries. In total, 50 selected publications were analyzed using framework synthesis, mapping all findings to 8 dimensions (sub-functions) of governance for global health and related tools.FindingsReview reveals which tools are available, how they have been applied by the Nordic countries and influenced all domains (sub-functions) of governance for global health at different levels: national governments, agencies and networks; bilateral and multilateral partnerships; inter-governmental institutions and international health-related organizations. Common trends and approaches in governance for global health have been formulated.Originality/valueThis study is unique in relation to the prior literature as it looks at the role of Nordic countries in the governance for global health system through the lens of tools applied in support to its sub-functions.

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COVID-19 ethics: unique aspects and a review as of early 2024

Shandera

2024

Monash Bioeth. Rev.

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COVID-19 presents a variety of ethical challenges in a set of arenas, arenas not always considered in past pandemics. These challenges include issues related to autonomy, distributive ethics, and the establishment of policies of equity and justice. Methods are a literature review based on regular editing of an online textbook during the COVID-19 outbreak and a literature review using key ethical terms. Patients are confronted with new issues related to autonomy. Providers need to expand their concepts of ethical issues to include decisions based on proportionality and public health ethics. The public health sector needs to assess the beneficence of alternative modes of disease control. The research community needs to redefine the concept of informed consent in emergent conditions. All elements of the medical spectrum—physicians, scientists, and the community-at-large including the pharmaceutical industry—need to consider the multifaceted methods for preventing future pandemics. This will require giving particular emphasis to public health funding and ending the documented discrimination that exists in the provision of proven therapies. The developing world is especially at risk for most of the ethical issues, especially those related to equity and justice. The ethical issues associated with the COVID-19 outbreak are not unique but provide a diverse set of issues that apply to patients, providers, social groups, and investigators. The further study of such issues can help with preventing future outbreaks.

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Governing the Access to COVID-19 Tools Accelerator: towards greater participation, transparency, and accountability

Cited by 35 publications

References 9 publications

Impact of the COVID-19 pandemic on the kidney community: lessons learned and future directions

Impact of the COVID-19 pandemic on the kidney community: lessons learned and future directions

Governance for global health: the role of Nordic countries

COVID-19 ethics: unique aspects and a review as of early 2024

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