دورية أكاديمية
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Decolonising global health: why the new Pandemic Agreement should have included the principle of subsidiarity.

التفاصيل البيبلوغرافية
العنوان: Decolonising global health: why the new Pandemic Agreement should have included the principle of subsidiarity.
المؤلفون: de Campos-Rudinsky TC; Escuela de Gobierno, Pontifical Catholic University of Chile, Santiago, Chile., Bosha SL; O'Neill Institute for National and Global Health Law, Georgetown University Law Center, Washington, DC, USA., Wainstock D; Pontifical Catholic University of Rio de Janeiro, Rio de Janeiro, Brazil., Sekalala S; School of Law, University of Warwick, Coventry, Warwickshire, UK., Venkatapuram S; Global Health Institute, Population Health Sciences, King's College London, London, UK; Department of Philosophy, University of Johannesburg, Johannesburg, South Africa., Atuire CA; Centre for Tropical Medicine and Global Health, Nuffield Department of Medicine, Old Road Campus, Oxford, UK; University of Ghana, Accra, Ghana. Electronic address: caesar.atuire@ndm.ox.ac.uk.
المصدر: The Lancet. Global health [Lancet Glob Health] 2024 Jul; Vol. 12 (7), pp. e1200-e1203. Date of Electronic Publication: 2024 May 09.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Elsevier Ltd Country of Publication: England NLM ID: 101613665 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 2214-109X (Electronic) Linking ISSN: 2214109X NLM ISO Abbreviation: Lancet Glob Health Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [England] : Elsevier Ltd. 2013-
مواضيع طبية MeSH: Colonialism* , COVID-19*/epidemiology , COVID-19*/prevention & control , Global Health* , International Cooperation* , Pandemics*/prevention & control, Humans ; Racism/prevention & control ; World Health Organization
مستخلص: The negotiations for the WHO Pandemic Agreement have brought attention to issues of racism and colonialism in global health. Although the agreement aims to promote global solidarity, it fails to address these deeply embedded problems. This Viewpoint argues that not including the principle of subsidiarity into Article 4 of the agreement as a pragmatic strategy was a missed opportunity to decolonise global health governance and promote global solidarity. Subsidiarity, as a structural principle, empowers local units to make decisions and address issues at their level, fostering collaboration, coordination, and cooperation. By integrating subsidiarity, the agreement could have ensured contextually appropriate responses, empowered local communities, and achieved justice in global health. This paper discusses the elements of subsidiarity-namely, agency and non-abandonment-and highlights the need to strike a balance between them. It also maps the principle of subsidiarity within the Pandemic Agreement, emphasising the importance of creating a practical framework for its implementation. By integrating subsidiarity into the agreement, a just and decolonialised approach to pandemic prevention and response could have been closer to being realised, promoting global solidarity and addressing health inequities.
Competing Interests: Declaration of interests We declare no competing interests.
(Copyright © 2024 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC BY 4.0 license. Published by Elsevier Ltd.. All rights reserved.)
تواريخ الأحداث: Date Created: 20240512 Date Completed: 20240614 Latest Revision: 20240620
رمز التحديث: 20240621
DOI: 10.1016/S2214-109X(24)00186-4
PMID: 38735301
قاعدة البيانات: MEDLINE
الوصف
تدمد:2214-109X
DOI:10.1016/S2214-109X(24)00186-4