Will Ebola change the game? Ten essential reforms before the next pandemic. The report of the Harvard-LSHTM Independent Panel on the Global Response to Ebola

Moon, Suerie; Sridhar, Devi; Pate, Muhammad Ali; Jha, Ashish K.; Clinton, Chelsea; Delaunay, Sophie; Edwin, Valnora; Fallah, Mosoka; Fidler, David P.; Garrett, Laurie; Goosby, Eric; Gostin, Lawrence O.; Heymann, David L.; Lee, Kelley; Leung, Gabriel M.; Morrison, J. S.; Saavedra, Jorge; Tanner, Marcel; Leigh, Jennifer; Hawkins, Benjamin; Woskie, Liana; Piot, Peter

doi:10.1016/s0140-6736(15)00946-0

Cited by 467 publications

(354 citation statements)

References 19 publications

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“…39 Good governance requires the following reforms: real-time monitoring of performance gaps; 28 annual, multi-stakeholder, transparent assessments of WHO performance at regional and country level, 40 including community perspectives; enhanced transparency for Director-General and Regional Director elections; a permanent Inspector General's office; 39 a freedom of information policy; 39 and a committee to assess WHO's conformance with key recommendations of post-Ebola commissions. WHO will never gain civil society support without increasing their voice in WHO's priorities and actions.…”

Section: Political Support: the First Focusmentioning

confidence: 99%

Reimagining WHO: leadership and action for a new Director-General

Gostin

Friedman

2017

The Lancet

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Three candidates to be the next WHO Director-General remain: Tedros Adhanom Ghebreyesus, David Nabarro, and Sania Nishtar. The World Health Assembly's ultimate choice will lead an organisation facing daunting internal and external challenges, from its own funding shortfalls to antimicrobial resistance and immense health inequities. The new Director-General must transform WHO into a 21st century institution guided by the right to health. Topping the incoming Director-General's agenda will be a host of growing threats-risks to global health security, antimicrobial resistance, non-communicable diseases, and climate change-but also the transformative potential of the Sustainable Development Goals, including their universal health coverage target. Throughout, the next Director-General should emphasise equality, including through national health equity strategies and, more boldly still, advancing the Framework Convention on Global Health. Success in these areas will require a reinvigorated WHO, with sustainable financing, greater multisector engagement, enhanced accountability and transparency, and strengthened normative leadership. WHO must also evolve its governance to become far more welcoming of civil society and communities. To create the foundation for these transformative changes, the Director-General will need to focus first on gaining political support. This entails improving accountability and transparency to gain member state trust, and enabling meaningful civil society participation in WHO's governance and standing up for the right to health to gain civil society support. Ultimately, in the face of a global environment marked by heightened nationalism and xenophobia, member states must empower the next Director-General to enable WHO to be a bulwark for health and human rights, serving as an inspiring contra-example to today's destructive politics, demonstrating that the community of nations are indeed stronger together.

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Section: Political Support: the First Focusmentioning

confidence: 99%

Reimagining WHO: leadership and action for a new Director-General

Gostin

Friedman

2017

The Lancet

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“…Healthcare systems also represent true interpretation of authorities' performance in key functions of the national development process [9]. While some may describe the healthcare system in Liberia as self-managed care [22] the lack of a modern healthcare infrastructure contributed to a lack of information support to provide the basis for continuity in patient records and clinician communication at a time of medical need [5] [19].…”

Section: Healthcare Infrastructurementioning

confidence: 99%

Resilience in the Gaze of Ebola: Analysis from a Developing Country

Guah¹

2017

Proceedings of the 50th Hawaii International Conference on System Sciences (2017)

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“…The expanded range of insect disease vectors, for example, is already proving to be one of the most visible public health consequences of climate change, blurring national and continental boundaries and extending the range of historically "tropical" diseases [4]. And systemic weaknesses, such as lack of capacity for diagnosis, information sharing, and locally appropriate response contributed to the emergence and longevity of the 2014 Ebola outbreak in West Africa [5].…”

Section: High-income Countries' Obligations To Become Involved In Glomentioning

confidence: 99%

Why US Health Care Should Think Globally

Ruchman

Singh²,

Stapleton

2016

AMA Journal of Ethics

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Why should health care systems in the United States engage with the world's poorest populations abroad while tremendous inequalities in health status and access are pervasive domestically? Traditionally, three arguments have bolstered global engagement: (1) a moral obligation to ensure opportunities to live, (2) a duty to protect against health threats, and (3) a desire to protect against economic downturns precipitated by health crises. We expand this conversation, arguing that US-based clinicians, organizational stewards, and researchers should engage with and learn from low-resource settings' systems and products that deliver high-quality, cost-effective, inclusive care in order to better respond to domestic inequities. Ultimately, connecting "local" and "global" efforts will benefit both populations and is not a sacrifice of one for the other.

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Will Ebola change the game? Ten essential reforms before the next pandemic. The report of the Harvard-LSHTM Independent Panel on the Global Response to Ebola

Cited by 467 publications

References 19 publications

Reimagining WHO: leadership and action for a new Director-General

Reimagining WHO: leadership and action for a new Director-General

Resilience in the Gaze of Ebola: Analysis from a Developing Country

Why US Health Care Should Think Globally

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