적정기술학회지 (Journal of Appropriate Technology)

적정기술학회 (Academic Society for Appropriate Technology)
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포스트 코로나 시대 보건의료기술 접근성 제고를 위한 탐색 연구: 세계백신연합(Gavi) 글로벌펀드(Global Fund), 국제의약품구매기구(Unitaid) 및 Access to COVID-19 Tools Accelerator 사업 사례

Promoting Access to Health Technologies in the Post-pandemic Era: Gavi, Global Fund, Unitaid, and Access to COVID-19 Tools Accelerator (ACT-A) Programs

  • 투고 : 2021.10.15
  • 심사 : 2021.11.10
  • 발행 : 2021.11.20
⟨ 이전 논문 다음 논문 ⟩

초록

코로나19 확산은 전 세계 인구, 보건체계, 경제, 사회문화에 전례 없는 영향을 미치고 있으며, 국제사회는 코로나19를 극복하고자 보건의료기술 개발 및 접근성 제고를 위해 연대하고 있다. 본 고는 보건의료기술 접근성을 저해하는 장애물에 대한 이론적 틀을 기반으로 감염병 다자기구 및 코로나19 보건의료기술 접근성 제고를 위한 ACT-A 사업을 검토한다. 연구 결과, 첫째, 국제사회는 필요한 기술의 부재를 극복하기 위해 선시장공약, 백신채권, Covax Facility 등을 시행하고 있으며, 둘째, 존재하는 기술이 접근가능하지 않는 장애물을 극복하기 위해 공동조달메커니즘, 의약품특허풀 등을 시행하고 있으며, 셋째, 기술이 수용되지 않는 장애물을 극복하기 위해 인력역량 강화 등을 포함하는 보건체계 강화를 지원하고 있음을 발견하였다. 이를 바탕으로 실무적·학술적 향후 과제로써 기추진중인 한국 공적개발원조 사업과 감염병 다자기구 및 ACT-A 사업과의 연계 가능성을 검토하여 더욱 활발하게 협력할 필요가 있다.

Purpose: Global collaboration to accelerate development and equitable access to COVID-19 tests, treatments, and vaccines was launched with the name of the Access to COVID-19 Tools Accelerator (ACT-A), and this initiative owes its expertise to the lessons learned of the global health organizations. To date, the comprehensive mechanisms and potential effects of the initiative remain largely unknown. Methods: This study reviewed the programs of Gavi, the Global Fund, Unitaid, and ACT-A, which mitigating barriers to greater use of health technology with an analytic framework. Results and conclusion: The study findings are as follows. First, programs to alleviate the absence of necessary technology include the International Finance Facility for Immunization and Covax Facility. Second, Pooled Procurement Mechanism and Accelerated Order Mechanism are examples of mitigating the inability to access technology. Third, programs to overcome reluctance to adopt accessible technology include health system strengthening efforts such as the capacity-building health workforces. Further actions of Korea are needed to collaborate with the initiatives to enhance health outcomes.

키워드

참고문헌

  1. ACT-A. (n.d.). The Access to COVID-19 Tools (ACT) Accelerator. Retrieved October 25, 2020, Available from https://www.who.int/initiatives/act-accelerator
  2. Armitage, R., & Nellums, L. B. (2020). COVID-19 and the consequences of isolating the elderly. The Lancet Public Health, 5(5), e256. https://doi.org/10.1016/s2468-2667(20)30061-x
  3. Ataguba, J. E. (2020). COVID-19 pandemic, a war to be won: understanding its economic implications for Africa.
  4. Attaran, A. (2004). How do patents and economic policies affect access to essential medicines in developing countries?. Health Affairs, 23(3), 155-166. https://doi.org/10.1377/hlthaff.23.3.155
  5. Biesma, R. G., Brugha, R., Harmer, A., Walsh, A., Spicer, N., & Walt, G. (2009). The effects of global health initiatives on country health systems: a review of the evidence from HIV/AIDS control. Health policy and planning, 24(4), 239-252. https://doi.org/10.1093/heapol/czp025
  6. Cernuschi, T., Furrer, E., Schwalbe, N., Jones, A., Berndt, E. R., & McAdams, S. (2011). Advance market commitment for pneumococcal vaccines: putting theory into practice. Bulletin of the World Health Organization, 89, 913-918. https://doi.org/10.2471/BLT.11.087700
  7. Crager, S. E. (2018). Improving global access to new vaccines: intellectual property, technology transfer, and regulatory pathways. American journal of public health, 108(S6), S414-S420. https://doi.org/10.2105/AJPH.2014.302236r
  8. Dupas, P. (2011). Health behavior in developing countries. Annu. Rev. Econ., 3(1), 425-449. https://doi.org/10.1146/annurev-economics-111809-125029
  9. FIND. (n.d.) COVID-19 Diagnostics & testing. Retrieved October 25, 2020, Available from https://www.finddx.org/covid-19/
  10. Gavi. (2018). Gavi Board starts framing Alliance's approach to 2021-2025 period. Retrieved October 25, 2020, Available from https://www.gavi.org/gavi-board-starts-framing-alliance-s-approach-to-2021-2025-period
  11. Gavi. (2019). 2019 Pneumococcal AMC Annual Report. Geneva: Gavi. Retrieved October 25, 2020, Available from https://www.gavi.org/sites/default/files/document/2020/2019-Pneumococcal-AMC-Annual-Report.pdf
  12. Gavi. (n.d.). Gavi Alliance. Retrieved October 25, 2020, Available from http://www.rightfund.org
  13. Global Fund. (2019). Partnership Welcomes Launch of First Malaria Vaccine Pilot. Retrieved October 25, 2020, Available from https://www.theglobalfund.org/en/news/2019-04-23-partnership-welcomes-launch-of-first-malaria-vaccine-pilot/
  14. Global Fund. (2016). Technical Brief-Malaria Case Management in the Private Sector.
  15. Global Fund. (n.d.). Government Donors: Republic of Korea. Retrieved October 25, 2020, Available from https://www.theglobalfund.org/en/government/profiles/korea-republic/
  16. Global Fund. (n.d.). Sourcing & Management of Health products. Retrieved October 25, 2020, Available from https://www.theglobalfund.org/en/sourcing-management/procurement-tools/
  17. Global Fund. (n.d.). the Global Fund. Retrieved October 25, 2020, Available from https://www.theglobalfund.org/en/
  18. Gostin, L. O. (2014). Global health law. Harvard University Press, pp. 129-174.
  19. Grace, C., & Kyle, M. (2009). Comparative Advantages of Push and Pull Incentives for Technology Development: Lessons for Neglected Diseases. Global Forum Update on Research for Health.
  20. Howitt, P., Darzi, A., Yang, G. Z., Ashrafian, H., Atun, R., Barlow, J., & Wilson, E. (2012). Technologies for global health. The Lancet, 380(9840), 507-535. https://doi.org/10.1016/S0140-6736(12)61127-1
  21. Hsin-I Shih, Chi-Jung Wu, Yi-Fang Tu, & Chia-Yu Chi. (2020). Fighting COVID-19: A quick review of diagnoses, therapies, and vaccines. Biomedical Journal, 43(4), 341-354. https://doi.org/10.1016/j.bj.2020.05.021
  22. KOICA. (n.d.). KOICA Creative Technology Solution Programs. Retrieved October 25, 2020, from http://www.koica.go.kr/koica_en/3446/subview.do
  23. Moon, S., Jambert, E., Childs, M., & von Schoen-Angerer, T. (2011). A win-win solution?: A critical analysis of tiered pricing to improve access to medicines in developing countries. Globalization and Health, 7(1), 1-11. https://doi.org/10.1186/1744-8603-7-1
  24. MOPAN. (n.d.). Assessment Packages. Retrieved October 25, 2020, Available from http://www.mopanonline.org/assessments/
  25. OECD. (n.d.). DAC and CRS code lists. Retrieved October 24, 2020, from http://www.oecd.org/dac/financing-sustainabledevelopment/development-finance-standards/annex2.htm
  26. RIGHT Fund. (n.d.). Research Investment for Global Health Technology Fund. Retrieved October 25, 2020, from http://www.rightfund.org
  27. Rundle, A. G., Park, Y., Herbstman, J. B., Kinsey, E. W., & Wang, Y. C. (2020). COVID-19 related school closings and risk of weight gain among children. Obesity, 28(6), 1008-1009. https://doi.org/10.1002/oby.22813
  28. TB Alliance. (2020). TB Alliance with the Support of the Republic of Korea Announce Initiative to Broaden Adoption and Scale Up of New Treatments for Drug-Resistant Tuberculosis. Retrieved October 25, 2020, from https://www.tballiance.org.za/news/lift-tb-press-release-english
  29. U.S. Agency for International Development. (2019). Project last mile. Retrieved October 23, 2020, Available from https://www.usaid.gov/cii/project-last-mile
  30. Unitaid. (2019). Unitaid seeks to support new approaches to tackle Chagas disease. Retrieved October 25, 2020, Available from https://unitaid.org/news-blog/unitaid-seeks-to-support-new-approaches-to-tackle-chagas-disease/#en
  31. Unitaid. (n.d.). Unitaid Medicine Patent Pool. Retrieved October 25, 2020, Available from https://unitaid.org/project/medicines-patent-pool/#en
  32. Unitaid. (n.d.). Unitaid. Retrieved October 25, 2020, Available from https://unitaid.org/#en
  33. Wellcome Trust. (n.d.). Covid-19 treatments: latest on research. Retrieved October 25, 2020, Available from https://wellcome.org/what-we-do/our-work/coronavirus-covid-19/treatments
  34. World Health Organization. (2001). Health care technology management: Eastern Mediterranean Regional strategy for appropriate health care technology.
  35. WHO. (n.d.). Public health innovation and intellectual property rights: report of the Commission on Intellectual Property Rights, Innovation and Public Health. Geneva: WHO. Retrieved October 25, 2020, Available from http://www.who.int/intellectualproperty/en/
  36. WHO. (2020). 172 countries and multiple candidate vaccines engaged in COVID-19 vaccine Global Access Facility. Retrieved October 25, 2020, Available from https://www.who.int/news/item/24-08-2020-172-countries-and-multiple-candidate-vaccines-engaged-in-covid-19-vaccine-global-access-facility
  37. Wilson, P. (2010). Giving developing countries the best shot: An overview of vaccine access and R&D. Campaign for Access to Essential Medicines, 16.