Papers, Publications, & Other Resources

November 30, 2022: COVID GAP Accountability Report Issue 15

November 30, 2022: COVID GAP Accountability Report Issue 15

Key Changes and Insights Since Previous Report:

  • Chad reports 100% primary vaccination coverage of the healthcare worker population which is an increase from 30.1% two weeks ago. Chad also reports 78.33% primary vaccination coverage of the 60+ population, an increase from 3.33%.

  • Afghanistan reports 32.58% primary vaccination coverage of the healthcare worker population which is an increase from 9% in the previous report.

  • The number of booster doses administered per 100 people has increased across all income levels.

  • The average number of daily tests per 1,000 people has increased in quarter 4 across high income, upper-middle income, and lower-middle income countries.

November 16, 2022: COVID GAP Accountability Report Issue 14

November 16, 2022: COVID GAP Accountability Report Issue 14

Key Changes and Insights Since Previous Report:

  • On November 13th, the G20 officially launched the pandemic prevention, preparedness, and response financial intermediary fund – now called the Pandemic Fund.

  • Italy and the United Kingdom have announced their pledges towards the Global Fund replenishment. Italy pledges 185 million euros and the United Kingdom pledges 1 billion GBP.

  • Both the vaccination pillar and health systems and response pillar of ACT-A have received additional contributions, reaching 71.5% and 10.5% of the target funding respectively.

  • Germany pledged an additional $97.84 million to CEPI while Mexico and BMGF have contributed the full amount pledged.

  • Niger reports a daily vaccination rate (28-day average) of 0.32%, an increase from 0% two weeks ago.

  • Côte d’Ivoire is reporting 70.10% vaccination coverage of their 60+ population which is an increase from 46.73% two weeks ago.

November 3, 2022: COVID GAP Accountability Report Issue 13

November 3, 2022: COVID GAP Accountability Report Issue 13

Key Changes and Insights Since Previous Report:

  • The ACT-Accelerator transition plan has been released. From October 2022 to March 2023, ACT-A will support countries in transitioning to long-term COVID-19 control across three overarching areas: research and development and market shaping activities, securing institutional arrangements for sustained access to COVID-19 tools, and concentrating in-country work on new product introductions and protection of priority populations.

  • Zambia reports a daily vaccination rate (28-day average) of 0.34%, an increase from 0.07% two weeks ago.

  • The number of booster doses administered per 100 people has increased across all income levels except for lower middle-income countries.

  • New: COVID GAP is now tracking purchases of bivalent COVID-19 vaccines.

October 19, 2022: COVID GAP Accountability Report Issue 12

October 19, 2022: COVID GAP Accountability Report Issue 12

Key Changes and Insights Since Previous Report:

  • Findings from the ACT-A external evaluation have been released. The ACT-A Facilitation Council commissioned Open Consultants to evaluate ACT-A experiences and identify key lessons learned for future pandemic preparedness and response.

  • Gavi and Moderna have signed an agreement to cancel the remaining volume of vaccine doses for 2022, and make available up to 100 million doses of variant containing vaccines for low and middle-income countries.

  • The Medicines Patent Pool has signed a license agreement with Shionogi & Co. for their oral antiviral candidate, ensitrelvir.
    Somalia reports a daily vaccination rate (28-day average) of 0.47%, an increase from 0.23% two weeks ago.

  • The number of booster doses administered per 100 people has increased in upper middle- income and lower middle-income countries.

October 5, 2022: COVID GAP Accountability Report Issue 11

October 5, 2022: COVID GAP Accountability Report Issue 11

Key Changes and Insights Since Previous Report:

  • Each ACT-A pillar has received additional funding, yet all remain underfunded as the ACT-A fiscal year ends.

  • Spain has contributed $16 million to the World Bank’s financial intermediary fund for pandemic prevention and preparedness.

  • Generic molnupiravir from Hetero Labs in India has received WHO prequalification.

  • The United States is decreasing the number of Pfizer COVID-19 vaccine doses it will purchase to donate to other countries from 1 billion to 600 million doses.

  • Senegal reports that 83.45% of their 60+ population has received a full course of COVID-19 vaccination, up from 35.88% two weeks ago.

  • Since the last data update, Somalia and Central African Republic have had the greatest changes in percent of the population fully vaccinated and daily vaccination rate, but still modest (e.g., less than 1% change in population fully vaccinated).

  • There has been an increase in the number of COVID-19 booster doses administered across all income levels in the last two weeks.

September 22, 2022: COVID GAP Accountability Report Issue 10

September 22, 2022: COVID GAP Accountability Report Issue 10

Key Changes and Insights Since Previous Report:

  • The Global Fund replenishment has raised more than US $14.25 billion of the US $18 billion goal.

  • The Global Fund has signed an agreement with Pfizer to procure up to 6 million courses of Paxlovid for low and middle-income countries

  • According to Our World In Data, only 18.4% of people living in low-income countries have received a full course of COVID-19 vaccination, compared with 74.7% in high-income countries (as of September 19, 2022).

  • Over 130 countries are off track to meet the 70% primary vaccination target by the UN General Assembly meeting. Only 3.8% of low-income countries have reached this target compared to 63.4% of high-income countries.

  • Uganda has achieved 100% primary vaccination coverage of healthcare workers.

  • In the previous two weeks, there has been an increase in the number of COVID-19 booster doses administered across all income levels.

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September 19, 2022: New Priorities to Maximize the Impact of the Global COVID-19 Response

Scientific advances have largely provided the tools to make COVID-19 a manageable global health security threat, if those tools are made available equitably around the world. As the COVID-19 response transitions out of emergency mode, scarce global dollars must be used effectively, efficiently, and equitably. The COVID Global Accountability Platform (COVID GAP) team offered recommendations to guide this critical transition over the coming months.

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COVID GAP Accountability Report: September 2022

September 8, 2022: COVID GAP Accountability Report Issue 9

Key Changes and Insights Since Previous Report:

  • NEW: COVID GAP is now tracking booster doses administered globally in vulnerable populations (healthcare workers and those aged 60+).

  • The health systems and response pillar and the vaccination pillar of ACT-A have received additional funding and are now 9.7% and 69.7% funded, respectively.

  • South Sudan has achieved 100% vaccination coverage of healthcare workers.

  • Burkina Faso reports a daily vaccination rate of 0.13% of the population, an increase from 0.01% in the previous update.

  • Afghanistan has achieved 39.10% vaccination coverage of those aged 60+ compared to 19.73% two weeks ago.

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COVID GAP Accountability Report: August 2022

August 24, 2022: COVID GAP Accountability Report Issue 8

Key Changes and Insights Since Previous Report:

  • New Zealand has contributed $1.26 million to the World Bank’s Financial Intermediary Fund (FIF) for pandemic preparedness and prevention.

  • The number of COVID-19 boosters administered per 100 people has increased across all income groups in the past two weeks.

  • South Sudan has achieved 95.75% vaccination coverage for healthcare workers, an increase from 77.83% two weeks ago.

  • Afghanistan reports a daily vaccination rate of 0.29% of the total population, an increase from 0.14% in the last update (28-day average).

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August 11, 2022: COVID GAP Accountability Report Issue 7

Key Changes and Insights Since Previous Report:

  • The vaccination pillar of ACT-A has received additional contributions and is now 69.3% funded.

  • The European Commission has now contributed $326.5 million towards ACT-A, up from $260 million in the last update.

  • In the last two weeks, the average number of daily tests has increased across all income groups except for low-income.

  • In the last two weeks, there has been an increase in the number of COVID-19 boosters administered per 100 people across all income groups globally.

  • Tanzania reports a daily vaccination rate of 0.48% of the total population, up from 0.21% in the last update (28-day average).

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July 28, 2022: COVID GAP Accountability Report Issue 6

Key Changes and Insights Since Previous Report:

  • China, Italy, the United Arab Emirates, Japan, and South Korea all made new pledges to

  • the World Bank’s Financial Intermediary Fund (FIF) for pandemic prevention and preparedness.

  • Africa CDC has signed a memorandum of understanding with Pfizer to make Paxlovid available to African countries.

  • Since the last data update, there has been an increase in the number of COVID-19 boosters administered per 100 people across all income groups globally.

  • Some encouraging improvements in vaccination coverage:

    • Ethiopia reports a daily vaccination rate of 0.53% of the population, up from 0.0% in the last update (28-day average).

    • Tanzania reports a daily vaccination rate of 0.21% of the population, up from 0.02% in the last update (28-day average).

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July 7, 2022: COVID GAP Accountability Report Issue 5

Key Changes and Insights Since Previous Report:

  • Last week, the World Bank approved the establishment of a new Financial Intermediary Fund (FIF) to finance investments to strengthen pandemic prevention, preparedness and response at national, regional, and global levels with a focus on low and middle-income countries. The goal is to launch the FIF in the fall.

  • Sweden has now contributed 124% of its ACT-A “fair share” (US $300 million).

  • The vaccination pillar of ACT-A now has an additional $1.8 billion in contributions, bringing the pillar from 39.5% funded to 69.1% funded.

  • Since the last data update, there has been an increase in the number of COVID-19 boosters administered per 100 people across all income groups except for low income.

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June 23, 2022: COVID GAP Accountability Report Issue 4

Key Changes and Insights Since Previous Report:

  • Germany has now contributed 115% of its ACT-A “fair share” (US $1.27 billion), becoming the first country to exceed its contribution benchmark set by the ACT-A Facilitation Council’s Finance and Resource Mobilization Working Group.

  • The health systems pillar of ACT-A now has an additional $231 million in contributions, bringing the pillar from 5.5% funded to 9% funded.

  • The mid-2022 deadline for the 70% vaccination coverage target, defined as end of June, is fast approaching. With one week to go, 145 countries are still off track to meet the 70% vaccination target.

  • Since the last data update, Sierra Leone and South Sudan have had the greatest changes in percent of population fully vaccinated and daily vaccination rate, but still modest (e.g., less than 1% change in population fully vaccinated).

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June 8, 2022: COVID GAP Accountability Report Issue 3

Key Changes and Insights Since Previous Report:

  • NEW: COVID GAP is now tracking booster doses administered globally. Based on current data, booster coverage is greatest in high income countries (average of 41 doses administered per 100 people) and lowest in low-income countries (2 doses per 100 people). Continued roll out of primary doses in many lower-income countries may explain some of the difference in booster coverage, however inconsistent booster policies across countries creates an additional challenge to drawing insights from this metric.

  • Since the last accountability report, no countries have reported updated data to WHO’s COVID-19 Vaccine Delivery Partnership Information Hub, therefore we are unable to report on any progress related to vaccine delivery.

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May 25, 2022: COVID GAP Accountability Report Issue 2

COVID Global Accountability Platform’s (COVID GAP’s) Accountability Reports highlight and analyze recent developments, track progress toward national, regional, and global targets, and identify high-priority recommendations for a more effective, efficient, and equitable pandemic response and preparedness. Drawing on data across many sources, our team tracks important measures of progress on commitments and remaining gaps, helping to hold leaders and organizations to account on these actions.

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May 11, 2022: COVID GAP Accountability Report Issue 1

The global response to COVID-19 has evolved over the past two years, with some notable achievements balanced by continued challenges. The global pandemic response now faces additional headwinds – along with growing pandemic fatigue and complacency in many high-income countries, the crisis caused by Russia’s invasion of Ukraine is causing a further shift of attention and resources. Though there has been significant progress over the past six months, especially on vaccine supply, much more work remains to be done.

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April 28, 2022: Seizing the Moment: Global Action to End the COVID-19 Crisis and Prevent the Next Pandemic

Eleven leading health organizations from around the world released a joint declaration highlighting urgent, actionable priorities to update the post-Omicron COVID-19 strategy for a more equitable and effective global pandemic response. The joint report, Seizing the Moment: Global Action to End the COVID-19 Crisis and Prevent the Next Pandemic, synthesizes the perspectives of diverse speakers — who were joined by over 400 participants from around the world — to identify top priorities to meet global needs at this stage of the pandemic and to build stronger, more resilient, and equitable systems for the future.

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Abril 28, 2022: Aprovechemos el Momento: Acción global para poner fin a la COVID-19 y prevenir la siguiente pandemia

Once organizaciones de salud líderes de todo el mundo publicaron una declaración conjunta que destaca las prioridades urgentes y procesables para actualizar la estrategia post-Omicron COVID-19 para una respuesta global más equitativa y efectiva a la pandemia. El informe conjunto, Aprovechando el momento: Acción global para poner fin a la crisis de COVID-19 y prevenir la próxima pandemia, sintetiza las perspectivas de diversos oradores, a quienes se unieron más de 400 participantes de todo el mundo, para identificar las principales prioridades para satisfacer las necesidades globales. en esta etapa de la pandemia y construir sistemas más fuertes, resilientes y equitativos para el futuro.

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March 30, 2022: The Path Forward: A Post-Omicron Strategy for the Global COVID-19 Response

At this pivotal moment, the world’s response to the pandemic must shift from emergency crisis management to a sustainable control strategy. This strategy should help to build resilient health systems with capabilities to address potential future COVID-19 outbreaks and other public health threats. A new COVID GAP report, The Path Forward: A Post-Omicron Strategy for the Global COVID-19 Response, identifies four actions that can be taken by national leaders, donors, multilateral organizations, and global public health organizations to shift the global strategy.

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March 3, 2022: While vaccines remain a critical aspect of global pandemic response, COVID GAP emphasizes in its new report, Pills to People: Accelerating Equitable Global Access to Oral Therapeutics for COVID-19, the vital need for a “vaccination plus” strategy that expands the COVID arsenal to include oral treatments.

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On 13 December 2021, the COVID Global Accountability Platform (COVID GAP, led by Duke University and COVID Collaborative), WHO, United Nations Children’s Fund (UNICEF), and Africa Centres for Disease Control and Prevention (Africa CDC), supported by The Rockefeller Foundation and the Bill & Melinda Gates Foundation, co-hosted a joint global convening on vaccination challenges. This collaboration is bringing together leaders from around the world to co-design and catalyze solutions that can accelerate global pandemic response. This report summarizes insights and recommendations from that convening, and also draws on learnings from national, regional, and global vaccination efforts over the past year, particularly those led by WHO and UNICEF through COVAX Country Readiness and Delivery (CRD) activities and by Africa CDC and the African Union.

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November 18, 2021: This initial report, released by COVID GAP, focuses on steps that the G7/EU countries can take immediately to meet the urgent challenge of reaching 40 percent vaccination coverage in every country by the end of 2021 – a critical milestone to ending the pandemic everywhere.

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The COVID GAP Framework

COVID Global Accountability Platform (COVID GAP): Partnering to Establish an Independent Accountability Hub for Global COVID-19 Pandemic Response

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A Rapid Review of COVID-19 Vaccination Roll-Out

A Rapid Review of COVID-19 Vaccination Roll-Out. A systematic review of COVID-19 vaccine roll-out experiences and lessons learned is being undertaken by the World Health Organization (WHO), the U.S. Agency for International Development (USAID) MOMENTUM Country and Global Leadership project, and COVID GAP, to produce learnings for program audiences at all levels—global, regional, country, and sub-national. This slide deck is the first in a series of multiple rapid review products, highlighting learning, best practices, and recommendations for one of the eight selected themes.