The New Economics of Immunisation

In this episode, we dive into the changing landscape of global vaccine financing. As traditional donor support declines, countries like Nigeria are navigating new paths to fund immunisation systems—partnering with multilateral development banks like the World Bank, the European Investment Bank, and others. These institutions, more often associated with roads and infrastructure, are now helping build the financial backbone of public health. We explore how Gavi, the Vaccine Alliance, is blending grants with concessional loans to help countries take ownership of their vaccine programmes, invest in long-term health systems, and prepare for the next pandemic. From Indonesia’s transition into a donor to new financing models in Africa, this episode unpacks what happens when vaccines meet the world of big finance.