The politics of Covid-19 vaccination in middle-income countries
Lessons from Brazil
Bibliographic Data
| ID | 4977211 |
|---|---|
| Authors | Elize Massard Da Fonseca (0000-0003-3847-3105, Fundação Getulio Vargas, corresponding author), Kenneth C Shadlen (0000-0003-4010-4835, London School of Economics and Political Science), Francisco I Bastos (0000-0001-5970-8896, Fundação Oswaldo Cruz) |
| Year | 2021 |
| Volume | 281 |
| Pages | 114093 |
| Publication date | 2021-07-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Social Science & Medicine (JOURNAL) |
| Journal identifiers | ISSN: 0277-9536 • E-ISSN: 1873-5347 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.socscimed.2021.114093 |
| PMID | 34144480 |
| OpenAlex | W3166698541 |
| Language | EN |
| Citations received | 24 |
| References cited | 19 |
As the world struggles to meet the challenges of vaccination against COVID-19, more attention needs to be paid to issues faced by countries at different income levels. Middle-income countries (MICs) typically lack the resources and regulatory capacities to pursue strategies that wealthier countries do, but they also face different sets of challenges and opportunities than low-income countries (LICs). We focus on three dimensions of vaccination: procurement and production; regulation of marketing registration; and distribution and uptake. For each dimension we show the distinct challenges and opportunities faced by MICs. We illustrate these challenges and opportunities with the case of Brazil, showing how each dimension has been affected by intense political conflicts. Brazil's procurement and production strategy, which builds on a long trajectory of local production and technology transfer, has been riddled by conflicts between the national government and state governments. The regulatory approval process, based around one of Latin America's most highly-regarded regulatory authorities, has also been subject to acute inter- and intra-governmental conflicts. And with regard to distribution and uptake, in the face of high uncertainty, even with a solid health infrastructure, Brazil encounters difficulties in promoting vaccine delivery. The research also reveals the importance of coordination among these dimensions, in Brazil and beyond. Pandemic preparedness and response must include sharing knowledge of how to produce vaccines and recognition of the crucial linkages between procurement, regulation, delivery, and uptake that are necessary for ensuring access to these products
Business · Coronavirus disease 2019 (COVID-19 · Developing country · Development economics · Distribution (mathematics · Economic growth · Economics · Government (linguistics · Pandemic · Political science · Politics · Preparedness · Procurement · Public economics · Vaccination · COVID-19 Pandemic Impacts · Global Maternal and Child Health · Medicine · Vaccine Coverage and Hesitancy · Marketing · Virology
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Inequality in Covid-19 vaccine acceptance and uptake
How Covid-19 illness perceptions and individual shocks are associated with trust during the Covid-19 pandemic in Australia, France, Germany, and South Africa
Preparing for future pandemics
Análise estratégica da atuação do governo federal brasileiro na pandemia de Covid-19
Strategic analysis of the Brazilian federal government’s performance in the Covid-19 pandemic
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Unbalanced global vaccine product trade pattern
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Vacinar ou arriscar? A mensagem da Organização Mundial de Saúde para promover a vacinação contra a covid-19
Contested Illness and Alternative Expertise Networks in Global Health
The Brazilian health system
Spatiotemporal pattern of Covid-19 spread in Brazil
Challenges in ensuring global access to Covid-19 vaccines
The Politics of Precaution
Promoting and regulating generic medicines
Taking a Covid-19 Vaccine or Not? Do Trust in Government and Trust in Experts Help Us to Understand Vaccination Intention
What is the importance of vaccine hesitancy in the drop of vaccination coverage in Brazil
Institutional change and political decision-making in the creation of the Brazilian National Health Surveillance Agency
Vaccine confidence and hesitancy in Brazil
Medical populism
Public Production of Anti-Retroviral Medicines in Brazil, 1990-2007
Health Policy as Industrial Policy
| Unique citing works | 24 |
|---|---|
| Citations per year | 6 |
| Citation span | 2022 - 2026 (5) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 24 |