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Vaccine alliance struggles for funds as donors face financial pressures

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The international alliance to send life-saving vaccines to poorer countries has never had a wider range of jabs at its disposal but is battling funding constraints among its rich nation donors, its chief executive has warned.

Financial demands on Gavi’s main funders, from reviving sluggish economies to conflicts and climate change, was leading them to explore greater use of “vaccine bonds” to spread payments over multiple years, Sania Nishtar said.

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Nishtar’s comments highlight a wider global public health dilemma ahead of talks at the UN General Assembly next week, as money pressures threaten to hamper delivery of vital supplies to countries most in need. Gavi’s work extends from inoculations for common diseases to responses to emergencies such as the mpox epidemic centred on the Democratic Republic of Congo.

“Now we have the widest portfolio of vaccines available to us,” Nishtar said in an interview. “The irony is that this is also a time when the donors are fiscally constrained and there are many other competing priorities.”

Gavi has raised about $2.4bn of the $9bn minimum it is seeking from donors for its next five-year funding cycle starting in 2026, said Nishtar, who took office earlier this year. She was “cautiously optimistic” about hitting the target but conscious of the “difficult environment” financially, which is why Gavi is suggesting countries make greater use of an existing alternative funding mechanism.

It has pitched to prospective donors in western and Gulf countries to give as much as two-thirds of their funding in some cases via vaccine bonds, which are backed by legally binding sovereign commitments. These allow Gavi to raise money on international markets to fund routine immunisation programmes or respond quickly to crises such as the Covid-19 pandemic.

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“It’s a time-tested model. And we hope to be increasing its share in our replenishment,” said Nishtar, a Pakistani cardiologist and public health expert who has served as a senator and government minister.

Sania Nishtar
Gavi chief executive Sania Nishtar: ‘Now we have the widest portfolio of vaccines available to us. The irony is that this is also a time when the donors are fiscally constrained and there are many other competing priorities’ © Noam Galai/Getty Images
A security agent talks with a worker as he prepares to transport mpox vaccines as first batches arrive at N’Djili International Airport in Kinshasa, Democratic Republic of Congo
Mpox vaccines arrive at the N’djili airport in the Democratic Republic of Congo © Justin Makangara/Reuters

The reports of funding pressures echo remarks by other prominent figures on global public health, who point to spending commitments such as supporting Ukraine against Russia’s full-scale invasion. Bill Gates, the Microsoft founder and philanthropist, has warned that a reluctance among rich countries to donate threatened advances in child health.

Gavi has helped countries with the routine immunisation of more than 1bn children since it was established in 2000, as well as co-ordinating vaccines for other campaigns and crises such as Covid. The jabs target a range of threats, including measles, meningitis A and the human papillomavirus that causes cervical cancer.

Gavi strived to avoid “a paternalistic relationship with countries of the south”, Nishtar said. Its co-financing policy means nations contribute some of the costs of vaccine procurement, while 19 have already shifted to fully funding their immunisation programmes including Angola, India and Moldova. Donors liked the model and felt it gave them value for money as well as improving public health, she said.

“Here is something that gives them results in human terms — and in economic terms gives them value for money.”

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Gavi has set up a rapid response fund for health emergencies after the Covid pandemic showed the damage caused by inequities in vaccine supply. It used this facility this week to secure 500,000 mpox jab doses for delivery this year.

Gavi has also set up a $1.2bn financing instrument to promote vaccine manufacturing in Africa by making incentive payments to help offset high initial production costs. Nishtar said she was also pushing for greater use of mobile payments for health workers and artificial intelligence-based analysis to detect “difficult pockets” of countries where children remained under-immunised.

“[A] big picture change is the focus on underprivileged communities, but bringing all modern levers at play to deliver,” she said.

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Spain accused of helping Venezuela push opposition leader into exile

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Spain has been heavily criticised for allegedly facilitating the exile of Venezuela’s main opposition presidential candidate, who under Spanish diplomatic protection was pressured into signing a document recognising President Nicolás Maduro’s victory.

Edmundo González, a former Venezuelan diplomat who the opposition says won the July election, left Caracas on September 7 to seek political asylum in Spain after spending weeks in hiding to dodge arrest. His departure dealt a major blow to the opposition, which had vowed to install González as president when Maduro’s current term ends in January.

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Maduro has launched a sweeping crackdown since the election, in which he claimed to have won a third term in a result recognised by Russia, China, Iran and North Korea but not the west. The opposition has produced copies of about 80 per cent of the official tally sheets to prove that González trounced Maduro and the US has backed the claim.

González, who is 75 and has health problems, said this week that he was forced to sign under duress a letter recognising Maduro’s victory as a condition for being allowed to leave Venezuela.

Maduro’s government later published what it said were photographs of González signing the document inside Spain’s embassy residence in Caracas during a meeting with Maduro’s top political fixer Jorge Rodríguez and his sister Delcy, who is vice-president. The Spanish ambassador to Venezuela, Ramón Santos, was also present.

González with Spain’s conservative opposition leader Alberto Nuñez Feijóo in Madrid last week
González, left, with Spain’s conservative opposition leader Alberto Nuñez Feijóo in Madrid last week. Feijóo said Spanish diplomacy ‘cannot be at the service of a dictatorial regime’ © ZIPI/EPA/Shutterstock

Spain’s conservative opposition leader Alberto Nuñez Feijóo has called for the resignation of Spanish foreign minister José Manuel Albares and the ambassador over the affair, saying Spanish diplomacy “cannot be at the service of a dictatorial regime”.

A senior Brazilian government official told the Financial Times that the Rodríguez siblings visited the residence to put pressure on González, which was something that “never should have been allowed”.

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“Maduro pushed [González] out of the country through intimidation and . . . the Spanish state was the main facilitator,” the official said. “They have to explain what they did and be held accountable.”

The Spanish government rejects allegations that it had a role in forcing González out of the country and insists it had sought to ensure the opposition leader’s security and had been responding to his asylum request.

González had sheltered safely for almost five weeks in the Dutch embassy residence after the election but was only visited by the Rodríguez duo after moving to the Spanish residence.

González became depressed when he realised, about three weeks after the election, that the Maduro government was not going to collapse, and that he would either have to remain indefinitely under diplomatic protection in Venezuela or seek asylum abroad, according to a person close to the opposition.

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Around this time he spoke to José Luis Rodríguez Zapatero, a socialist former Spanish premier close to Maduro’s government, who was a key figure in brokering the agreement that led to González’s departure, the person told the FT.

The Brazilian official said he understood that Zapatero had discussed the plan to exile González to Spain with the Rodríguez pair “and helped implement it”. Zapatero could not be reached for comment.

González meeting at the Spanish diplomatic residence in Caracas

González was transferred to the Spanish embassy residence on September 5 believing that he would receive asylum in Spain, with the final details to be worked out with the ambassador. In the event, two days of negotiations ensued, during which the Rodríguez pair appeared in person with a document for González to sign.

Albares told reporters in Brussels on Thursday that his government had not invited anyone to visit González at the ambassador’s residence and “did not take part in any negotiation of any document”. The ambassador was present during the talks and appeared in the photographs because the residence only had one reception room, he added.

Christopher Sabatini, a Latin America expert at Chatham House, said the signature under such circumstances “violates the very notion of diplomatic asylum, making the Spanish government complicit in the Maduro government’s electoral theft and repression”.

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In a statement on Thursday that was intended to calm the storm, González thanked Spain for its support and said: “I was not coerced either by the Spanish government or by the Spanish ambassador to Venezuela, Ramón Santos.” A Venezuelan opposition source in contact with González said he made the statement after an urgent request by Albares.

Venezuela’s government has attempted to exploit González’s departure as a propaganda coup, painting him as weak and cowardly. Jorge Rodríguez brandished a copy of the González document at a news conference on Thursday, describing it as “nothing other than a capitulation”.

Mocking González’s claim that he signed under duress, Rodríguez played excerpts of an audio recording that he said showed a convivial atmosphere with discussions lubricated by whisky. González said the meeting had been photographed and recorded without his permission.

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“They showed up with a document that I would have to sign to allow my departure from the country,” González said. “In other words, either I signed or I would face consequences. There were some very tense hours of coercion, blackmail and pressure.”

Ryan Berg, director of the Americas programme at Washington think-tank CSIS, said: “The available evidence appears to suggest Spain played a role in enabling Edmundo González’s forced exile by the regime — a huge blow to Venezuelans who have hoped for change and voted for him.”

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African economies show high potential for digital asset adoption

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Governance watchdogs take fright as ‘zombies’ stalk US boardrooms

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Darren Walker, the head of the $16bn Ford Foundation, has been one of the world’s leading philanthropists for more than a decade. He has rubbed elbows with US presidents and Elton John. 

He is also a zombie.

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In August, Walker failed to win a majority of shareholder support for his re-election at apparel company Ralph Lauren, where he has been a board director for four years. He remains on the board.

This vote tally added Walker to a dubious list of “zombie” board members — ppeople who have failed to win at least 50 per cent support from shareholders and yet remain at their company’s top table. At the end of August, there were 35 zombie board directors at 27 US-based Russell 3000 companies, according to the Council of Institutional Investors, a lobbying group for pension funds.

While that is down from 41 last year and the phenomenon is largely confined to the US, the issue has angered investors who fear a global weakening of shareholder rights.

Column chart of Russell 3000 companies showing Zombie board directors over the years

In the UK, the Financial Conduct Authority this year gave companies new power to adopt dual-class share structures, which give special powers to select shareholders. Also this year, Italy’s rightwing government, eager to boost domestic capital markets, proposed board director voting changes that were attacked by investors.

“My view is that the 50 per cent mark, when it comes to director elections, is not a huge ask,” said Donna Anderson, global head of corporate governance at TRowePrice, which manages $1.6tn. “It should be pretty hard to hold on to your seat if more than 50 per cent of shareholders vote the other way.”

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“It just is so fundamental,” she said. “It is the principle of the thing.”

Vanguard, the world’s second-largest money manager, said “zombie directors can be indicators of weak shareholder accountability”.

“We view them as a serious governance concern,” a spokesman said. “If a board chooses to retain a zombie director, we believe it is crucial that they provide clear disclosure to investors regarding the rationale.”

Walker received just 47 per cent support from Ralph Lauren shareholders at the company’s August 1 annual meeting. In a regulatory filing, the company said it believed the low vote was due to its dual-class structure, “and not because of any specific objection to Mr Walker”.

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In a statement to the Financial Times, New York-based Ralph Lauren said Walker “has been a valuable and additive member” of the board.

“We remain confident in the value that he brings to the company and we look forward to his continued service on our board,” it said. The Ford Foundation declined to comment.

Other companies with zombie director votes this year include AO Smith, which makes water heaters, Veeva Systems, a cloud-computing company, and the parent company of the Samuel Adams beer brand.

While asset managers’ gripes about governance have been waved off year after year, companies harbouring zombie directors have not so easily dodged pugnacious activist investors. 

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Elanco, the former animal health unit of Bayer, had two directors who received less than 50 per cent support in 2022 and 2023. This year, activist Ancora attacked the company and demanded board seats, arguing that its board employed “shareholder-unfriendly policies”. In April, Ancora won two board seats at Elanco.

Most big stock markets around the world require a majority of shareholders to back a director in elections, meaning zombies cannot exist. But in the US, state law allows for plurality board elections, which essentially guarantee someone can stay on a board indefinitely unless challenged.

“Because the US has somewhat looser governance rules”, governments in the UK and Italy are considering weakening their corporate governance rules to attract more corporate listings, said Jen Sisson, chief executive of the International Corporate Governance Network, which represents BlackRock, Vanguard and other large asset managers.

“And that’s where investors are advocating so strongly to keep those standards high because we don’t want a race to the bottom of standards,” she said.

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“Governance is one of those things that is all very boring until something goes wrong.”

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