Quandaries of Trying to Do Good-The Adequacy of the WHO FENSA Regulations.

IF 1.9 4区医学 Q3 HEALTH POLICY & SERVICES

International Journal of Health Planning and Management Pub Date : 2024-11-06 DOI:10.1002/hpm.3866

Habib Benzian, Eugenio Beltrán-Aguilar, Richard Niederman, Arthur Caplan

引用次数: 0

Abstract

The World Health Organization's (WHO) Framework of Engagement with Non-State Actors (FENSA), established in 2016, is designed to enhance transparency, impartiality, and conflict-of-interest safeguards by setting rigorous guidelines for WHO's interactions with private entities, particularly those in high-risk industries such as tobacco, alcohol, and arms. This paper briefly reviews the implementation and impact of FENSA, observing that, despite these safeguards, its application in academic contexts poses specific challenges. Universities, often reliant on diverse funding sources, may find the rules restrictive and misaligned with independent funding needs. The creation of the WHO Foundation in 2020 further complicates this landscape by enabling engagements with previously restricted private sector entities through an "arm's length" model. The authors advocate for a reassessment of FENSA to resolve inconsistencies and support essential academic collaborations, while upholding WHO's commitment to ethical standards.

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努力做好事的窘境--世界卫生组织 FENSA 条例的适当性。

世界卫生组织（WHO）于2016年制定了《与非国家行为者接触框架》（FENSA），旨在通过为WHO与私营实体，特别是烟草、酒精和武器等高风险行业的私营实体的互动制定严格的指导方针，提高透明度、公正性和利益冲突保障。本文简要回顾了 FENSA 的实施情况和影响，指出尽管有这些保障措施，但其在学术环境中的应用带来了具体的挑战。大学通常依赖于不同的资金来源，可能会发现这些规则具有限制性，与独立的资金需求不符。世卫组织基金会将于 2020 年成立，通过 "公平 "模式与以前受限制的私营部门实体开展合作，从而使这一局面进一步复杂化。作者主张重新评估 FENSA，以解决不一致问题，支持重要的学术合作，同时坚持世卫组织对道德标准的承诺。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

International Journal of Health Planning and Management Multiple-

CiteScore

4.50

自引率

3.70%

发文量

197

期刊介绍： Policy making and implementation, planning and management are widely recognized as central to effective health systems and services and to better health. Globalization, and the economic circumstances facing groups of countries worldwide, meanwhile present a great challenge for health planning and management. The aim of this quarterly journal is to offer a forum for publications which direct attention to major issues in health policy, planning and management. The intention is to maintain a balance between theory and practice, from a variety of disciplines, fields and perspectives. The Journal is explicitly international and multidisciplinary in scope and appeal: articles about policy, planning and management in countries at various stages of political, social, cultural and economic development are welcomed, as are those directed at the different levels (national, regional, local) of the health sector. Manuscripts are invited from a spectrum of different disciplines e.g., (the social sciences, management and medicine) as long as they advance our knowledge and understanding of the health sector. The Journal is therefore global, and eclectic.