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...

Full description

Saved in:
Bibliographic Details
Main Authors: Vijay Kumar Chattu, Prakash Narayanan, Anjali Pushkaran
Format: Article
Language:English
Published: BMJ Publishing Group 2023-10-01
Series:BMJ Global Health
Online Access:https://gh.bmj.com/content/8/10/e012168.full
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1849394876979871744
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.
format Article
id doaj-art-e511d646eebb4822ba8ee476dc137d85
institution Kabale University
issn 2059-7908
language English
publishDate 2023-10-01
publisher BMJ Publishing Group
record_format Article
series BMJ Global Health
spelling doaj-art-e511d646eebb4822ba8ee476dc137d852025-08-20T03:39:49ZengBMJ 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
work_keys_str_mv AT vijaykumarchattu acriticalanalysisofcovaxallianceandcorrespondingglobalhealthgovernanceandpolicyissuesascopingreview
AT prakashnarayanan acriticalanalysisofcovaxallianceandcorrespondingglobalhealthgovernanceandpolicyissuesascopingreview
AT anjalipushkaran acriticalanalysisofcovaxallianceandcorrespondingglobalhealthgovernanceandpolicyissuesascopingreview
AT vijaykumarchattu criticalanalysisofcovaxallianceandcorrespondingglobalhealthgovernanceandpolicyissuesascopingreview
AT prakashnarayanan criticalanalysisofcovaxallianceandcorrespondingglobalhealthgovernanceandpolicyissuesascopingreview
AT anjalipushkaran criticalanalysisofcovaxallianceandcorrespondingglobalhealthgovernanceandpolicyissuesascopingreview