The politics of COVID-19 vaccination in middle-income countries: Lessons from Brazil

Detalhes bibliográficos
Autor(a) principal: Fonseca, Elize Massard da
Data de Publicação: 2021
Outros Autores: Shadlen, Kenneth C., Bastos, Francisco Inácio Pinkusfeld Monteiro
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da FIOCRUZ (ARCA)
DOI: 10.1016/j.socscimed.2021.114093
Texto Completo: https://www.arca.fiocruz.br/handle/icict/58144
Resumo: Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
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spelling Fonseca, Elize Massard daShadlen, Kenneth C.Bastos, Francisco Inácio Pinkusfeld Monteiro2023-05-05T12:59:11Z2023-05-05T12:59:11Z2021FONSECA, Elize Massard da; SHADLEN, Kenneth C.; BASTOS, Francisco Inácio. The politics of COVID-19 vaccination in middle-income countries: Lessons from Brazil. Social Science and Medicine, v. 281, p. 1-8, Jul. 2021.0277-9536https://www.arca.fiocruz.br/handle/icict/5814410.1016/j.socscimed.2021.114093Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.Getulio Vargas Foundation. Sao Paulo School of Business Administratio. São Paulo, SP, Brazil / Latin America and Caribbean Center. London School of Economics and Political Science. Houghton, London, United Kingdom.Department of International Development. London School of Economics and Political Science. Houghton, London, United Kingdom.Oswaldo Cruz Foundation. Institute of Scientific and Technological Communication and Information in Health. Laboratory of Health Information. Rio de Janeiro, RJ, Brazil.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.engPergamonThe politics of COVID-19 vaccination in middle-income countries: Lessons from Brazilinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleAccess to vaccinesPandemic preparednessLocal pharmaceutical productionVaccine manufacturingRegulationCOVID-19info:eu-repo/semantics/openAccessreponame:Repositório Institucional da FIOCRUZ (ARCA)instname:Fundação Oswaldo Cruz (FIOCRUZ)instacron:FIOCRUZLICENSElicense.txtlicense.txttext/plain; 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dc.title.en_US.fl_str_mv The politics of COVID-19 vaccination in middle-income countries: Lessons from Brazil
title The politics of COVID-19 vaccination in middle-income countries: Lessons from Brazil
spellingShingle The politics of COVID-19 vaccination in middle-income countries: Lessons from Brazil
Fonseca, Elize Massard da
Access to vaccines
Pandemic preparedness
Local pharmaceutical production
Vaccine manufacturing
Regulation
COVID-19
title_short The politics of COVID-19 vaccination in middle-income countries: Lessons from Brazil
title_full The politics of COVID-19 vaccination in middle-income countries: Lessons from Brazil
title_fullStr The politics of COVID-19 vaccination in middle-income countries: Lessons from Brazil
title_full_unstemmed The politics of COVID-19 vaccination in middle-income countries: Lessons from Brazil
title_sort The politics of COVID-19 vaccination in middle-income countries: Lessons from Brazil
author Fonseca, Elize Massard da
author_facet Fonseca, Elize Massard da
Shadlen, Kenneth C.
Bastos, Francisco Inácio Pinkusfeld Monteiro
author_role author
author2 Shadlen, Kenneth C.
Bastos, Francisco Inácio Pinkusfeld Monteiro
author2_role author
author
dc.contributor.author.fl_str_mv Fonseca, Elize Massard da
Shadlen, Kenneth C.
Bastos, Francisco Inácio Pinkusfeld Monteiro
dc.subject.en.en_US.fl_str_mv Access to vaccines
Pandemic preparedness
Local pharmaceutical production
Vaccine manufacturing
Regulation
topic Access to vaccines
Pandemic preparedness
Local pharmaceutical production
Vaccine manufacturing
Regulation
COVID-19
dc.subject.en.none.fl_str_mv COVID-19
description Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.
publishDate 2021
dc.date.issued.fl_str_mv 2021
dc.date.accessioned.fl_str_mv 2023-05-05T12:59:11Z
dc.date.available.fl_str_mv 2023-05-05T12:59:11Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
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status_str publishedVersion
dc.identifier.citation.fl_str_mv FONSECA, Elize Massard da; SHADLEN, Kenneth C.; BASTOS, Francisco Inácio. The politics of COVID-19 vaccination in middle-income countries: Lessons from Brazil. Social Science and Medicine, v. 281, p. 1-8, Jul. 2021.
dc.identifier.uri.fl_str_mv https://www.arca.fiocruz.br/handle/icict/58144
dc.identifier.issn.en_US.fl_str_mv 0277-9536
dc.identifier.doi.none.fl_str_mv 10.1016/j.socscimed.2021.114093
identifier_str_mv FONSECA, Elize Massard da; SHADLEN, Kenneth C.; BASTOS, Francisco Inácio. The politics of COVID-19 vaccination in middle-income countries: Lessons from Brazil. Social Science and Medicine, v. 281, p. 1-8, Jul. 2021.
0277-9536
10.1016/j.socscimed.2021.114093
url https://www.arca.fiocruz.br/handle/icict/58144
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.publisher.none.fl_str_mv Pergamon
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collection Repositório Institucional da FIOCRUZ (ARCA)
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