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Health Affairs, 24, no. 3 (2005): 653-665
doi: 10.1377/hlthaff.24.3.653
© 2005 by Project HOPE
 
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Financing

Vaccine Advance-Purchase Agreements For Low-Income Countries: Practical Issues

Ernst R. Berndt and John A. Hurvitz

There are strong theoretical arguments for the creation of advance-purchase agreements to increase incentives for the development and production of vaccines for diseases concentrated in low-income countries. A Center for Global Development working group recently concluded that such agreements could be implemented successfully. We consider the practical economic and legal arrangements for such advance-purchase commitments. We identify several practical issues that we believe the public health and policy community should consider further in the design of an advance-purchase commitment.


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