Is There Broad-Based Support in High-Income Countries for COVID-19 Vaccine Donation? Evidence from Seven Countries

Roope, Laurence; Barnett, Adrian; Candio, Paolo; Violato, Mara; Duch, Raymond M.; Clarke, Philip

doi:10.1007/s40258-021-00696-8

Cited by 4 publications

(3 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Given the vast range of impacts of the COVID-19 pandemic, it is difficult for any single group of individuals (including experts) to provide a comprehensive understanding of the range of factors involved in assessing needs for vaccines. Previous research suggests there is broad support for some level of donation of vaccines, from high-income to less wealthy settings [ 30 ], but how exactly the public perceive needs for vaccines is less well-understood. Although several technical issues may be better understood and analysed by experts, the value judgements of all stakeholders involved (including the public who play an important role in shaping political decisions) must be considered, to develop robust, inclusive and sustainable priority-setting processes [ 31 , 32 ].…”

Section: Discussionmentioning

confidence: 99%

Which countries need COVID-19 vaccines the most? Development of a prioritisation tool

et al. 2022

View full text Add to dashboard Cite

Background The COVID-19 pandemic and associated non-pharmaceutical interventions (NPIs) have affected all countries. With a scarcity of COVID-19 vaccines there has been a need to prioritize populations, but assessing relative needs has been challenging. The COVAX Facility allocates vaccines to cover 20% of each national population, followed by a needs assessment that considers five quantitative metrics alongside a qualitative assessment. The objective of this study was to identify the most important factors for assessing countries’ needs for vaccines, and to weight each, generating a scoring tool for prioritising countries. Methods The study was conducted between March and November 2021. The first stage involved an online Delphi survey with a purposive and snowball sample of public health experts, to reach consensus on country-level factors for assessing relative needs for COVID-19 vaccines. The second stage involved a discrete choice experiment (DCE) to determine weights for the most important factors. Results Responses were received from 28 experts working across 13 different countries and globally. The most common job titles reported were director and professor, with most based in national public health institutes (n = 9) and universities (n = 8). The Delphi survey found 37 distinct factors related to needs. Nine of the most important factors were included in the DCE. Among these, the most important factor was the ‘proportion of overall population not fully vaccinated’ (with a mean weight of 19.5), followed by ‘proportion of high-risk population not fully vaccinated’ (16.1), ‘health system capacity’ (14.2), ‘capacity to purchase vaccines’ (11.9) and the ‘proportion of the population clinically vulnerable’ (11.3). Conclusions Several factors exist, extending beyond those currently used, which may lead to some countries having a greater need for vaccines compared to others. By assessing relative needs, this scoring tool can build on existing methods to further the role of equity in global COVID-19 vaccine allocation.

show abstract

Section: Discussionmentioning

confidence: 99%

Which countries need COVID-19 vaccines the most? Development of a prioritisation tool

et al. 2022

View full text Add to dashboard Cite

show abstract

“…More broadly, there is evidence of greater recognition among the public and policy makers of the need to build resilience into health care systems, and the greater investment that this will require [ [21] , [22] , [23] ]. There have also been encouraging signs of broad support among the general public in many high-income countries of willingness to donate COVID-19 vaccines to low-income countries [ 24 , 25 ]. While this may reflect altruistic preferences, there appears to be a growing realization that we are all connected and that eradicating diseases in distant locations could bring local benefits by reducing their potential to spread worldwide.…”

Section: Perspective: the Positive Legacy Of The Pandemic For Future ...mentioning

confidence: 99%

The economic challenges of new drug development

Roope

2022

Journal of Controlled Release

View full text Add to dashboard Cite

“…A growing body of literature has assessed the principles to guide vaccine donation [ 7 ], the importance of equitable access to vaccination [ 8 ], and public support for vaccine donation [ 9 ] during the COVID-19 pandemic. Although certain studies have found that individuals generally favor donating COVID-19 vaccines to low- and middle-income countries [ 10 , 11 ], there is limited knowledge about what other factors may be influencing individual preferences regarding vaccine donations.…”

Section: Introductionmentioning

confidence: 99%

Politics matters for individual attitudes toward vaccine donation: cross-national evidence from the United States and Taiwan

et al. 2023

View full text Add to dashboard Cite

Background Vaccine equity has been a major concern during the COVID-19 pandemic. According to the principle of vaccine equity, donor countries should apply the criterion of needs to make decisions about vaccine donation instead of considering recipient countries’ economic status. We examine whether people follow the same criterion or consider other factors to decide which country to donate vaccines and how many vaccines should be delivered. Methods We conducted online surveys with the design of conjoint experiment in the United States and Taiwan in 2021. 1,532 American citizens and 1,587 Taiwanese citizens were interviewed. The respondents were broadly quota-matched to their respective demographic proportions on the dimensions of age, gender, and education. We estimated the average marginal component effects (AMCEs) of the conjoint attributes by using the OLS regression models with standard errors clustered at the respondent level. Results 15,320 and 15,870 decisions on vaccine donation generated by conjoint experiment respectively in the United States and Taiwan were included in the analysis. Both American and Taiwanese people tend to donate vaccines to countries that suffer severe consequences of COVID-19 and democracies compared to authoritarian countries. However, they are less willing to donate vaccines to those with higher levels of capability in response to COVID-19. Taiwanese people tend to donate vaccines to countries having formal diplomatic relations with Taiwan (AMCE 13.4%, 95% CI 11.8%-15.1%). Nonetheless, American people would rather donate vaccines to countries without formal diplomatic relations with the United States (AMCE − 4.0%, 95% CI -5.6%--2.4%). Conclusions The findings reveal that politics plays a significant role in people’s decisions about vaccine donation. Under electoral pressure, political leaders must think about how to respond to the public’s preferences over vaccine donation to achieve vaccine equity and address the global health crisis.

show abstract

Is There Broad-Based Support in High-Income Countries for COVID-19 Vaccine Donation? Evidence from Seven Countries

Cited by 4 publications

References 14 publications

Which countries need COVID-19 vaccines the most? Development of a prioritisation tool

Which countries need COVID-19 vaccines the most? Development of a prioritisation tool

The economic challenges of new drug development

Politics matters for individual attitudes toward vaccine donation: cross-national evidence from the United States and Taiwan

Contact Info

Product

Resources

About