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Tuesday, January 25, 2022

Joint Assertion on Dose Donations of COVID-19 Vaccines to African International locations

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Constructing on classes realized from our collective expertise with dose donations over the previous a number of months, the African Vaccine Acquisition Belief (AVAT), the Africa Centres for Illness Management and Prevention (Africa CDC) and COVAX want to draw the eye of the worldwide neighborhood to the state of affairs of donations of COVID-19 vaccines to Africa, and different COVAX taking part economies, notably these supported by the Gavi COVAX Advance Market Dedication (AMC).

AVAT and COVAX complement one another’s efforts to assist African nations to fulfill their immunisation targets, recognising the worldwide objective of immunising 70% of the African inhabitants. Dose donations have been an necessary supply of provide whereas different sources are stepping up, however the high quality of donations wants to enhance.

AVAT and COVAX are centered on accelerating entry to and rollout of COVID-19 vaccines in Africa. Collectively we’re quickly increasing provide to the continent, and offering nations with the assist to have the ability to utilise the doses they obtain. Thus far, over 90 million donated doses have been delivered to the continent by way of COVAX and AVAT and hundreds of thousands extra by way of bilateral preparations.

Nevertheless, the vast majority of the donations to-date have been advert hoc, supplied with little discover and brief shelf lives. This has made it extraordinarily difficult for nations to plan vaccination campaigns and enhance absorptive capability. To attain greater protection charges throughout the continent, and for donations to be a sustainable supply of provide that may complement provide from AVAT and COVAX buy agreements, this development should change.

International locations want predictable and dependable provide. Having to plan at brief discover and guarantee uptake of doses with brief shelf lives exponentially magnifies the logistical burden on well being methods which are already stretched. Moreover, advert hoc provide of this type utilises capability – human assets, infrastructure, chilly chain – that could possibly be directed in direction of long-term profitable and sustainable rollout. It additionally dramatically will increase the dangers of expiry as soon as doses with already brief shelf-lives arrive in nation, which can have long-term repercussions for vaccine confidence.

Donations to COVAX, AVAT, and African nations should be made in a means that permits nations to successfully mobilise home assets in assist of rollout and allows long-term planning to extend protection charges. We name on the worldwide neighborhood, notably donors and producers, to decide to this effort by adhering to the next requirements, starting from 1 January 2022:

  • Amount and predictability: Donor nations ought to endeavour to launch donated doses in giant volumes and in a predictable method, to cut back transaction prices. We acknowledge and welcome the progress being made on this space, however observe that the frequency of exceptions to this method locations elevated burden on nations, AVAT and COVAX.
  • Earmarking: These doses needs to be unearmarked for biggest effectiveness and to assist long-term planning. Earmarking makes it far tougher to allocate provide primarily based on fairness, and to account for particular nations’ absorptive capability. It additionally will increase the chance that brief shelf-life donations utilise nations’ chilly chain capability – capability that’s then unavailable when AVAT or COVAX are allocating doses with longer shelf lives below their very own buy agreements.
  • Shelf life: As a default, donated doses ought to have a minimal of 10 weeks shelf life once they arrive in-country, with restricted exceptions solely the place recipient nations point out willingness and skill to soak up doses with shorter shelf lives.
  • Early discover: Recipient nations must be made conscious of the supply of donated doses not lower than 4 weeks earlier than their tentative arrival in-country.
  • Response occasions: All stakeholders ought to search to supply fast response on important data. This consists of important provide data from producers (complete volumes accessible for donation, shelf life, manufacturing website), affirmation of donation supply from donors, and acceptance/refusal of allocations from nations. Final minute data can additional complicate processes, rising transaction prices, decreasing accessible shelf life and rising threat of expiry.
  • Ancillaries: The vast majority of donations to-date don’t embody the required vaccination provides akin to syringes and diluent, nor do they cowl freight prices –  which means these must be sourced individually – resulting in extra prices, complexity and delay. Donated doses needs to be accompanied with all important ancillaries to make sure fast allocation and absorption.

AVAT, Africa CDC and COVAX stay dedicated to collaborate with donor nations, vaccine producers and companions on making certain these requirements are upheld, as we proceed to work collectively in direction of attaining Africa’s vaccination objectives.


Notes to Editors

About African Union

The African Union (AU) is a continental physique consisting of the 55 Member States that make up the nations of the African Continent. It was formally launched in 2002 as a successor to the Organisation of African Unity (OAU, 1963-1999). https://au.int/en/overview

About Africa CDC

Africa Centres for Illness Management and Prevention (Africa CDC), is a specialised technical establishment of the African Union that strengthens the capability and functionality of Africa’s public well being establishments in addition to partnerships to detect and reply rapidly and successfully to illness threats and outbreaks, primarily based on data-driven interventions and programmes. Be taught extra at: www.africacdc.org

In regards to the African Vaccine Acquisition Belief (AVAT)

The African Vaccine Acquisition Belief (AVAT) is a particular goal car, included in Mauritius. AVAT acts as a centralised buying agent on behalf of the African Union (AU) Member States, to safe the required vaccines and blended financing assets for attaining Africa’s COVID-19 vaccination technique which targets vaccinating a minimal of 70% of Africa’s inhabitants primarily based on a whole-of-Africa method. AVAT was established by the COVID-19 African Vaccine Acquisition Activity Group, which was arrange in November 2020 by His Excellency President Cyril Ramaphosa, President of the Republic of South Africa, in his capability as Chairperson of the African Union (AU), as a assist element to the COVID-19 Immunisation Technique that was endorsed by the AU Bureau of Heads of State and Authorities in August 2020. AVAT’s principal associate establishments are the African Union’s Africa Centres for Illness Management and Prevention (Africa CDC), the African Export-Import Financial institution (Afreximbank), and the United Nations Financial Fee for Africa (ECA).


COVAX, the vaccines pillar of the Entry to COVID-19 Instruments (ACT) Accelerator, is co-led by CEPI, Gavi and WHO – working in partnership with UNICEF and PAHO as supply companions, developed and growing nation vaccine producers, the World Financial institution, and others. It’s the solely international initiative that’s working with governments and producers to make sure COVID-19 vaccines can be found worldwide to each high-income and lower-income nations.

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