..Urge govts yet to achieve high vaccination coverage to contract additional doses

By Chioma Obinna

Heads of the International Monetary Fund, World Bank Group, World Health Organisation and World Trade Organisation at a high-level consultations with Gavi and UNICEF has reiterated the urgency in accelerating vaccinations in Low Income Countries, LICs, where under 5 percent of the population is fully vaccinated, as well as in LMICs, where around 30 percent of the population is fully vaccinated.

The leaders of the organisations at the seventh meeting of the Multilateral Leaders Task Force on COVID-19 Vaccines, Therapeutics and Diagnostics, agreed to work with countries to support and strengthen their national vaccination goals consistent with the global target to vaccinate 70 percent of the populations in all countries by mid-2022.

They added that the emergence of the Omicron variant underscores the vital need for fair and broad access to vaccines as well as testing, sequencing, and treatments to end the pandemic.

The meeting was aimed at increasing the use of COVID-19 vaccines and other critical medical countermeasures in low-income (LIC) and lower middle-income (LMIC) countries and supporting countries to be better prepared, resourced, and ready to roll out vaccines.

They said that addressing vaccine inequity, particularly in LICs, requires increasing the supplies of vaccines to COVAX and AVAT, encouraging LICs and LMICs to purchase additional vaccine doses, and enhancing country readiness to deploy vaccines.

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“Furthermore, to facilitate trade flows to support the manufacturing and distribution of vaccines and other COVID tools, export restrictions must be rolled back and trade-facilitating measures must be put in place. Fully funding the ACT-A Accelerator’s Financing Framework would play an important role in narrowing these gaps and reaching the global target,” they noted.

They further noted that some LICs and LMICs are facing serious challenges in vaccine deployment. Constraints related to storage, cold chain capacity, and trained vaccinators are exacerbated in some cases by doses arriving with short shelf lives and without adequate lead time and shortages in ancillary supplies with challenges to plan and finance vaccination campaigns in a timely manner.

“As in wealthier countries, vaccine hesitancy is also an issue in some LICs and LMICs.”

To address such challenges,  they called on governments that have already achieved high coverage to  fulfil their donation pledges as quickly as possible to accelerate near-term deliveries to COVAX; release manufacturers from contracts and options and implement delivery swaps, so they can prioritize supply to COVAX, AVAT, and low-coverage countries.

“We urge governments that have yet to achieve high vaccination coverage to contract additional doses immediately through AVAT, COVAX, or bilaterally; establish in-country surge capacity to increase the rate of vaccine utilization as supplies increase; and coordinate between health and finance authorities for making increased use of multilateral development banks’ resources that are readily available for both vaccine purchase and deployment.

“We call for better coordination among vaccine manufacturers, dose donating countries, COVAX, AVAT, and other partners to improve visibility on vaccine supply schedules and quality of supply for LICs and LMICs, to support country-level planning and preparedness for turning vaccines into vaccinations. Visibility on schedules along with adequate lead times and shelf lives of vaccines are critical for both equitable distributions as well as for recipient countries and their partners to prepare for in-country deployment. “

They also stated that growing volumes of COVID-19 vaccines are forecast to arrive in LICs and LMICs in the coming months.

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