Towards a new model of global health justice: the case of COVID-19 vaccines

This paper questions an exclusively state-centred framing of global health justice and proposes a multilateral alternative. Using the distribution of COVID-19 vaccines to illustrate, we bring to light a broad range of global actors up and down the chain of vaccine development who contribute to globa...

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Main Authors: Jecker, NS, Atuire, CA, Bull, SD
Format: Journal article
Language:English
Published: BMJ Publishing Group 2022
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author Jecker, NS
Atuire, CA
Bull, SD
author_facet Jecker, NS
Atuire, CA
Bull, SD
author_sort Jecker, NS
collection OXFORD
description This paper questions an exclusively state-centred framing of global health justice and proposes a multilateral alternative. Using the distribution of COVID-19 vaccines to illustrate, we bring to light a broad range of global actors up and down the chain of vaccine development who contribute to global vaccine inequities. Section 1 (Background) presents an overview of moments in which diverse global actors, each with their own priorities and aims, shaped subsequent vaccine distribution. Section 2 (Collective action failures) characterises collective action failures at each phase of vaccine development that contributed to global vaccine disparities. It identifies as critical the task of establishing upstream strategies to coordinate collective action at multiple stages across a range of actors. Section 3 (A Multilateral model of global health governance) takes up this task, identifying a convergence of interests among a range of stakeholders and proposing ways to realise them. Appealing to a responsibility to protect (R2P), a doctrine developed in response to human rights atrocities during the 1990s, we show how to operationalise R2P through a principle of subsidiarity and present ethical arguments in support of this approach.
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spelling oxford-uuid:bb9d9bb3-1bbd-4c20-a4fa-60def87c8cf82023-06-01T09:12:46ZTowards a new model of global health justice: the case of COVID-19 vaccinesJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:bb9d9bb3-1bbd-4c20-a4fa-60def87c8cf8EnglishSymplectic ElementsBMJ Publishing Group2022Jecker, NSAtuire, CABull, SDThis paper questions an exclusively state-centred framing of global health justice and proposes a multilateral alternative. Using the distribution of COVID-19 vaccines to illustrate, we bring to light a broad range of global actors up and down the chain of vaccine development who contribute to global vaccine inequities. Section 1 (Background) presents an overview of moments in which diverse global actors, each with their own priorities and aims, shaped subsequent vaccine distribution. Section 2 (Collective action failures) characterises collective action failures at each phase of vaccine development that contributed to global vaccine disparities. It identifies as critical the task of establishing upstream strategies to coordinate collective action at multiple stages across a range of actors. Section 3 (A Multilateral model of global health governance) takes up this task, identifying a convergence of interests among a range of stakeholders and proposing ways to realise them. Appealing to a responsibility to protect (R2P), a doctrine developed in response to human rights atrocities during the 1990s, we show how to operationalise R2P through a principle of subsidiarity and present ethical arguments in support of this approach.
spellingShingle Jecker, NS
Atuire, CA
Bull, SD
Towards a new model of global health justice: the case of COVID-19 vaccines
title Towards a new model of global health justice: the case of COVID-19 vaccines
title_full Towards a new model of global health justice: the case of COVID-19 vaccines
title_fullStr Towards a new model of global health justice: the case of COVID-19 vaccines
title_full_unstemmed Towards a new model of global health justice: the case of COVID-19 vaccines
title_short Towards a new model of global health justice: the case of COVID-19 vaccines
title_sort towards a new model of global health justice the case of covid 19 vaccines
work_keys_str_mv AT jeckerns towardsanewmodelofglobalhealthjusticethecaseofcovid19vaccines
AT atuireca towardsanewmodelofglobalhealthjusticethecaseofcovid19vaccines
AT bullsd towardsanewmodelofglobalhealthjusticethecaseofcovid19vaccines