Page 12 - rockefeller vaccination plan

4 The challenges of delivering Covid-19 vaccines are

among the greatest ever faced by public health
authorities. Current plans under ACT-A, including
COVAX, call for distributing more than two billion vac-
SUPPORT DELIVERY
cine doses by the end of 2021 to achieve a vaccination
SYSTEM
rate of just 27 percent in 92 countries that are part of
the Advance Market Commitment group.

Delivering and administering vaccines takes logistics,
people and money. The successful infrastructure
built by PEPFAR, the Global Fund and other pro-
grams to deliver HIV medicines must be expanded
to create national vaccination initiatives that do not
bleed money or resources from other needed health
programs. Higher-income countries should work
with Gavi, the Vaccine Alliance, and other partners
to continue strengthening this infrastructure in the
developing world .
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A basic problem is that the world’s delivery infrastruc-
ture has long revolved around infants and children,
not adults. Vaccination campaigns against polio, Ebola
and some other infectious agents suggest that most
of the cost of vaccinations will not be the vaccines,
but the services needed to deliver them. A key prior-
ity is ensuring that Covid-19 vaccination efforts have
enough money to prevent the cannibalization of other
crucial health programs.

Covid-19 vaccination programs require data systems
to monitor coverage and safety, effective communica-
tions on where to get vaccinated and combat vaccine
hesitancy, and personal protective equipment for med-
ical personnel. This investment will help build capacity
and pay dividends for future disease outbreaks.

THE ROCKEFELLER FOUNDATION ONE FOR ALL AN UPDATED ACTION PLAN FOR GLOBAL COVID-19 VACCINATION 11