This paper examines how clinical trial insurance has evolved into a significant bureaucratic barrier to multi country academic trials, particularly in LMICs, and shows how insurance driven delays constrained trial activation during the COVID 19 pandemic.

This paper examines how political imperatives have historically influenced international scientific collaboration by analysing China’s engagement with epidemiological data sharing and its evolving relationship with the World Health Organization (WHO) between 1949 and (China 1979).

Abecassis, P., et al (2019) DNDi, a distinctive illustration of commons in the area of public health. AFD Research Papers Series, (2019-93). Asgary, R. and…

A commentary on how the 2025 DHS suspension exposed fragile donor‑dependent health data systems and highlighted the need for stronger, standardised national and community‑led approaches, supported by international collaboration in future health surveillance.