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Volume 27, Number 8—August 2021

Considerations for Establishing Successful Coronavirus Disease Vaccination Programs in Africa

Victor WilliamsComments to Author , Bassey Edem, Marianne Calnan, Kennedy Otwombe, and Charles Okeahalam
Author affiliations: University of the Witwatersrand School of Public Health, Johannesburg, South Africa (V. Williams, K. Otwombe); Medical Research Council Unit The Gambia at London School of Hygiene and Tropical Medicine, Fajara, The Gambia (B. Edem); University Research Co., LLC, Manila, the Philippines (M. Calnan); University of the Witwatersrand Perinatal HIV Research Unit, Johannesburg (K. Otwombe); University of the Witwatersrand Graduate School for Business Administration, Johannesburg (C. Okeahalam)

Main Article

Table 2

Sources of financing for administering COVID-19 mass vaccination programs*

Type Domestic External
Tax revenues (national or subnational) for current spending Project grants from bilateral or multilateral agencies
Tax revenues (national or subnational) for repaying domestically or internationally held debt Grant portion of development loans
Budget support
Social health insurance (compulsory)
Debt relief proceeds
Sectorwide approaches
Private User fees (out of pocket, direct employer payment) Vaccine fund
Cross-subsidies Project grants from philanthropic institutions
Health insurance Contributions (often in-kind) from vaccine manufacturers

*COVID-19, coronavirus disease.

Main Article

Page created: May 27, 2021
Page updated: July 18, 2021
Page reviewed: July 18, 2021
The conclusions, findings, and opinions expressed by authors contributing to this journal do not necessarily reflect the official position of the U.S. Department of Health and Human Services, the Public Health Service, the Centers for Disease Control and Prevention, or the authors' affiliated institutions. Use of trade names is for identification only and does not imply endorsement by any of the groups named above.