全球衛生框架公約：人人享有健康、人人享有正義【全球瞭望】
A Framework Convention on Global Health: Health for All, Justice for All
健康不平等代表的或許是全球衛生上最重要的一項挑戰，即便在當前各種持續增加的資金與創新項目投入後，仍然存在著。聯合國正在修改其千禧年發展目標，一項將會形塑未來世界面貌的計畫。這個會為全球衛生正義帶來改革的後千禧年發展目標框架，該有什麼樣的內容呢？一個由公民社會與學術團體所組成的全球聯盟因此設立國家與全球健康責任共同行動與學習倡議計畫，來宣傳與推動全球衛生框架公約。這個獲得聯合國秘書長支持全球衛生框架公約，將會為健康的全球治理帶來新的面貌並提供後千禧年發展目標下的一個新視野。本文特別透過介紹全球衛生框架公約的幾個關鍵模式，來說明其可以如何改善健康並減少不平等。這些模式包括定義國家對於人權健康的責任、國際對於提供可信賴、可永續經費的責任、全球衛生優先事項的設定、分散行動的整合聯繫、重塑健康的全球治理，以及透過世界衛生組織來提供強而有力的全球衛生領導。
Health inequalities represent perhaps the most consequential global health challenge and yet they persist despite increased funding and innovative programs. The United Nations is revising the Millennium Development Goals (MDGs) that will shape the world for many years to come. What would a transformative post-MDG framework for global health justice look like? A global coalition of civil society and academics — the Joint Action and Learning Initiative on National and Global Responsibilities for Health (JALI) — has formed an international campaign to advocate for a Framework Convention on Global Health (FCGH). Recently endorsed by the UN Secretary- General, the FCGH would reimagine global governance for health, offering a new post-MDG vision. This Special Communication describes the key modalities of an FCGH to illustrate how it would improve health and reduce inequalities. The modalities would include defining national responsibilities for the population’s health; defining international responsibilities for reliable, sustainable funding; setting global health priorities; coordinating fragmented activities; reshaping global governance for health; and providing strong global health leadership through the World Health Organization.
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