在通过具有里程碑意义的《大流行病协定》之后:在非洲有效执行该协定的战略选择是什么?

IF 4.5 2区 医学 Q1 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Olushayo Oluseun Olu, Henry Bosa Kyobe, Robert Lubajo, Amos Petu, Abdulmumini Usman, Sylvester Maleghemi, Francis Chisaka Kasolo
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引用次数: 0

摘要

背景:经过三年的复杂谈判,政府间谈判机构于2025年4月16日宣布会员国达成共识,从而在2025年5月19日第七十八届世界卫生大会上通过了《大流行病协定》。该协议旨在通过加强早期发现和快速反应能力,促进公平获得与大流行有关的卫生产品,并确保为大流行活动提供可持续资金,解决2019冠状病毒病大流行暴露的系统性不公平和失败问题。这篇评论强调了为什么该协定对非洲至关重要,并描述了在非洲大陆有效执行该协定的战略选择。正文:非洲具有独特的大流行病脆弱性和全球卫生安全能力方面的弱点,将从《大流行病协定》中获益最多。非洲大陆面临着诸如高威胁病原体、卫生系统薄弱、政治不稳定和国内融资有限等挑战。此外,非洲影响全球谈判的能力较低,公共卫生治理支离破碎,使全球卫生协定的执行复杂化。为克服这些挑战,提出了11项优先建议,包括联合分析和调整协定条款、坚定的政治承诺、更好地协调区域和全球卫生安全倡议以及公共卫生组织、利用数字技术、优先考虑当地制造业以及社区参与。结论:我们敦促非洲利益攸关方进行合作,确保将该协定从一项全球承诺转变为非洲大陆有意义的大流行病预防和控制行动。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
In the aftermath of the adoption of the landmark Pandemic Accord: what are the strategic options for its effective implementation in Africa?

Background: Following three years of complex negotiations, the Intergovernmental Negotiating Body announced consensus among Member States on 16 April 2025, leading to the adoption of the Pandemic Accord at the Seventy-Eighth World Health Assembly on 19 May 2025. The accord aims to address the systemic inequities and failures exposed by the COVID-19 pandemic by enhancing early detection and rapid response capacities, promoting equitable access to pandemic-related health products, and ensuring sustainable financing for pandemic activities. This commentary highlights why the accord is of critical importance to Africa and describes the strategic options for its effective implementation on the continent.

Main text: Africa, with its unique pandemic vulnerabilities and weaknesses in global health security capacities, stands to gain the most from the Pandemic Accord. The continent faces challenges such as high-threat pathogens, weak health systems, political instability, and limited domestic financing. Additionally, Africa's low capacity to influence global negotiations and fragmented public health governance complicates the implementation of global health agreements. To overcome these challenges, eleven priority recommendations are proposed, including joint analysis and domestication of the accord's provisions, strong political commitment, better alignment of regional and global health security initiatives and public health organizations, leveraging digital technologies, prioritizing local manufacturing, and community engagement.

Conclusion: We urge African stakeholders to collaborate in ensuring the transformation of the accord from a global commitment into meaningful pandemic prevention and control action for the continent.

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来源期刊
Globalization and Health
Globalization and Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
18.40
自引率
1.90%
发文量
93
期刊介绍: "Globalization and Health" is a pioneering transdisciplinary journal dedicated to situating public health and well-being within the dynamic forces of global development. The journal is committed to publishing high-quality, original research that explores the impact of globalization processes on global public health. This includes examining how globalization influences health systems and the social, economic, commercial, and political determinants of health. The journal welcomes contributions from various disciplines, including policy, health systems, political economy, international relations, and community perspectives. While single-country studies are accepted, they must emphasize global/globalization mechanisms and their relevance to global-level policy discourse and decision-making.
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