Harvard Case - Vaccines for the Developing World: The Challenge to Justify Tiered Pricing
"Vaccines for the Developing World: The Challenge to Justify Tiered Pricing" Harvard business case study is written by Susan Rosegrant, Jose Gomez-Ibanez. It deals with the challenges in the field of Human Resource Management. The case study is 16 page(s) long and it was first published on : Nov 1, 1997
At Fern Fort University, we recommend a multi-pronged approach to address the ethical and practical challenges of tiered pricing for vaccines in the developing world. This strategy focuses on building a sustainable model for vaccine access, balancing affordability with the need for innovation and ensuring long-term impact.
2. Background
This case study revolves around the dilemma faced by GAVI, a global health partnership dedicated to increasing access to vaccines in developing countries. GAVI's mission is to ensure that all children have access to life-saving vaccines, but they are faced with the challenge of balancing the need for affordable vaccines with the need to incentivize pharmaceutical companies to develop new vaccines. The case study explores the concept of tiered pricing, where vaccines are sold at different prices to different countries based on their income levels. This strategy raises ethical concerns about fairness and equity, while also highlighting the logistical complexities of implementing such a system.
The main protagonists of the case study are:
- GAVI: The global health partnership striving to increase vaccine access in developing countries.
- Pharmaceutical companies: Companies developing and manufacturing vaccines, seeking to recoup their investment and generate profits.
- Developing countries: Countries with limited resources and high disease burdens, relying on GAVI's support for vaccine access.
3. Analysis of the Case Study
This case study can be analyzed through the lens of Corporate Social Responsibility (CSR) and International Business.
CSR Perspective:
- Ethical considerations: Tiered pricing raises ethical concerns about fairness and equity, particularly when considering the impact on vulnerable populations in developing countries.
- Transparency and accountability: The implementation of tiered pricing requires transparency in pricing structures and accountability for ensuring equitable access to vaccines.
- Stakeholder engagement: GAVI needs to engage with all stakeholders, including pharmaceutical companies, governments, and civil society organizations, to ensure a collaborative and ethical approach to vaccine access.
International Business Perspective:
- Market segmentation: Tiered pricing represents a form of market segmentation, targeting different price points based on income levels.
- Global health challenges: Vaccines are essential for addressing global health challenges, particularly in developing countries.
- Sustainable business models: GAVI needs to develop sustainable business models that ensure long-term access to vaccines while incentivizing pharmaceutical companies to invest in research and development.
4. Recommendations
- Develop a transparent and equitable tiered pricing system: GAVI should work with pharmaceutical companies to establish a transparent and equitable tiered pricing system that accounts for income levels, disease burden, and other relevant factors. This system should be reviewed and adjusted regularly to ensure fairness and effectiveness.
- Promote innovation through incentives: GAVI should incentivize pharmaceutical companies to develop new vaccines for diseases prevalent in developing countries. This could involve providing grants, tax breaks, or other forms of financial support to encourage research and development.
- Invest in strengthening healthcare infrastructure: GAVI should invest in strengthening healthcare infrastructure in developing countries to ensure that vaccines can be effectively delivered and administered. This includes building hospitals, training healthcare workers, and improving supply chain management.
- Foster collaboration and partnerships: GAVI should foster collaboration and partnerships with governments, civil society organizations, and other stakeholders to ensure a coordinated and effective approach to vaccine access. This includes sharing best practices, knowledge, and resources.
- Promote public awareness and advocacy: GAVI should raise public awareness about the importance of vaccines and the challenges of ensuring access in developing countries. This includes advocating for increased funding and support for global health initiatives.
5. Basis of Recommendations
These recommendations are based on the following considerations:
- Core competencies and consistency with mission: The recommendations align with GAVI's core competencies and mission to increase access to vaccines in developing countries.
- External customers and internal clients: The recommendations consider the needs of both external customers (developing countries) and internal clients (pharmaceutical companies).
- Competitors: The recommendations acknowledge the competitive landscape in the pharmaceutical industry and the need for GAVI to incentivize innovation.
- Attractiveness ' quantitative measures: While quantifying the impact of these recommendations is complex, they are expected to lead to improved vaccine access and better health outcomes in developing countries.
- Assumptions: These recommendations assume a willingness to collaborate among stakeholders, including governments, pharmaceutical companies, and civil society organizations.
6. Conclusion
By adopting a multi-pronged approach that combines ethical considerations with practical solutions, GAVI can address the challenge of justifying tiered pricing for vaccines in the developing world. This approach will ensure that all children have access to life-saving vaccines, while also incentivizing innovation and fostering sustainable development.
7. Discussion
Alternatives not selected:
- Uniform pricing: While a uniform pricing strategy would be more equitable, it could discourage pharmaceutical companies from developing vaccines for developing countries due to lower profit margins.
- No tiered pricing: This option would be impractical, as it would not address the affordability challenges faced by developing countries.
Risks and key assumptions:
- Implementation challenges: Implementing a tiered pricing system effectively can be challenging, requiring careful coordination and monitoring.
- Political resistance: There may be political resistance to tiered pricing, particularly in developing countries.
- Transparency and accountability: Ensuring transparency and accountability in the implementation of tiered pricing is crucial to maintain public trust.
8. Next Steps
- Develop a detailed implementation plan: GAVI should develop a detailed implementation plan for the recommended strategies, outlining timelines, responsibilities, and key performance indicators.
- Engage stakeholders: GAVI should engage with all stakeholders, including governments, pharmaceutical companies, and civil society organizations, to build consensus and support for the proposed approach.
- Monitor and evaluate: GAVI should regularly monitor and evaluate the effectiveness of the implemented strategies, making adjustments as needed to ensure optimal outcomes.
- Promote advocacy: GAVI should continue to advocate for increased funding and support for global health initiatives, ensuring that vaccines remain a priority for development assistance.
By taking these steps, GAVI can create a more equitable and sustainable system for vaccine access in the developing world, contributing to a healthier and more prosperous future for all.
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Case Description
This microeconomics case examines the pricing issues related to the sale of inexpensive vaccines for use in developing countries. The case describe the historic success of the United Nations' so-called "tiered pricing" policy. This policy had allowed the World Health Organization to purchase large volumes of vaccines at the marginal price of vaccine production-often just a few cents per dose-while developed nations paid the full average cost-often many times more. Changing political circumstances and the cost structure of new vaccines threaten the decades-old arrangement, however. HKS Case Number 1450.0
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