## A Proposal to End the COVID-19 Pandemic: Update

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**Canonical URL:** [A Proposal to End the COVID-19 Pandemic: Update](https://www.imf.org/-/media/files/topics/covid/pandemic/pandemic-proposal-update.pdf)

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### Where Does the World Stand Today? Progress Towards the Global COVID-19 Targets and Risks
- The 40% vaccination target: "86 Countries Did Not Meet the 40% Target by End-2021" with "significant bottlenecks in both supply & in-country delivery."
  - Attribution: IMF staff calculations based on UNICEF and COVAX. Last Update: 28 Apr 2022.
  - Note: The list includes 88 AMC91 countries who have been allocated doses from COVAX. Two countries are not vaccinating, and the Marshall Islands is covered through other mechanisms. India has reduced access as per the December 2020 Board decision. A course equals one dose of J&J or two doses of all other vaccines.
  - The AMC equal delivery calculation represents the coverage the AMC countries would have received if the total AMC doses were delivered equally across the countries.

- The 70% vaccination target: "About 61% of the World Received 2+ Doses," but "About 130 Countries Missed the Target By Mid-2022."

- COVAX coverage: "In-country delivery is now the key barrier to meet the global vaccination targets (in addition to unpredictable supplies with short shelf life)."

- Access to testing and other COVID-19 tools: "There is a crisis of testing inequity." Target >1 per 1000.

- Financing gaps: "Insufficient Funding Raised to Close the Procurement, R&D and Delivery Gaps (especially for non-vaccine pillars)."
  - Funding gaps are presented "as per the New ACT-A Budget (broadly aligned with the IMF Staff Pandemic Proposal)."
  - Source and Notes: ACT-A Strategic Plan and Budget. Procurement numbers for the vaccine pillar are based on a common framework to assess and quantify risk factors between COVAX/GMA, the ACT-A Hub, and IMF. Last Update: 9 Feb 2022.
  - Monetary label present in source: "(In USD billion)" (no further numeric details provided in the source content).

- Current epidemiology: "Where are COVID-19 Cases Surging Now?" (headline present; no numeric case locations or counts provided in the text excerpt).

- Long-term impacts and learning loss:
  - "Ending the pandemic remains urgent to limit the long-term impact of COVID-19: Learning loss due to school closure has been unequal."
  - Source: UNESCO global dataset on the duration of school closures and IMF staff calculations.
  - Note: Data covers the period March 2020 - October 2021. The dataset defines school closure as government-mandated closures of educational institutions affecting most or all (or at least 80%) of the student population enrolled from pre-primary through to upper secondary levels.
  - Observation: "Class dismissed — School closures diminish learning, with developing countries facing a greater setback in lost class time. (total duration of full school closures, in weeks*)"

### Annex: Tracking and Transparency
- IMF-WHO COVID-19 Vaccine Tracker
  - Objectives:
    - Address vaccine inequity
    - Monitor progress towards the global targets
    - Enhance transparency in the public domain
  - Conceptual Framework — 3 Pillars:
    - Vaccines on paper: Have countries procured enough supply?
    - Vaccines at ports: When will supply be delivered?
    - Vaccines in arms: Are there obstacles in getting shots in arms?
  - URL: https://www.imf.org/imf-who-covid19tracker

- WTO-IMF COVID-19 Vaccine Trade Tracker
  - Objective: "Provide greater transparency on the cross-border flow of COVID-19 vaccines."
  - Note: A "producing economy" is defined as a country or territory where final vaccines are made or where "fill and finish" is completed. This definition does not take into account exports of vaccine substances in bulk form shipped to "fill and finish" sites located in other countries or territories. Last update: 30 June 2022.

- Global COVID-19 Access Tracker – MLT/ACT-A
  - Launched during COVID-19 Foreign Ministerial hosted by Secretary Blinken on Nov 10, 2021.
  - Two entries referenced as "3a" and "3b" for the Global COVID-19 Access Tracker – MLT/ACT-A (links cited in source).

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_Source: https://www.imf.org/-/media/files/topics/covid/pandemic/pandemic-proposal-update.pdf_