GAVI's Advance Market Commitment.

摘要

The World Report on GAVI's Advance Market Commitment (AMC; Dec 5, p 1879) contains irreconcilable claims byGAVI and reveals the inability of the AMC approach to make new vaccines available to low-income countries on a sustainable basis.GAVI claims that a 30% difference in price will not affect the number of children immunised, because GAVI will apparently use its own resources to make up the difference. But "its own resources" are non-AMC donations, and that means fewer funds to support other, cheaper vaccine initiatives that save more children. This is one sign that GAVI is sacrificing more cost-effective programmes on the altar of AMCs.