Access and Benefit-Sharing Isn’t Equity

DEBATE

COVID-19

Viruserkrankung, die durch das Coronavirus SARS-CoV-2 verursacht wird

05 April 2024

Access and Benefit-Sharing Isn’t Equity

It is unsurprising that equity has featured so prominently in the Pandemic Treaty negotiations – the Treaty is a direct response to the COVID-19 pandemic, which was characterised by gross inequality between high-income and LMICs. For all the talk at the start of the Treaty negotiation process of equity, of doing things differently in the future, it appears that very little will change. If it works, and there are very good reasons to believe that it will not work, it will at best make sure that a small proportion of vaccines end up where they need to be, and the rest will continue to go to the highest bidder, regardless of need, equity, or justice.

01 April 2024

Lilli Hasche

Decolonization Through Decolonial Reforming

Many stakeholders agree that the WHO has not been able to adequately address the political and social problems, global health emergencies triggered or exacerbated by epidemics and pandemics, malnutrition, and access to clean water in recent years. Against this backdrop, there is a widespread call for more equity and solidarity in the global health system. Most of the proposals concerning the reform of the WHO deal with the possible goals and outcomes of such a reform. However, it is just as important to consider how such a reform should be carried out so that the ambitious goals are not compromised by the implementation process itself.

27 March 2024

Tine Hanrieder, Julian Eckl

Closing the Accountability Gap

In their latest ‘WHO transformation’ (which began in 2017), the WHO hired at least six consulting firms, praised by the Director-General as the ‘best firms in the world’. Despite their prominent role in WHO processes and reform efforts, there is a clear accountability gap in their role at WHO. Consultant engagement contributes to a trend towards informal governance and public-private collusions in an organization that looks less and less like a public authority.

26 March 2024

Lilli Hasche, Jelena von Achenbach, Andreas Fischer-Lescano

Towards Equity and Decolonization?

The COVID-19 pandemic exposed systemic problems in the global health system. It revealed that the global health system perpetuates global health inequalities rather than effectively reducing them: The international community, particularly the countries of the Global North, failed to make COVID-19 vaccines widely available to the populations of the world's poorest countries. This blog debate takes stock of the reform debate about a just and decolonizing transformation of the health system. Bringing together scholars from various disciplines, the contributions of this debate ask what a fair global health system could look like and what role the law plays in it.