Search

Begin New Search Topic Vaccine Publication Year within 5 Years

1. Beyond the “Gavi-Eligible”: High-Leverage Opportunities for Gavi to Enhance Vaccine Access and Uptake in Ineligible Middle-Income Countries

Author:
Rachel Bonnifield, Morgan Pincombe, and Janeen Madan Keller
Publication Date:
04-2024
Content Type:
Policy Brief
Institution:
Center for Global Development (CGD)
Abstract:
The global locus of undervaccination is increasingly shifting from the poorest countries in the world—which are eligible for support from Gavi, the Vaccine Alliance (Gavi)—to middle-income countries (MICs) that do not qualify for traditional Gavi support. Given these growing challenges, Gavi must rethink its engagement with those MICs that are ineligible for traditional support. Although this engagement is intended to be “catalytic” and has been intentionally targeted to country needs, it also has been relatively small-scale and ad hoc. Gavi’s next five-year strategic period from 2026 to 2030, known as “Gavi 6.0,” offers a window of opportunity for its board and leadership to consider new and different ways for Gavi to engage with MICs to advance global vaccine access and improve vaccination outcomes. To have the greatest impact in this context, Gavi must lean into its comparative advantage in market shaping and demand consolidation to drive its contributions to global vaccination efforts with finite resources. We offer recommendations for Gavi to operationalize broader engagement with MICs, specifically by enabling an expanded cohort of MICs to access more affordable prices for both newer, costlier vaccines and future vaccines via opt-in framework agreements and by supporting a global coordinating hub to shape a forward-looking immunization innovation agenda.
Topic:
Public Health, Vaccine, Global Health, and Middle-Income Countries
Political Geography:
Global Focus

2. Boosting Childhood Vaccination Rates Post-Pandemic: Lessons from Five Countries

Author:
Irene Papanicolas, Robert A. Berenson, and Laura Skopec
Publication Date:
10-2024
Content Type:
Policy Brief
Institution:
Commonwealth Fund
Abstract:
Issue: Childhood vaccination rates fell worldwide during the COVID-19 pandemic. However, reductions in childhood vaccination were not universal, which may be related to differences in vaccine eligibility, vaccine hesitancy, and vaccine administration programs across countries. Goals: Explore how childhood vaccination rates changed during the COVID-19 pandemic in five high-income countries with varying approaches to vaccine policy. Methods: Surveys of in-country experts and analysis of secondary data sources in Australia, Germany, Singapore, the United Kingdom, and the United States. Key Findings and Conclusion: While vaccination rates fell worldwide during the COVID-19 pandemic, the high-income countries in our study maintained high childhood vaccination rates for polio and measles-mumps-rubella (MMR) near or above the herd immunity threshold (80% for polio and 95% for measles). Australia and Singapore, which have the strictest vaccine requirements, boasted the highest polio vaccination rates in both 2018 and 2021. No countries require the human papillomavirus (HPV) vaccination nationwide, but Australia, Singapore, and the U.K. have school-based HPV vaccination programs and high vaccination rates. Strong vaccine requirements, combined with school-based immunization or catch-up programs, may help boost childhood vaccination rates where they lagged during the pandemic.
Topic:
Children, Vaccine, COVID-19, and Healthcare System
Political Geography:
United Kingdom, Germany, Australia, Singapore, and United States of America

3. Kosovo COVID-19 Management

Author:
Plator Avdiu, Donika Elshani, and Shpat Balaj
Publication Date:
03-2023
Content Type:
Special Report
Institution:
Kosovar Centre for Security Studies (KCSS)
Abstract:
The purpose of this research is to provide a general overview of the manifestation of the COVID-19 pandemic in Kosovo and the overall management of the pandemic by relevant institutions. The analysis is based on data collected through publicly available information, national statistics, news articles, as well as research reports by local non-governmental organizations (NGOs) and international organizations and missions in the country. The COVID-19 pandemic of the novel coronavirus was first identified in Wuhan, China in December 2019. It quickly spread to other parts of the world, leading to the World Health Organization declaring a pandemic on March 11, 202012. Countries across the globe implemented various measures to control the spread of the virus, including lockdowns, travel restrictions and mask mandates. The COVID-19 vaccine was soon developed, and the vaccine roll out began in the first months of 2021, with many countries still being in the process of vaccinating their populations. The COVID-19 pandemic has had a significant impact on Kosovo, as it has had in many countries around the world. The first cases of COVID-19 in Kosovo were reported in March 202014, and since then the country has implemented measures such as lockdowns, mask mandates, and travel restrictions to try to control the spread of the virus. Kosovo faced many challenges in its efforts to control the spread of the virus, including limited healthcare resources, vaccine hesitancy, political instability and economic hardship, to name a few.15 The COVID-19 vaccine roll-out in Kosovo began in the first months of 2021 and was implemented with a phased approach, whereby some groups, such as healthcare workers, the elderly, and persons with underlying conditions, were given priority, before vaccinating the rest of the population. AstraZeneca and Pfizer BioNTech were the two vaccinees administered in Kosovo. These vaccines were secured through various sources, including through the COVAX facility.
Topic:
Public Policy, Public Health, Vaccine, and COVID-19
Political Geography:
Eastern Europe and Kosovo

4. Global Health Security COVID-19 and Its Impacts – Vaccine Resilience: Next Stage in ASEAN’s War?

Author:
Jose M. L. Montesclaros
Publication Date:
08-2022
Content Type:
Commentary and Analysis
Institution:
Centre for Non-Traditional Security Studies, S. Rajaratnam School of International Studies
Abstract:
The next stage in ASEAN’s COVID-19 war lies in partnerships to establish local vaccine manufacturing centres within member states, to strengthen the region’s “vaccine resilience”.
Topic:
Public Health, Vaccine, Resilience, COVID-19, and Medicine
Political Geography:
Asia and ASEAN

5. Digital Health Credentials and COVID-19: Can Vaccine and Testing Requirements Restart Global Mobility?

Author:
Lawrence Huang
Publication Date:
04-2022
Content Type:
Special Report
Institution:
Migration Policy Institute (MPI)
Abstract:
More than two years into the COVID-19 pandemic, rising vaccination levels and widespread testing in many countries are giving governments and the public increasing confidence in international travel. A central part of efforts to restart mobility are digital health credentials, which verify a person’s vaccination, testing, and/or recovery status. These credentials help to minimize the risk of travelers carrying the virus, and unlike paper credentials that must be manually inspected in airports and at borders, digital credentials can be automatically verified. But even as digital health credentials are becoming increasingly common, gaps in international coordination and technical integration issues between different credential systems remain. As a result, migrants and travelers moving between—and at times within—countries must navigate a complex maze of digital systems. This report examines the implications of digital health credentials for international travel and for immigrants’ and travelers’ access to domestic services and venues that also use such credentials. It also explores the implications for specific groups: tourists and business travelers, students, labor migrants, asylum seekers and refugees, and unauthorized migrants. Finally, it offers policy recommendations to facilitate mobility and minimize risks for people on the move.
Topic:
Health, Immigration, Border Control, Employment, Mobility, Vaccine, and COVID-19
Political Geography:
Global Focus

6. Rethinking & Revisiting Diplomacy Volume XXIII, Number 1

Author:
Richard M. O'Meara, Sylvia Paola, Claude Rakisits, William Maley, Stephen F. Sener, Mathew J. Martin, Ivelaw L. Griffith, and Ilan Kelman
Publication Date:
08-2022
Content Type:
Journal Article
Journal:
The Journal of Diplomacy and International Relations
Institution:
School of Diplomacy and International Relations, Seton Hall University
Abstract:
Since the turn of the century, we have seen conflicts emerge, stabilize, and deteriorate as the world has shifted towards a period of post-colonization and globalization. In the past two decades, we have seen the rise, fall, and resurgence of the Taliban in Afghanistan. We have seen the near-century-old conflict in Palestine-Israel and Jammu-Kashmir heighten with civilian lives at stake. Myanmar marched forward with a democratically elected leader yet fell victim to a military coup d’état. The COVID-19 pandemic brought a multitude of conflicts, impacting individual countries and the global world on three levels: political, economic, and social. This global health crisis brought to the forefront a new type of diplomacy: health diplomacy. The current status of these conflicts, amongst others, pushes us to question the traditional nature of diplomacy and understand what must be done to reconfigure diplomacy for the next era. This year’s issue seeks to serve as a discourse on the failures and the future of diplomacy processes. The twenty-third volume of the Journal contains seven articles on a variety of different conflicts and current diplomacy processes, serving either as case studies or recommendations. The first four articles focus on traditional diplomacy processes and the last four focus on health diplomacy. Richard M. O’Meara analyzes the cases of wars in Afghanistan and Ukraine, arguing that not only is it crucial for practitioners and scholars to understand the beginning and end of war, but that we they must also understand as well as the conduct of battle. Examining the historical and legal definition of preventative diplomacy, Sylvia Paola evaluates the contemporary approaches and non-traditional security threats to preventative diplomacy, focusing on Mexico’s strategy for preventive diplomacy during its time as a United Nations Security Council member. Alluding to the possibility of peace in the South Asian subcontinent, Claude Rakisits outlines a three-step grand plan to carve the path to a free and demilitarized Jammu and Kashmir. Utilizing a 1½ track dialogue, focusing on the rights of self-determination, Rakisits posits that the resolution of the issue of Jammu and Kashmir, as a result, lead to peace between Pakistan and India. William Maley explores why “regional solutions” to refugee crises, especially in the case of Australia, may not be the answer to solving the refugee problem because of the influence of a state’s domestic politics favoring itself over the good of the people. When these traditional modes of diplomacy fail, what comes next? As Stephen F. Sener and Matthew J. Martin explore this same question, their answer is: health diplomacy. Focusing on past efforts of health diplomacy, Sener and Martin offer solutions to contribute to global health diplomacy and expand on how this will become a lifeline for state relations. As vaccination continues to be a key driver in the discourse of health diplomacy, Ivelaw Lloyd Griffith studies the gap in vaccine diplomacy dynamics in relation to the power players and the nature of their investment in a combination of humanitarianism and geopolitics. With the diplomatic arena expanding beyond nation-states, it is key to take into consideration the influence of non-state actors such as pharmaceutical companies and multi-lateral organizations. Ilan Kelman examines the potential for health diplomacy during the COVID-19 pandemic from a disaster diplomacy perspective, analyzing its impact on peace, cooperation, and diplomacy between countries. His analysis suggests that while pandemic-related actions may complement existing peace and cooperation efforts, COVID-19 alone is unlikely to lead to new and sustainable diplomatic initiatives for a more peaceful future. As the world continues to grapple with conflicts, traditional modes of diplomacy are being challenged, and health diplomacy is emerging as a critical element in state relations. The articles presented in this volume provide insights into the complexities of various conflicts and offer recommendations for practitioners and scholars alike. It is clear that diplomacy in the next era must be reconfigured to adapt to the changing global landscape, and health diplomacy must be embraced as a vital component of state relations.
Topic:
Security, Diplomacy, Health, War, Refugees, Vaccine, COVID-19, Military, and Russia-Ukraine War
Political Geography:
Afghanistan, South Asia, Ukraine, Kashmir, Caribbean, and Mexico

7. The WTO and vaccine supply chain resilience during a pandemic

Author:
Chad P. Bown
Publication Date:
09-2022
Content Type:
Working Paper
Institution:
Peterson Institute for International Economics (PIIE)
Abstract:
Cross-border supply chains and international trade enabled the manufacturing and delivery of billions of vaccine doses to inoculate the world against COVID-19. At the same time, the pandemic revealed how the World Trade Organization (WTO) must change to become more useful in the face of a public health emergency. This paper describes the market failures—especially on the supply side—justifying the domestic subsidies and contracting arrangements used to accelerate vaccine research and development and to increase the scale of vaccine production to save lives, livelihoods, and economic activity during a pandemic. It highlights tradeoffs associated with the US subsidies and the priority-rated contracts written through the Defense Production Act under Operation Warp Speed. This case study reveals a rich environment in which cross-border supply chains exacerbate input shortages in ways that constrain vaccine production, highlighting the need for the WTO to embrace new forms of international policy coordination for pandemic preparedness and response. As part of a pandemic treaty, the paper proposes a plurilateral agreement on vaccine supply chain resilience that would include novel and enforceable disciplines for export restrictions, provisions to trigger coordinated subsidies across countries to jointly scale up vaccine output- and input-production capacity, and market surveillance initiatives on supply chain transparency.
Topic:
International Trade and Finance, Vaccine, COVID-19, WTO, and Supply Chains
Political Geography:
Global Focus

8. The future of immunization financing in Latin America and the Caribbean

Author:
Miguel Betancourt-Cravioto and Pepe Zhang
Publication Date:
11-2022
Content Type:
Policy Brief
Institution:
Atlantic Council
Abstract:
Latin America and Caribbean countries have a long history of effective implementation of national immunization programs (NIPs), which has led to the successful control of infectious diseases such as smallpox, measles, and poliomyelitis, among many others. Yet challenges such as inequity, rising costs, growing population needs, and the fallout of the COVID-19 pandemic have negatively impacted the operation of NIPs in the region. This has led to a significant reduction in vaccine coverage rates (VCRs), putting the population at risk of severe, preventable diseases. Addressing these and other challenges facing NIPs requires sustained sources of funding that are capable of expansion according to national needs. So far, the region has coped with domestic public resources and the important support of international mechanisms including the Pan American Health Organization’s (PAHO) Revolving Fund (RF). Innovative financing is particularly useful in today’s context of fiscal constraints, as it helps public institutions maintain and enhance immunization programs by supplementing available resources with new sources of funding and/ or expanding the impact of existing financing structures. Considering that immunization is a multidimensional endeavor requiring efficient management of demand, supply, delivery, and many other issues, a holistic, health-system approach to immunization is essential to stimulating innovative financing and maximizing its benefits. This issue brief built upon findings from a private, nonpartisan strategy session as part of the Adrienne Arsht Latin America Center’s #FutureofHealth Series, which aims to provide a practical, forward-looking approach to target key policy issues at the intersection of health and the economy in Latin America and the Caribbean.
Topic:
Vaccine, Resilience, COVID-19, Society, and Immunization
Political Geography:
Latin America and Caribbean

9. Patents, Pandemics, and the Private Sector: The Battle Over Public Health Norms During COVID-19

Author:
Vartika Neeraj
Publication Date:
05-2022
Content Type:
Journal Article
Journal:
Journal of Public and International Affairs (JPIA)
Institution:
School of Public and International Affairs (SPIA), Princeton University
Abstract:
The COVID-19 pandemic has revealed the influence that private pharmaceutical companies and philanthropic foundations have on global health governance. Private actors have been able to maintain the norm of intellectual property rights, despite opposition from developing countries and growing opposition from powerful actors in developed countries. This article examines how private actors have wielded their material resources, expert authority, and discursive powers to overrule the wishes of governments. It concludes by exploring the public health consequences of their growing hold on international governance and offers some policy recommendations to mitigate distorted public health outcomes.
Topic:
International Relations, Intellectual Property/Copyright, International Development, Public Health, Vaccine, and COVID-19
Political Geography:
Global Focus

10. COVID-19 vaccine supply chains and the Defense Production Act

Author:
Chad P. Bown
Publication Date:
06-2022
Content Type:
Working Paper
Institution:
Peterson Institute for International Economics (PIIE)
Abstract:
In response to the COVID-19 pandemic, the US government used novel policies to accelerate research, development, and production of a diversified portfolio of new vaccines. This paper begins by describing the Defense Production Act (DPA) of 1950 and the initial “priority-rated” contracts agreed to under Operation Warp Speed in 2020 to expedite manufacturing and achieve scale, which succeeded in producing hundreds of millions of doses of COVID-19 vaccines by early 2021. However, a puzzle soon emerged, as the scale of US vaccine production was shortly thereafter overtaken by plants in the European Union and India. The paper investigates the tradeoffs US policymakers faced in early 2021 once much of the initial uncertainty about the safety and effectiveness of many COVID-19 vaccines had been resolved—about whether to recalibrate contracts to expand production capacity to help meet global, instead of US, vaccine demand. It also examines the emergence of input shortages and assesses whether both the price constraints implicit in the 2020 DPA contracts and business decisions made to quicken the process of bringing new vaccine plants online globally inadvertently exacerbated them. It also explores the potential need for complementary, input capacity enhancing policies in the face of highly fragmented, cross-border COVID-19 vaccine supply chains.
Topic:
Crisis Management, Vaccine, COVID-19, and Supply Chains
Political Geography:
North America and United States of America