为什么 COVAX 设施无法弥合 "免疫差距"?

IF 2.3 3区 医学 Q2 HEALTH CARE SCIENCES & SERVICES
Journal of Public Health Policy Pub Date : 2024-03-01 Epub Date: 2024-01-19 DOI:10.1057/s41271-023-00467-w
Qi Shao
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引用次数: 0

摘要

2020 年 4 月,世界卫生组织推出了一项开创性的公共卫生政策--COVID-19 疫苗全球接种基金(COVAX),致力于 "全球公平接种 COVID-19 疫苗"。尽管这一政策具有创新性,但却未能弥合高收入国家与低收入国家之间的 "免疫差距"。其主要原因包括(1) 未能为自筹资金的国家提供足够的参与激励;(2) 疫苗分配机制的设计未能反映国家政治考虑和医学伦理观点;(3) 缺乏独立的资金和在全球范围内执行政策的权力。迄今为止,各种制约因素限制了 COVAX 的有效性,但将其转变为一个信息中心,以提供疫苗供需信息、传播疫苗知识和发布求助信息,可以加快进展。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Why does the COVAX facility fail to bridge the 'immunization gap'?

In April 2020, the World Health Organization launched a COVID-19 Vaccines Global Access (COVAX) Facility, a groundbreaking public health policy, to work "for global equitable access to COVID-19 vaccines". Although innovative, it fails to bridge the 'immunization gap' between high-income and low-income countries. The main reasons for this include: (1) failure to provide adequate incentives for self-financing countries to participate; (2) failure to design the vaccine allocation mechanism to reflect to national political considerations along with the perspective of medical ethics; (3) lack independent financing and power to enforce the policies globally. Constraints have limited the effectiveness of COVAX to date but transforming it into an information center to provide information on vaccine supply and demand, disseminate vaccine knowledge, and publish requests for help can accelerate progress.

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来源期刊
Journal of Public Health Policy
Journal of Public Health Policy 医学-公共卫生、环境卫生与职业卫生
CiteScore
5.70
自引率
2.60%
发文量
62
审稿时长
>12 weeks
期刊介绍: The Journal of Public Health Policy (JPHP) will continue its 35 year tradition: an accessible source of scholarly articles on the epidemiologic and social foundations of public health policy, rigorously edited, and progressive. JPHP aims to create a more inclusive public health policy dialogue, within nations and among them. It broadens public health policy debates beyond the ''health system'' to examine all forces and environments that impinge on the health of populations. It provides an exciting platform for airing controversy and framing policy debates - honing policies to solve new problems and unresolved old ones. JPHP welcomes unsolicited original scientific and policy contributions on all public health topics. New authors are particularly encouraged to enter debates about how to improve the health of populations and reduce health disparities.
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