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Financing Vaccine Equity : Funding for Day-Zero of the Next Pandemic

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  • Agarwal,Ruchir
  • Reed,Tristan

Abstract

A lack of timely financing for purchases of vaccines and other health products impeded theglobal response to the COVID-19 pandemic. Based on analysis of contract signature and delivery dates in COVID-19 vaccineadvance purchase agreements, this paper finds that 60–75 percent of the delay in vaccine deliveries to low- andmiddle-income countries is attributable to their signing purchase agreements later than high-income countries, whichplaced them further behind in the delivery line. A pandemic Advance Commitment Facility with access to a credit line onday-zero of the next pandemic could allow low- and middle-income countries to secure orders earlier, ensuring amuch faster and equitable global response than during COVD-19. The paper outlines four options for a financier toabsorb some or all of the risk associated with the credit line and discusses how the credit would complement otherproposals to strengthen the financing architecture for pandemic preparedness, prevention, and response.

Suggested Citation

  • Agarwal,Ruchir & Reed,Tristan, 2022. "Financing Vaccine Equity : Funding for Day-Zero of the Next Pandemic," Policy Research Working Paper Series 10067, The World Bank.
    • Handle: RePEc:wbk:wbrwps:10067
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    References listed on IDEAS

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    1. Agarwal, Ruchir & Gaule, Patrick, 2022. "What drives innovation? Lessons from COVID-19 R&D," Journal of Health Economics, Elsevier, vol. 82(C).
    2. Agarwal,Ruchir & Reed,Tristan, 2021. "How to End the COVID-19 Pandemic by March 2022," Policy Research Working Paper Series 9632, The World Bank.
    3. Demombynes,Gabriel, 2020. "COVID-19 Age-Mortality Curves Are Flatter in Developing Countries," Policy Research Working Paper Series 9313, The World Bank.
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    Cited by:

    1. Susan Athey & Juan Camilo Castillo & Esha Chaudhuri & Michael Kremer & Alexandre Simoes Gomes & Christopher M Snyder, 2022. "Expanding capacity for vaccines against Covid-19 and future pandemics: a review of economic issues [‘Seven Finance & Trade Lessons from COVID-19 for Future Pandemics’]," Oxford Review of Economic Policy, Oxford University Press and Oxford Review of Economic Policy Limited, vol. 38(4), pages 742-770.
    2. Scott Duke Kominers & Alex Tabarrok, 2022. "Vaccines and the Covid-19 pandemic: lessons from failure and success [‘Many Say They’re Confused About Whether, When to Get Second Booster’]," Oxford Review of Economic Policy, Oxford University Press and Oxford Review of Economic Policy Limited, vol. 38(4), pages 719-741.

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