Please use this identifier to cite or link to this item:
https://doi.org/10.1016/S0140-6736(21)02344-8
DC Field | Value | |
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dc.title | Governing the Access to COVID-19 Tools Accelerator: towards greater participation, transparency, and accountability | |
dc.contributor.author | Moon, S | |
dc.contributor.author | Armstrong, J | |
dc.contributor.author | Hutler, B | |
dc.contributor.author | Upshur, R | |
dc.contributor.author | Katz, R | |
dc.contributor.author | Atuire, C | |
dc.contributor.author | Bhan, A | |
dc.contributor.author | Emanuel, E | |
dc.contributor.author | Faden, R | |
dc.contributor.author | Ghimire, P | |
dc.contributor.author | Greco, D | |
dc.contributor.author | Ho, CW | |
dc.contributor.author | Kochhar, S | |
dc.contributor.author | Schaefer, GO | |
dc.contributor.author | Shamsi-Gooshki, E | |
dc.contributor.author | Singh, JA | |
dc.contributor.author | Smith, MJ | |
dc.contributor.author | Wolff, J | |
dc.date.accessioned | 2022-07-12T03:38:47Z | |
dc.date.available | 2022-07-12T03:38:47Z | |
dc.date.issued | 2022-01-29 | |
dc.identifier.citation | Moon, S, Armstrong, J, Hutler, B, Upshur, R, Katz, R, Atuire, C, Bhan, A, Emanuel, E, Faden, R, Ghimire, P, Greco, D, Ho, CW, Kochhar, S, Schaefer, GO, Shamsi-Gooshki, E, Singh, JA, Smith, MJ, Wolff, J (2022-01-29). Governing the Access to COVID-19 Tools Accelerator: towards greater participation, transparency, and accountability. The Lancet 399 (10323) : 487-494. ScholarBank@NUS Repository. https://doi.org/10.1016/S0140-6736(21)02344-8 | |
dc.identifier.issn | 01406736 | |
dc.identifier.issn | 1474547X | |
dc.identifier.uri | https://scholarbank.nus.edu.sg/handle/10635/228261 | |
dc.description.abstract | The Access to COVID-19 Tools Accelerator (ACT-A) is a multistakeholder initiative quickly constructed in the early months of the COVID-19 pandemic to respond to a catastrophic breakdown in global cooperation. ACT-A is now the largest international effort to achieve equitable access to COVID-19 health technologies, and its governance is a matter of broad public importance. We traced the evolution of ACT-A's governance through publicly available documents and analysed it against three principles embedded in the founding mission statement of ACT-A: participation, transparency, and accountability. We found three challenges to realising these principles. First, the roles of the various organisations in ACT-A decision making are unclear, obscuring who might be accountable to whom and for what. Second, the absence of a clearly defined decision making body; ACT-A instead has multiple centres of legally binding decision making and uneven arrangements for information transparency, inhibiting meaningful participation. Third, the nearly indiscernible role of governments in ACT-A, raising key questions about political legitimacy and channels for public accountability. With global public health and billions in public funding at stake, short-term improvements to governance arrangements can and should now be made. Efforts to strengthen pandemic preparedness for the future require attention to ethical, legitimate arrangements for governance. | |
dc.publisher | Elsevier BV | |
dc.source | Elements | |
dc.subject | COVID-19 | |
dc.subject | Clinical Governance | |
dc.subject | Decision Making, Organizational | |
dc.subject | Global Health | |
dc.subject | Humans | |
dc.subject | International Cooperation | |
dc.subject | Pandemics | |
dc.subject | Public Health Administration | |
dc.type | Review | |
dc.date.updated | 2022-07-06T06:08:26Z | |
dc.contributor.department | DEAN'S OFFICE (MEDICINE) | |
dc.description.doi | 10.1016/S0140-6736(21)02344-8 | |
dc.description.sourcetitle | The Lancet | |
dc.description.volume | 399 | |
dc.description.issue | 10323 | |
dc.description.page | 487-494 | |
dc.published.state | Published | |
Appears in Collections: | Staff Publications Elements |
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File | Description | Size | Format | Access Settings | Version | |
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Governing the Access to COVID-19 Tools Accelerator towards greater participation, transparency, and accountability.pdf | 588.27 kB | Adobe PDF | CLOSED | Published |
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