融资模式的离开世界ill-prepared’ for COVID

A key meeting of the WHO’s executive board has spawned an upswell of calls to overhaul the UN agency’s资金，领导人说未能投资于全球卫生，使世界不准备新冠肺炎“tsunami of suffering”.

Alettersigned by a host of leaders including Helen Clark and Ellen Johnson Sirleaf, co-chairs of the Independent Panel for Pandemic Preparedness and Response, and Gordon Brown, WHO Ambassador for Global Health Financing, decried the world’s “ailing approach to investing in global public health, and universal health coverage”, laid bare by the COVID-19 pandemic.

他们说，反复警告以加强针对大流行的防御，被忽略了，“大约两年前，为即将来临的痛苦而留下了可怕的准备工作”。

“The funding problems of the WHO are not new, but rather have been playing out over decades,” they wrote in the widely published letter. “They are symptomatic of an overall failure to invest sufficiently in global public health. This must stop now.”

倡导变更的人说健康body is currently both underfunded and financially constrained. Only 16 per cent of the WHO’s finances currently derive from governments’ membership dues, with “no strings attached”, the letter explains.

“The overwhelming remainder is provided as voluntary contributions, often with tight and sometimes restrictive conditions.”

150的融资问题正在讨论^thmeeting of the executive board running from 24-29 January.

A单独的字母在1月22日寄给董事会成员，并由50多个非营利组织签约，他说：“每个评估了Covid-19-19的大流行的主要国际审查小组都确定了谁是有限且不可预测的融资是所需的改革领域。

“The world needs a strong, sustainably financed WHO that is not subject to the political influence of its donors or the whims of funding flows.”

However, the WHO’s biggest funder, the United States, has been cautious of calls to increase the “no strings attached” funding, instead preferring to continue most of its funding through voluntary contributions, allowing it to check the money was used for the purposes it was given.

这是在美国长期以来对世卫组织的谨慎的背景下，这最终导致唐纳德·特朗普总统宣布他打算在2020年退出世卫组织，这是由于对大流行期间中国影响的担忧，他的继任者乔·拜登（Joe Biden）的这一举动扭转了。

但是，联合国基金会全球卫生战略副总裁凯特·多森（Kate Dodson）代表签署人说明了这封信SciDev.Netthat the “vast majority” of WHO Member States were keen to progress improvements to the way the WHO is financed.

“But Member States need to act on full consensus on this,” she added. “Majority won’t alone prevail. If they don’t act by May 2022’s World Health Assembly, this agenda may succumb to the common maxim: after panic, comes neglect. We may miss this window.”

The executive board meeting saw WHO director-general Tedros Adhanom Ghebreyesus nominated uncontested for a second term in a procedural vote on Tuesday. He will almost certainly be re-elected at the World Health Assembly in May.

Congratulating him on Twitter, WHO chief scientist Soumya Swaminathan said the WHO, as the only global health agency, needed sustainable finance “to deliver on its huge mandate”.

Congratulations@DrTedrosnominated for a second term as DG.@WHO是唯一的全球规范和技术卫生机构，它需要可持续的融资来实现其巨大的任务。https://t.co/IbTBE8gyOG

— Soumya Swaminathan (@doctorsoumya)2022年1月25日

Lawrence Gostin, director of the WHO Collaborating Center on National and Global Health Law at Georgetown University, in the US, toldSciDev.Netthat the WHO’s budget was “wholly incommensurate with its global responsibilities”.

“Its budget is less than the size of many US teaching hospitals and one-fourth the funding that CDC [Centers for Disease Control and Prevention] gets,” he explained.

他补充说：“对于美国和欧洲国家等富裕国家来说，需要的资金并不多。”“我们目前拥有应得的人，因为我们给予了很少的资金。我们需要一个公式，可以维持谁的能力来与这一大流行和未来的健康紧急情况作斗争。”

WHO Member States leading on the sustainable finance agenda came up with a set建议十一月。其中包括到2029年逐步增加从成员国的评估捐款增加到基本预算的50％，大约使大多数成员的贡献翻了一番。

Voluntary contributions should also have a higher degree of flexibility, the draft report of the Working Group on Sustainable Financing suggested.

此外，还需要仔细研究预算效率，并仔细研究预算效率，此外，需要提高预算设定和WHO秘书处的优先级的透明度。

她说：“蓝图在那里。”“还有……绝大多数成员国都支持它。但是有一些围栏和一些批评者……需要继续说服这是通往更强大，更高表现的世界卫生组织的道路。”

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