COVID-19 Vaccine Equity: A Health Systems and Policy Perspective

34 Pages Posted: 30 Jun 2021

See all articles by Remco van de Pas

Remco van de Pas

Institute of Tropical Medicine

Marc-Alain Widdowson

Institute of Tropical Medicine (ITM)

Raffaella Ravinetto

Wenzhou Medical University - Institute of Tropical Medicine

Prashanth N S

Institute of Public Health; Institute of Public Health Bangalore

Theresa ochoa

Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia

Thierno Oumar Fofana

Gamal Abdel Nasser University

Wim Van Damme

Institute of Tropical Medicine

Date Written: May 31, 2021

Abstract

The global COVID-19 vaccine rollout has highlighted inequities in the accessibility of countries to COVID -19 vaccines. Populations in low- and middle-income countries have found it difficult to have access to COVID-19 vaccines. This perspective provides analyses on historical and contemporary policy trends of vaccine development and immunization programs, including the current COVID-19 vaccination drive, and governance challenges. Moreover, we also provide a comparative health system analysis of the COVID-19 vaccine deployment in some countries from different continents. It recommends that the international Access to COVID-19 Tools Accelerator (ACT-A) partnership requires a strong governance mechanism and urgent financial investment. All WHO member states should agree on technology transfer and voluntary license-sharing via a commonly governed technology access pool. Contextualized, dynamic understandings and country-specific versions of health systems strengthening are needed to improve vaccine equity in a sustainable matter.

Note: Funding Statement: None.

Declaration of Interests: None.

Keywords: ACT-A, capacity development, COVID-19 pandemic, vaccine equity, low-income countries, Research & Development ecosystem, Tanahashi health systems framework, technology transfer, TRIPS

Suggested Citation

van de Pas, Remco and Widdowson, Marc-Alain and Ravinetto, Raffaella and Nuggehalli Srinivas, Prashanth and Nuggehalli Srinivas, Prashanth and Ochoa, Theresa and Fofana, Thierno Oumar and Van Damme, Wim, COVID-19 Vaccine Equity: A Health Systems and Policy Perspective (May 31, 2021). Available at SSRN: https://ssrn.com/abstract=3856949 or http://dx.doi.org/10.2139/ssrn.3856949

Remco Van de Pas (Contact Author)

Institute of Tropical Medicine ( email )

B-2000 Antwerp
Belgium

Marc-Alain Widdowson

Institute of Tropical Medicine (ITM) ( email )

B-2000 Antwerp
Belgium

Raffaella Ravinetto

Wenzhou Medical University - Institute of Tropical Medicine ( email )

Wenzhou
China

Prashanth Nuggehalli Srinivas

Institute of Public Health Bangalore ( email )

3009 II-A Main
17th Cross Banashankari 2nd Stage KR Road
Bangalore, Karnataka 560070
India
08026761322 (Phone)

HOME PAGE: http://www.iphindia.org

Institute of Public Health ( email )

3009 II-A Main
17th Cross Banashankari 2nd Stage KR Road
Bangalore, Karnataka 560070
India
08026761322 (Phone)

HOME PAGE: http://www.iphindia.org

Theresa Ochoa

Instituto de Medicina Tropical Alexander von Humboldt, Universidad Peruana Cayetano Heredia ( email )

Av. Honorio Delgado 430
Lima, SMP
Peru

Thierno Oumar Fofana

Gamal Abdel Nasser University ( email )

Conakry
Guinea

Wim Van Damme

Institute of Tropical Medicine ( email )

B-2000 Antwerp
Belgium

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