Global health governance performance during Covid-19, what needs to be changed? a delphi survey study
Bibliographic Data
| ID | 19533812 |
|---|---|
| Authors | Wafa Abu El Kheir‐Mataria (0000-0002-9689-5667, American University in Cairo), Wafa Abu El Kheir-Mataria, Hassan El-Fawal, Hassan A N El‐Fawal (0000-0002-9694-0405, American University in Cairo), Sungsoo Chun (0000-0002-8105-7062, American University in Cairo, corresponding author) |
| Year | 2023 |
| Volume | 19 |
| Issue | 1 |
| Pages | 24-24 |
| Publication date | 2023-03-31 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Globalization and Health (JOURNAL) |
| Journal identifiers | ISSN: 1744-8603 • E-ISSN: 1744-8603 |
| Publisher | Springer Science and Business Media LLC (PUBLISHER) |
| DOI | 10.1186/s12992-023-00921-0 |
| PMID | 37004079 |
| OpenAlex | W4362521967 |
| Language | EN |
| Citations received | 4 |
| References cited | 28 |
BACKGROUND: Covid-19 is not the first pandemic to challenge GHG. Preceding outbreaks and epidemics were sources of continuous debate on GHG leadership and structure resulting in its current structure. However, Covid-19 proved the presence of many deficits in the current GHG. The response to the Covid-19 pandemic is a cumulative result of all policies and actions of different governments and agencies active in global health. Assessing how Covid-19 is being handled globally provides lessons for ensuring better performance in facing upcoming outbreaks. This study has three main objectives: first, to evaluate the performance of GHG during Covid-19 in general and in relation to Covid-19 vaccine equity in particular. Second, to identify the reasons behind this performance; and third, to propose prospective changes in GHG for better performance. METHODS: A cross-sectional research design using the Delphi method was applied. A panel of experts participated in the three-round Delphi surveys. Their scores were used to perform consensus, performance and correlation analysis. RESULTS: GHG performance limited the achievement of Covid-19 vaccines' global equity. GHG performance is a product of the existing GHG system, its actors and legal framework. It is a collective result of individual GHG actors' performance. The most influential actors in decision-making regarding Covid-19 vaccine are the vaccine manufacturers and governments. While the most invoked power to influence decision are economic and political powers. Covid-19 decisions underlying value, although had human right to health at the base, overlooked the concept of health as a global public good and was skewed towards market-oriented values. GHG mal-performance along with its underlying factors calls for four main changes in GHG structure: assigning a clear steward for GHG, enhanced accountability, centralized authority, more equitable representation of actors, and better legal framework. CONCLUSION: GHG structure, actors' representation, accountability system, and underlying priorities and value require future modification for GHG to achieve better future performance and higher health equity levels
2019-20 coronavirus outbreak · Corporate governance · Delphi method · Disease · Economics · Health administration · Health services research · Management · Outbreak · Pandemic · Political science · Public health · Social policy · Computer Science · Global Health and Surgery · Global Public Health Policies and Epidemiology · Healthcare Systems and Reforms · Law · Medicine · Nursing · Health Policy · Virology
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Give more data, awareness and control to individual citizens, and they will help Covid-19 containment
Consensus measurement in Delphi studies
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The multiple meanings of global health governance
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The Inefficient and Unjust Global Distribution of Covid-19 Vaccines
Global Governance as the Friendly Face of Unaccountable Power
Reimagining Global Health Governance in the Age of Covid-19
National, Regional, and Global Governance
| Citations per year | 1.33 |
|---|---|
| Citation span | 2023 - 2026 (4) |
| Highly cited | No |