Area of Research
Jillian Clare Kohler's research focuses on global access to essential medicines. More specifically, she focuses her research on issues that are linked to anti-corruption, transparency and accountability in the pharmaceutical sector, as well as those related to trade issues and intellectual property rights.
In addition to her role as professor and cross-appointments at the Dalla Lana School of Public Health and the Munk School of Global Affairs and Public Policy, she is the Director of the WHO Collaborating Centre for Governance, Transparency and Accountability in the Pharmaceutical Sector.
Corruption as defined by Transparency International is “the misuse of entrusted power for private gain.” Corruption is complex, nuanced and multifaceted, and it undercuts equity because it typically benefits those who hold some degree of power at the expense of the public good. Corruption is found throughout the health system; from petty corruption at the health facility level to corruption that takes place at the highest level of the state. It can create barriers to access to medicines and to health services, particularly for the most vulnerable and marginalized populations.
Unless corruption in health and pharmaceutical systems is addressed, comprehensively and practically, there is very little chance for the achievement of, not only lofty global health goals, such as Sustainable Development Goal #3: Good Health and Well-Being (Sustainable Development Goals Knowledge Platform) but those expressed in national public health policies. Research is needed in order to identify the how, why and what of corruption in the health and pharmaceutical systems in an effort to stop exploitation of the poor and vulnerable from the powerful. And while research may not illuminate the full story of how corruption is taking place and detail the granularity of its impact, even exploratory research is absolutely fundamental to grasping what anti-corruption, transparency and accountability strategies and tactics can best reduce the risk of corruption in health and pharmaceutical systems.
Impact To Date
Kohler is a recognized global expert on anti-corruption, transparency and accountability in the pharmaceutical system. She has worked with the WHO, the UNDP and the Global Fund in their efforts to advance more research, policy and practice on anti-corruption in the health and pharmaceutical systems. She pioneered the methodology on good governance in the pharmaceutical system for the World Bank, which was subsequently adopted by the WHO and has been applied in over 38 countries globally. Kohler is a technical advisor for the Access to Medicines Index and was an advisor to the now-concluded WHO Good Governance for Medicines Programme.
Awards and Accomplishments
- Inaugural founder and Director of the WHO Collaborating Centre for Governance, Transparency and Accountability in the Pharmaceutical Sector
- Technical advisor to the Access to Medicines Index and the former WHO Good Governance for Medicines Programme
- Peter and Patricia Gruber Fellowship in Global Justice at Yale University in 2013
- Canadian Women in Global Health 2018
- Hafner, T., Banda, M., Kohler, J. et al. Integrating pharmaceutical systems strengthening in the current global health scenario: three ‘uncomfortable truths’. J of Pharm Policy and Pract 13, 38 (2020). https://doi.org/10.1186/s40545-020-00242-2
- Kohler, J.C., Mackey, T.K. Why the COVID-19 pandemic should be a call for action to advance equitable access to medicines. BMC Med 18, 193 (2020). https://doi.org/10.1186/s12916-020-01661-3
- Jillian Clare Kohler & Deirdre Dimancesco (2020) The risk of corruption in public pharmaceutical procurement: how anti-corruption, transparency and accountability measures may reduce this risk, Global Health Action, 13:sup1, DOI: 10.1080/16549716.2019.1694745
McLean M, Kohler JC, Edwards D. Assessing national governance of medicine promotion: an exploratory study in Ghana to trial a structured set of indicators. J Pharm Policy Pract. 2019;12:26. Published 2019 Sep 4doi:10.1186/s40545-019-0187-9
- Jillian Clare Kohler. “I Know It When I See It: The Challenges of Addressing Corruption in Health Systems; Comment on “We Need to Talk About Corruption in Health Systems””. International Journal of Health Policy and Management. (2019), 8(9), 563–566 http://www.ijhpm.com/article_3643_b990f405cca89ba767be6d067a03b7d2.pdf
- Jillian Clare Kohler, Tomas Chang Pico, Taryn Vian, Tim K. Mackey. “The Global Wicked Problem of Corruption and Its Risks for Access to HIV/AIDS Medicines”. Clinical Pharmacology & Therapeutics 104(6) August 2018. https://ascpt.onlinelibrary.wiley.com/doi/full/10.1002/cpt.1172
- Anne Paschke, Deirdre Dimancesco, Taryn Vian, Jillian C Kohler & Gilles Forte. “Increasing transparency and accountability in national pharmaceutical systems”. Bulletin of the World Health Organization. 2018;96(11):782-791 http://dx.doi.org/10.2471/BLT.17.206516https://www.who.int/bulletin/volumes/96/11/en/
- Tim K Mackey, Taryn Vian & Jillian Kohler. “The sustainable development goals as a framework to combat health-sector corruption”. Bulletin of the World Health Organization 2018;96:634–643. http://dx.doi.org/10.2471/BLT.18.209502
- Mackey TK, Kohler JC, Lewis M, Vian T. “Combating corruption in global health”. Science Translational Medicine. Aug 9, 2017 http://stm.sciencemag.org/content/9/402/eaaf9547
- Thorsteinsdóttir H, Ovtcharenko N, Kohler JC. “Corporate social responsibility to improve access to medicines: the case of Brazil”. Globalization and Health 2017 13:10; DOI: 10.1186/s12992-017-0235-7https://globalizationandhealth.biomedcentral.com/articles/10.1186/s12992-017-0235-7
- Kohler JC, Mackey TK, Ovtcharenko N. “Why the MDGs need good governance in pharmaceutical systems to promote global health”. Kohler et al. BMC Public Health. 2014, 14:63http://www.biomedcentral.com/content/pdf/1471-2458-14-63.pdf
Keywords: governance, transparency, accountability, intellectual property rights, pharmaceutical policy, corruption, health systems, national pharmaceutical systems