Shaping global health security through multilateral leadership: A qualitative analysis of Indonesia’s G20 Presidency in 2022
DOI:
https://doi.org/10.29238/sanitasi.v19i1.3120Keywords:
global health security, global health governance, multilateralism, G20 , Indonesia, pandemic preparednessAbstract
Global health security has become a central issue in international governance due to recurrent pandemics and transnational health threats, while the role of multilateral forums such as the Group of Twenty (G20) in reforming global health architecture remains contested. This study aims to examine how Indonesia leveraged its 2022 G20 presidency to shape global health security and contribute to the reform of global health architecture. Using a qualitative research design, this study employed thematic analysis of primary and secondary data. Primary data were obtained from expert interviews and participatory observation related to G20 health processes, while secondary data consisted of official G20 documents, policy reports, and peer-reviewed literature. The data were analysed inductively to identify key themes. The findings show that the G20 serves as a strategic agenda-setting platform for global health security because of its economic and political influence. However, the current global health multilateral system remains fragmented, under-resourced, and weakly coordinated. Indonesia’s presidency promoted strategic initiatives, including strengthening the World Health Organization’s leadership, advancing pandemic preparedness financing, promoting universal health coverage, and addressing health inequities. The study concludes that middle-income countries can shape global health security through sustained multilateral engagement, institutional coordination, and alignment between global commitments and national implementation.
References
Akenroye, T. O., Abubakre, A., Elbaz, J., Vishnu, C. R., Beka Be Nguema, J.-N., Rana, G., Ihua, U. B., Kalili, H., & Falode, O. (2022). Modeling the barriers to multistakeholder collaboration for COVID-19 pandemic response: Evidence from Sub-Saharan Africa. International Public Management Journal, 25(2), 192–216. https://doi.org/10.1080/10967494.2021.1970061
APEC. (2025). Health working group. Asia Pacific Economic Cooperation. https://www.apec.org/what-we-do/som-steering-committee-on-economic-and-technical-cooperation/health/overview--health-working-group
Baum, F., Freeman, T., Musolino, C., Abramovitz, M., De Ceukelaire, W., Flavel, J., Friel, S., Giugliani, C., Howden-Chapman, P., Huong, N. T., London, L., McKee, M., Popay, J., Serag, H., & Villar, E. (2021). Explaining covid-19 performance: what factors might predict national responses? BMJ, n91. https://doi.org/10.1136/bmj.n91
Bengtsson, L., & Rhinard, M. (2019). Securitisation across borders: the case of ‘health security’ cooperation in the European Union. West European Politics, 42(2), 346–368. https://doi.org/10.1080/01402382.2018.1510198
Cicero, A., Meyer, D., Shearer, M. P., AbuBakar, S., Bernard, K., Carus, W. S., Chong, C. K., Fischer, J., Hynes, N., Inglesby, T., Kwa, C. G., Makalinao, I., Pangestu, T., Sitompul, R., Soebandrio, A., Sudarmono, P., Tjen, D., Wibulpolprasert, S., & Yunus, Z. (2019). Southeast Asia strategic multilateral dialogue on biosecurity. Emerging Infectious Diseases, 25(5). https://doi.org/10.3201/eid2505.181659
Cooper, A. F. (2013). The G8/G20 and global health governance: Extended fragmentation or a new hub of coordination. In Global Health Diplomacy (pp. 243–252). Springer New York. https://doi.org/10.1007/978-1-4614-5401-4_17
CSIS Commission on Strengthening America’s Health Security. (2019). Harnessing multilateral financing for health security preparedness. CSIS. https://www.csis.org/analysis/harnessing-multilateral-financing-health-security-preparedness
Cucinotta, D., & Vanelli, M. (2020). WHO Declares COVID-19 a Pandemic. In Acta bio-medica : Atenei Parmensis (Vol. 91, Issue 1, pp. 157–160). https://doi.org/10.23750/abm.v91i1.9397
Fidler, D. P. (2010). The challenges of global health governance. Council on Foreign Relations. https://www.cfr.org/reports/challenges-global-health-governance
Frenk, J., & Moon, S. (2013). Governance challenges in global health. New England Journal of Medicine, 368(10), 936–942. https://doi.org/10.1056/NEJMra1109339
Gostin, L. O. (2015). The politics of global health security. The Lancet, 386(10009), 2134–2135. https://doi.org/10.1016/S0140-6736(15)01059-4
Guest, J. L., del Rio, C., & Sanchez, T. (2020). The three steps needed to end the COVID-19 Pandemic: Bold public health leadership, rapid innovations, and courageous political will. JMIR Public Health and Surveillance, 6(2), e19043. https://doi.org/10.2196/19043
Hernando, R. C., & Andre, E. A. S. (n.d.). APEC in the epicentre of COVID-19 (31). https://www.apec.org/Publications/2020/04/APEC-in-the-Epicentre-of-COVID-19
Huneycutt, B., Lurie, N., Rotenberg, S., Wilder, R., & Hatchett, R. (2020). Finding equipoise: CEPI revises its equitable access policy. Vaccine, 38(9), 2144–2148. https://doi.org/10.1016/j.vaccine.2019.12.055
Jain, V., Duse, A., & Bausch, D. G. (2018). Planning for large epidemics and pandemics: challenges from a policy perspective. Current Opinion in Infectious Diseases, 31(4), 316–324. https://doi.org/10.1097/QCO.0000000000000462
Knopf, A. (2020). What does $8 billion for coronavirus say about opioid funding? Alcoholism & Drug Abuse Weekly, 32(11), 5–6. https://doi.org/10.1002/adaw.32658
Ministry for Economic Affairs Republic of Indonesia. (2022). Determination of working group membership, meeting schedule and priority agenda, supporting the success of the G20 Presidency Series. https://www.ekon.go.id/publikasi/detail/4114/determination-of-working-group-membership-meeting-schedule-and-priority-agenda-supporting-the-success-of-the-g20-presidency-series
Murdoch, D., Addidle, M., Andersson, H.-S., Arnold, B., Balm, M., Benschop, J., Betty, B., Birch, M., Bloomfield, M., Brunton, C., Burns, A., Chambers, S., Cook, L., Dalton, S., Duncan, H., Elvy, J., Everts, R., Freeman, J., French, N., … Wiles, S. (2020). Politicians: please work together to minimise the spread of COVID-19. The New Zealand Medical Journal, 133(1511), 7–8.
OECD. (2011). Cannes - Organisation for Economic Cooperation and Development. Organisation for Economic Cooperation and Development. https://www.oecd.org/g20/summits/cannes/
OECD. (2014). Brisbane - Organisation for Economic Cooperation and Development. Organisation for Economic Cooperation and Development. https://www.oecd.org/g20/summits/brisbane/
OECD. (2015). Antalya - Organisation for Economic Cooperation and Development. Organisation for Economic Cooperation and Development. https://www.oecd.org/g20/summits/antalya/
OECD. (2020). Publications & documents. Organisation for Economic Cooperation and Development. https://www.oecd.org/g20/summits/riyadh/publicationsdocuments/
Ooms, G., Ottersen, T., Jahn, A., & Agyepong, I. A. (2018). Addressing the fragmentation of global health: the Lancet Commission on synergies between universal health coverage, health security, and health promotion. The Lancet, 392(10153), 1098–1099. https://doi.org/10.1016/S0140-6736(18)32072-5
Organisation for Economic Co-operation and Development. (2025). OECD and G20. In OECD. Organisation for Economic Co-operation and Development. https://www.oecd.org/en/about/oecd-and-g20.html
Shen, K., Yang, Y., Wang, T., Zhao, D., Jiang, Y., Jin, R., Zheng, Y., Xu, B., Xie, Z., Lin, L., Shang, Y., Lu, X., Shu, S., Bai, Y., Deng, J., Lu, M., Ye, L., Wang, X., Wang, Y., & Gao, L. (2020). Diagnosis, treatment, and prevention of 2019 novel coronavirus infection in children: experts’ consensus statement. World Journal of Pediatrics, 16(3), 223–231. https://doi.org/10.1007/s12519-020-00343-7
The White House. (2022). G20 Bali Leaders’ Declaration. https://utvarpsaga.is/wp-content/uploads/2022/11/G20-Bali-Leaders-Declaration-The-White-House.pdf
UNESCO. (2023). G20: Recover together, recover stronger through education. UNESCO. https://www.unesco.org/sdg4education2030/en/knowledge-hub/g20-recover-together-recover-stronger-through-education
Wenham, C., Katz, R., Birungi, C., Boden, L., Eccleston-Turner, M., Gostin, L., Guinto, R., Hellowell, M., Onarheim, K. H., Hutton, J., Kapilashrami, A., Mendenhall, E., Phelan, A., Tichenor, M., & Sridhar, D. (2019). Global health security and universal health coverage: from a marriage of convenience to a strategic, effective partnership. BMJ Global Health, 4(1), e001145. https://doi.org/10.1136/bmjgh-2018-001145
WHO. (2022). WHO Director-General’s remarks at G20 Health Ministers Meeting – 20 June 2022. World Health Organization.
World Economic Forum. (2025). What is the G20 and why does it matter? World Economic Forum. https://www.weforum.org/stories/global-cooperation/g20-summit-what-you-need-to-know/
Worsley-Tonks, K. E. L., Bender, J. B., Deem, S. L., Ferguson, A. W., Fèvre, E. M., Martins, D. J., Muloi, D. M., Murray, S., Mutinda, M., Ogada, D., Omondi, G. P., Prasad, S., Wild, H., Zimmerman, D. M., & Hassell, J. M. (2022). Strengthening global health security by improving disease surveillance in remote rural areas of low-income and middle-income countries. The Lancet Global Health, 10(4), e579–e584. https://doi.org/10.1016/S2214-109X(22)00031-6
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