| Section | PRISMA-ScR Item | Compliance in Manuscript |
| Title | Identify the report as a scoping review. | Yes, title states ‘A Scoping Review’ |
| Abstract | Structured summary including background, objectives, eligibility criteria, sources, charting methods, results, and conclusions. | Yes, Structured abstract provided with all elements. |
| Rationale | Describe rationale for the review in context of what is already known. | Yes, Introduction discusses COVID-19 governance gaps and treaty rationale. |
| Objectives | Provide explicit review questions and objectives. | Yes, Review question and objectives clearly stated. |
| Eligibility criteria | Specify characteristics of sources of evidence (e.g., publication years, languages, types). | Yes, Inclusion/exclusion criteria defined. |
| Information sources | Describe all information sources in the search (databases, registers, websites, etc.) and date last searched. | Yes, PubMed, Scopus, Web of Science, WHO, CDC, UN; searched May–Oct 2024. |
| Search | Present full electronic search strategy for at least one database. | Yes, Boolean search strings presented in Table 1. |
| Selection of sources of evidence | State the process for selecting sources (screening, eligibility, included in review). | Yes, Two-stage screening with Covidence described. |
| Data charting process | Describe methods of charting data from included sources (e.g., forms, multiple reviewers). | Yes, Standardized form in Covidence, 3 reviewers used. |
| Data items | List and define all variables for which data were sought. | Yes, Publication type, country, date, thematic focus, findings. |
| Critical appraisal of individual sources | If done, describe methods for assessing risk of bias/quality. | Not conducted, consistent with scoping review methodology. |
| Synthesis of results | Describe methods of handling and summarizing data. | Yes, Inductive thematic analysis, coding, synthesis into conceptual framework. |
| Results: Selection of sources | Report numbers screened, assessed, included, with reasons for exclusion. | Yes, Reported with flow diagram (Figure 1). |
| Results: Characteristics of sources | Present characteristics of each source of evidence. | Yes, Tables by study type, geography, year. |
| Results: Critical appraisal within sources | If done, present data on risk of bias/quality. | Not applicable in scoping review. |
| Results: Synthesis of results | Summarize and present charted results. | Yes, Organized into four themes with synthesis tables. |
| Discussion | Summarize main results, link to review objectives/questions. | Yes, Discussion maps findings to framework and treaty implications. |
| Limitations | Discuss limitations of the scoping review process. | Yes, Identified limited empirical evidence, HIC bias, timing issues. |
| Conclusions | Provide interpretation of results, implications for policy/research. | Yes, Conclusion emphasizes treaty gaps and broader governance for health. |
| Funding | Describe sources of funding and role of funders. | Yes, ‘No external funding’ statement included. |