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Governance and Institutional Issues in COVID-19 Vaccination (English)

Success in the roll out of the Coronavirus (COVID-19) vaccination program requires that large numbers of people get the vaccine, quickly, equitably, and effectively. Importantly, this involves both the willing participation of the population and well-functioning government administration of the program. In this environment, the overall government vaccine program efficiency and effectiveness will depend on citizens’ trust in the vaccine efficacy as well as in government’s approach to vaccination. The purpose of this note is to summarize some of the key governance and institutional issues surrounding rapid universal vaccination.


  • Author

    Gurazada,Srinivas, Anderson,James, Wickramasinghe,Jiwanka B., Narula,Rajat, Koteiche,Rima Abdul-Amir, Bernstein,David S., Recanatini,Francesca, Hammer,Craig, La Cascia,Joseph Huntington, Warzecha,Iwona, Umah Tete,Patrick Piker, Balduino De Oliveira,Fernanda, Farooq,Khuram, Davenport,Stephen R., Yilmaz,Serdar, Goje,Saidu Dani, Siess,Katherine Elizabeth Wolff

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  • Region

    The World Region,

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  • Doc Name

    Governance and Institutional Issues in COVID-19 Vaccination

  • Keywords

    Vaccines; distribution of vaccines; risk of corruption; Internally Displaced Person; procurement and distribution; point of origin; loss of wage; Faith-Based Organization; customs clearance process; lack of transparency; local private sector; absence of corruption; internal control procedure; review of vaccine; adequate budget provision; local health service; perception of corruption; community health center; structure of governance; internal control framework; community health worker; risk of violence; supply of vaccine; doses of vaccine; local government official; use of technology; financial management reporting; national institutional mechanism; cold storage facility; private sector company; efforts of governments; national health care; supply chain data; vaccine distribution; development partner; vaccination program; vulnerable group; public official; internal auditor; governance risk; geographical area; communication strategy; budget process; compliance audit; collaborative effort; accountability system; social distance; payment process; safety systems; certification process; local administrator; religious ones; Management Systems; appropriate controls; whistle blower; vaccine delivery; governance environment; contract condition; treasury system; vested interests; complaint mechanisms; contract information; citizen engagement; regulatory environment; inventory management; contract payment; positive behavior; readiness assessment; Cash flow; contract management; public engagement; disbursement procedure; social mobilization; direct payment; small fraction; emergency procedure; funding source; equitable distribution; news reports; oversight authority; primary healthcare; rural area; government play; vaccination rate; Citizen Oversight; citizen feedback; medical association; international agency; remote location; governmental action; stakeholder need; reporting system; social health; life science; medical product; test facility; pharmaceutical pricing; transparency international; migrant worker; equitable access; preventing corruption; automated system; bar code; tracking system; smart phone; exception reports; vaccine stock; direct contracting; health facility; regional distribution; digital divide; distribution arrangements; physical location; physical controls; citizen information; equity goal; accountability framework; legal structure; audit recommendation; administration process; corruption risks; oversight agency; anticorruption authority; oversight mechanism; civil unrest; inequitable distribution; social unrest; purchasing contracts; government control; shelf life; social media; central coordination; vulnerable people; registration system; medical condition; general population; digital registration; population group; temporary worker; Informal Jobs; manufacturing process; government administration; program efficiency; vaccine efficacy; universal vaccination; physical distribution; universal coverage; multiple sources; global demand; raise awareness; first stage; regional hub; distribution center; dry ice; skilled people; decentralized system; seasonal job; vulnerable population; Open Data



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Gurazada,Srinivas Anderson,James Wickramasinghe,Jiwanka B. Narula,Rajat Koteiche,Rima Abdul-Amir Bernstein,David S. Recanatini,Francesca Hammer,Craig La Cascia,Joseph Huntington Warzecha,Iwona Umah Tete,Patrick Piker Balduino De Oliveira,Fernanda Farooq,Khuram Davenport,Stephen R. Yilmaz,Serdar Goje,Saidu Dani Siess,Katherine Elizabeth Wolff

Governance and Institutional Issues in COVID-19 Vaccination (English). Washington, D.C. : World Bank Group.