Vaccine Rollout – How to Ensure Effective & Equitable Distribution?

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    • World Health Organization (WHO) Director-General Tedros Adhanom Ghebreyesus has argued:

      “In a deadly pandemic, the right to health is the right to life. Every human has the right to be protected. But we need everyone protected as fast as possible—or else we all lose.

      The pandemic will not be over anywhere until it is over everywhere. This is the reality of an interconnected world, and that reality can be met only by a reaffirmation of solidarity and an inclusive public-health order that distributes vaccines globally, quickly, and equitably.

      To the virus, we are all one herd. To beat it, we must act as one community.”

      Nonetheless, according to a report from the Economist Intelligence Unit, over 85 poor countries will not have widespread access to coronavirus vaccines before 2023.

      Economist Intelligence Unit map of projected vaccine distribution

      ConnexUs recognizes that NGOs have played a key role in the delivery of critical services in the initial response to COVID-19. With vaccines now available, NGOs and practitioners remain crucial to ensuring worldwide distribution.

      What role do you believe you and/or your organization can and/or should play in the vaccine rollout? What opportunities and challenges do you anticipate?

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      COVAX (part of the ACT-Accelerator and convened/led by CEPI GAVI and WHO) is the largest global initiative for vaccine distribution. In addition to accelerating the search for an effective vaccine for all countries, “it is supporting the building of manufacturing capabilities, and buying supply, ahead of time so that 2 billion doses can be fairly distributed by the end of 2021.”
      COVAX’s efforts are noted & supported by UNDP, UNICEF, Mercy Corps, DevEx, Oxfam, IFCRefugees International, and other leading organizations.

      Additional concrete examples/initiatives: DP World/UNICEF have partnered & IFRC has a plan to support vaccination efforts.

      Among these organizations, some common recommendations/approaches to equitable vaccine distribution include:

      • private and public sector working hand in hand (IFC); collaboration across stakeholders grounded in solidarity (Oxfam)
      • high-income countries increasing their investments in both COVAX and broader humanitarian assistance and sharing coronavirus-related technology and intellectual property (DevEx/Oxfam)
      • strengthening supply chains, allocating sustainable and adequate financing, and empowering front-line and community health workers (Oxfam)
      • mapping existing cold chain equipment and storage capacity and providing technical support for countries to be ready to receive and manage the vaccines (Oxfam/WHO)
      • building demand for vaccines alongside strengthening the supply side and availability (DevEx)
      • governments ensuring that COVID-19 vaccines are distributed free at the point of care and without risk of financial hardship (UNDP)

      This list is non-exhaustive, but it covers a range of sectors from the supply to the demand element of vaccine distribution.

       

      I’d be interested to know any of the following from others: what are your thoughts on COVAX? Which of the approaches (either mentioned above or that you’ve found elsewhere) do you think will be the most effective? What do you see as the biggest barriers to implementation?

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    • Here are some of the replies we have received on Twitter, which you are welcome to respond to:

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