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The Pandemic Treaty, the Pandemic Fund, and the Global Commons

Our scepticism

Bibliographic Data

ID21879629
AuthorsNelson Aghogho Evaborhene (0000-0001-7712-6363, University of the Witwatersrand, corresponding author), Echezona Ejike Udokanma (0000-0002-5597-9709, Coventry University), Yusuff Adebayo Adebisi (0000-0002-2381-0984, University of Oxford), Chinonso Emmanuel Okorie (0000-0002-6472-4345, Doctors without Borders, Musanze, Rwanda), Zacharia Kafuko (Vaccine Equity Advocate, African Chapter of 1Day Sooner, 1Day Africa, Lusaka, Zambia), Hawa Marguerite Conde (Life Sciences and Public Health, IQVIA, Abijan, Côte d'Ivoire), Cynthia Waliaula (Amref Health Africa), Sheila Mburu (0009-0000-3876-8865, Tony Blair Institute for Global Change, London, UK)
Year2023
Volume8
Issue2
Pagese011431
Publication date2023-02-01
Open AccessYes
TypeARTICLE
VenueBMJ Global Health (JOURNAL)
Journal identifiersISSN: 2059-7908 • E-ISSN: 2059-7908
PublisherBMJ (PUBLISHER • GB)
DOI10.1136/bmjgh-2022-011431
PMID36854490
OpenAlexW4322627305
LanguageEN
Citations received11
References cited20

The call to strengthen global health governance against future outbreaks through a binding treaty on pandemics has attracted global attention and opinion. Yet, few of these perspectives have reflected the voices from early career global health professionals in Africa. We share our perspectives on the Pandemic Treaty, and specifically our scepticism on the limitations of the current top-down approach of the treaty, and the need for the treaty to centre equity, transparency and fairness to ensure equitable and effective cooperation in response to global health emergencies. We also highlight the challenges intergovernmental organisations for health faced in coordinating nation states during the COVID-19 crisis and how a Pandemic Treaty would address these challenges. We argue that lessons from the COVID-19 pandemic provide a critical opportunity to strengthen regional institutions in Africa—particularly in a multipolar world with huge disparities in power and resources. However, addressing these challenges and achieving this transformation may not be easy. Fiscal space in many countries remains constrained now more than ever. New tools such as the Pandemic Fund should be designed in ways that consider the specific needs and capacities of countries. Therefore, strengthening countries’ capacities overall requires an increase in domestic investment. This paper calls for wider structural reforms such as debt restructuring among other tools to strengthen countries’ capacities

Business · Economic growth · Economics · Global health · Health care · Pandemic · Political science · Treaty · COVID-19 epidemiological studies · Global Security and Public Health · Law · Medicine · Viral Infections and Outbreaks Research

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    Open Access•John Mugisha, Julius Niyibizi et al.•Frontiers in Public Health•2026

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    Open Access•Shisong Jiang, Emmanuel Kumah•Frontiers in Public Health•2023

  • China and the WHO pandemic treaty

    Open Access•Ying Huang, Shisong Jiang et al.•Frontiers in Public Health•2024

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

    Open Access•Nelson Aghogho Evaborhene, Jessica Oga et al.•BMJ Global Health•2026

  • The WHO pandemic treaty

    Open Access•Nelson Aghogho Evaborhene, Jessica Oga et al.•BMJ Global Health•2023

  • Caught between violence

    Open Access•Nelson Aghogho Evaborhene, Jessica Oga et al.•BMJ Global Health•2024

  • Caring for mental health in the self-preservation strategies of Russians

    Open Access•N А Lebedeva-Nesevrya, Anna Leukhina et al.•Zhurnal Sotsiologii i Sotsialnoy…•2025

  • Understanding the expectations, positions and ambitions of LMICs during pandemic treaty negotiations, and the factors contributing to them

    Open Access•Greta Cranston, Ebere Okereke•PLOS Global Public Health•2025

  • From PHEIC to PHECs

    Open Access•Nelson Aghogho Evaborhene•Globalization and Health•2026

  • Challenges in international health financing and implications for the new pandemic fund

    Open Access•George W Brown, Natalie Rhodes et al.•Globalization and Health•2023

  • Africa’s Critical Role in Shaping and Implementing the Pandemic Agreement’s Pabs Annex in an Era of Fragmentation

    Open Access•Nelson Aghogho Evaborhene•Globalization and Health•2026

  • Addressing power asymmetries in global health

    Open Access•Seye Abimbola, Sumegha Asthana et al.•PLoS Medicine•2021

  • Pandemic treaty needs to start with rethinking the paradigm of global health security

    Open Access•Sakiko Fukuda‐parr, Paulo Marchiori Bu et al.•BMJ Global Health•2021

  • A pandemic treaty, revised international health regulations, or both

    Open Access•Ronald Labonté, Mary Wiktorowicz et al.•Globalization and Health•2021

  • Growing debt burden in low- and middle-income countries during Covid-19 may constrain health financing

    Open Access•Frederik Federspiel, Josephine Borghi et al.•Global Health Action•2022

  • Global Health Security

    Open Access•Simon Rushton•Political Studies•2011

  • What contribution can International Relations make to the evolving global health agenda

    Open Access•Sara E Davies•International Affairs•2010

  • The futility of the pandemic treaty

    Open Access•Clare Wenham, Mark Eccleston-Turner et al.•International Affairs•2022

Citations per year3.67
Citation span2023 - 2026 (4)
Highly citedNo

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