全球发展中心-超越“符合全球疫苗免疫接种条件”：全球疫苗免疫在不符合条件的中等收入国家提高疫苗获取和吸收的高杠杆机会（英）-2024.4-34页

Beyondthe“Gavi-Eligible”High-LeverageOpportunitiesforGavitoEnhanceVaccineAccessandUptakeinIneligibleMiddle-IncomeCountriesRACHELSILVERMANBONNIFIELD·MORGANPINCOMBE·JANEENMADANKELLERAbstractThegloballocusofundervaccinationisincreasinglyshiftingfromthepoorestcountriesintheworld—whichareeligibleforsupportfromGavi,theVaccineAlliance(Gavi)—tomiddle-incomecountries(MICs)thatdonotqualifyfortraditionalGavisupport.Giventhesegrowingchallenges,GavimustrethinkitsengagementwiththoseMICsthatareineligiblefortraditionalsupport.Althoughthisengagementisintendedtobe“catalytic”andhasbeenintentionallytargetedtocountryneeds,italsohasbeenrelativelysmall-scaleandadhoc.Gavi’snextfive-yearstrategicperiodfrom2026to2030,knownas“Gavi6.0,”offersawindowofopportunityforitsboardandleadershiptoconsidernewanddifferentwaysforGavitoengagewithMICstoadvanceglobalvaccineaccessandimprovevaccinationoutcomes.Tohavethegreatestimpactinthiscontext,Gavimustleanintoitscomparativeadvantageinmarketshapinganddemandconsolidationtodriveitscontributionstoglobalvaccinationeffortswithfiniteresources.WeofferrecommendationsforGavitooperationalizebroaderengagementwithMICs,specificallybyenablinganexpandedcohortofMICstoaccessmoreaffordablepricesforbothnewer,costliervaccinesandfuturevaccinesviaopt-inframeworkagreementsandbysupportingaglobalcoordinatinghubtosha...