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As negotiations over the WHO Pandemic Agreement stall, a growing number of African governments are rejecting bilateral health deals they see as compromising sovereignty and equity. The deeper question is no longer whether African states can refuse, but what exactly they are refusing, and on whose behalf.

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Study Design as the Determinant of Bioequivalence Outcomes: Implications for Regulatory Science and Access to Medicines in Africa

Explore the bioequivalence framework and its critical role in generic medicine approval and study design for successful outcomes.


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This, your data

Ah, January—the season of renewals, cancellations, and well-meaning white lies. We promise to start as we mean to go on; we swear off what never suited us; we make pacts with friends to be more disciplined, more intentional, each other’s keepers, while finessing the fine print with furtive, bracketed outs. So too, it seems, in global health.


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Share and Share Alike?

In this year of disruption, there is much speculation about what the new global health architecture will look like. Chief among the things coming into focus: whatever finally gets agreed will be a bountiful seam for lawyers as a consequence of how power is being written down on paper from definitions, triggers, and custody of data and samples, to who promises what for how long, and how firmly.


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    Dispatches from Brazil: What’s at Stake in Belém

    From multilateral reform to gender-responsive climate governance, this dispatch unpacks what to expect from Belém and the stakes for a more equitable climate future.

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    Emilia Caro on Connecting Health, Gender, and Climate at COP30

    In this conversation, Emilia Caro, Board Chair of Women in Global Health, reflects on how climate crises strain health systems, why women bear a disproportionate burden, and how centering gender and health is key to meaningful progress at COP30.

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    Bilateral Gambits and the Future of PABS

    As the PABS negotiations heat up, the U.S. moves to rewrite the rules, offering short-term aid for long-term pathogen access. Africa stands at the crossroads of principle and pressure.

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    EU–CELAC Summit 2025: Will it give practical meaning to the Global Gateway?

    The 2025 EU–CELAC Summit comes amid shifting global alliances. This analysis examines whether the Global Gateway can turn high-level commitments into tangible results and a truly sustained partnership.

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    The Real Work Begins for the Pandemic Agreement’s PABS Annex

    Harusi si ndoa—a wedding is not a marriage. The WHO Pandemic Agreement’s PABS annex now tests whether global health vows can stand up in practice.

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    What’s at Stake in WHO Pandemic Agreement Negotiations

    The Pandemic Agreement will define future global health security. We explore Africa’s role in shaping fairer terms and securing influence in multilateral negotiations.

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    BRICS Summit Signals New Shifts in Global Governance

    The expansion of BRICS marks a shift in global power. We analyze its implications for Africa’s influence in trade, health, and multilateral negotiations.

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    Why Must We Discuss Care Work To Achieve The SDGs?

    Care work underpins all development goals. Recognizing and investing in it is key to achieving gender equality, inclusive growth, and resilient social systems worldwide.

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    Africa Must Seize Pandemic Agreement for Equitable Access

    The Pandemic Agreement is a chance for Africa to secure equitable access to vaccines, medicines, and health technologies, if leaders negotiate strategically.

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    Equity Policy Reversals Threaten Progress in Global Governance

    Policy reversals in powerful nations risk undermining equity-focused global governance. We examine the threats and strategies for protecting inclusive international frameworks.

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    Mobilizing Municipalities Against Mpox in East Africa Hubs

    Mpox outbreaks in trade hubs demand local responses. We explore how municipal governments can strengthen surveillance, readiness, and community-based health interventions.

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    Local Solutions to Build Stronger, Resilient Health Systems

    Health systems must be rooted in local realities. We highlight community-driven strategies that deliver resilience, equity, and long-term system strengthening.

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