On behalf of the centre for international governance innovation cigi, it gives me great pleasure to introduce our working paper series. Internet governance is generally regarded as a site of innovation in global governance. Increasing access to medicines and vaccines is a complex issue. Intellectual property rights and access to medicines yoshiko kojo department of advanced social and international studies, university of tokyo, 381 komaba, meguroku, tokyo 1538902, japan. Role of world health organization t g agitha inter university centre for ipr studies, cochin university of science and technology, kerala, india received 23 october 20. Innovation and access to medicines for neglected populations. The centre for international governance innovation working. As innovative medicines canada has demonstrated in our dealings with canadian governments in 2017, we share their objectives of a sustainable and accessible healthcare system and of fostering economic growth through innovation and research and development.
Suerie moon, lecturer at harvard school of public health, who serves as research director of the forum. Access to essential medicines is problematic for one third of all. Furthermore, generic competitors and trade regulations are key to driving prices down, requiring involvement of multisectoral global governance agencies, such as the wto. The question of access to medicines is of global concern. The product information provided in this site is intended only for residents of the united states. The improvement of the access to essential medicines, biological, and diagnostics is one of pahos critical functions. The products discussed herein may have different product labeling in different countries. To better achieve this goal, hhsmt has developed the regional platform for access and innovation for the health. A joint publication of the centre for global studies and. Access to medicinesthe status quo is no longer an option. Opportunities and impediments for southsouth cooperation obijiofor aginam intellectual property rights, in many complex ways, impede access to anti. Innovation access and use affordable access to quality medicines and medical devices is critical for functioning health systems and fundamental for obtaining universal health coverage.
The global strategy and plan of action on public health, innovation and. Thus, strategies to improve peoples access to cancer medicines should be considered. The global fund s affordable medicines facility for malaria, for example, is set up to provide significant subsidies to the private sector, as a large portion of people access medicines primarily through private markets. Enhancing global access to cancer medicines cortes. Affordable access to quality medicines and medical devices is critical for functioning health systems and fundamental for obtaining universal health coverage. Global health governance, intellectual property and access to essential medicines. Who releases draft roadmap for access to medicines. Global health law committee of the international law association. It is the nation state or groups of nation states that are the most important actors in the global governance of technology.
For many citizens in the south, access to essential medicines is often a question of life or death while in the european union and in the us, the cost of medicines is creating a growing financial burden for national health systems. A joint publication of the centre for global studies and the centre for international governance innovation policy briefs policy briefs present topical, policyrelevant research and analysis to inform and enhance. Access to cancer medicines is linked to systemic factors such as financial resources, insurance coverage, availability and skill set of the health workforce, health care infrastructure and physical access to health services. Ensuring access in countries at different levels of development. Enhancing global access to cancer medicines cortes 2020. Her work focuses on global governance, the political economy. Global health governance, intellectual property and access to. Elgar intellectual property and global development series edited by. Submission to the united nations high level panel on access to.
Pdf innovation and access to medicines for neglected. These disparities have continued to challenge global health including aids governance policies and frameworks. A joint publication of the centre for global studies and the. The expert advisory group highlevel panel on access to. Drug donations are best used when they are based on accurate forecasting of need and are donated through dedicated programs and organizations. In order to understand the mechanisms that have made these developments possible, this article draws on the concept of gridlock, as well as on the additional theoretical strands of metagovernance and adaptive governance, to conceptualize how global health governance has been. We argue that effective tools for global governance are required to.
Although many activities contribute to improving access to medicines and vaccines, there is a need to prioritize and invest in. Good governance in the management of medicines global. Julio frenk, dean of harvard school of public health, and dr. Who supports countries to formulate evidencebased policies and ensure good practice and good governance throughout the supply chain from selecting the right products to using them correctly.
Good governance, strong and concrete accountability mechanisms and. Innovative approaches to increase access to medicines. Furthermore, generic competitors and trade regulations are key to driving prices down, requiring involvement of multi. Given its contemporary focus and wide range of world leading experts, this study is highly suitable for courses on global governance generally and global public health specifically across political science, economics, law, medicine, nursing and related fields.
Her work focuses on global governance, the political economy of global health with a focus on innovation, access to medicines, intellectual property and. Medicines and health technologies hhsmt is actively working to promote innovation for the health in the region. A preliminary draft of the roadmap was discussed last week with member states and stakeholders. Medical innovation and access to the fruits of scientific progress are no longer policy concerns restricted to the national level or to wealthy countries alone. It is the nation state or groups of nation states that are the most important actors in. Org 7 summary drug donation programs serve as a significant mechanism to promote access to effective treatments for patients in need. Global access licensing framework every universitydeveloped technology with potential for further development into a drug, vaccine, or medical diagnostic should be licensed with a concrete and transparent strategy to make affordable versions available in resourcelimited countries for medical care. The harvard global health institute established a forum on global governance for health in 2012, under the codirectorship of dr. Apr 30, 20 the global governance of hivaids explores the implications of high international intellectual property standards for access to essential medicines in developing countries. On the one hand, there are policy, governance and normative aspects relating to. Global issues and business in international relations. Global access licensing framework universities allied for.
Innovation and access to technologies for sustainable. The case of the access to medicine index suggests that a. The governance of technological innovation in the new era of global health suerie moon one of the most significant changes in global health over the past decade has occurred in the framing, norms, and policy approaches to addressing the. Global health governance, intellectual property and access. May 15, 2012 medical innovation and access to the fruits of scientific progress are no longer policy concerns restricted to the national level or to wealthy countries alone. Global governance for facilitating access to medicines. Gridlock, innovation and resilience in global health governance. Innovative approaches to promoting access to medicines. Addressing the global shortage of, and access to, medicines and. New business models for governing innovation and global. Dec 07, 2017 the global funds affordable medicines facility for malaria, for example, is set up to provide significant subsidies to the private sector, as a large portion of people access medicines primarily through private markets. Innovative approaches to increase access to medicines in. In an era of economically globalizing international relations, many crossborder businesses have formed in industries such as manufacturing, finance e. Who supports countries to formulate evidencebased policies and ensure good practice and good governance throughout the supply chain from selecting the right.
Since the 1970s business has attracted more attention than ever before in international relations keohane and nye, 1970. The centre for international governance innovation working paper. Pharmaceutical innovation and access to medicines 2. Lessons learned and emerging challenges in the global response to aids. Global health governance is in many ways proving more innovative and resilient than other sectors in global governance. High priced medicines and lack of needsdriven innovation a. She also codirects the project on innovation and access to technologies for sustainable development, sustainability science program, at the harvard kennedy school of government.
Human rights, intellectual property and access to medicines. Global public health and intellectual property global governance for facilitating access to medicines. Cigi was founded in 2002 to provide solutions to some of the worlds most pressing governance challenges strategies which often require interinstitutional cooperation. Corruption and poor management can also diminish access to medicines and may lead to the consumption of adulterated, ineffective, or inappropriate products that harm patients. Addressing the global shortage of, and access to, medicines. Good governance in the management of medicines, vaccines, and other pharmaceutical products called pharmaceutical management is an important concern for governments. Gridlock, innovation and resilience in global health. The centre for international governance innovation international. This platform will be composed of a series of virtual tools used to support and promote innovation, access, rational use, and governance in the area of essential medicines, biologicals and diagnostics from a public health perspective.
Innovation and access to medicines for neglected populations plos. By definition, igos are comprised of the representatives of nation states. Pdf as a case study in the proliferation of global rankings, we examine the initiation. Innovations in global governance peacebuilding, human rights, internet governance and cybersecurity, and climate change participants gather during the world climate change conference 2015 at le. The world health organization was tasked at its last annual assembly in may to draft a roadmap for access for the next five years. The goal of the forum is to provide an intellectual laboratory to explore how new global. Regional platform for innovation and access for health 915. The most effective way of ensuring that patients in countries at different levels of development can access innovative treatments is to apply differential or tiered pricing. Lecturer, department of global health and population, harvard school of public health. Early access to medicines eams and innovation office progress report pdf, 289kb, 7 pages item 10. The role of leaders in breaking global deadlocks barry carin and ramesh thakur the financial crisis roiling the world is the result of serious shortcomings in domestic financial governance that have also highlighted gaps in the global governance of international finance and capital. Analyzing twentyfirst century innovations in global health governance, this volume addresses questions of pandemics, essential medicines and disease eradication through detailed case studies of critical and rapidly spreading infectious diseases such as hivaids and sars and lifestyle illnesses such as tobaccorelated illnesses, all of which are at the centre of the current. Global access licensing framework universities allied. The united nations secretarygeneral ban kimoon has convened a highlevel panel on access to medicines.
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