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
Procurement of COVID-19
Vaccines for delivery in 2021
Dorcas Noertoft, UNICEF
Daniel Rodriguez, PAHO
30 October 2020
Logistics Consultation and Information Sharing
Procurement of COVID-19 Vaccines for delivery in 2021 - Dorcas Noertoft, UNICEF Daniel Rodriguez, PAHO
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
Procurement of COVID-19 Vaccines for delivery in 2021 - Dorcas Noertoft, UNICEF Daniel Rodriguez, PAHO
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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