A critical analysis of COVAX alliance and corresponding global health governance and policy issues: a scoping review
Introduction The COVAX alliance is a novel approach to international partnership in global health intended to achieve the worthy goal of ‘COVID-19 vaccine equity’. This study aimed to identify the implementation challenges and framework gaps of COVAX and to explore the interconnected global health p...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2023-10-01
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| Series: | BMJ Global Health |
| Online Access: | https://gh.bmj.com/content/8/10/e012168.full |
| _version_ | 1797628128157237248 |
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| author | Vijay Kumar Chattu Prakash Narayanan Anjali Pushkaran |
| author_facet | Vijay Kumar Chattu Prakash Narayanan Anjali Pushkaran |
| author_sort | Vijay Kumar Chattu |
| collection | DOAJ |
| description | Introduction The COVAX alliance is a novel approach to international partnership in global health intended to achieve the worthy goal of ‘COVID-19 vaccine equity’. This study aimed to identify the implementation challenges and framework gaps of COVAX and to explore the interconnected global health policy and governance gaps in ensuring equity, accessibility and affordability of vaccines.Methods A scoping review was conducted to identify the implementation challenges and framework gaps of COVAX and related global health policy and governance gaps. A search was carried out in PubMed, Scopus, Springer Link and Embase databases. Manually searched the grey literature, such as official reports and articles. EndNote V.20 was used to manage the evidence screening, and data extraction was carried out in Microsoft Excel.Results Searches of four electronic databases and official UN, GAVI and WHO websites identified 4686 pieces of evidence. The 937 duplicates were removed, and the remaining 3749 articles were screened for the title and abstract. Most articles were eliminated as they do not address global COVAX or COVID-19 vaccine equity. The remaining 53 pieces of evidence were reviewed for full text, and ultimately 40 articles found eligible were included in the scoping review.Conclusions The implementation challenges of COVAX were attributed mainly to the phenomenon of vaccine nationalism by rich countries. The future global health policy and governance structure must be re-examined to address the inadequacies of such novel super public-and-private partnership models. |
| first_indexed | 2024-03-11T10:35:02Z |
| format | Article |
| id | doaj.art-e511d646eebb4822ba8ee476dc137d85 |
| institution | Directory Open Access Journal |
| issn | 2059-7908 |
| language | English |
| last_indexed | 2024-03-11T10:35:02Z |
| publishDate | 2023-10-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Global Health |
| spelling | doaj.art-e511d646eebb4822ba8ee476dc137d852023-11-14T11:30:08ZengBMJ Publishing GroupBMJ Global Health2059-79082023-10-0181010.1136/bmjgh-2023-012168A critical analysis of COVAX alliance and corresponding global health governance and policy issues: a scoping reviewVijay Kumar Chattu0Prakash Narayanan1Anjali Pushkaran2Department of Occupational Science and Occupational Therapy, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, CanadaDepartment of Health Policy, Manipal Academy of Higher Education, Manipal, Karnataka, IndiaPrasanna School of Public Health, Manipal Academy of Higher Education, Manipal, Karnataka, IndiaIntroduction The COVAX alliance is a novel approach to international partnership in global health intended to achieve the worthy goal of ‘COVID-19 vaccine equity’. This study aimed to identify the implementation challenges and framework gaps of COVAX and to explore the interconnected global health policy and governance gaps in ensuring equity, accessibility and affordability of vaccines.Methods A scoping review was conducted to identify the implementation challenges and framework gaps of COVAX and related global health policy and governance gaps. A search was carried out in PubMed, Scopus, Springer Link and Embase databases. Manually searched the grey literature, such as official reports and articles. EndNote V.20 was used to manage the evidence screening, and data extraction was carried out in Microsoft Excel.Results Searches of four electronic databases and official UN, GAVI and WHO websites identified 4686 pieces of evidence. The 937 duplicates were removed, and the remaining 3749 articles were screened for the title and abstract. Most articles were eliminated as they do not address global COVAX or COVID-19 vaccine equity. The remaining 53 pieces of evidence were reviewed for full text, and ultimately 40 articles found eligible were included in the scoping review.Conclusions The implementation challenges of COVAX were attributed mainly to the phenomenon of vaccine nationalism by rich countries. The future global health policy and governance structure must be re-examined to address the inadequacies of such novel super public-and-private partnership models.https://gh.bmj.com/content/8/10/e012168.full |
| spellingShingle | Vijay Kumar Chattu Prakash Narayanan Anjali Pushkaran A critical analysis of COVAX alliance and corresponding global health governance and policy issues: a scoping review BMJ Global Health |
| title | A critical analysis of COVAX alliance and corresponding global health governance and policy issues: a scoping review |
| title_full | A critical analysis of COVAX alliance and corresponding global health governance and policy issues: a scoping review |
| title_fullStr | A critical analysis of COVAX alliance and corresponding global health governance and policy issues: a scoping review |
| title_full_unstemmed | A critical analysis of COVAX alliance and corresponding global health governance and policy issues: a scoping review |
| title_short | A critical analysis of COVAX alliance and corresponding global health governance and policy issues: a scoping review |
| title_sort | critical analysis of covax alliance and corresponding global health governance and policy issues a scoping review |
| url | https://gh.bmj.com/content/8/10/e012168.full |
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