COVID-19疫苗分配说明了全球卫生治理的缺陷

Aziza Mohamadhossen, Giulia Parola
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摘要

在危机时期进行全球合作对于采取有效对策和维护享有健康的普遍人权是必要的。然而,2019冠状病毒病大流行凸显了全球卫生治理中的弱点,特别是在全球获取疫苗计划和疫苗分发方面。本文旨在描述和批判性地分析这些框架中的缺陷。进行了一项叙述性文献综述,以收集有关全球获取疫苗计划弱点的广泛信息。此外,还描述了巴西和加拿大国内截然不同的现实,以说明两国之间的差异。从文献中提取的主要主题包括向多边主义、民族主义和保护主义的转变。此外,国际机构框架内的分裂及其权力分配造成了灰色地带,阻碍了有效的反应。本文提出了加强全球卫生治理权威的措施,包括重新审视应对政策、激励全球合作、鼓励各国重新致力于全球合作。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
FLAWS OF GLOBAL HEALTH GOVERNANCE AS ILLUSTRATED BY THE COVID-19 VACCINE DISTRIBUTION
Global cooperation during times of crisis is necessary to procure effective responses and to uphold the universal human right to health. However, the COVID-19 pandemic has highlighted weaknesses within global health governance, particularly relating to the COVAX program and vaccine distributions. This paper sets out to describe and critically analyze the flaws within these frameworks. A narrative literature review was conducted to gather a widespread of information about weaknesses of the COVAX program. Additionally, the contrasting realities within Brazil and Canada were described to illustrate the differences between the two nations. The primary themes extracted from literature included a shift to multilateralism, nationalism, and protectionism. Furthermore, fragmentation within international institutional frameworks and their power distribution created grey-areas and impeded effective responses. This paper suggests measures to reinforce the authority of global health governance, including revisiting response policies, incentivizing global cooperation, and encouraging nations to recommit to global cooperation.
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