Despite WHO’s stated goal of vaccinating at least 40% of every country against COVID-19 by the end of 2021, only about 9% of African Continent has been vaccinated.
While a few countries in Africa have had real success in their vaccination campaigns (e.g., Morocco has vaccinated 61% of its population and Tunisia 47%), the continent as a whole has simply (and tragically) lagged far behind. In fact, much of sub-Saharan Africa has barely started. In Nigeria, by far Africa’s most populous country, only 2.4% of people have been fully vaccinated. The Democratic Republic of Congo, at the center of a new geopolitical struggle over clean energy minerals, has vaccinated just 0.2% of its people.
There are many reasons for this failure, including poor health care systems and infrastructure on the continent, and vaccine hesitancy, but the World Health Organization (WHO) and rich donor countries shoulder most of the blame. Early in the pandemic WHO helped establish a global mechanism called COVAX for vaccinating poorer countries, and then set sky high expectations which never got off the ground. Vaccine producers in the global north raced to safeguard their own populations in the face of successively more contagious COVID variants, often reneging on earlier pledges to help poorer countries. For example, during the Delta variant-fueled surge, India, the world’s largest overall vaccine producer, halted exports of its COVID vaccines in April 2021. For its part, the Biden Administration has made by far the largest pledges to COVAX—more than 857 million doses—but has delivered on less than a quarter of that number.
Once donated vaccines do show up, they’re often close to expiration and unable to be used for lack of preparation or investment in Africa’s distribution systems. At the end of December Nigeria went so far as to publicly destroy over a million expiring AstraZeneca doses to increase confidence among Nigerians that the vaccines they do receive will be effective.
It’s not simply “Monday morning quarterbacking” to say that many of the problems Africa has encountered should have been planned for. For example, In May 2021 the Tony Blair Institute produced a realistic plan to reach targeted vaccine rates. I wrote the foreword for that report, which can be found here.
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