The Gavi COVAX Advance Market Commitment (AMC) mechanism was created to make COVID-19 vaccines available to low- and middle-income countries. On 31 December 2020 the World Health Organization (WHO) approved the Pfizer/BioNTech Comirnaty COVID-19 mRNA vaccine following the emergency use listing procedure. Emergency use approval will help to expedite the usual regulatory approval processes in lower income countries, who will remain responsible for developing their own national policies on whether to use the vaccine and which populations to prioritise. However, before vaccination can start in earnest there is the enormous challenge of distributing the vaccine around the world.
This is where the UN Children’s Fund (UNICEF) will step in, working with Gavi, the Vaccine Alliance, the WHO and the Pan American Health Organization (PAHO). The partnership will develop and execute plans for the transportation of vaccines, including ensuring that cold chain storage facilities are in place in 92 countries. By the end of 2021 UNICEF aims to procure and install 70,000 cold-chain fridges for COVID-19 vaccines that need to be stored at 2 to 8 degrees Celsius. The estimated funding required for this operation is US$ 133m, not including the estimated transportation costs (via commercial airlines) of the vaccines of US$ 70m.
For more information see our COVID-19 Health Funding Tracker.
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