The International AIDS Vaccine Initiative (IAVI) in a Changing Landscape of Vaccine Development: A Public/Private Partnership as Knowledge Broker and Integrator
Vaccine production is now at the heart of the debate on development. This paper argues that, as well as economic policies to address market failures, development policies aimed at fostering vaccine innovation should also consider the institutional and organisational uncertainties. The International Aids Vaccine Initiative (IAVI), a product development PPP, is attempting to increase vaccine production for neglected diseases by acting both as a broker and integrator of knowledge. Within IAVI and perhaps other PPPs there is a related tension between an emphasis on private pharmaceutical sector efficiency and sustainable development activities that requires understanding and managing if PPPs are to successfully reach their goals. La production de vaccins est maintenant au coeur du débat sur le développement. L'objet de cet article est de montrer que tant les politiques économiques visant les défaillances de marché, que les politiques de développement qui cherchent à promouvoir l'innovation en matière de vaccins devraient s'intéresser aux incertitudes organisationnelles et institutionnelles. L'Initiative internationale de vaccins contre le SIDA (IAVI) issue d'un partenariat public-privé (PPP), essaie d'accroître la production de vaccins pour les maladies négligées en agissant en tant qu'intermédiaire ou intégrateur de savoirs. Dans le cadre de IAVI et peut être d'autres PPP, une condition du succès consiste à comprendre et prendre en compte les tensions existantes entre un accent mis sur l'efficacité du secteur pharmaceutique privé d'une part et des activités de développement durable d'autre part.
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