Procurement of COVID-19 Vaccines for delivery in 2021 - Dorcas Noertoft, UNICEF Daniel Rodriguez, PAHO
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Procurement of COVID-19 Vaccines for delivery in 2021 Dorcas Noertoft, UNICEF Daniel Rodriguez, PAHO 30 October 2020 Logistics Consultation and Information Sharing
The Ambition: Fastest ever vaccine development to address a novel pathogen Years 0 1 2 3 4 5 10 Small-scale clinical trial material Commercial scale-up Discovery/ Traditional paradigm Phase I Phase II Phase III Commercial launch screening (5-10+ years) Country readiness / delivery Commercial scale -up Small-scale clinical trial material Process compression from up to 10 years to approx. 2 years needed Potential accelerated Disco Commercial pathway for COVID-19 Phase I Phase III -very launch vaccine Country readiness Phase II / delivery Source: World Health Organization, 2020 2
UNICEF as Procurement Coordinator for the COVAX Facility Monitor supply and demand based on allocation decisions and prioritisation and in line with terms of the APC: • Manufacturers to inform of projected and actual quantities of vaccine for allocation (batch numbers, remaining shelf life, number of secondary boxes) across i) total quantities in stock pending NRA release; Ii) total quantity in stock with NRA release (if any) • To be provided by week for the immediate 4 (four) weeks; and by month for 2021, to be updated on a weekly basis to the Procurement Coordinator of the COVAX Facility. Monitor usage / draw down of Advance Purchase Commitments Manufacturers to provide i) an overview of pending purchase orders, name of buyer and receiving country (batch numbers and number of secondary boxes, which shall be consistent with confirmed allocations under the Allocation Mechanism) [as communicated by the Procurement Coordinator]. Ii) Provide an overview of quantities delivered since the last weekly report Provide support to and alignment between COVAX procurers on Terms & Conditions and supporting consistency towards manufacturers
COVAX demand update preliminarily split 92 AMC economies (estimated at least 950 million doses, with potential additional doses subject to 2 As country participation in funding and supply availability) the COVAX Facility is firmed up, these demand forecasts will continue to billion be refined and the latest At least 90 self-financing economies estimates will be (estimated range from 550-950 million doses) communicated in due The initial target of COVAX is to deliver at course least 2 billion doses of Covid-19 vaccine by the end of 2021 Buffer for humanitarian use (100 million doses)
Update: Request for Proposal to secure access to at least 2 billion doses of vaccine to be delivered by end 2021 APPROACH A pooled tender issued jointly by UNICEF and PAHO in Q4 2020 1. Speed Expedite access to Covid-19 vaccines by building on push and pull contracts (established Gavi, as COVAX Facility Secretariat, can by BMGF, CEPI and Gavi) for the COVAX establish advance purchase commitments - participating economies APCs 2. Volumes UNICEF and PAHO will establish ACT-A target is to secure at least 2bn doses by procurement and supply arrangements based end 2021 Purpose on the APCs Objectives 3. Price UNICEF, as COVAX Procurement Drawing on the financing and de-risking provided Coordinator, establishes key basic terms that by the push and pull contracts and the COVAX self-financing self-procuring pooled COVAX volumes, COVAX targets to participants reference in their supply achieve the lowest price on the market agreements with manufacturers. 4. Balanced Portfolio Balanced geographically diverse portfolio across multiple vaccine platforms
Posted on www.ungm.org. Tender Advanced draft of the tender document under Open to all manufacturers. Emphasis on Current Status finalisation across UNICEF/PAHO/Gavi Invitees delivery in 2021 Modality Rolling tender with awards being made in phases Phase 1: 2 weeks from issuance of RFP Manufacturers with an APC with COVAX Facility/Gavi (expected to be 1-2 manufacturers) Timelines Phase 2: 4 weeks from issuance of RFP. Manufacturers with doses for delivery in first half of 2021 Phase 3: 6 weeks from issuance of RFP. Manufacturers with doses for delivery in second half of 2021
High Level Purchase Order Process Flow for AMC92 and Self Financing Participants procuring through UNICEF UNICEF One purchase order per consignee per allocation HIGH LEVEL STEPS All shipments of vaccines procured through UNICEF will be shipped directly from manufacturers to consignee, using the UNICEF appointed freight forwarders Manufacturer receives Purchase Orders from UNICEF or PAHO against LTA for AMC92/Self Financing Participants procuring through UNICEF/PAHO as Procurement Agencies There is NO PLAN to establish a logistic hub to be managed by UNICEF/PAHO
PAHO’s International Logistics for Vaccines and Pharmaceuticals PAHO’s High Level Steps • Purchase Order sent to Supplier & Consignee 1 • Supplier is responsible for the delivery up to airport of destination (DPU Incoterm 2020) 2 • Insurance of 110% Total PO value by supplier • Supplier sends shipping documents to PAHO and consignee at least 5 days prior delivery date 3 • Shipment execution & arrival • “ WHO’s Guidelines International Packaging and Shipping of Vaccines”, and any related update for 4 COVID-19
Update on UNICEF COVAX Safe Injection Equipment Supply Robert Matthews, UNICEF 30 October 2020 Logistics Consultation and Information Sharing
Prepositioning 520 million 0,5ml Auto Disable Syringes and 5,2million Safety boxes at UNICEF hubs in Copenhagen and Dubai covering 50% of the estimated 2021 demand through UNICEF Seeking to ensure that when COVID-19 vaccine become available they are administered safety Overcoming Challenges • Standard Sea Shipment lead times (2-4 months) - vaccines shipped by air. • Focus on Vaccines, not Injection Devices • Geographically spread supply base. Suppliers in Europe Middle East and Asia, Large demand in Sub Saharan Africa. • Final destinations with quantities and sequencing currently unknown. • Large storage capacity required Mitigating Risks • Mitigate the risks of shipping constraints and potential export bans at the onset of the response (as seen in PPE) • Eliminate the time lag associated with production lead times. • Market Scale up - reduce ramp up surge by pulling demand forward. Enabling UNICEF to have a faster response to service countries in Africa, Middle East and Central Asia
THANK YOU Queries to Dorcas Noertoft: dnoertoft@unicef.org Daniel Rodriguez: rodrigda@paho.org
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