© Olivier Papegnies

Coronavirus : concrete actions needed for global pledges to result in access for all

We welcome the efforts of the global health actors and other stakeholders to rally financial support to the research and development (R&D), manufacturing and distribution of COVID-19 vaccines, diagnostics and therapeutics through the May 4th global pledging conference1.


We are also pleased that the EU joined WHO and global health organisations’ call for action to accelerate the development, availability, and equitable access to safe, quality, effective and affordable diagnostics, therapeutics and vaccines against coronavirus.

As organisations and individuals in the health sector defending the public interest, we would like to underline the vital importance of the commitments in the call for action. We would also like to share recommendations to increase the accountability and public ownership of this pledging initiative and subsequent activities.

A global pandemic needs an accountable global coordination mechanism

Pandemics have no borders and only a coordinated global response can mitigate the consequences of the current crisis.

Without global coordination and agreement, including on the areas of investments and practices for R&D, useful and needed resources and time will be wasted. It is also important that all initiatives supported with public funding in the context of COVID-19 have a global mandate.

We invite the EU and all the other donors and partners to the pledging conference to set up a transparent and inclusive governance structure to decide on priorities, monitor progress, evaluate and report on the results of the pledges and further investments. A robust accountability mechanism should also be put in place to ensure that commitments are translated into actions. The meaningful involvement of civil society organisations should be ensured in all governance structures.

An ambitious goal requires a detailed plan and strong access and affordability clauses

As world leaders expressed their support for the WHO ACT accelerator and heightened expectations of global equitable access, many barriers remain to be addressed: safe and effective tools need to be developed and tested; manufacturing need to be transformed to meet global demand; supply and distribution need to be organized accordingly; and pricing arrangements need to be negotiated to ensure the tools are indeed affordable to all. Pre-COVID-19 experience has shown that each of these barriers can hinder access to life saving medical tools and It is essential to address them early on.

Funding pledged to support COVID-19 R&D should include coherent legally binding arrangements with private and public partners.

The pledging conference can provide the financial means to overcome some barriers. A plan detailing how each of these barriers will be addressed is needed. This plan should comprise a shared definition of what global equitable access, affordability and availability mean and detailed conditions under which partners are expected to contribute to fulfilling these ambitions in return for funding. As the pledging conference aims to raise funding from across the world to address the needs of all, this information should be publicly available.

Funding pledged to support COVID-19 R&D should include coherent legally binding arrangements with private and public partners to ensure that health technologies are priced fairly and affordably to healthcare payers and are free to the public at the point of care in all countries. 

To complement those efforts, any COVID-19 treatment, diagnostic and vaccine developed with public funding through the 4th May pledges and afterwards should be conditional on mandatory inclusion to a global technology pool. A proposal for the creation of a voluntary pool has been submitted to the WHO by the government of Costa Rica. This proposal should be further developed, expanded and implemented in an effort to “pool rights to technologies that are useful for the detection, prevention, control and treatment of the COVID-19 pandemic”.


We hope our suggestions will be taken onboard and we are at your disposal for further exchanges on those issues.


This statement was coordinated by the European Alliance for Responsible R&D and Affordable Medicines.

Contact - Viviana Galli - viviana@medicinesalliance.eu



Supporting organisations :

AAJM - Association for Fair Access to Medicine, Spain

Access to Medicines Ireland

AJF - Africa Japan Forum

ARAS - Romanian Association Against AIDS

Association “Novi put”, Bosnia and Herzegovina

Association des Femmes de l'Europe Méridionale -AFEM

Aurora Universities Network, The Netherlands

Austrian Institute for Health Technology Assessment(AIHTA), Austria

BEUC - The European Consumer Organisation

Black Activists Rising Against Cuts - BARAC, UKinfo-icon

Chronic Illness Advocacy & Awareness Group,USA/Global

Commons Network, The Netherlands

Corporate Europe Observatory - CEO

Ecologistas en Acción, Spain

EKPIZO, Greece

European Alliance for Responsible R&D and AffordableMedicines

European Public Health Alliance - EPHA

European Public Services Union - EPSU

Fondation Eboko, France

Fondation Joseph The Worker/Structure Lazarienne,Bénin

Foundation for Integrative AIDS Research - FIAR, USA

France Assos Santé, France

Fundación IFARMA, Colombia

Fundación Mexicana para la Planeación Familiar, Mexico

Global Health Advocates

Global Justice Now, UKinfo-icon

Health Global Access Project

Health Poverty Action

Heart to Heart Foundation, Thailand

Ibn Sina Academy of Medieval Medicine and Sciences,India

Instituto para el Desarrollo Humano, Bolivia

IT for Change, India


KEI Europe

La Ligue contre le Cancer, France

Mecanismo social de de control y apoyo en VIHinfo-icon –MSCAV, Colombia

Médecins du Monde France

Medicines, Information and Power, Colombia

MSF Access Campaign

OCU - Organización de Consumidores y Usuarios, Spain

People's Health Movement, Kenya

Pharmaceutical Accountability Foundation, the Netherlands

Prescrire, France

Public Eye, Switzerland

Society of Development and Care - SODECA

SOMO Centre for Research on Multinational Corporations

STOPAIDS, UKinfo-icon

Students for Global Health (SfGH-UKinfo-icon), UKinfo-icon

Sukaar welfare organization, Pakistan

T1 International

Test Aankoop/Test Achats, Belgium

Transnational Institute, The Netherlands

Transparency International Health Initiative

Treatment Action Group, USA

Tunisian association of Positive Prevention - ATP+

UFC-Que Choisir, France

Universities Allied for Essential Medicines, UAEM

Wemos Foundation, The Netherlands

Yolse, Santé Publique et Innovation, Switzerland


Supporting individuals :

Ellen ‘t Hoen, LLM, PhD, Medicines Law & Policy and Global Health Unit, University Medical Centre Groningen, The Netherlands

Brook K. Baker, Professor, Northeastern U. School of Law, Boston, USA

Dr. Claudia Marcela Vargas, Fundación IFARMA, Colombia

Graham Dutfield, Professor of International Governance, University of Leeds, UKinfo-icon

Oswaldo Adolfo Rada - Senderos A.M., Colombia

Dr J Kay Richmond FFPH, FRCGP, Cardiff, UKinfo-icon

Professor Yousuf Vawda, University of KwaZulu-Natal, South Africa

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