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Asia Pacific perspectives on global health architecture reform

Nature Medicine (2026)Cite this article

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Designing a fit-for-purpose global health architecture requires regional coordination and global alignment.

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References

  1. Wong, B. L. H., Nordström, A., Piot, P. & Clark, H. BMJ Glob. Health 9, e015340 (2024).

    Article  PubMed  PubMed Central  Google Scholar 

  2. Ross, E. Think Global Health https://go.nature.com/4a4C6ws (25 September 2025).

  3. Wong, B. L. H. et al. Lancet 406, 129–130 (2025).

    Article  PubMed  Google Scholar 

  4. Ndembi, N. et al. Public Health Afr. 21, 15 (2024).

    Google Scholar 

  5. Amaya, A. B. & De Lombaerde, P. Global. Health 17, 1 (2021).

    Google Scholar 

  6. Rahman-Shepherd, A. et al. Lancet Glob. Health 13, 585–92 (2025).

    Article  Google Scholar 

  7. Okereke, E. Think Global Health https://go.nature.com/4qJHnQv (24 September 2025).

  8. OECD. https://doi.org/10.1787/8c530629-en (2025).

  9. Volz, U., Akhtar, S. & Dryden, A. ADBI Institute https://doi.org/10.56506/POVF3023 (2025).

    Article  Google Scholar 

  10. Ahsa, N. & Dayant, A. The Interpreter https://go.nature.com/49eVYxL (22 November 2024).

  11. World Bank Group. https://go.nature.com/4qhaqv7 (2023).

  12. Péron-Doise, M. iRiS https://go.nature.com/49xKjZT (29 January 2025)

  13. Tukuitonga, C., Shiu, R. N., Akauola, S. & Fried, C. Center for Asia-Pacific Resilience and Innovation https://go.nature.com/49cgP4H (2024).

  14. Mohamed, I., Haihuie, Y. & Ulziikhuu, U. Transparency International https://go.nature.com/44YUm8S (11 February 2025).

  15. Rajivan, A., Gampat, R., Sarangi, N. & Borsatti, E. UNDP Regional Centre for Asia Pacific https://go.nature.com/4qlb3nC (2009).

Download references

Acknowledgements

The views expressed in this paper are solely those of the authors and do not necessarily represent the views, decisions or policies of their institutions.

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Authors and Affiliations

  1. Saw Swee Hock School of Public Health, National University of Singapore, Singapore, Singapore

    Indira Dewi Kantiana, Aprajita Kaushik, Harvy Joy Liwanag, Yik Ying Teo, Jasper Tromp, Kiesha Prem & Afifah Rahman-Shepherd

  2. International Health Policy Program Foundation, Nonthaburi, Thailand

    Divya Lakhotia, Angkana Lekagul, Viroj Tangcharoensathien & Suwit Wibulpolprasert

  3. Asia Pacific Observatory on Health Systems and Policies, Manila, Philippines

    Nima Asgari-Jirhandeh

  4. Vanke School of Public Health, Tsinghua University, Beijing, China

    Margaret Chan & Kun Tang

  5. M. S. Swaminathan Research Foundation, Chennai, India

    Soumya Swaminathan

Authors
  1. Indira Dewi Kantiana
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  2. Aprajita Kaushik
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  8. Soumya Swaminathan
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  9. Kun Tang
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  11. Yik Ying Teo
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  14. Kiesha Prem
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  15. Afifah Rahman-Shepherd
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Corresponding author

Correspondence to Kiesha Prem.

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Competing interests

J.T. has received research support from AstraZeneca and consulting or speaker fees from Roche Diagnostics, owns a patent US-10702247-B2 unrelated to the present work, and has served as a consultant to the Asian Development Bank. All other authors declare no competing interests.

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Kantiana, I.D., Kaushik, A., Lakhotia, D. et al. Asia Pacific perspectives on global health architecture reform. Nat Med (2026). https://doi.org/10.1038/s41591-025-04180-x

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