全球卫生中的多边主义:新范式

IF 0.6 Q3 INTERNATIONAL RELATIONS India Quarterly-A Journal of International Affairs Pub Date : 2023-11-05 DOI:10.1177/09749284231203326
Preeti Kumar, Senthil Ganesh, Shreepee Singh
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引用次数: 0

摘要

2019冠状病毒病大流行暴露了全球经济的脆弱状况以及新出现的疾病可能产生的影响。在世界卫生组织(世卫组织)宣布大流行病结束之际,有必要重新思考普遍存在的多边主义思想,并在预防和管理未来的大流行病和气候变化影响方面开展全球合作。全球多边机构自第二次世界大战后成立以来,已发展成为大型组织,为成员国的社会、经济和卫生发展提供资金。然而,它们继续由全球北方主导,其优先事项越来越受到提供资金的个人和跨国公司的影响。二十国集团及其成员国寻求在全球机构中的公平代表权。随着世界摆脱COVID-19大流行,印度担任轮值主席国,当务之急是改革和公平的多边主义,规定在全球紧急情况下进行国际合作、知识和数据共享,以及在紧急情况下可以绕过世贸组织《与贸易有关的知识产权协定》(TRIPS)规定的药品和疫苗供应链。在过去十年中,医疗保健服务中技术的使用势头强劲,印度呼吁宣布数字医疗工具为公共产品,预计将成为医疗保健领域的一个重要里程碑。
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Multilateralism in Global Health: A New Paradigm
The COVID-19 pandemic has exposed the fragile state of the global economy and the impact of newly emerging diseases can have. As the World Health Organisation (WHO) declares the pandemic over, there is a need to re-think the prevalent ideas of multilateralism and enable global cooperation in preventing and managing future pandemics and impacts of climate change. The global multilateral institutions have developed since their inception after World War II into large-scale organisations which route funds towards development in social, economic and health of the member nations. However, they continue to be helmed by the Global North, with priorities being increasingly influenced by private individuals and multinational corporations which provide funds. The G20 and its member nations seek equitable representation in the global institutions. With India at its presidency as the world emerges from the COVID-19 pandemic, the need of the hour is a reformed and equitable multilateralism with provisions for international cooperation, knowledge and data sharing in case of global emergencies, and pharmaceutical and vaccine supply chains that can work around the WTO’s TRIPS regulations in emergency conditions. The use of technology in healthcare services has gained momentum in the last decade and India’s call to declare digital health tools a public good is expected to be a major milestone in healthcare.
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