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The WHO Pandemic Agreement: 3 Years + 194 Countries = Marathon Negotiations

Written by RED BEAR | May 27, 2025 1:56:25 PM

How the world's most complex multilateral negotiation reveals the strategies that separate deal-makers from deal-breakers

When 194 countries sit down to negotiate anything, you know it's going to be complicated. But when those same countries are trying to prevent the next global pandemic while still recovering from the last one? That's when negotiation moves from challenging to nearly impossible.

Yet that's exactly what happened this month when WHO Member States finalized their draft pandemic agreement after more than three years of intensive negotiations. The result isn't just a historic public health achievement—it's a masterclass in how to navigate the most complex negotiations imaginable.

The Stakes Couldn't Be Higher

Picture this: You're negotiating on behalf of your country's health security, economic stability, and political sovereignty. Your counterparts represent 193 other nations, each with their own cultural norms, economic priorities, and political pressures. The topic? How to prevent, prepare for, and respond to future pandemics that could kill millions and cost trillions.

Oh, and the world is watching.

This is exactly the challenge that WHO Member States faced when they established the Intergovernmental Negotiating Body (INB) in December 2021. What followed was a negotiation process that would test every principle of effective deal-making.

Marathon Negotiation by the Numbers

The scale of this negotiation is staggering:

  • 3+ years of continuous talks
  • 13 formal rounds of meetings
  • 9 extended sessions when standard timeframes weren't enough
  • Countless informal negotiations on specific provisions
  • 194 countries trying to reach consensus
  • Zero room for failure given global health security implications

As WHO Director-General Dr. Tedros Adhanom Ghebreyesus noted, "The nations of the world made history in Geneva today... they have also demonstrated that multilateralism is alive and well, and that in our divided world, nations can still work together to find common ground."

What Made This Negotiation So Complex?

No negotiation is inherently simple, but this one had some particular challenges.

1. Cultural Complexity at Scale

Imagine trying to bridge the negotiation styles of American directness, Japanese consensus-building, German precision, and Brazilian relationship-focus—all in the same room. Now multiply that by 194 different cultural approaches to decision-making, authority, and agreement.

Each country brought not just their own health priorities, but their own deeply ingrained beliefs about:

  • How decisions should be made
  • What constitutes a binding agreement
  • The role of international organizations
  • Individual sovereignty versus collective action

2. Competing Interests

While everyone agreed that pandemic preparedness was important, the details revealed fundamental tensions:

  • Developed nations wanted to protect their pharmaceutical industries and intellectual property
  • Developing nations demanded equitable access to vaccines and treatments
  • Small nations feared being overpowered by larger countries' agendas
  • Every nation wanted to maintain sovereignty over their domestic health policies

3. Technical Complexity

The agreement had to address everything from pathogen surveillance systems to supply chain logistics to research and development funding. Each topic required its own sub-negotiations among technical experts who then had to translate their conclusions back to political negotiators.

The Negotiation Strategies That Worked

What did it take to get to this point?

Long-Term Commitment Over Quick Wins

Most business negotiations aim for closure within weeks or months. The WHO negotiators understood from the beginning that sustainable agreement required patience. They built a process designed for endurance, not speed.

This approach allowed countries to:

  • Build trust gradually rather than demanding it immediately
  • Test different approaches through multiple rounds
  • Allow domestic political situations to evolve
  • Create space for creative solutions to emerge

Multiple Tracks and Informal Channels

Rather than trying to solve everything in formal plenary sessions, negotiators created numerous informal channels:

  • Bilateral discussions between key countries
  • Regional group consultations
  • Technical expert meetings
  • Civil society engagement sessions

This multi-track approach prevented any single disagreement from derailing the entire process.

Preserving Sovereignty While Building Cooperation

One of the most elegant solutions was explicitly stating that "nothing in the draft agreement shall be interpreted as providing WHO any authority to direct, order, alter or prescribe national laws or policies." This language addressed sovereignty concerns while maintaining the framework for cooperation.

The Power of Principled Flexibility

Throughout the process, negotiators had to balance competing demands:

  • Equity versus efficiency in vaccine distribution
  • Global coordination versus national autonomy
  • Binding commitments versus voluntary guidelines
  • Comprehensive coverage versus achievable goals

The final agreement threads this needle by establishing frameworks for cooperation while preserving national decision-making authority.

What Business Negotiators Can Learn

Here are the brass tacks.

1. Design for the Long Game

When stakes are high and relationships matter, don't rush toward closure. The WHO negotiators built a process that could withstand multiple setbacks, political changes, and evolving circumstances.

Application: In complex B2B negotiations, create milestone-based processes that allow both sides to build confidence gradually rather than demanding everything upfront.

2. Address Sovereignty Concerns Early

Countries were willing to cooperate once they felt confident their autonomy wouldn't be compromised. The explicit sovereignty language removed a barrier to agreement.

Application: In corporate negotiations, clearly define decision-making authority and autonomy early. People cooperate more readily when they don't fear losing control.

3. Use Multiple Communication Channels

The formal negotiation sessions were just one part of a complex communication network that included informal discussions, technical consultations, and regional meetings.

Application: Don't rely solely on formal meetings. Create opportunities for informal relationship-building and problem-solving between structured negotiation sessions.

4. Focus on Shared Threats, Not Just Shared Benefits

The COVID-19 pandemic provided a compelling shared threat that motivated countries to find common ground despite their differences.

Application: In business negotiations, clearly articulate the consequences of not reaching agreement—for both sides. Shared risks can be as motivating as shared opportunities.

The Results Speak for Themselves

The draft agreement includes provisions for:

  • Pathogen access and benefit sharing systems
  • Geographically diverse research and development capacities
  • Technology transfer mechanisms
  • Global health emergency workforce development
  • Coordinated financial mechanisms
  • Strengthened health system resilience
  • Global supply chain networks

These aren't just policy frameworks—they're the building blocks of a system designed to prevent the next pandemic from becoming as devastating as COVID-19.

When the Stakes Are Ultimate, Process Matters Most

INB Co-Chair Precious Matsoso captured the essence of what made this negotiation successful: "The negotiations, at times, have been difficult and protracted. But this monumental effort has been sustained by the shared understanding that viruses do not respect borders, that no one is safe from pandemics until everyone is safe."

This shared understanding—that everyone's security depends on everyone else's security—provided the foundation for three years of patient, persistent negotiation.

The WHO pandemic agreement negotiation proves that even the most complex, high-stakes negotiations can succeed when negotiators:

  • Commit to the long-term process
  • Address fundamental concerns about autonomy and control
  • Create multiple channels for communication and problem-solving
  • Focus on shared risks as well as shared benefits
  • Maintain flexibility within principled frameworks

As the agreement moves to the World Health Assembly for final consideration, it stands as proof that in our divided world, nations can still work together when the stakes demand it.

The question for business negotiators is: Are you bringing the same level of strategic patience and process discipline to your most important deals?

Want to master the negotiation strategies that close complex, high-stakes deals? RED BEAR's methodology has helped Fortune 500 companies achieve measurable results in their most challenging negotiations. Download our 2025 State of Negotiation Trends Report to discover what's driving change in boardrooms worldwide.