Building Trust in Public Health Bellagio Convening Summary (Nov. 29 – Dec. 3, 2022)

Building Trust in Public Health Bellagio Convening Summary (Nov. 29 – Dec. 3, 2022)

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While trust in public health declined significantly during the COVID-19 pandemic, the public has been losing trust in a range of institutions for decades. The causes of this crisis in trust are complex, deep-rooted, and global in nature. The challenges of building and maintaining trust in health institutions are unique and reflect the important role that science and health care play in our lives. To explore this challenge, and to align on potential multistakeholder initiatives to overcome it, Duke University, in collaboration with Jack Leslie and with support from The Rockefeller Foundation, hosted a convening from November 28 to December 3, 2022, focused on “Building Trust in Public Health.” Recognizing that there are significant regional differences in key drivers of trust, as well as potential solutions to build trust, related…
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Experiences, Enablers, and Challenges in Service Delivery and Integration of COVID-19 Vaccines: a Rapid Systematic Review

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Abstract: The COVID-19 vaccination is a crucial public health intervention for controlling the spread and severity of the SARS-CoV2 virus. COVID-19 vaccines have been developed in record time, but their deployment has varied across countries, owing to differences in health system capacity, demand for the vaccine, and purchasing power of countries. The aim of this rapid review is to summarize and synthesize experiences on COVID-19 vaccine service delivery and integration to inform future COVID-19 vaccination programming and contribute to the knowledge base for future pandemic management. a systematic search was conducted in PubMed, Scopus, and Global Index Medicus databases. Twenty-five studies were included in the analysis. Included studies spanned nine countries where COVID-19 vaccines were delivered through mass, mobile, and fixed-post vaccination service delivery models. There was limited evidence of…
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Reflections following #IiHForum23

Reflections following #IiHForum23

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Inspiring. To summarize the Innovations in Healthcare Annual Forum in one word: inspiring.   Despite a full agenda over the two-day conference, the energy in the room never dwindled. For the first time since 2019, stakeholders from across the healthcare ecosystem came together to share knowledge, discuss challenges, and explore solutions to some of the most pressing global health issues including:  Equitable access to quality care;  Infectious diseases and pandemic preparedness;  Antimicrobial resistance;  Integrated, innovative private sector approaches for addressing non-communicable diseases;  Trust in public health;  Innovation lessons from global pandemics;  Strengthening primary care as a foundation for resilient health systems and global health security;   The use of artificial intelligence to improve health and healthcare; and  Coordinated approaches to funding of health ventures in emerging markets.   The Innovations in Healthcare Annual Forum enables all voices to be heard. The event…
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COVID GAP Accountability Report, Issue 24

COVID GAP Accountability Report, Issue 24

Our Reports
April 19, 2023: COVID GAP Accountability Report Issue 24 Key Changes and Insights Since Previous Report: On April 17th, India reported over 9,000 new COVID-19 cases prompting some parts of the country to reintroduce mask mandates. The XBB.1.16 variant now accounts for roughly 7.2% of sequenced COVID-19 cases in the United States. The World Health Organization’s technical advisory group on COVID vaccine composition met in March to review the performance of updated COVID-19 vaccines. The group released a statement saying that the updated vaccines that contain either BA.1 or BA.4/5 provide better protection than vaccines that contain only the original virus. The FDA authorized a second bivalent COVID-19 vaccine for seniors ages 65+ and those with compromised immune systems. The Duke Global Health Innovation Center is a proud partner of the COVID…
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COVID GAP Accountability Report, Issue 23

COVID GAP Accountability Report, Issue 23

Our Reports
April 5, 2023: COVID GAP Accountability Report Issue 23 Key Changes and Insights Since Previous Report: India reported over 3,600 new COVID-19 cases on April 3rd. This represents the largest single day increase in new cases in over 6 months. The World Health Organization is monitoring the XBB.1.16 subvariant that is currently circulating in India. The European Medicines Agency (EMA) and the Committee for Medicinal Products for Human Use (CHMP) have authorized the use of Bimervax as a COVID-19 booster vaccine. Bimervax is a bivalent, recombinant protein vaccine. South Korea plans to start using wastewater surveillance to monitor the spread of COVID-19 in the country. The health systems and response pillar of ACT-A has received $10 million in additional funding, and is now 35.9% funded. Botswana has achieved 70% vaccination…
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COVID-19 Anguish Channeled into Survivor Support, Push for Better Pandemic Policies

COVID-19 Anguish Channeled into Survivor Support, Push for Better Pandemic Policies

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The Global Accountability Platform (COVID GAP) blog series. March 30, 2023 By Nellie Bristol When Charonda Johnson’s 62-year-old father died from a COVID-19 infection in July, 2020, in addition to intense grief, she felt rage. A US Air Force Iraq war veteran, she was acutely attuned to early warnings about the unfolding pandemic and urged her family to take precautions. But the church her parents attended downplayed the threat, ignored mask mandates, and continued to hold regular services. Although, unlike the bulk of the congregation, her parents wore masks, they continued to attend services and church sponsored conferences, including those she later found out also were attended by some infected with COVID-19. “They were listening to the things that were being said in the media, listening to things they were hearing…
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COVID GAP Accountability Report, Issue 22

COVID GAP Accountability Report, Issue 22

Our Reports
March 22, 2023: COVID GAP Accountability Report Issue 22 Key Changes and Insights Since Previous Report: The Pandemic Fund received over 600 proposals in response to the call for expression of interests (EOI) for the first round of funding. The fund has $300 million available for the first round, but requests from the EOI total over $5.5 billion. The 5th meeting of the Intergovernmental Negotiating Body (INB) will take place April 3- 6. Laos, Malawi, Rwanda and Zambia have received oral antiviral treatments for high-risk patients through COVID Treatment Quick Start Consortium. The Duke Global Health Innovation Center is a proud partner of the COVID Global Accountability Platform (COVID GAP).  COVID GAP’s Accountability Reports highlight and analyze recent developments, track progress toward national, regional, and global targets, and identify high-priority recommendations for…
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UN High Level Pandemic Meeting Should Be Only the Beginning

UN High Level Pandemic Meeting Should Be Only the Beginning

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The Global Accountability Platform (COVID GAP) blog series. March 9, 2023 By Nellie Bristol While negotiations continue at the World Health Organization (WHO) on a new pandemic accord and amendments to the International Health Regulations, plans also are evolving toward a UN high level meeting September 20 aimed at compelling health emergency preparedness to the top levels of government. While the meeting is critical to refocusing the world’s attention, establishing a mechanism to sustain long term political support is essential to successfully countering future threats. The High-Level Meeting (HLM) on Pandemic Prevention, Preparedness and Response (PPR) was called for in a UN resolution last year. Representatives for Israel and Morocco, who are co- facilitating the meeting’s preparatory process, set out a broad agenda in recently released  document as well as scheduling a hearing in May to get input from non-governmental…
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COVID GAP Accountability Report, Issue 21

COVID GAP Accountability Report, Issue 21

Our Reports
March 1, 2023: COVID GAP Accountability Report Issue 21 Key Changes and Insights Since Previous Report: The Pandemic Fund closed their call for expressions of interest on February 24th. The first call for proposals is expected to be announced in early March and applicants will have 11 weeks to submit proposals. The Governing Board plans to make funding decisions in July 2023. The Global Preparedness Monitoring Board has released a document outlining 3 tests to ensure the success of key pandemic prevention, preparedness, and response reforms. The fourth meeting of the WHO Intergovernmental Negotiating Body will run from February 27th to March 3rd. Discussion will focus on the zero draft of the Pandemic Treaty. Dr. Jean Kaseya has been selected as the first Director General of the Africa Centers for…
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African Leaders Commit to Tackling Pandemic Fueled Routine Immunization Deficits

African Leaders Commit to Tackling Pandemic Fueled Routine Immunization Deficits

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The Global Accountability Platform (COVID GAP) blog series. February 23, 2023 By Nellie Bristol In the face of falling routine immunization rates and recent spikes in some vaccine preventable diseases, African leaders pledged this week to “reignite the political will” to prioritize universal access to immunization through a declaration endorsed by African Union (AU) Heads of State and Government February 19. The declaration, entitled “Building Momentum for Routine Immunization Recovery in Africa,” commits governments to increasing and sustaining domestic investments in vaccines as well as addressing bottlenecks in vaccine delivery and improving disease surveillance. It invites African development banks, regional economic communities, and regional health organizations to increase resource mobilization and manufacturers to facilitate affordable access to vaccines and support technology transfer to African companies. It calls for an AU/World Health…
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