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ensures availability of supply, and puts downward       2.  Dedicated Trust for
        pressure on pricing. However, the standard operating        Pandemic Response
        model for both the PRGT and GRA is to provide
        loan proceeds directly to a member country. The
        IMF should, to the greatest extent possible, ensure
        resources go directly to the procuring entity (e.g.           IMF PANDEMIC RESPONSE
        Global Fund or Gavi).                                         TRUST
                                                                      (On-lent/donated SDRs from wealthy countries)
        This approach also provides benefits from the
        perspective of Governments on-lending or donating
        their SDRs. When an advanced economy pledges to               92 AMC COUNTRIES
        on-lend a portion of the newly allocated SDRs to the          OR 133 LMICS
        new window via the PRGT, it would:



                                                                Option 2 calls for creating a new, dedicated trust
                       Accrue interest from the on-lent SDR     within the IMF for pandemic response. Unlike Option
                       from the PRGT to match the interest      1, a new trust could build off the design elements of
                       liability due to IMF                     the PRGT and GRA, but would entail the establishment
                                                                of a new, dedicated entity for pandemic response.
                                                                Creating a new trust would enable governance,
                                                                underwriting, loan structuring and reporting to be
                       Experience no reduction in the reserve   specifically tailored to the needs of countries to
                       assets held by the country’s treasury    respond to the Covid-19 and future pandemics.
                       or central bank because it can replace   Another key advantage is that the set of countries
                       the SDR as a reserve asset with the new   eligible for concessional finance could be expanded
                       loan asset                               beyond the 70 PRGT countries to include a broader
                                                                set of countries.



                       Experience minimal credit risk because   The downside is that the creation of a new trust
                       the PRGT loss reserves provide a buffer   would require a higher threshold for approval by IMF
                       against delinquent payment of loans      shareholders and would therefore be politically more
                                                                challenging. It would also require the creation of
                                                                new architecture for the trust to be operationalized.
                                                                For example, in order for the new trust to be able to

        The challenge with this option is finding a means of    lend on concessional terms to borrowing countries,
        making loans under the GRA available at attractive      lending, subsidy and reserve accounts would have to
        terms to middle-income countries with a vaccine         be established akin to the PRGT. While feasible, this
        financing shortfall that are not eligible for conces-   would require significant additional time to design and
        sional PRGT financing. This includes countries such     operationalize than Option 1.
        as India, Indonesia and Nigeria, for example.
                                                                This new trust could also remain in place for future
                                                                pandemics as needed, with the downside that ring-
                                                                fencing resources in this manner could be considered
                                                                inefficient and lead to underutilization over time. It
                                                                could be available to all member countries, though



        THE ROCKEFELLER FOUNDATION ONE FOR ALL  AN UPDATED ACTION PLAN FOR GLOBAL COVID-19 VACCINATION             20
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