Health Equity in Global Governance: growing recognition in need of concrete actions
By Carlos M. Correa
Health equity is a foundational principle of global health governance that should ensure all individuals have fair and just opportunities to achieve optimal health, regardless of social, economic, or geographical disparities. The right to health is recognized as a fundamental human right in Article 12 of the International Covenant on Economic, Social and Cultural Rights (ICESCR). This document explores the concept of health equity drawing on United Nations General Assembly (UNGA) resolutions and key instruments from the World Health Organization (WHO). It discusses the challenges and opportunities for developing countries in pursuing equitable health outcomes, including advancing sexual and reproductive health and rights.
Experiences and Challenges Faced by Sri Lanka in Implementing the Highest Attainable Standard of Health, Including Health Equity and Sexual and Reproductive Health and Rights
By Janani Sivapakthan
Sri Lanka’s long-standing commitment to free and equitable healthcare with a focus on primary healthcare has yielded impressive achievements in health equity, maternal and child health, disease elimination, and sexual and reproductive health and rights. However, Sri Lanka faces challenges in upholding health equity in the context of escalating domestic and global pressures. Safeguarding the highest attainable standard of health for all Sri Lankans requires addressing underinvestment, workforce migration, uneven service distribution, and the emerging burden of non-communicable diseases in a context of economic constraint.
Promoting Health Equity and Reproductive Rights in Angola
By Sandra Benge Neto
This article examines Angola´s progress in rebuilding its health system in the post conflict era, focusing on health equity and the promotion of Sexual and Reproductive Health and Rights (SRHR) in alignment with the Protocol to the African Charter on Human and Peoples’ Rights on the Rights of Women in Africa (Maputo Protocol) and international human rights commitments.
Despite significant advances – such as the expansion of primary healthcare, municipalization of services, and youth–friendly centres – Angola continues to face challenges including geographic disparities, sociocultural barriers to contraception, insufficient funding, and limited data systems. Drawing from national initiatives and community based experiences, this article highlights best practices and strategic recommendations to accelerate Angola´s implementation of the Maputo Protocol and achieve universal, gender–responsive health coverage.
Brazil’s challenges in implementing the highest attainable standard in Sexual and Reproductive Health and Rights
By Camila C. Gasparro
This paper examines Brazil’s efforts to improve women’s Sexual and Reproductive Health and Rights. Brazil is making progress through the Ministry of Health and collaborative engagement with social movements. However, persistent structural barriers continue to disproportionately undermine women’s sexual and reproductive rights, particularly among Black, Indigenous, and vulnerable populations.
South Centre Supports Civil Society and Research Institutions in the Global South to Raise Awareness of Antimicrobial Resistance during World Antimicrobial Resistance Awareness Week 2025
by Viviana Munoz Tellez, Ningxiner Li
The South Centre supported multiple civil society institutions across the Global South to implement targeted awareness raising campaigns on antimicrobial resistance (AMR) and commemorate the World Antimicrobial Resistance Awareness Week (WAAW) 2025, with funding provided by the United Kingdom Fleming Fund. The selection of campaigns was prioritized based on the quality of the proposals and their implementation in South Centre Member Countries.
The US Bilateral Specimen Sharing Agreement in the Proposed PEPFAR MOUs Would Leave African Countries More Vulnerable in the Next Pandemic
By Nirmalya Syam, Viviana Munoz Tellez
This Policy Brief examines the implications of the United States’ (US) PEPFAR Memorandum of Understanding (PEPFAR MOU) proposed to African countries on the negotiations for a multilateral system for access to pathogens and benefit sharing (PABS) as part of the World Health Organization’s (WHO) Pandemic Agreement. It recommends that African countries do not accept the MOU provisions on specimen sharing and data access that undermine national sovereignty and calls for a coordinated regional response.
The South Centre has made a submission to the Intergovernmental Negotiating Committee of the United Nations Framework Convention on International Tax Cooperation on the draft Framework Convention’s commitments, and Dispute Prevention and Resolution protocol.
The contribution addresses the priorities and perspectives of developing countries in promoting inclusiveness, fair allocation of taxing rights, stronger transparency standards, and effective and accessible dispute prevention and resolution mechanisms.
Independent Panel on Evidence for Action against Antimicrobial Resistance (IPEA): Reflections on the Foundational Documents
By Dr. Viviana Munoz Tellez
The United Nations General Assembly (UNGA) invited the Quadripartite Organizations to establish an Independent Panel on Evidence for Action against Antimicrobial Resistance (IPEA) in 2025. The launch of the IPEA is planned for 10 December 2025 during the United Nations Environment Assembly (UNEA). The Quadripartite organizations (the Food and Agriculture Organization (FAO), the United Nations Environment Programme (UNEP), the World Health Organization (WHO) and the World Organisation for Animal Health (WOAH)) released in November 2025 updated draft documents for the IPEA for additional consultation with Member States and stakeholders. The IPEA will constitute a welcome addition to global Antimicrobial Resistance (AMR) governance, and should be established, starting small and building gradually. Several concerns on the proposed model remain concerning the governance structure, equity in participation, and the independence of the panel. This policy brief provides analysis and recommendations on key issues concerning the draft foundational documents for the IPEA requiring attention.
WTO Reform: Reflections on Reform Week and Suggested Approaches for Breakout Groups
A Note Reviewing the Process and Reform Tracks in Advance of WTO Reform Week, 5 December 2025
By Vahini Naidu, Trade for Development Programme, South Centre
This note provides an assessment of the papers circulated by the WTO Reform Facilitator for Reform Week and highlights the structural gaps that limit their balance and practical value to move forward these discussions in a manner that takes the demands and interests of developing and least developed country Members into account. The current drafts reflect a narrow interpretation of the consultations, introduce elements that were not examined collectively and overlook mandated issues that continue to shape the functioning of the system. This note sets out the adjustments that Members may wish to propose to restore a development centred framing, make a clear distinction between descriptive reflections and new reform ideas, and ensure that any work proceeds in line with Ministerial instructions for a member driven, transparent and inclusive process. The aim is to place the discussion on a footing that reflects the full range of Member views and respects the mandates already agreed.
Africa Region + Egypt, Libya, Somalia, Sudan and Group for Equity Lead 80-Country Push for Fair Pathogen Access and Benefit Sharing System
At the start of IGWG4, in a remarkable show of unity by developing countries, the Africa Group (AG) and Group for Equity jointly made a statement representing 80 developing countries. This extraordinary demonstration of unity represents a powerful and inspiring moment in global health governance, as this unified bloc is championing equal footing for rapid access to pandemic materials and digital sequence information (DSI) on the one hand, and on the other hand, the ability to rapidly access vaccines, therapeutics, and diagnostics (VTDs), along with accelerated research, knowledge and technology sharing, needed to prevent and respond to pandemics.
Balancing the Global Copyright System in the Public Interest: An Analysis of the African Group’s Proposed Instrument on Limitations and Exceptions
South Centre and Centre on Knowledge Governance Working Paper, 1 December 2025
By Faith O. Majekolagbe
The establishment of an international instrument on copyright limitations and exceptions (L&Es) is essential to achieve an appropriate balance between exclusive rights and the overarching public interest in access to copyrighted works and related subject matter. Current international copyright instruments, including the Marrakesh Treaty to Facilitate Access to Published Works for Persons who are Blind, Visually Impaired or Otherwise Print Disabled, fail to adequately address L&Es for education, research, equitable access for persons with disabilities, and the operations of educational, research, and cultural heritage institutions such as libraries, archives, and museums. The proposed instrument on L&Es by the African Group seeks to establish mandatory minimum L&Es to support education, research, and access to information within the international copyright system, thereby promoting global harmonization and ensuring that copyright law supports, not impedes, development objectives and compliance with human rights obligations. This working paper offers a thorough analysis of the proposed instrument, examining its substantive provisions and potential benefits.
Input to the Expert Mechanism on the Right to Development
Study on Artificial Intelligence, Cultural Rights, and the Right to Development
South Centre
November 2025
The South Centre submitted an input to the Expert Mechanism on the Right to Development regarding the study on “Artificial Intelligence, Cultural Rights, and the Right to Development.”
As Artificial Intelligence (AI) rapidly evolves, it presents a complex challenge for the international community. While AI holds the potential to advance human progress, unregulated deployment threatens to exacerbate existing global disparities and endanger the realisation of the Right to Development (RtD).
Key Policy Highlights from the Submission:
Addressing the AI Divide: Low and Middle-Income Countries (LMICs) face significant gaps in digital infrastructure and access to quality local datasets. To prevent the widening of global inequalities, governance frameworks must mandate technology transfer and capacity building without imposing restrictive intellectual property barriers.
Protecting Cultural Sovereignty: The mass accumulation of data by Generative AI models risks replicating historical patterns of “digital extractivism”. There is a need to increase transparency in training data protocols to prevent the misappropriation of traditional knowledge and cultural heritage.
Beyond Self-Regulation: Voluntary measures by the private sector lack essential mechanisms for external accountability and redress. A pragmatic regulatory approach is necessary: a legally binding global baseline for human rights accountability, complemented by flexible domestic regulations that preserve national policy space for local innovation.
To ensure AI serves humanity, the international community must move toward a governance model that guarantees global fairness, upholds human rights, and prevents market monopolisation by a few corporations.
