Strengthening health systems during non-pandemic period: Toward universal health coverage in the pandemic agreement.

IF 1.9 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Global health & medicine Pub Date : 2024-08-31 DOI:10.35772/ghm.2024.01035
Yuta Yokobori, Ikuma Nozaki, Masahiko Hachiya, Masami Fujita, Yuriko Egami, Shinsuke Miyano, Mari Nagai, Kenichi Komada, Masataro Norizuki, Yasunori Ichimura, Motoyuki Tsuboi, Nobuyuki Kawachi, Shunji Takakura
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Abstract

Reflecting the experiences of the COVID-19 pandemic, the global response was reviewed by the Independent Review Panel for Pandemic Preparedness and Response. Based on the panel reports, the World Health Organization (WHO) member states decided to establish the intergovernmental negotiating body for drafting a WHO convention, agreement or other international instrument on pandemic prevention, preparedness and response, aiming for approval at the 77th World Health Assembly in 2024 (May 27- June 1). Amidst this process, the National Center for Global Health and Medicine, Japan (NCGM), as a global health organization focusing on health system strengthening in low- and middle-income countries, from the perspective of Universal Health Coverage (UHC), provided technical inputs to the representatives of the Japanese government. This paper summarizes crucial aspects of the NCGM inputs, including maintaining essential health services delivery during a pandemic, responding to evolving demand of health workforce, and ensuring the equitable distribution of pandemic products. These aspects can contribute to not only strengthening health crisis response and preparedness, but also achieving UHC. Therefore, the concerted efforts focusing on UHC and health crisis could yield synergistic effects. In addition, another aspect stresses the importance of social protection systems beyond health sector to reach vulnerable populations experiencing hardships during the COVID-19 pandemic. Since the whole-of-government approach including social policies is covered in the draft pandemic agreement, it is hoped that the upcoming pandemic agreement will trigger each member state to expand the scope of health crisis management beyond the health sector.

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在非大流行病期间加强卫生系统:在大流行协议中实现全民医保。
根据 COVID-19 大流行病的经验,大流行病防备和应对独立审查小组审查了全球应对措施。根据小组报告,世界卫生组织(WHO)成员国决定成立一个政府间谈判机构,负责起草一份关于大流行病预防、准备和应对的世卫组织公约、协定或其他国际文书,争取在 2024 年(5 月 27 日至 6 月 1 日)第 77 届世界卫生大会上获得批准。在这一过程中,日本国家全球卫生与医学中心(NCGM)作为一个全球卫生组织,从全民健康覆盖(UHC)的角度出发,致力于加强中低收入国家的卫生系统,为日本政府代表提供了技术投入。本文总结了 NCGM 投入的关键方面,包括在大流行期间维持基本医疗服务的提供、应对不断变化的医疗卫生劳动力需求以及确保大流行产品的公平分配。这些方面不仅有助于加强卫生危机应对和准备工作,也有助于实现全民健康。因此,以全民保健和卫生危机为重点的协同努力可以产生协同效应。此外,另一个方面强调了在 COVID-19 大流行期间,卫生部门以外的社会保护系统对于帮助遭遇困难的弱势群体的重要性。由于大流行病协定草案涵盖了包括社会政策在内的整体政府方法,我们希望即将达成的大流行病协定将促使每个成员国将卫生危机管理的范围扩大到卫生部门之外。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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