Accessibility refers to equitable delivery aimed at all who could benefit from a new TB vaccine for adults and adolescents. This includes defined implementation strategies, having delivery systems and sustainable financing strategies in place. This follows from the WHO global framework for country introduction of new adolescent and adult TB vaccines (https://www.who.int/publications/m/item/who-global-framework-to-prepare-for-country-introduction-of-new-tb-vaccines-for-adults-and-adolescents)
Protecting investment in TB vaccine R&D and health systems amid debt distress and reform
IMF analysis reveals 51 countries with moderate-to-high risk of sovereign debt distress
and 9 countries in debt distress: unable to fulfill financial obligations to lenders. For many high-TB burden countries, yearly debt servicing now exceeds domestic revenue – forcing countries to cut
expenditure on health. Based on a literature review and engagement with World Bank/IMF, this
abstract presents a policy analysis of the implications of sovereign debt distress on TB vaccine
readiness and proposes debt relief and reform as innovative financial tools for creating fiscal space
for government investment in vaccine R&D and implementation
