Is tiered pricing the way for vaccines?
نویسنده
چکیده
852 www.thelancet.com Vol 384 September 6, 2014 lower than the highest GNI-graduating country. Therefore, it is important for the public health community to aggressively use several strategies to address the underlying defi ciencies in the vaccine market. These strategies include, as Berkley notes, demand forecasting and pooled procurement, but they also must include collaboration between agencies and governments to eff ectively negotiate with manufacturers, and investment to broaden the manufacturing base, thus promoting competition and a broader supply base. Transparency around research and development and manufacturing costs, as well as vaccine pricing, will be important to help realise this change. Pricing must be set in a fair way that both rewards innovation and ensures that cash-strapped health systems can ultimately afford products beyond donor support. Lastly, the question of who should be governing the search for solutions is also essential. GAVI and other stakeholders can have a critical role but it is vital that governments, including key emerging economies, are the drivers of future eff ort. It is only in this way that all stakeholders can feel confident in buying into a new global strategy.
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عنوان ژورنال:
- Lancet
دوره 384 9946 شماره
صفحات -
تاریخ انتشار 2014