Financing the future of WHO

Gostin, Lawrence O.; Klock, Kevin A.; Clark, Helen; Diop, Fatimatou Zahra; Jayasuriya, D. C.; Mahmood, Jemilah; Waris, Attiya

doi:10.1016/s0140-6736(22)00533-5

Cited by 6 publications

(10 citation statements)

References 2 publications

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“…87 More generally, WHO has lacked high-level political backing, financing, and convening power. 88,89 As a general matter, governance of WHO by the WHA, composed of the health ministers of each member state, proved to be inadequate for pandemic response for at least three reasons. First, the WHA meets only annually, whereas a pandemic requires daily hands-on action.…”

Section: Who At the Centre Of Global Cooperation And Early Shortcomingsmentioning

confidence: 99%

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The Lancet Commission on lessons for the future from the COVID-19 pandemic

et al. 2022

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Section: Who At the Centre Of Global Cooperation And Early Shortcomingsmentioning

confidence: 99%

“…87 More generally, WHO has lacked high-level political backing, financing, and convening power. 88 , 89…”

Section: Section 2: a Review Of The Global Regional And National Resp...mentioning

confidence: 99%

The Lancet Commission on lessons for the future from the COVID-19 pandemic

et al. 2022

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“…24 For decades, the WHO's members have starved it of funding, with a budget less than that of a major research hospital. 25 Assessed member state contributions make up only about 13% of the WHO's budget, whereas voluntary contributions, mostly earmarked, make up the vast majority. 26 Little wonder, then, there has been such misalignment between WHO funding and global disease burdens; the WHO's most ambitious and well-funded program is to eradicate wild polio, despite as few as less than ten cases globally annually in recent years.…”

Section: Whomentioning

confidence: 99%

“…Increasing the WHO's discretion over how it allocates funds would enable the WHO to assist LMICs to develop core HEPR capacities, protect its independence and integrity, and provide underfunded global health priorities the necessary financing. The WHO should include finance ministries in financing and programming activities, encouraging them to invest in the WHO, 25 while impressing on them the far‐reaching economic harms of health emergencies and productivity costs of ill health. The WHO could also host periodic funding replenishment conferences, 25 with civil society participation, to call attention to underfunded global health priorities.…”

Section: Toward a More Principled Global Health Architecturementioning

confidence: 99%

The Global Health Architecture: Governance and International Institutions to Advance Population Health Worldwide

2023

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r Global health institutions and instruments should be reformed to fully incorporate the principles of good health governance: the right to health, equity, inclusive participation, transparency, accountability, and global solidarity. New legal instruments, like International Health Regulations amendments and the pandemic treaty, should be grounded in these principles of sound governance.r Equity should be embedded into the prevention of, preparedness for, response to, and recovery from catastrophic health threats, within and across nations and sectors. This includes the extant model of charitable contributions for access to medical resources giving way to a new model that empowers low-and middle-income countries to create and produce their own diagnostics, vaccines, and therapeutics-such as through regional messenger RNA vaccine manufacturing hubs.r Robust and sustainable funding of key institutions, national health systems, and civil society will ensure more effective and just responses to health emergencies, including the daily toll of avoidable death and disease disproportionately experienced by poorer and more marginalized populations.

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“…With this imbalance significantly impairing WHO’s ability to set the global health agenda, the WHA resolved in 2022 to incrementally increase ACs to 50% over the following 8 years. 67 …”

Section: The Covid-19 Pandemic: Ongoing Reforms To Strengthen Whomentioning

confidence: 99%

The WHO’s 75th anniversary: WHO at a pivotal moment in history

Gostin

Chirwa

Clark³

et al. 2023

BMJ Glob Health

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The World Health Organisation (WHO) was inaugurated in 1948 to bring the world together to ensure the highest attainable standard of health for all. Establishing health governance under the United Nations (UN), WHO was seen as the preeminent leader in public health, promoting a healthier world following the destruction of World War II and ensuring global solidarity to prevent disease and promote health. Its constitutional function would be ‘to act as the directing and coordinating authority on international health work’. Yet today, as the world commemorates WHO’s 75th anniversary, it faces a historic global health crisis, with governments presenting challenges to its institutional legitimacy and authority amid the ongoing COVID-19 pandemic. WHO governance in the coming years will define the future of the Organisation and, crucially, the health and well-being of billions of people across the globe. At this pivotal moment, WHO must learn critical lessons from its past and make fundamental reforms to become the Organisation it was meant to be. We propose reforms in WHO financing, governance, norms, human rights and equity that will lay a foundation for the next generation of global governance for health.

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Financing the future of WHO

Cited by 6 publications

References 2 publications

The Lancet Commission on lessons for the future from the COVID-19 pandemic

The Lancet Commission on lessons for the future from the COVID-19 pandemic

The Global Health Architecture: Governance and International Institutions to Advance Population Health Worldwide

The WHO’s 75th anniversary: WHO at a pivotal moment in history

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