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Challenges for nationwide vaccine delivery in African countries

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  • Mario Songane

    (McGill Life Sciences Complex, McGill University)

Abstract

Vaccines are very effective in providing individual and community (herd) immunity against a range of diseases. In addition to protection against a range of diseases, vaccines also have social and economic benefits. However, for vaccines to be effective, routine immunization programmes must be undertaken regularly to ensure individual and community protection. Nonetheless, in many countries in Africa, vaccination coverage is low because governments struggle to deliver vaccines to the most remote areas, thus contributing to constant outbreaks of various vaccine-preventable diseases. African governments fail to deliver vaccines to a significant percentage of the target population due to many issues in key areas such as policy setting, programme management and financing, supply chain, global vaccine market, research and development of vaccines. This review gives an overview of the causes of these issues and what is currently being done to address them. This review will discuss the role of philanthropic organisations such as the Bill and Melinda Gates Foundation and global partnerships such as the global alliance for vaccines and immunizations in the development, purchase and delivery of vaccines.

Suggested Citation

  • Mario Songane, 2018. "Challenges for nationwide vaccine delivery in African countries," International Journal of Health Economics and Management, Springer, vol. 18(2), pages 197-219, June.
    • Handle: RePEc:kap:ijhcfe:v:18:y:2018:i:2:d:10.1007_s10754-017-9229-5
    DOI: 10.1007/s10754-017-9229-5
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    References listed on IDEAS

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    1. M. Brisson & W. J. Edmunds, 2003. "Economic Evaluation of Vaccination Programs: The Impact of Herd-Immunity," Medical Decision Making, , vol. 23(1), pages 76-82, January.
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    Cited by:

    1. Claudia E. Vickers & Paul S. Freemont, 2022. "Pandemic preparedness: synthetic biology and publicly funded biofoundries can rapidly accelerate response time," Nature Communications, Nature, vol. 13(1), pages 1-4, December.
    2. De Boeck, Kim & Decouttere, Catherine & Vandaele, Nico, 2020. "Vaccine distribution chains in low- and middle-income countries: A literature review," Omega, Elsevier, vol. 97(C).
    3. Jessica Rodríguez‐Pereira & Burcu Balcik & Marie‐Ève Rancourt & Gilbert Laporte, 2021. "A Cost‐Sharing Mechanism for Multi‐Country Partnerships in Disaster Preparedness," Production and Operations Management, Production and Operations Management Society, vol. 30(12), pages 4541-4565, December.

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    More about this item

    Keywords

    Vaccine; Africa; Routine immunization; Supply chain; Delivery;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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