Pluralist Accountability in Global Health Governance
Pluralist Accountability in Global Health Governance
The Role of Public–Private Partnerships in Immunization and Vaccine Development
This chapter analyzes the conditions for pluralist accountability regarding public–private health partnerships in the areas of vaccination and vaccine development in India. While in many other fields global governance is still characterized by formal delegation relationships with international organizations as the mandating authorities, global health governance has become very fragmented and consists of primarily informal governance structures. This case study reveals the limitations of pluralist accountability in complex global governance: it demonstrates how the evolution of pluralist accountability was inhibited by both a politicized environment that does not incentivize the exercise of accountability and a moral dilemma situation in which actors adopted a strong counter-norm to render themselves invulnerable against human rights demands. The core question concerning what implementing actors should be held accountable for remains disputed, which thus makes a pluralist accountability relationship impossible.
Keywords: public–private partnerships, global health governance, accountability, vaccination, vaccine development, clinical trials, informed consent, adverse events following immunization, India
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