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The WHO pandemic agreement—securing Africa’s leadership in a fragmenting global order

Bibliographic Data

ID21881137
AuthorsNelson Aghogho Evaborhene (0000-0001-7712-6363, Roskilde University), Jessica Oga (African Forum for Agricultural Advisory Services), Yusuff Adebayo Adebisi (0000-0002-2381-0984, Global Health Focus, Abuja, Nigeria), Echezona Ejike Udokanma (0000-0002-5597-9709, Chukwuemeka Odumegwu Ojukwu University), Newton Runyowa (Independent Researcher, Gaborone, Botswana), Zacharia Kafuko (Director of 1Day Africa, Vaccine Equity Advocate, African Chapter of 1Day Sooner, 1DAYAFRICA, Lusaka, Zambia), Shashika Bandara (0000-0002-1698-138X, McGill University Health Centre), Chizaram Onyeaghala (0000-0002-8319-1927, Internal Medicine, University of Port Harcourt Teaching Hospital, Port Harcourt, Nigeria), Chizaram Anselm Onyeaghala (University of Port Harcourt Teaching Hospital)
Year2026
Volume11
Issue2
Pagese020634
Publication date2026-02-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueBMJ Global Health (JOURNAL)
Journal identifiersISSN: 2059-7908 • E-ISSN: 2059-7908
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2025-020634
PMID41748273
OpenAlexW7131664118
LanguageEN
References cited24

In May 2025, the World Health Assembly adopted the historic WHO Pandemic Agreement, aimed at strengthening global pandemic preparedness and equity. This legally binding treaty emerged from years of negotiation shaped by the COVID-19 pandemic’s stark inequities—particularly those experienced by African nations. While the treaty introduces important innovations, notably the Pathogen Access and Benefit-Sharing system, significant challenges remain. Ambiguities in equity commitments, geopolitical fragmentation and rising nationalism threaten effective implementation. For Africa, realising the treaty’s promise requires robust legal frameworks, enhanced manufacturing and regulatory capacities and sustainable financing mechanisms that reduce donor dependency. This analysis critically examines the treaty’s provisions and political economy, emphasising the need for enforceable obligations, continental leadership and multi-sectoral accountability. We propose the establishment of a Pandemic Peer Review Mechanism to embed political accountability at national and regional levels. Only through coordinated African leadership, institutional investment and global solidarity can the Pandemic Agreement deliver equitable health outcomes in a fracturing global order

Accountability · Geopolitics · Global health · Negotiation · Pandemic · Politics · Solidarity · Treaty · Global Health and Surgery · Global Security and Public Health · Viral Infections and Outbreaks Research

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Citation velocityhistorical
Highly citedNo
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