Published 27 March 2023 in Analysis
On January 30th 2023, the Real Instituto Elcano and the Barcelona Institute for Global Health (ISGlobal), two think tanks specialized in international relations and partners of Focus 2030, published the report "Ayuda al desarrollo e influencia en el sistema de salud global" (Development aid and influence on the global health system), which analyzes the governance architecture of the global health system and the capacity of Spain and other actors to influence it.
Through case studies of key multilateral organizations such as the COVAX mechanism for Covid-19 vaccines and the Global Fund to Fight AIDS, Tuberculosis and Malaria, the Elcano Institute and ISGlobal study the structure and decision-making processes of these organizations. At the same time, they establish different criteria that could condition the ability of donor countries to influence the governance of these institutions. These influencing factors include the following :
The Elcano Institute and ISGlobal report also examines Spain’s participation in the COVAX initiative and the Global Fund, and provides strategic recommendations for increasing Spain’s capacity to influence global health. In particular, the study points out that Spain is generally not sufficiently proactive on the boards of these organizations, although it considers the personal involvement of Prime Minister Pedro Sánchez in replenishment conferences and other international forums related to global health a positive sign.
The Elcano Institute and ISGlobal also recommend that Spain align itself with multilateral organizations operating in the health field :
To go further :
Real Instituto Elcano – Policy Paper ‘Ayuda al Desarrollo e Influencia en el Sistema de Salud Global’