Our Global Health Frameworks in COVID-19: Who Was Left Behind?

47 Pages Posted: 9 Dec 2022

See all articles by Neil Chin

Neil Chin

Columbia University SIPA

Srividya Dasaraju

affiliation not provided to SSRN; U.S. Federal Contractor

Sameer Nair-Desai

Stanford University Institute for Economic Policy Research; Meridian Collective

Kavya Nambiar

University of California, San Francisco (UCSF)

Date Written: June 15, 2022

Abstract

This article examines whether international institutions’ COVID-19 response funding aligned with well-established pre-pandemic measures of countries’ long-term health capacity and preparedness, and their anticipated ability to respond to emerging biological threats. In simpler terms, we explore whether COVID-19 funding allocations matched pre-pandemic assessments of countries’ needs, based on the WHO’s Joint External Evaluation (JEE) scores. We track global health financing provided throughout the SARS-CoV-2 pandemic by both national governments and by multilateral, nonprofit, and philanthropic organizations using the Global Health Security Tracking database. Across all of these funding streams, our descriptive analysis suggests no significant correlation between pre-pandemic assessments of country need and proceeding pandemic funding allocations. We find that countries for which global health institutions determined to have the lowest health capacities prior to the pandemic did not receive greater amounts of global health funding relative to higher capacity peer nations once the pandemic arrived. If we are not using existing rubrics of institutional capacity, then what factors are driving these financial decisions? These results ultimately ask us to consider how many more times our global health systems will have “watershed moments,” that reveal how unprepared, uncoordinated, and underfunded we truly are before we get it right.

Note:
Funding Information: This work did not receive any financial support

Conflict of Interests: There are no potential competing interests reported by the authors.

Keywords: Public Health, Global Health, Pandemic Preparedness, Health Policy, Health Economics

JEL Classification: A1, F5, I18

Suggested Citation

Chin, Neil and Dasaraju, Srividya and Nair-Desai, Sameer and Nambiar, Kavya, Our Global Health Frameworks in COVID-19: Who Was Left Behind? (June 15, 2022). Available at SSRN: https://ssrn.com/abstract=4283349 or http://dx.doi.org/10.2139/ssrn.4283349

Neil Chin

Columbia University SIPA ( email )

420 West 118th Street
New York, NY
United States

Srividya Dasaraju

affiliation not provided to SSRN

U.S. Federal Contractor

Sameer Nair-Desai (Contact Author)

Stanford University Institute for Economic Policy Research ( email )

Stanford, CA 94305
United States

Meridian Collective ( email )

Kavya Nambiar

University of California, San Francisco (UCSF) ( email )

Do you have negative results from your research you’d like to share?

Paper statistics

Downloads
43
Abstract Views
251
PlumX Metrics