[Comment] Mobilising national and regional assets and non-state actors for pandemic preparedness

The global health landscape stands at a critical inflection point. Multilateral organisations, including WHO, Gavi, the Vaccine Alliance, The Global Fund to Fight AIDS, Tuberculosis and Malaria, and the World Bank, have been the central leadership structures in global health security, largely supported financially by a small number of wealthy governments and philanthropists. These organisations have overseen strategic direction and set priorities through their funding, with much success. However, traditional centralised governance has limited agility and there are challenges regarding equity in decision making and resource distribution.