An exploration of power asymmetries and their impact on global COVID-19 access to medicines response

探索权力不对称及其对全球 COVID-19 药物获取应对措施的影响

• 批准号: 2602001
• 金额: --
• 依托单位: University of Leeds
• 依托单位国家: 英国
• 项目类别: Studentship
• 财政年份: 2021
• 资助国家: 英国
• 起止时间: 2021 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=studentship-2602001
• 关键词: exploration; power; asymmetries; their; impact

1. How have power asymmetries manifested within ACT A, how does this influence the governance processes of ACT A, and what implications does this have on the initiative's aim to promote equitable access to medical technology?a. Which actors are engaged in ACT A and what kind of power do they employ?b. How did/do these actors influence the agenda-setting, formulation, decision-making and outputs of ACT A?c. What structural factors influence the kinds of power actors can employ and how do they influence ACT A?d. Which power asymmetries exist, what impact did these have on ACT A process and how could these have been mitigated?e. What linkages, if any, exist between an actor's power and the proposed solutions to access issues?f. What can ACT A tell us about the architecture of and accountability in GHG?2. Which theoretical models of power can best be applied to understand power in GHG?To answer the research questions, the project will adopt a mixed-methods approach combining qualitative desk-based policy review and cross-sectional stakeholder interviews. This will be achieved through the use of a scoping review of policy and grey literature, a literature review of secondary academic analysis, a stakeholder analysis, stakeholder interviews, content analysis and power mapping. Theoretically valuable models of power from global health and political studies will be mapped out, amalgamated with adaptive revision, and applied as a novel theoretical framework.Consequently, the original contribution of this project will be four-fold. First, this project will construct, and pilot a cross-disciplinary mixed theory analytical framework rooted in political science and global health to offer a theoretically rigorous study of power associated with ACT A in GHG. Second, insights generated from the analytical framework will have complimentary translations to other key GHG mechanisms, which will provide a heuristically valuable model in the study of GHG more broadly. Third, this project offers a timely and significant analysis of GHG and one of its key access to medicines structures during the biggest health crisis in recent history. Fourth, given that ACT A is a new, yet fundamental component to global COVID-19 immunization, this project will be at the cutting edge of nascent and developing research in this area. These empirical findings will contain important implications for global health actors in terms of how they each occupy political space and power, and the implications this has on the purpose and outcomes of multilateral initiatives, particularly ACT A. Additionally, in collaboration with civil society partners, the findings of this research will be able to form recommendations as to how power asymmetries might be mitigated, and how actors at the weaker end of the distribution can better harness existing opportunities and have influence. More importantly, the project aims to design normative and practical recommendations to help increase equitable distribution under the ACT A initiative, something that is currently under threat of failure.

1. 权力不对称如何在ACT A中表现出来，这如何影响ACT A的治理过程，这对该倡议促进公平获取医疗技术的目标有什么影响？哪些演员参与了ACT A，他们使用了什么样的力量？这些行为者如何/如何影响ACT的议程设定、制定、决策和产出？哪些结构性因素影响权力行为者可以使用的类型，以及它们如何影响ACT ？哪些权力不对称存在，这些对ACT A过程有什么影响，如何减轻这些影响？如果有的话，行动者的权力和建议的访问问题解决方案之间存在什么联系？ACT A能告诉我们关于温室气体体系和问责制的什么信息？哪些权力理论模型最适用于理解温室气体中的权力？为了回答研究问题，该项目将采用混合方法，结合定性桌面政策审查和横断面利益相关者访谈。这将通过使用政策和灰色文献的范围审查，二级学术分析的文献审查，利益相关者分析，利益相关者访谈，内容分析和权力映射来实现。从全球健康和政治研究中获得的理论上有价值的权力模型将被绘制出来，与适应性修正相结合，并作为一种新的理论框架加以应用。因此，这个项目的原始贡献将是四倍的。首先，该项目将构建并试行一个基于政治学和全球卫生的跨学科混合理论分析框架，为与温室气体中ACT a相关的权力提供理论严谨的研究。其次，从分析框架中产生的见解将与其他关键的温室气体机制互补，这将为更广泛的温室气体研究提供一个启发式的有价值的模型。第三，该项目对近期历史上最大的卫生危机期间的温室气体及其关键的药物获取结构之一进行了及时和重要的分析。第四，鉴于acts A是全球COVID-19免疫接种的一个新的基础性组成部分，该项目将处于该领域新兴和发展中研究的前沿。这些实证研究结果将对全球卫生行为体各自如何占据政治空间和权力，以及这对多边倡议的目的和结果的影响，特别是对a国的影响具有重要意义。此外，与民间社会伙伴合作，这项研究的结果将能够形成关于如何减轻权力不对称的建议。以及处于弱势端的参与者如何更好地利用现有机会并发挥影响力。更重要的是，该项目旨在设计规范和实用的建议，以帮助在ACT A倡议下增加公平分配，这一倡议目前面临失败的威胁。