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Is There Broad-Based Support in High-Income Countries for COVID-19 Vaccine Donation? Evidence from Seven Countries

Author

Listed:
  • Laurence S. J. Roope

    (University of Oxford
    National Institute for Health Research Oxford Biomedical Research Centre, John Radcliffe Hospital)

  • Adrian Barnett

    (Queensland University of Technology)

  • Paolo Candio

    (University of Oxford
    National Institute for Health Research Oxford Biomedical Research Centre, John Radcliffe Hospital
    University of Birmingham)

  • Mara Violato

    (University of Oxford
    National Institute for Health Research Oxford Biomedical Research Centre, John Radcliffe Hospital)

  • Raymond Duch

    (Nuffield College, University of Oxford)

  • Philip M. Clarke

    (University of Oxford
    National Institute for Health Research Oxford Biomedical Research Centre, John Radcliffe Hospital
    Centre for Health Policy, University of Melbourne)

Abstract

Background Many high-income countries (HICs) have now vaccinated a substantial proportion of their population against COVID-19. Many low-income countries (LICs) may need to wait until at least 2022 before even the most vulnerable 20% of their populations are vaccinated. Beyond ethical considerations, some redistribution of doses would reduce the risk of the emergence and spread of new variants and benefit the economy, both globally and in donor countries. However, the willingness of HIC governments to donate vaccine doses is likely to depend on public support. While previous work has indicated strong average levels of public support in HIC for donation, little is known about how broad-based this support is. Objective To investigate the extent to which support for donation holds across both pre-specified and exploratory subgroups. Methods From 24 November–28 December 2020 we conducted an online survey of 8209 members of the general public in seven HIC (Australia, Canada, France, Italy, Spain, UK and USA). We conducted tests of proportions and used Bayesian ordinal logistic regression models to assess the extent of support for donation across population subgroups. Results We found broad-based support for donations in terms of age, gender, socio-economic status and political ideology. We found no strong evidence that support for donations was higher among those with greater income or a university education. Support for donation among those on the political right and centre was lower than on the left, but 51% (95% confidence interval 48–53%) of respondents who identified with the right supported some level of donation. Those in the more altruistic half of the sample (as captured by willingness to donate money to a good cause) were more likely to support donation than those who were not, but around half of the less altruistic group supported some level of donation. Conclusion There is broad-based support for policymakers in HICs to donate some of their countries’ COVID-19 vaccine doses for distribution to LICs.

Suggested Citation

  • Laurence S. J. Roope & Adrian Barnett & Paolo Candio & Mara Violato & Raymond Duch & Philip M. Clarke, 2022. "Is There Broad-Based Support in High-Income Countries for COVID-19 Vaccine Donation? Evidence from Seven Countries," Applied Health Economics and Health Policy, Springer, vol. 20(1), pages 55-65, January.
    • Handle: RePEc:spr:aphecp:v:20:y:2022:i:1:d:10.1007_s40258-021-00696-8
    DOI: 10.1007/s40258-021-00696-8
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    References listed on IDEAS

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    1. Cem Çakmaklı & Selva Demiralp & Ṣebnem Kalemli-Özcan & Sevcan Yeşiltaş & Muhammed A. Yıldırım, 2021. "The Economic Case for Global Vaccinations: An Epidemiological Model with International Production Networks," NBER Working Papers 28395, National Bureau of Economic Research, Inc.
    2. Supriya Kumar & Sandra Crouse Quinn & Kevin H Kim & Karen M Hilyard, 2012. "US Public Support for Vaccine Donation to Poorer Countries in the 2009 H1N1 Pandemic," PLOS ONE, Public Library of Science, vol. 7(3), pages 1-7, March.
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