Challenges in international health financing and implications for the new pandemic fund.
Challenges in international health financing and implications for the new pandemic fund.
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DOI：
10.1186/s12992-023-00999-6
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发表时间：
2023-12-05
影响因子：
10.8
通讯作者：
Poitier, Francis
中科院分区：
文献类型：
--
作者：
Brown, Garrett Wallace;Rhodes, Natalie;Tacheva, Blagovesta;Loewenson, Rene;Shahid, Minahil;Poitier, Francis
关键词：
2019冠状病毒病国际应对的失败凸显了大流行病准备和应对（PPR）方面的关键差距。20国集团和世卫组织呼吁每年增加105亿美元的资金，以充分加强全球PPR架构。为响应这些呼吁，世界银行于2022年宣布启动一个新的金融中介基金（大流行病基金），以促进这一额外资金。然而，大流行病基金的治理结构和财务模式相当不明确，而且对于该基金是否成功地设计用于应对全球卫生筹资方面的主要挑战存在意见分歧。文章概述了全球卫生文献中与全球卫生筹资工具和卫生发展援助有关的八项挑战。这些问题包括：援助分配不当;问责制;多利益攸关方的代表性和参与;国家自主权;捐助方的一致性和分散性;透明度;权力动态;以及反腐败。本文利用有关大流行病基金的现有信息，将大流行病基金定位于应对这些挑战，以确定融资工具以何种方式认识、解决、部分解决或忽视这些挑战。评估认为，尽管大流行病基金采取了一些措施来认识和应对一些挑战，但总体而言，大流行病基金应对大多数挑战的政策不明确，而许多挑战尚未解决。目前尚不清楚大流行病基金如何明确应对全球卫生筹资文献中广泛承认的挑战。此外，有证据表明，大流行病基金可能会加剧这些全球融资挑战，从而引发对其潜在效力、适用性和成功机会的质疑。作为回应，本文提供了四套政策建议，以指导流行病基金和PPR融资架构如何更有效地应对已确定的挑战。
The failures of the international COVID-19 response highlighted key gaps in pandemic preparedness and response (PPR). The G20 and WHO have called for additional funding of $10.5 billion per year to adequately strengthen the global PPR architecture. In response to these calls, in 2022 the World Bank announced the launch of a new Financial Intermediary Fund (The Pandemic Fund) to catalyse this additional funding. However, there is considerable unclarity regarding the governance makeup and financial modalities of the Pandemic Fund, and divergence of opinion about whether the Fund has been successfully designed to respond to key challenges in global health financing. The article outlines eight challenges associated with global health financing instruments and development aid for health within the global health literature. These include misaligned aid allocation; accountability; multistakeholder representation and participation; country ownership; donor coherency and fragmentation; transparency; power dynamics, and; anti-corruption. Using available information about the Pandemic Fund, the article positions the Pandemic Fund against these challenges to determine in what ways the financing instrument recognizes, addresses, partially addresses, or ignores them. The assessment argues that although the Pandemic Fund has adopted a few measures to recognise and address some of the challenges, overall, the Pandemic Fund has unclear policies in response to most of the challenges while leaving many unaddressed. It remains unclear how the Pandemic Fund is explicitly addressing challenges widely recognized in the global health financing literature. Moreover, there is evidence that the Pandemic Fund might be exacerbating these global financing challenges, thus raising questions about its potential efficacy, suitability, and chances of success. In response, this article offers four sets of policy recommendations for how the Pandemic Fund and the PPR financing architecture might respond more effectively to the identified challenges.
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影响因子：
3.7
作者：
通讯作者：
--
影响因子：
3.5
作者：
Brown GW;Rhodes N
通讯作者：
Rhodes N
DOI：
10.1146/annurev-polisci-042010-164946
发表时间：
2012-01-01
期刊：
ANNUAL REVIEW OF POLITICAL SCIENCE, VOL 15
影响因子：
--
作者：
Dryzek, John S.
通讯作者：
Dryzek, John S.
影响因子：
5.2
作者：
Stenseth NC;Dharmarajan G;Li R;Shi ZL;Yang R;Gao GF
通讯作者：
Gao GF
影响因子：
2.2
作者：
Erikson, Susan L.
通讯作者：
Erikson, Susan L.