COVAX – Time to reconsider the strategy and its target
David C Bell,
Garrett Wallace Brown,
Wellington Oyibo,
Samiratou Ouédraogo,
Blagovesta Tacheva,
Elena Barbaud,
Andreas Kalk,
Valéry Ridde and
Elisabeth Paul
ULB Institutional Repository from ULB -- Universite Libre de Bruxelles
Abstract:
COVAX, the international initiative supporting COVID-19 vaccination campaigns globally, is budgeted to be the costliest public health initiative in low- and middle-income countries, with over 16 billion US dollars already committed. While some claim that the target of vaccinating 70% of people worldwide is justified on equity grounds, we argue that this rationale is wrong for two reasons. First, mass COVID-19 vaccination campaigns do not meet standard public health requirements for clear expected benefit, based on costs, disease burden and intervention effectiveness. Second, it constitutes a diversion of resources from more cost-effective and impactful public health programmes, thus reducing health equity. We conclude that the COVAX initiative warrants urgent review.
Date: 2023-04
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Published in: Health Policy OPEN (2023),p.100096
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