{"id":24462,"date":"2025-08-01T07:27:55","date_gmt":"2025-08-01T05:27:55","guid":{"rendered":"https:\/\/makingpharmaindustry.it\/non-categorizzato\/leuropa-della-salute-globale-tra-grandi-promesse-e-rischi-di-ambizione-eccessiva\/"},"modified":"2025-08-01T12:01:39","modified_gmt":"2025-08-01T10:01:39","slug":"leuropa-della-salute-globale-tra-grandi-promesse-e-rischi-di-ambizione-eccessiva","status":"publish","type":"post","link":"https:\/\/makingpharmaindustry.it\/en\/sanita-en\/leuropa-della-salute-globale-tra-grandi-promesse-e-rischi-di-ambizione-eccessiva\/","title":{"rendered":"Europe and Global Health: between bold promises and the risk of overreach"},"content":{"rendered":"<p data-start=\"1410\" data-end=\"1835\">In 2022, the European Commission launched a new Global Health Strategy \u2014 a visionary document that, for the first time, integrates health into the Union\u2019s foreign policy, making it a <strong data-start=\"183\" data-end=\"205\">geopolitical lever<\/strong> to promote stability, development, and multilateral cooperation. The strategy \u2014 aptly titled <strong data-start=\"299\" data-end=\"346\">&#8220;Better Health for All in a Changing World&#8221;<\/strong> \u2014 was shaped in the shadow of the pandemic, but its outlook reaches far beyond emergency response.<\/p>\n<p data-start=\"0\" data-end=\"53\">The <strong data-start=\"0\" data-end=\"53\">first monitoring report<\/strong>, published in July 2025, <a href=\"https:\/\/makingpharmaindustry.it\/wp-content\/uploads\/2025\/07\/international_com2025-392_act_en.pdf\" target=\"_blank\" rel=\"noopener\"><strong data-start=\"79\" data-end=\"95\">COM(2025)392<\/strong><\/a>, provides an updated picture of the EU Global Health Strategy\u2019s implementation. Though <strong>technical in nature, the report carries significant political weight<\/strong>, offering valuable insights into where Europe is truly making a difference \u2014 and where it continues to chase ambitions not always backed by adequate resources and structures.<\/p>\n<p style=\"text-align: center;\" data-start=\"1837\" data-end=\"2226\"><a href=\"https:\/\/makingpharmaindustry.it\/wp-content\/uploads\/2025\/07\/international_com2025-392_act_en.pdf\" target=\"_blank\" rel=\"noopener\"><span class=\"td_btn td_btn_md td_round_btn\">Download the report<\/span><\/a><\/p>\n<h2 data-start=\"0\" data-end=\"31\">The pillars of the strategy<\/h2>\n<p data-start=\"33\" data-end=\"97\">The EU\u2019s strategic vision is built around three main priorities:<\/p>\n<ul>\n<li data-start=\"101\" data-end=\"166\"><strong data-start=\"101\" data-end=\"136\">Improving health and well-being<\/strong> for people around the world<\/li>\n<li data-start=\"169\" data-end=\"253\"><strong data-start=\"169\" data-end=\"201\">Strengthening health systems<\/strong> and achieving <strong data-start=\"216\" data-end=\"251\">universal health coverage (UHC)<\/strong><\/li>\n<li data-start=\"256\" data-end=\"355\"><strong data-start=\"256\" data-end=\"307\">Preventing and addressing global health threats<\/strong>, including pandemic preparedness and response<\/li>\n<\/ul>\n<p data-start=\"357\" data-end=\"557\" data-is-last-node=\"\" data-is-only-node=\"\">These priorities are supported by <strong data-start=\"391\" data-end=\"416\">20 guiding principles<\/strong>, including the <strong data-start=\"432\" data-end=\"446\">One Health<\/strong> approach, <strong data-start=\"457\" data-end=\"474\">health equity<\/strong>, <strong data-start=\"476\" data-end=\"492\">human rights<\/strong>, <strong data-start=\"494\" data-end=\"510\">open science<\/strong>, and <strong data-start=\"516\" data-end=\"544\">multilateral cooperation<\/strong> (see table).<\/p>\n<p data-start=\"2606\" data-end=\"2785\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-24472 size-large\" src=\"https:\/\/makingpharmaindustry.it\/wp-content\/uploads\/2025\/08\/principi-strategie-EU-SALUTE-1-1024x683.png\" alt=\"\" width=\"696\" height=\"464\" srcset=\"https:\/\/makingpharmaindustry.it\/wp-content\/uploads\/2025\/08\/principi-strategie-EU-SALUTE-1-1024x683.png 1024w, https:\/\/makingpharmaindustry.it\/wp-content\/uploads\/2025\/08\/principi-strategie-EU-SALUTE-1-300x200.png 300w, https:\/\/makingpharmaindustry.it\/wp-content\/uploads\/2025\/08\/principi-strategie-EU-SALUTE-1-768x512.png 768w, https:\/\/makingpharmaindustry.it\/wp-content\/uploads\/2025\/08\/principi-strategie-EU-SALUTE-1-630x420.png 630w, https:\/\/makingpharmaindustry.it\/wp-content\/uploads\/2025\/08\/principi-strategie-EU-SALUTE-1-150x100.png 150w, https:\/\/makingpharmaindustry.it\/wp-content\/uploads\/2025\/08\/principi-strategie-EU-SALUTE-1-696x464.png 696w, https:\/\/makingpharmaindustry.it\/wp-content\/uploads\/2025\/08\/principi-strategie-EU-SALUTE-1-1068x712.png 1068w, https:\/\/makingpharmaindustry.it\/wp-content\/uploads\/2025\/08\/principi-strategie-EU-SALUTE-1.png 1200w\" sizes=\"auto, (max-width: 696px) 100vw, 696px\" \/><\/p>\n<h2 data-start=\"0\" data-end=\"32\">Tangible progress achieved<\/h2>\n<p data-start=\"34\" data-end=\"99\">The report highlights key achievements from the 2023\u20132025 period:<\/p>\n<ul data-start=\"101\" data-end=\"875\">\n<li data-start=\"101\" data-end=\"316\">\n<p data-start=\"103\" data-end=\"316\"><strong data-start=\"103\" data-end=\"138\">Increased international funding<\/strong>: The EU has strengthened its contributions to the <strong data-start=\"189\" data-end=\"204\">Global Fund<\/strong>, <strong data-start=\"206\" data-end=\"214\">Gavi<\/strong>, <strong data-start=\"216\" data-end=\"233\" data-is-only-node=\"\">Pandemic Fund<\/strong>, <strong data-start=\"235\" data-end=\"259\">WHO Investment Round<\/strong>, and the <strong data-start=\"269\" data-end=\"315\">Global Polio Eradication Initiative (GPEI)<\/strong>.<\/p>\n<\/li>\n<li data-start=\"318\" data-end=\"502\">\n<p data-start=\"320\" data-end=\"502\"><strong data-start=\"320\" data-end=\"361\">Promotion of local vaccine production<\/strong>: Through the <strong data-start=\"375\" data-end=\"391\">MAV+ project<\/strong> and support for <strong data-start=\"408\" data-end=\"427\">BioNTech Africa<\/strong>, the EU has backed regional manufacturing capacity in low-income settings.<\/p>\n<\/li>\n<li data-start=\"504\" data-end=\"713\">\n<p data-start=\"506\" data-end=\"713\"><strong data-start=\"506\" data-end=\"544\">Strengthening of European agencies<\/strong>: With the development of <strong data-start=\"570\" data-end=\"578\">HERA<\/strong> (Health Emergency Preparedness and Response Authority), Europe now has a permanent mechanism in place to address future health crises.<\/p>\n<\/li>\n<li data-start=\"715\" data-end=\"875\">\n<p data-start=\"717\" data-end=\"875\"><strong data-start=\"717\" data-end=\"795\">Support for mental health, chronic diseases, and health workforce training<\/strong>: Delivered through programs such as <strong data-start=\"832\" data-end=\"856\">Global Health EDCTP3<\/strong> and <strong data-start=\"861\" data-end=\"874\">EU4Health<\/strong>.<\/p>\n<\/li>\n<\/ul>\n<p data-start=\"877\" data-end=\"975\" data-is-last-node=\"\" data-is-only-node=\"\">The following chart illustrates the growth in EU contributions to major global health initiatives:<\/p>\n<p data-start=\"3792\" data-end=\"3817\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-24465 size-large\" src=\"https:\/\/makingpharmaindustry.it\/wp-content\/uploads\/2025\/08\/output-1-1024x611.png\" alt=\"\" width=\"696\" height=\"415\" srcset=\"https:\/\/makingpharmaindustry.it\/wp-content\/uploads\/2025\/08\/output-1-1024x611.png 1024w, https:\/\/makingpharmaindustry.it\/wp-content\/uploads\/2025\/08\/output-1-300x179.png 300w, https:\/\/makingpharmaindustry.it\/wp-content\/uploads\/2025\/08\/output-1-768x458.png 768w, https:\/\/makingpharmaindustry.it\/wp-content\/uploads\/2025\/08\/output-1-1536x916.png 1536w, https:\/\/makingpharmaindustry.it\/wp-content\/uploads\/2025\/08\/output-1-704x420.png 704w, https:\/\/makingpharmaindustry.it\/wp-content\/uploads\/2025\/08\/output-1-150x89.png 150w, https:\/\/makingpharmaindustry.it\/wp-content\/uploads\/2025\/08\/output-1-696x415.png 696w, https:\/\/makingpharmaindustry.it\/wp-content\/uploads\/2025\/08\/output-1-1068x637.png 1068w, https:\/\/makingpharmaindustry.it\/wp-content\/uploads\/2025\/08\/output-1-1920x1145.png 1920w, https:\/\/makingpharmaindustry.it\/wp-content\/uploads\/2025\/08\/output-1.png 1979w\" sizes=\"auto, (max-width: 696px) 100vw, 696px\" \/><\/p>\n<h2 data-start=\"0\" data-end=\"46\">\u201cTeam Europe\u201d and \u201cHealth in All Policies\u201d<\/h2>\n<p data-start=\"48\" data-end=\"134\">Two key operational approaches define Europe\u2019s identity in the field of global health:<\/p>\n<ul>\n<li data-start=\"138\" data-end=\"335\"><strong data-start=\"138\" data-end=\"153\">Team Europe<\/strong>: A structured model of cooperation between the European Commission, Member States, development banks, and other actors, aimed at maximizing collective impact in partner countries.<\/li>\n<li data-start=\"338\" data-end=\"568\"><strong data-start=\"338\" data-end=\"364\">Health in All Policies<\/strong>: A principle that views health not as the sole responsibility of health ministries, but as a priority to be integrated across all public policies \u2014 including environment, trade, security, and technology.<\/li>\n<\/ul>\n<p data-start=\"570\" data-end=\"756\" data-is-last-node=\"\" data-is-only-node=\"\">In 2024, a dedicated <strong data-start=\"591\" data-end=\"607\">Joint Action<\/strong> was launched under the <strong data-start=\"631\" data-end=\"644\">EU4Health<\/strong> program, involving 24 Member States to foster knowledge exchange, map priorities, and promote policy synergies.<\/p>\n<h2 data-start=\"0\" data-end=\"48\">A more engaged Europe in multilateral forums<\/h2>\n<p data-start=\"50\" data-end=\"128\">The strategy has made the European Commission more active on the global stage:<\/p>\n<ul>\n<li data-start=\"132\" data-end=\"272\">It has taken part in negotiations for the new <strong data-start=\"178\" data-end=\"204\">WHO Pandemic Agreement<\/strong> and the reform of the <strong data-start=\"227\" data-end=\"269\">International Health Regulations (IHR)<\/strong>.<\/li>\n<li data-start=\"275\" data-end=\"346\">It contributes over <strong data-start=\"295\" data-end=\"311\">\u20ac250 million<\/strong> to the <strong data-start=\"319\" data-end=\"343\">WHO Investment Round<\/strong>.<\/li>\n<li data-start=\"349\" data-end=\"462\">It leads the <strong data-start=\"362\" data-end=\"392\">Global Health Policy Forum<\/strong>, a platform for dialogue with NGOs, academia, and the private sector.<\/li>\n<\/ul>\n<p data-start=\"464\" data-end=\"598\" data-is-last-node=\"\" data-is-only-node=\"\">All of this strengthens the EU\u2019s position as a global actor \u2014 not only economically, but also in the fields of <strong data-start=\"575\" data-end=\"597\">health and science<\/strong>.<\/p>\n<article class=\"text-token-text-primary w-full focus:outline-none scroll-mt-(--header-height)\" dir=\"auto\" tabindex=\"-1\" data-testid=\"conversation-turn-31\" data-scroll-anchor=\"false\" data-turn=\"user\">\n<div class=\"text-base my-auto mx-auto pt-12 [--thread-content-margin:--spacing(4)] @[37rem]:[--thread-content-margin:--spacing(6)] @[72rem]:[--thread-content-margin:--spacing(16)] px-(--thread-content-margin)\">\n<div class=\"[--thread-content-max-width:32rem] @[34rem]:[--thread-content-max-width:40rem] @[64rem]:[--thread-content-max-width:48rem] mx-auto max-w-(--thread-content-max-width) flex-1 group\/turn-messages focus-visible:outline-hidden relative flex w-full min-w-0 flex-col\" tabindex=\"-1\">\n<div class=\"flex max-w-full flex-col grow\">\n<div class=\"min-h-8 text-message relative flex w-full flex-col items-end gap-2 text-start break-words whitespace-normal [.text-message+&amp;]:mt-5\" dir=\"auto\" data-message-author-role=\"user\" data-message-id=\"f4c7a076-a440-4d34-89f1-5c350962f9a7\">\n<div class=\"flex w-full flex-col gap-1 empty:hidden items-end rtl:items-start\">\n<div class=\"user-message-bubble-color relative max-w-[var(--user-chat-width,70%)] rounded-[18px] px-4 py-1.5 data-[multiline]:py-3\" data-multiline=\"\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/article>\n<article class=\"text-token-text-primary w-full focus:outline-none scroll-mt-[calc(var(--header-height)+min(200px,max(70px,20svh)))]\" dir=\"auto\" tabindex=\"-1\" data-testid=\"conversation-turn-32\" data-scroll-anchor=\"true\" data-turn=\"assistant\">\n<div class=\"text-base my-auto mx-auto pb-10 [--thread-content-margin:--spacing(4)] @[37rem]:[--thread-content-margin:--spacing(6)] @[72rem]:[--thread-content-margin:--spacing(16)] px-(--thread-content-margin)\">\n<div class=\"[--thread-content-max-width:32rem] @[34rem]:[--thread-content-max-width:40rem] @[64rem]:[--thread-content-max-width:48rem] mx-auto max-w-(--thread-content-max-width) flex-1 group\/turn-messages focus-visible:outline-hidden relative flex w-full min-w-0 flex-col agent-turn\" tabindex=\"-1\">\n<div class=\"flex max-w-full flex-col grow\">\n<div class=\"min-h-8 text-message relative flex w-full flex-col items-end gap-2 text-start break-words whitespace-normal [.text-message+&amp;]:mt-5\" dir=\"auto\" data-message-author-role=\"assistant\" data-message-id=\"ec41ba47-b475-4ac1-9ed2-311970ce93ba\" data-message-model-slug=\"gpt-4o\">\n<div class=\"flex w-full flex-col gap-1 empty:hidden first:pt-[3px]\">\n<div class=\"markdown prose dark:prose-invert w-full break-words dark\">\n<h2 data-start=\"0\" data-end=\"33\">The shadows behind the vision<\/h2>\n<p data-start=\"35\" data-end=\"84\">Despite progress, several critical issues remain:<\/p>\n<ol data-start=\"86\" data-end=\"1149\" data-is-last-node=\"\" data-is-only-node=\"\">\n<li data-start=\"86\" data-end=\"454\">\n<p data-start=\"89\" data-end=\"454\"><strong data-start=\"89\" data-end=\"117\">Financial Sustainability<\/strong><br data-start=\"117\" data-end=\"120\" \/>The pledged funds are significant but still tied to political cycles and fragile budgets. While the chart shows growth between 2022 and 2025, the real test will be maintaining these levels through 2030. The <strong data-start=\"327\" data-end=\"352\" data-is-only-node=\"\">Global Gateway target<\/strong> \u2014 mobilizing \u20ac300 billion by 2027 \u2014 is ambitious but lacks transparency in its operational structure.<\/p>\n<\/li>\n<li data-start=\"456\" data-end=\"773\">\n<p data-start=\"459\" data-end=\"773\"><strong data-start=\"459\" data-end=\"498\">Weak Intergovernmental Coordination<\/strong><br data-start=\"498\" data-end=\"501\" \/>The strategy can only succeed if cooperation between the Commission, Member States, and external partners is <strong data-start=\"610\" data-end=\"644\" data-is-only-node=\"\">operational, not merely formal<\/strong>. In many areas \u2014 from health workforce training to vaccine procurement \u2014 fragmentation persists, limiting overall effectiveness.<\/p>\n<\/li>\n<li data-start=\"775\" data-end=\"1149\" data-is-last-node=\"\">\n<p data-start=\"778\" data-end=\"1149\" data-is-last-node=\"\"><strong data-start=\"778\" data-end=\"809\">Monitoring and Transparency<\/strong><br data-start=\"809\" data-end=\"812\" \/>The 2025 report acknowledges the lack of a shared, reliable indicator system to measure real-world impact. Currently, monitoring is described as \u201cunder development\u201d \u2014 a euphemism that signals delays. Without transparent data, there is a risk that the strategy becomes more of a <strong data-start=\"1090\" data-end=\"1112\" data-is-only-node=\"\">narrative exercise<\/strong> than a tool for true accountability.<\/p>\n<\/li>\n<\/ol>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/article>\n<h2 data-start=\"6248\" data-end=\"6302\">Beyond Strategy: what kind of global health do we want?<\/h2>\n<p data-start=\"6304\" data-end=\"6688\">The real question is not just how much Europe invests, but <strong>how it defines its role in the world<\/strong>. Global health is not neutral \u2014 it is shaped by priorities, visions, and power dynamics. The EU advocates for a model of multilateral cooperation, but in a world marked by health nationalism and strategic regionalization, this approach must become <strong data-start=\"405\" data-end=\"449\">more impactful and less self-referential<\/strong>.<\/p>\n<h2 data-start=\"0\" data-end=\"15\">Conclusions<\/h2>\n<p data-start=\"17\" data-end=\"202\">The EU Global Health Strategy marks a step change from past approaches. It redefines health not merely as an expenditure, but as a strategic lever. Yet its effectiveness will depend on:<\/p>\n<ul>\n<li data-start=\"206\" data-end=\"247\"><strong>Clearer and more coordinated governance<\/strong><\/li>\n<li data-start=\"250\" data-end=\"281\"><strong>Stable, impact-driven funding<\/strong><\/li>\n<li data-start=\"284\" data-end=\"326\"><strong>Inclusive, transparent public monitoring<\/strong><\/li>\n<\/ul>\n<p data-start=\"328\" data-end=\"542\" data-is-last-node=\"\" data-is-only-node=\"\">The report <strong data-start=\"339\" data-end=\"355\">COM(2025)392<\/strong> is a valuable starting point \u2014 but it cannot be the final destination. Europe has shown the ambition to lead. Now it must prove it can do so with <strong data-start=\"502\" data-end=\"541\">rigour, realism, and responsibility<\/strong>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Report COM\u202f(2025)\u202f392 outlines several advances in the implementation of the EU Global Health Strategy: financial contributions to Gavi, the Global Fund, and the Pandemic Fund; strengthened European preparedness capacities; and enhanced policy synergies through \u201cHealth in All Policies\u201d and the Team Europe approach. However, concerns persist regarding sustainable financing, effective coordination among Member States, and the concrete assessment of impact.<\/p>\n","protected":false},"author":32,"featured_media":24456,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1101,1103],"tags":[],"class_list":{"0":"post-24462","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-highlights-en","8":"category-sanita-en"},"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.2 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Europa: primo report di monitoraggio della strategia sulla salute<\/title>\n<meta name=\"description\" content=\"Il primo report di monitoraggio, pubblicato a luglio 2025, fornisce un quadro aggiornato sull\u2019attuazione della strategia della salute dell&#039;EU\" \/>\n<meta name=\"robots\" content=\"index, follow, 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