Salm Melissa, Alwan Ala, Lichtveld Maureen, García Patricia J, Kilmarx Peter H, Sewankambo Nelson K, Martin Rebecca, Ahmed Tahmeed, Wasserheit Judith N
Department of Anthropology, University of North Carolina Chapel Hill, 207 E. Cameron Ave., Chapel Hill, NC 27599 USA.
Director Emeritus, WHO Eastern Mediterranean Region, Cairo 11371, Egypt.
Ann Glob Health. 2025 Jan 25;91(1):6. doi: 10.5334/aogh.4616. eCollection 2025.
In 2023, an interdisciplinary group of global health experts from five continents convened a plenary panel at the Consortium of Universities for Global Health (CUGH) annual conference entitled "Reimagining Global Health for the 21st Century." At the heart of this viewpoint article lies a fundamental question: How can we reimagine global health to best confront existing challenges and meet the demands of the future? To fully assess the scope of global health challenges and identify sustainable solutions, a clear definition of the aims and strategic approaches is needed. Such an assessment is also critical for progress in promoting equity, including decolonizing global health. Key issues examined are the following: equity, governance, research, education, and sustainability. To assure a sustainable global health enterprise, we propose the following three strategic imperatives as guiding principles: a holistic, unified approach grounded in mutual benefit, joint investment, long‑term collaborative commitment, and solidarity across low‑ to middle‑income countries (LMICs) and high‑income countries (HICs); joint priority setting of investments in research, education, practice, and workforce development; and collaborative governance, maximizing a multisectoral approach among local, national, regional, and global strategies. The viewpoint sets the stage for the development of an action roadmap to develop a unified concept of global health; identify strategies to ensure sustained funding for global health research, education and training, and practice; establish benchmarks and metrics to measure progress; and design a collaborative governance system to promote interconnectedness and engagement among local, regional, national, and global stakeholders.
2023年，来自五大洲的跨学科全球健康专家小组在全球健康大学联盟（CUGH）年会上召开了一次全体会议，会议主题为“重塑21世纪的全球健康”。这篇观点文章的核心是一个基本问题：我们如何重塑全球健康，以最好地应对现有挑战并满足未来需求？为了全面评估全球健康挑战的范围并确定可持续的解决方案，需要对目标和战略方法有一个明确的定义。这样的评估对于促进公平（包括使全球健康非殖民化）的进展也至关重要。所探讨的关键问题如下：公平、治理、研究、教育和可持续性。为确保全球健康事业的可持续发展，我们提出以下三项战略要务作为指导原则：基于互利、联合投资、长期合作承诺以及低收入和中等收入国家（LMICs）与高收入国家（HICs）之间的团结，采取整体、统一的方法；共同确定研究、教育、实践和劳动力发展方面的投资优先事项；以及合作治理，最大限度地在地方、国家、区域和全球战略中采用多部门方法。该观点为制定行动路线图奠定了基础，以形成全球健康的统一概念；确定确保为全球健康研究、教育和培训以及实践提供持续资金的战略；建立衡量进展的基准和指标；并设计一个合作治理系统，以促进地方、区域、国家和全球利益相关者之间的相互联系和参与。
