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新冠疫苗公平性陷入困境:治理不善

COVID-19 vaccine equity in doldrums: Good governance deficits.

作者信息

Bhuiyan Shahjahan

机构信息

Department of Public Policy and Administration, School of Global Affairs and Public Policy (GAPP) The American University in Cairo New Cairo Egypt.

出版信息

Public Adm Dev. 2022 Dec;42(5):293-304. doi: 10.1002/pad.1999. Epub 2022 Dec 4.

Abstract

This paper explores whether inequities in access to COVID-19 vaccines can be attributed to governance deficits, particularly for developing and emerging countries where poor governance is widespread, but also for developed countries, where governments' performance fell short of expectations. These shared performance deficits beg questions about the impact of governance quality as well as the interplay of ethics in governance when life-or-death decisions must be made. It also explores the impact of COVID-19 on development, especially in the areas of poverty and employment. The findings of the paper show that there is a positive correlation between vaccine equity and good governance, meaning that countries with higher scores in governance rankings have more access to vaccines and have vaccinated most of their populations. Similarly, countries with relatively lower scores in governance rankings have poor access to and distribution of vaccines and have only covered a limited number of their people. The paper further points to disastrous societal impacts of COVID-19 vaccine inequity on poverty and employment, which have hindered global development.

摘要

本文探讨了获得新冠疫苗方面的不平等现象是否可归因于治理缺陷,这一现象在治理不善普遍存在的发展中国家和新兴国家尤为突出,在发达国家也存在,其政府表现未达预期。这些共同的表现缺陷引发了关于治理质量的影响以及在必须做出生死抉择时治理中伦理相互作用的问题。本文还探讨了新冠疫情对发展的影响,尤其是在贫困和就业领域。该论文的研究结果表明,疫苗公平性与良好治理之间存在正相关关系,这意味着在治理排名中得分较高的国家更容易获得疫苗,并且其大部分人口都已接种。同样,在治理排名中得分相对较低的国家,疫苗获取和分配情况较差,仅覆盖了有限数量的人口。该论文进一步指出,新冠疫苗不平等对贫困和就业产生了灾难性的社会影响,阻碍了全球发展。

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COVID-19 vaccine equity in doldrums: Good governance deficits.新冠疫苗公平性陷入困境:治理不善
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本文引用的文献

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COVID-19 vaccine equity: a health systems and policy perspective.COVID-19 疫苗公平性:从卫生系统和政策角度看。
Expert Rev Vaccines. 2022 Jan;21(1):25-36. doi: 10.1080/14760584.2022.2004125. Epub 2021 Nov 25.
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