Reports & Publications

The IHRP has produced two publications: the Policy Report (The Right to Health Sovereignty) and the Policy Brief, providing reform pathways for policymakers.

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Policy Brief
Reform Framework

Policy Brief

The International Health Reform Project (IHRP) was formed in response to a growing crisis of confidence in international public health governance. The project identifies structural and ethical problems within the WHO and broader global health architecture that predate COVID-19, including mission creep, centralisation of authority, dependence on earmarked funding, preference for technological interventions, treaty-based rigidity, and weak accountability.

The Right to Health Sovereignty: Policy Report
Reform Pathways

The Right to Health Sovereignty: Policy Report

This document presents a comprehensive examination of global health governance structures, focusing on the World Health Organization (WHO) and international health regulations. It critically analyzes recent developments in pandemic preparedness frameworks, including the 2024 amendments to the International Health Regulations (IHR) and proposed pandemic treaty negotiations. The analysis highlights concerns about institutional overreach, lack of transparency, conflicts of interest, and misalignment between global health priorities and actual disease burdens, particularly in low- and middle-income countries.

The Right to Health Sovereignty: Technical Report
Reform Pathways

The Right to Health Sovereignty: Technical Report

This document examines fundamental structural problems within the World Health Organization (WHO) that have undermined effective pandemic preparedness and response. It identifies key deficiencies including conflicts of interest, inadequate funding mechanisms, the abandonment of evidence-based policymaking, and the prioritization of pharmaceutical interventions over broader public health measures. The analysis demonstrates how these systemic issues contributed to failures during the COVID-19 pandemic and other recent health crises.

Policy Analysis

The Pandemic Agreement at an Impasse

This report examines the repeated failure to conclude negotiations on the WHO Pandemic Agreement, identifying deeper structural tensions rather than temporary diplomatic failures. The central unresolved issue—Pathogen Access and Benefit Sharing (PABS)—has become a focal point for wider disagreements concerning sovereignty, reciprocity, proportionality, and the future direction of global health governance. Countries are being asked to undertake increasingly concrete commitments involving pathogen sharing, genomic sequencing, surveillance expansion, regulatory alignment, and preparedness financing, while promised benefits remain uncertain in timing, enforceability, affordability, and distribution.