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Governing the Access to COVID-19 Tools Accelerator: towards greater participation, transparency, and accountability

The Access to COVID-19 Tools Accelerator (ACT-A) is a multistakeholder initiative quickly constructed in the early months of the COVID-19 pandemic to respond to a catastrophic breakdown in global cooperation. ACT-A is now the largest international effort to achieve equitable access to COVID-19 healt...

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Autores principales: Moon, Suerie, Armstrong, Jana, Hutler, Brian, Upshur, Ross, Katz, Rachel, Atuire, Caesar, Bhan, Anant, Emanuel, Ezekiel, Faden, Ruth, Ghimire, Prakash, Greco, Dirceu, Ho, Calvin WL, Kochhar, Sonali, Schaefer, G Owen, Shamsi-Gooshki, Ehsan, Singh, Jerome Amir, Smith, Maxwell J, Wolff, Jonathan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier Ltd. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8797025/
https://www.ncbi.nlm.nih.gov/pubmed/34902308
http://dx.doi.org/10.1016/S0140-6736(21)02344-8
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author Moon, Suerie
Armstrong, Jana
Hutler, Brian
Upshur, Ross
Katz, Rachel
Atuire, Caesar
Bhan, Anant
Emanuel, Ezekiel
Faden, Ruth
Ghimire, Prakash
Greco, Dirceu
Ho, Calvin WL
Kochhar, Sonali
Schaefer, G Owen
Shamsi-Gooshki, Ehsan
Singh, Jerome Amir
Smith, Maxwell J
Wolff, Jonathan
author_facet Moon, Suerie
Armstrong, Jana
Hutler, Brian
Upshur, Ross
Katz, Rachel
Atuire, Caesar
Bhan, Anant
Emanuel, Ezekiel
Faden, Ruth
Ghimire, Prakash
Greco, Dirceu
Ho, Calvin WL
Kochhar, Sonali
Schaefer, G Owen
Shamsi-Gooshki, Ehsan
Singh, Jerome Amir
Smith, Maxwell J
Wolff, Jonathan
author_sort Moon, Suerie
collection PubMed
description The Access to COVID-19 Tools Accelerator (ACT-A) is a multistakeholder initiative quickly constructed in the early months of the COVID-19 pandemic to respond to a catastrophic breakdown in global cooperation. ACT-A is now the largest international effort to achieve equitable access to COVID-19 health technologies, and its governance is a matter of broad public importance. We traced the evolution of ACT-A's governance through publicly available documents and analysed it against three principles embedded in the founding mission statement of ACT-A: participation, transparency, and accountability. We found three challenges to realising these principles. First, the roles of the various organisations in ACT-A decision making are unclear, obscuring who might be accountable to whom and for what. Second, the absence of a clearly defined decision making body; ACT-A instead has multiple centres of legally binding decision making and uneven arrangements for information transparency, inhibiting meaningful participation. Third, the nearly indiscernible role of governments in ACT-A, raising key questions about political legitimacy and channels for public accountability. With global public health and billions in public funding at stake, short-term improvements to governance arrangements can and should now be made. Efforts to strengthen pandemic preparedness for the future require attention to ethical, legitimate arrangements for governance.
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spelling pubmed-87970252022-01-31 Governing the Access to COVID-19 Tools Accelerator: towards greater participation, transparency, and accountability Moon, Suerie Armstrong, Jana Hutler, Brian Upshur, Ross Katz, Rachel Atuire, Caesar Bhan, Anant Emanuel, Ezekiel Faden, Ruth Ghimire, Prakash Greco, Dirceu Ho, Calvin WL Kochhar, Sonali Schaefer, G Owen Shamsi-Gooshki, Ehsan Singh, Jerome Amir Smith, Maxwell J Wolff, Jonathan Lancet Health Policy The Access to COVID-19 Tools Accelerator (ACT-A) is a multistakeholder initiative quickly constructed in the early months of the COVID-19 pandemic to respond to a catastrophic breakdown in global cooperation. ACT-A is now the largest international effort to achieve equitable access to COVID-19 health technologies, and its governance is a matter of broad public importance. We traced the evolution of ACT-A's governance through publicly available documents and analysed it against three principles embedded in the founding mission statement of ACT-A: participation, transparency, and accountability. We found three challenges to realising these principles. First, the roles of the various organisations in ACT-A decision making are unclear, obscuring who might be accountable to whom and for what. Second, the absence of a clearly defined decision making body; ACT-A instead has multiple centres of legally binding decision making and uneven arrangements for information transparency, inhibiting meaningful participation. Third, the nearly indiscernible role of governments in ACT-A, raising key questions about political legitimacy and channels for public accountability. With global public health and billions in public funding at stake, short-term improvements to governance arrangements can and should now be made. Efforts to strengthen pandemic preparedness for the future require attention to ethical, legitimate arrangements for governance. Elsevier Ltd. 2022 2021-12-11 /pmc/articles/PMC8797025/ /pubmed/34902308 http://dx.doi.org/10.1016/S0140-6736(21)02344-8 Text en © 2021 Elsevier Ltd. All rights reserved. Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
spellingShingle Health Policy
Moon, Suerie
Armstrong, Jana
Hutler, Brian
Upshur, Ross
Katz, Rachel
Atuire, Caesar
Bhan, Anant
Emanuel, Ezekiel
Faden, Ruth
Ghimire, Prakash
Greco, Dirceu
Ho, Calvin WL
Kochhar, Sonali
Schaefer, G Owen
Shamsi-Gooshki, Ehsan
Singh, Jerome Amir
Smith, Maxwell J
Wolff, Jonathan
Governing the Access to COVID-19 Tools Accelerator: towards greater participation, transparency, and accountability
title Governing the Access to COVID-19 Tools Accelerator: towards greater participation, transparency, and accountability
title_full Governing the Access to COVID-19 Tools Accelerator: towards greater participation, transparency, and accountability
title_fullStr Governing the Access to COVID-19 Tools Accelerator: towards greater participation, transparency, and accountability
title_full_unstemmed Governing the Access to COVID-19 Tools Accelerator: towards greater participation, transparency, and accountability
title_short Governing the Access to COVID-19 Tools Accelerator: towards greater participation, transparency, and accountability
title_sort governing the access to covid-19 tools accelerator: towards greater participation, transparency, and accountability
topic Health Policy
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8797025/
https://www.ncbi.nlm.nih.gov/pubmed/34902308
http://dx.doi.org/10.1016/S0140-6736(21)02344-8
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