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Towards a new model of global health justice

The case of Covid-19 vaccines

Bibliographic Data

ID21514372
AuthorsNancy S Jecker (0000-0002-5642-748X, University of Washington), Caesar A Atuire (0000-0001-6825-6916, University of Ghana), Susan Bull (0000-0002-1779-528X, University of Auckland, corresponding author)
Year2023
Volume49
Issue5
Pages367-374
Publication date2023-05-01
Open AccessYes
TypeARTICLE
VenueJournal of Medical Ethics (JOURNAL)
Journal identifiersISSN: 0306-6800 • E-ISSN: 1473-4257
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/medethics-2022-108165
PMID35487676
OpenAlexW4225116314
LanguageEN
Citations received4
References cited23

This paper questions an exclusively state-centred framing of global health justice and proposes a multilateral alternative. Using the distribution of COVID-19 vaccines to illustrate, we bring to light a broad range of global actors up and down the chain of vaccine development who contribute to global vaccine inequities. Section 1 (Background) presents an overview of moments in which diverse global actors, each with their own priorities and aims, shaped subsequent vaccine distribution. Section 2 (Collective action failures) characterises collective action failures at each phase of vaccine development that contributed to global vaccine disparities. It identifies as critical the task of establishing upstream strategies to coordinate collective action at multiple stages across a range of actors. Section 3 (A Multilateral model of global health governance) takes up this task, identifying a convergence of interests among a range of stakeholders and proposing ways to realise them. Appealing to a responsibility to protect (R2P), a doctrine developed in response to human rights atrocities during the 1990s, we show how to operationalise R2P through a principle of subsidiarity and present ethical arguments in support of this approach

Collective action · Global governance · Global health · Human rights · Law and economics · Political science · Public relations · Sociology · Engineering · Global Peace and Security Dynamics · Global Security and Public Health · Health and Conflict Studies · Law

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    Open Access•Ezekiel J Emanuel, Ezekiel Emanuel et al.•Science•2020

  • The Oxford Handbook of Governance

    Dāwid Lēwî-Faur, David Levi-Faur•Oxford handbook of governance•2012

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    Open Access•Lawrence O Gostin•JAMA Health Forum•2021

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  • A global database of Covid-19 vaccinations

    Open Access•Edouard Mathieu, Hamish Ritchie et al.•Nature Human Behaviour•2021

Citations per year1
Citation span2022 - 2026 (5)
Highly citedNo

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