Reform for Global Health and Economic Resilience

中央研究院特別講座「全球衛生與經濟韌性的改革」 主持人：陳建仁（中央研究院院長） 主講人：何塞．曼努埃爾．巴羅佐閣下 (2012年諾貝爾和平獎受獎人) 演講大綱： 全球衛生架構的改革應聚焦於四項優先事項： 第一， 保護全球公共財：這些不是單一國家可以有效獨力提供的功能，包括疾病監測、疫情爆發準備、疫苗市場引導、研究與創新、緊急融資機制，以及全球標準與監管架構。這些功能可以保護所有國家，對於維護全球衛生安全仍不可或缺。 第二， 促成大規模的國家層級影響：Gavi 與全球基金（Global Fund）等機構已證明，透過聯合採購、創新融資及夥伴合作模式，可以在大規模下產生實質成果。這些能力仍不可或缺，但未來必須更加配合各國自身的優先事項，並支持長期永續發展。 第三， 減少最後一里的碎片化：我們希望服務的人民與社區，應該感受到的是一個協調運作的體系，而不是一群分散的機構。透過共同規劃、協調一致的報告機制、同步的補助週期，以及共享的國家層級支援機制，可以降低行政負擔，改善服務。 第四， 強化對脆弱與人道環境的支持：任何改革議程都必須確保最脆弱的群體受到保護。這需要更敏捷的服務模式、更強的協調機制，以及針對脆弱情境量身設計的差異化策略。 A reformed global health architecture should focus on four priorities: First, protecting global public goods: These are functions that no country can efficiently deliver alone, including disease surveillance, outbreak preparedness, vaccine market shaping, research and innovation, emergency financing mechanisms, and global standards and regulatory frameworks. These functions protect all countries and remain essential to global health security. Second, enabling large-scale country impact: Institutions such as Gavi and the Global Fund have demonstrated the power of pooled procurement, innovative financing and partnership models to deliver results at scale. These capabilities remain indispensable, but they must increasingly be aligned around country priorities and support long-term sustainability. Third, reducing fragmentation at the last mile: The people and communities we seek to serve should experience a coherent system, not a collection of institutions. Greater coordination through joint planning, harmonized reporting, aligned grant cycles and shared country support mechanisms can reduce administrative burden while improving delivery. Fourth, strengthening support for fragile and humanitarian settings: Any reform agenda must ensure that the most vulnerable populations remain protected. This requires agile delivery models, stronger coordination and differentiated approaches tailored to fragile contexts.