Geneva, 12 June 2023 – Médecins Sans Frontières/Doctors Without Borders (MSF) today again urged Gavi, the Vaccine Alliance, to urgently prioritise reaching ‘zero-dose’* and under-immunised children up to age five, by removing barriers to broadening vaccine coverage for unprotected children, including by waiving co-financing requirements for countries and areas with fragile health systems, and those in humanitarian crisis. In many instances, children over the age of one who are eligible for vaccination but are un- or under-vaccinated do not receive their routine vaccinations due to a variety of reasons, with lack of Gavi support for vaccine doses for these older children being an important one. MSF’s call comes ahead of Gavi’s upcoming Global Vaccine Impact Conference, at which Gavi will share its Mid-Term Review to celebrate and reflect on its performance since the start of its 5th strategic period.Â
Even considering pre-pandemic progress, far too many children have missed out on routine vaccinations, especially those in fragile and conflict-affected settings: in 2018, some 40% of children living in these settings had not been vaccinated.Â
Dr. Sharmila Shetty, Vaccines Medical Advisor, MSF Access Campaign, says:Â
If Gavi wants to truly fulfil its objective of ‘leaving no one behind with immunisation’, then Gavi should be doing much more to prioritise getting vaccines into the arms of ‘zero-dose’ and under-immunised children up to at least five years of age. The world is at a critical point: we are already seeing the reemergence of outbreaks of preventable and previously controlled diseases, making it all the more urgent for Gavi to remove any barriers within its remit that are blocking the broadening of vaccine coverage for unprotected children. Â
One of the barriers is, of course, cost, especially to reach the approximately 11 million under- and un-vaccinated children living in fragile or conflict-affected countries.
To give children living in these countries the opportunity to catch up on their vaccines, we strongly urge Gavi to waive requirements to co-finance additional vaccines for countries and areas with fragile health systems or those in humanitarian crisis.  
* ‘Zero-dose’ children have not received any of their routine childhood vaccines.Â
