Innovative health financing mechanisms: the case of Africa’s unified approach to vaccine acquisition

During COVID-19, Africa’s autonomous vaccine financing reduced costs and reliance on aid, highlighting a model for future health system improvements and self-reliance.

Long before the COVID-19 pandemic, Africa faced the challenge of creating a sustainable model for financing vaccine procurement, often relying on donor-driven funding rather than taking ownership. During the pandemic, however, African nations took the initiative by designing and implementing innovative financing mechanisms rooted in solidarity and a collective approach. Although these models were not entirely new, the autonomy and independence African institutions had in sourcing and managing funds significantly reduced costs, fragmentation, and the unpredictability of external aid. This institution-driven approach, marked by strategic collaborations, high political engagement, and collective financial management, provides a noteworthy framework for financing other vaccines and addressing various health system challenges in Africa. It also aligns with Africa’s vision of achieving vaccine self-reliance.