MSF’s recommendations come as Gavi works on a new five-year strategy amid looming funding cuts. The medical humanitarian organisation urges Gavi to better collaborate with governments and humanitarian groups to ensure that children up to at least five years of age, especially those in hard-to-reach areas, receive routine vaccinations.
This call follows a devastating example in South Sudan:
In January 2024, the government declared a measles outbreak in Western Equatoria State. However, due to delays in accessing vaccine supplies, it took nearly four months before any vaccination campaign could begin. During that time, thousands became sick, and at least 13 people died—seven of them children under five.
“This delay was not unique,” MSF said. “Slow-moving negotiations for vaccines cost lives.”
To prevent future tragedies, MSF recommends that Gavi:
- Establish standing agreements for faster vaccine access during emergencies.
- Support vaccination of children beyond age two, especially up to age five, who are still vulnerable to disease.
- Ensure adequate funding and vaccine supplies for hard-to-reach areas.
- Integrate humanitarian expertise into Gavi’s new Fragility and Humanitarian Approach.
In places like South Sudan’s Upper Nile State, MSF’s mobile clinics have successfully vaccinated displaced populations—proof that rapid, well-supported action can prevent outbreaks.
Yet, many national policies and Gavi’s current support limit vaccine access for children over two years old. During the Western Equatoria outbreak, 20% of MSF’s measles cases were children over five—highlighting the gap in coverage.
With Gavi’s “Big Catch-Up” initiative ending soon, MSF insists that new policies must ensure children—regardless of age—are not left behind.
“Immunisation must be more flexible, faster, and inclusive,” MSF stressed. “Every child deserves a real shot at life.”
