Equity with Accountability in Pandemic Preparedness

Brownstone Institute · Oct 30, 2026

Equity with Accountability in Pandemic Preparedness

by Ramesh Thakur at Brownstone Institute

Before asking how power in global health should be rebalanced, reformers must confront a prior question: have existing policies and practices created a growing dependency on donor countries and international organisations? In many low-resourced countries, earmarked finance, externally selected priorities, imported program designs, a growing non-state and donor-dependent workforce, and donor reporting requirements have weakened the link between national choices and national accountability.

If that…