# Africa’s Critical Role in Shaping and Implementing the Pandemic Agreement’s PABS Annex in an Era of Fragmentation

**Authors:** Nelson Aghogho Evaborhene

PMC · DOI: 10.1186/s12992-026-01190-3 · Globalization and Health · 2026-03-14

## TL;DR

The paper discusses Africa's pivotal role in shaping the Pandemic Agreement's PABS annex to ensure equitable global pandemic preparedness.

## Contribution

It highlights Africa's unique leverage in negotiating enforceable pandemic response rules through scientific, regulatory, and diplomatic capacity.

## Key findings

- African countries have made early scientific contributions and built regulatory and manufacturing capacity.
- African negotiators are pushing for standardized contracts and traceability mechanisms in the PABS annex.
- Africa's institutional readiness positions it to co-design the operational architecture of the Pandemic Agreement.

## Abstract

The adoption of the World Health Organization Pandemic Agreement in May 2025 marked a political commitment to stronger global pandemic preparedness. Its credibility, however, depends on the successful negotiation and implementation of the Pathogen Access and Benefit Sharing annex under Article 12, to be finalized by April 2026. The COVID 19 pandemic exposed the failures of voluntary global health mechanisms, as African countries rapidly shared pathogen samples and sequence data yet faced severe delays in access to vaccines, diagnostics, and therapeutics. The PABS annex therefore represents the core test of whether the Agreement can move beyond symbolic equity toward enforceable obligations. This commentary argues that African countries enter the PABS negotiations with an unusual convergence of leverage: early scientific contributions, expanding regulatory and manufacturing capacity, and coordinated diplomacy through the African Union and Africa CDC. In a fragmented multilateral environment dominated by high income state interests, the central challenge is not recognition but conversion of capacity into binding rules. African negotiators have responded by pushing for standardized contracts, traceability of pathogen materials and sequence information, and compliance mechanisms that condition access on enforceable benefit sharing. Drawing on Africa’s institutional readiness, the paper contends that the continent is positioned not merely to influence the PABS annex, but to co-design its operational architecture. Whether this potential is realized will determine if the Pandemic Agreement corrects past inequities or reproduces them under a new legal form.

## Linked entities

- **Diseases:** COVID 19 (MONDO:0100096)

## Full-text entities

- **Diseases:** COVID 19 (MESH:D000086382), PABS (MESH:D012753), Infectious Diseases (MESH:D003141), Ebola (MESH:D019142), Influenza (MESH:D007251)
- **Species:** Severe acute respiratory syndrome coronavirus 2 (no rank) [taxon 2697049]

## Full text

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## References

18 references — full list in the complete paper: https://tomesphere.com/paper/PMC12989124/full.md

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Source: https://tomesphere.com/paper/PMC12989124