Getting health back on the highest political agenda—the UN High-level Meetings on health in 2023

Akselrod, Svetlana; Barron, Gabriela Cuevas; Dain, Katie; Diţiu, Lucica; Fogstad, Helga; Karema, Corine; Koonin, Justin; Watabe, Akihito

doi:10.1016/s2214-109x(23)00166-3

Cited by 2 publications

(5 citation statements)

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Section: Resultsmentioning

confidence: 99%

“…The 25 publications addressing this element of the council framework discussed topics such as governance, politics and economics; 20 , 23 , 26 , 30 , 31 , 34 , 35 , 39 , 40 , 43 , 48 , 50 , 54 , 55 , 60 , 62 , 63 , 65 , 66 , 69 – 71 , 74 – 76 19 of these articles also explored aspects of the infrastructure and system element, although with a different focus ( Table 1 ). 26 , 30 , 31 , 34 , 35 , 43 , 48 , 50 , 54 , 55 , 60 , 62 , 63 , 65 , 66 , 69 , 74 – 76 For example, the discussion of new global collaboration mechanisms such as the Pandemic Fund is centred on governance. Other key topics discussed in the reviewed literature include the importance of sustainable development and robust financing for global health security (which involves navigating the challenge of competing demands between health and climate finance); financing pandemic preparedness and response in low-income countries; the role of international development agencies; and financial solutions for zoonotic disease research and mitigation.…”

Section: Resultsmentioning

confidence: 99%

“…Our review revealed that this framework element was addressed in the literature in only 11 articles, and only as a method of differentiating policies between countries of different levels of income ( Table 1 ). 23 , 33 , 36 , 44 , 46 – 48 , 55 , 65 , 70 , 75 There has been no research undertaken to analyse, for example, the distribution of financing for pandemic preparedness and response between individuals of different income levels in any given population. Only two articles discussed the educational dimension of financing for pandemic preparedness and response; 44 , 48 education is a key sector that can play a crucial role in such systems, and a sector that was greatly affected by COVID-19 quarantines.…”

Section: Resultsmentioning

confidence: 99%

“…Only two articles discussed the educational dimension of financing for pandemic preparedness and response; 44 , 48 education is a key sector that can play a crucial role in such systems, and a sector that was greatly affected by COVID-19 quarantines. Only one publication explored the effect of sex and gender on the receipt of finance for pandemic preparedness and response; 55 the effect of occupation, ethnicity, race and financial literacy remain absent from the literature. Although equity in access to pandemic preparedness and response measures is an essential target, discussions on access by particularly vulnerable groups are not available in the literature.…”

Section: Resultsmentioning

confidence: 99%

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Financing for pandemic preparedness and response measures: a systematic scoping review

Duran-Fernandez,

Bernal-Serrano,

Garcia-Huitron

et al. 2024

Bull World Health Organ

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Objective To obtain insights into reducing the shortfall in financing for pandemic preparedness and response measures, and reducing the risk of another pandemic with social and economic costs comparable to those of the coronavirus disease. Methods We conducted a systematic scoping review using the databases ScienceDirect, Scopus, JSTOR, PubMed® and EconLit. We included articles published in any language until 1 August 2023, and excluded grey literature and publications on epidemics. We categorized eligible studies according to the elements of a framework proposed by the World Health Organization Council on the Economy of Health for All: (i) root/structural causes; (ii) social position/foundations; (iii) infrastructure and systems; and (iv) communities, households and individuals. Findings Of the 188 initially identified articles, we included 60 in our review. Most (53/60) were published after 2020, when academic interest had shifted towards global financing mechanisms. Most (37/60) addressed two or more of the council framework elements. The most frequently addressed element was infrastructure and systems (54/60), discussing topics such as health systems, financial markets and innovation ecosystems. The roots/structural causes were discussed in 25 articles; communities, households and individuals in 22 articles; and social positions/foundations in 11. Conclusion Our review identified three important gaps: a formal definition of pandemic preparedness and response, impeding the accurate quantification of the financing shortfall; research on the extent to which financing for pandemic preparedness and response has been targeted at the most vulnerable households; and an analysis of specific financial instruments and an evaluation of the feasibility of their implementation.

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