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UNICEF medical supplies

Our $30m guarantee for UNICEF’s Vaccine Independence Initiative supports low- and middle-income countries purchasing critical medical supplies with domestic budgets.

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The challenge

Public health

UNICEF’s Vaccine Independence Initiative (VII) is a financing and procurement facility to support low- and middle-income countries using national resources to purchase critical medical supplies. It helps governments manage temporary cash shortfalls by accessing a revolving fund through UNICEF. This ensures children and families do not miss out on essential health supplies due to temporary cash shortfalls.

VII is a particularly important vehicle for governments procuring without support from a global health donor such as Gavi, the Vaccine Alliance. Where the release of funding from multilateral banks or national budgets is delayed, the regular supply of vaccines and treatments is often interrupted.

Market situation

The VII is increasingly important, especially to middle-income countries which lack regular access to donor-funded procurement, but may not have the procurement systems or negotiating clout to secure reliable supplies and affordable prices on the open market.

Support for the VII in the form of a MedAccess guarantee expands the facility’s resources. It also gives flexibility to undertake surge procurement for emerging disease outbreaks, climate-related crises, humanitarian crises and immunisation programmes.

The product

UNICEF’s VII programme was initially focused on vaccines but has expanded to cover a variety of lifesaving medical supplies including:

  • diagnostics
  • oxygen
  • treatments
  • and clinical supplies.

The partnership

MedAccess provided a $30m procurement guarantee to UNICEF for the 2024-25 period.

The core function of the guarantee is to support UNICEF to engage in procurement that will make health products more affordable and accessible.

This will achieve market-shaping impact at scale, reaching multiple products and populations.

Impact projections

Our partnership with UNICEF enables continued procurement of essential health products to bridge short-term funding gaps which might otherwise lead to supply shortages and stock-outs.

Pre-financing means countries can expedite the delivery of essential products to tackle pressing health needs, accelerating availability of supply by four to six months.

Sustainable Development Goals (SDGs)

SDG 3

SDG 3

Ensure healthy lives and promote well-being for all at all ages
SDG 3 targets:
SDG 10

SDG 10

Reduce inequality within and among countries
SDG 10 targets:
SDG 17

SDG 17

Strengthen the means of implementation and revitalize the Global Partnership for Sustainable Development
SDG 17 targets:
  • SDG 3

    SDG 3

    Ensure healthy lives and promote well-being for all at all ages
    SDG 3 targets:
  • SDG 10

    SDG 10

    Reduce inequality within and among countries
    SDG 10 targets:
  • SDG 17

    SDG 17

    Strengthen the means of implementation and revitalize the Global Partnership for Sustainable Development
    SDG 17 targets:

SDG 3

3.3

By 2030, end the epidemics of AIDS, tuberculosis, malaria and neglected tropical diseases and combat hepatitis, water-borne diseases and other communicable diseases


3.8

Achieve universal health coverage, including financial risk protection, access to quality essential health-care services and access to safe, effective, quality and affordable essential medicines and vaccines for all


3.b

Support the research and development of vaccines and medicines for the communicable and non-communicable diseases that primarily affect developing countries, provide access to affordable essential medicines and vaccines, in accordance with the Doha Declaration on the TRIPS Agreement and Public Health, which affirms the right of developing countries to use to the full the provisions in the Agreement on Trade-Related Aspects of Intellectual Property Rights regarding flexibilities to protect public health, and, in particular, provide access to medicines for all


3.d

Strengthen the capacity of all countries, in particular developing countries, for early warning, risk reduction and management of national and global health risks

SDG 10

10a

Implement the principle of special and differential treatment for developing countries, in particular least developed countries, in accordance with World Trade Organization agreements

SDG 17

17.6

Enhance North-South, South-South and triangular regional and international cooperation on and access to science, technology and innovation and enhance knowledge sharing on mutually agreed terms, including through improved coordination among existing mechanisms, in particular at the United Nations level, and through a global technology facilitation mechanism


17.7

Promote the development, transfer, dissemination and diffusion of environmentally sound technologies to developing countries on favourable terms, including on concessional and preferential terms, as mutually agreed


17.10

Promote a universal, rules-based, open, non-discriminatory and equitable multilateral trading system under the World Trade Organization, including through the conclusion of negotiations under its Doha Development Agenda


17.17

Encourage and promote effective public, public-private and civil society partnerships, building on the experience and resourcing strategies of partnerships

Key contacts

If you would like more information about this agreement, please reach out to our key contacts.

A nurse takes the blood pressure of a pregnant woman. The words 'Access Matters' overlay the image.

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