2022-03-23-世界卫生组织-Strengthening_the_Global_Architecture_for_Health_Emergency_Preparedness,_Response_and_Resilience_14页_635kb

Health emergency preparedness remains weakened after years of underinvestment, according to this report from the World Health Organization. The COVID-19 pandemic has revealed systemic inequities in global health emergency and pandemic preparedness, response, and resilience (HEPR). To address these deficiencies, WHO Director-General António Guterres is proposing a strengthened global architecture that prioritizes equity, inclusivity, and coherence.

The consultation process began in March 2022, with plans to distribute a draft of the proposals by April 2022 for input from member states and key stakeholders, including UN agencies and WHO. The aim is to enhance international collaboration through a “One Health” approach, ensuring that health systems are built on national capacities while fostering global solidarity to manage future outbreaks and pandemics. The objective is to effectively minimize the impacts of health threats while promoting inter-connectivity, interoperability, and fairness in access to countermeasures.

Key principles guiding the architecture include equity in access and outcomes, inclusivity of ownership across countries and sectors, and coherence in aligning systems and financing with existing international mechanisms, such as the International Health Regulations. Some of the main priorities are strengthening capacities at multiple levels, ensuring equitable distribution of countermeasures, building robust financing mechanisms, and empowering WHO to direct and coordinate international health work.

The framework for HEPR was developed in consultation with member states and based on lessons learned from ongoing processes, including independent reviews and other initiatives. It outlines system needs covering surveillance, clinical care, countermeasures, and coordination; governance mechanisms for leadership, regulation, and accountability to support unified action; and sustainable financing to cover prevention, response, and global public goods. Underfunded areas include surveillance, countermeasures, and clinical care, which require rapid financing improvements, both domestically and internationally, to address gaps in the architecture and ensure equitable responses to health emergencies.

Currently, the proposal aims to reach national and global preparedness and response goals. Ongoing work includes the WHO consultation process, peer reviews, and mechanisms to finance long-term readiness and immediate response measures. The ultimate goal is a coordinated and resilient approach to health emergencies, ensuring that no country is left behind.