Reforming global health governance in the face of pandemics and war

Jiang, Yuxuan; Zhong, Anthony; Bajaj, Simar S.; Guyatt, Gordon

doi:10.1136/bmj.o2216

Cited by 3 publications

(3 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Assessing how Covid-19 is being handled globally provides lessons for ensuring better performance in facing upcoming outbreaks. Deficits such as poor coordination and regulatory overlapping [3], a fragile system of global health governance [4], and vaccine inequity [5] in the current GHG system resurfaced during the current Covid 19. These deficits intrigued researchers and policymakers to search for underlying reasons and propose changes for better outcomes in the future.…”

Section: Introductionmentioning

confidence: 99%

“…Certain speculations are made regarding upcoming changes following Covid-19 [11]. Many of the GHG challenges and recommendations raised during the COVID-19 period were raised through reviews and openings [3][4][5], and there were not many analytical studies by systematic and designed collective opinions by experts. Delphi surveys is a valuable method to collect diverse experts' opinions and viewpoints on core areas of challenges and prospective modifications in GHG.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Global health governance performance during Covid-19, what needs to be changed? a delphi survey study

2023

View full text Add to dashboard Cite

Background Covid-19 is not the first pandemic to challenge GHG. Preceding outbreaks and epidemics were sources of continuous debate on GHG leadership and structure resulting in its current structure. However, Covid-19 proved the presence of many deficits in the current GHG. The response to the Covid-19 pandemic is a cumulative result of all policies and actions of different governments and agencies active in global health. Assessing how Covid-19 is being handled globally provides lessons for ensuring better performance in facing upcoming outbreaks. This study has three main objectives: first, to evaluate the performance of GHG during Covid-19 in general and in relation to Covid-19 vaccine equity in particular. Second, to identify the reasons behind this performance; and third, to propose prospective changes in GHG for better performance. Methods A cross-sectional research design using the Delphi method was applied. A panel of experts participated in the three-round Delphi surveys. Their scores were used to perform consensus, performance and correlation analysis. Results GHG performance limited the achievement of Covid-19 vaccines’ global equity. GHG performance is a product of the existing GHG system, its actors and legal framework. It is a collective result of individual GHG actors’ performance. The most influential actors in decision-making regarding Covid-19 vaccine are the vaccine manufacturers and governments. While the most invoked power to influence decision are economic and political powers. Covid-19 decisions underlying value, although had human right to health at the base, overlooked the concept of health as a global public good and was skewed towards market-oriented values. GHG mal-performance along with its underlying factors calls for four main changes in GHG structure: assigning a clear steward for GHG, enhanced accountability, centralized authority, more equitable representation of actors, and better legal framework. Conclusion GHG structure, actors’ representation, accountability system, and underlying priorities and value require future modification for GHG to achieve better future performance and higher health equity levels.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Global health governance performance during Covid-19, what needs to be changed? a delphi survey study

2023

View full text Add to dashboard Cite

show abstract

“…Hindered by unequal power dynamics between the Global North and South, insufficient funding, and fumbled responses to climate-related and disease-related emergencies, the field of global health is struggling. Growing calls have emerged to reform existing global health governance (GHG) structures in response 1 2. Young people are ready to take action to ensure an equitable, inclusive and efficient future—because we are the future 3 4.…”

Section: Introductionmentioning

confidence: 99%

The future of global health: restructuring governance through inclusive youth leadership

O'Sullivan,

Zhong,

Yin

et al. 2023

BMJ Glob Health

Self Cite

View full text Add to dashboard Cite

Co-Occurrence Analysis of COVID-19 Publications with an Emphasis on the Global Health Governance (GHG)

Allahbakhshian Farsani,

Riahinia,

Danesh

et al. 2024

Advanced Biomedical Research

View full text Add to dashboard Cite

Background: Analyzing co-occurrence is an effective way to monitor the overview of topic spreading. The present study aimed to conduct a co-occurrence analysis of scientific publications related to COVID-19, emphasizing Global Health Governance (GHG). Materials and Methods: This applied research with an analytical approach was carried out on all the scientific publications related to COVID-19, emphasizing GHG (51056 records), extracted from PubMed Central on 26/01/2022. The research population consisted of all the scientific publications related to COVID-19, emphasizing GHG (51056 records), extracted from PubMed Central on 26/01/2022. The data were analyzed using BibExcel, UCINET, Excel, and SPSS software, and Spearman’s test was used to confirm correlations. Results: The co-word network of the thematic area of COVID-19 includes 226 nodes and 7292 edges. COVID-19 and the pandemic formed the most co-word pairs with 2224 connections. The COVID-19* mental health and COVID-19* anxiety, with 1019 and 925 connections, are ranked next, respectively. The term COVID-19 is ranked first with a centrality index of 225. The keywords of pandemic and public health are ranked second and third with the centrality index of 217 and 206, respectively. Conclusion: The global approach of studies related to COVID-19 is more inclined to the epidemiological and public health fields. Assuming the GHG, detailed and comprehensive planning should be performed to strengthen these studies and pave the way for international cooperation, determining research requisites, and developing applied research studies.

show abstract

Reforming global health governance in the face of pandemics and war

Abstract: When Russian tanks rolled into Ukraine in late February 2022, two years after the identification of SARS-CoV-2, the ensuing humanitarian crisis and upending of international law fractured the already fragile system of global health governance.

Cited by 3 publications

References 8 publications

Global health governance performance during Covid-19, what needs to be changed? a delphi survey study

Global health governance performance during Covid-19, what needs to be changed? a delphi survey study

The future of global health: restructuring governance through inclusive youth leadership

Co-Occurrence Analysis of COVID-19 Publications with an Emphasis on the Global Health Governance (GHG)

Contact Info

Product

Resources

About