Fernández-Portillo Luis A, Sianes Antonio, Santos-Carrillo Francisco
Department of Business Management, Universidad Loyola Andalucía, 14004 Córdoba, Spain.
Research Institute on Policies for Social Transformation, Universidad Loyola Andalucía, 14004 Córdoba, Spain.
Healthcare (Basel). 2020 Sep 23;8(4):356. doi: 10.3390/healthcare8040356.
In 2015, the 2030 Agenda was formally adopted by the United Nations, establishing a set of 17 Sustainable Development Goals (SDGs). SDG 3 seeks to promote Global Health and the quality of public health systems in developing countries. The achievement of these goals requires the commitment of all signing countries, but the COVID-19 crisis is changing the behavior of the main stakeholders in the international arena. What do the experts think about these changes? Could these changes threaten the 2030 Agenda and Global Health? To answer these questions, we conduct a content analysis of 152 documents written by experts from the 15 main think tanks on international development policy. The results point out that the new scenario brought about by the pandemic is hindering the necessary cooperation between countries to achieve global health goals and to guarantee public health coverage in developing countries. To deal with these challenges, more delegation of powers to international organizations and a reform of the international cooperation system are needed. With this analysis, we launch a warning about potential weaknesses of the institutional design of the 2030 Agenda in order for it to survive in a post-COVID-19 world and remain a valid instrument to promote health worldwide.
2015年，联合国正式通过了《2030年议程》，确立了一套17个可持续发展目标（SDG）。可持续发展目标3旨在促进全球健康以及发展中国家公共卫生系统的质量。这些目标的实现需要所有签署国的承诺，但新冠疫情危机正在改变国际舞台上主要利益相关者的行为。专家们如何看待这些变化？这些变化会威胁到《2030年议程》和全球健康吗？为了回答这些问题，我们对15个主要国际发展政策智库的专家撰写的152份文件进行了内容分析。结果指出，疫情带来的新情况正在阻碍各国之间为实现全球健康目标以及保障发展中国家公共卫生覆盖范围而进行的必要合作。为应对这些挑战，需要赋予国际组织更多权力并对国际合作体系进行改革。通过此次分析，我们对《2030年议程》制度设计的潜在弱点发出警告，以便其在新冠疫情后的世界中存续，并继续作为促进全球健康的有效工具。
