Core Viewpoint - The article discusses the recent success of the Global Vaccine Alliance (Gavi) in securing over $9 billion in funding for the next five years, despite a significant shortfall from its $11.9 billion target, highlighting the critical role of vaccination in public health and the challenges posed by declining global health financing [1][5]. Group 1: Funding and Contributions - Gavi has raised over $9 billion for the period from 2026 to 2030, with the UK leading contributions at £1.25 billion (approximately ¥122.3 billion) and the Gates Foundation contributing $1.6 billion (approximately ¥114.7 billion) [5]. - The European Commission and member states collectively contributed over €2 billion (approximately ¥168.8 billion) [5]. - The withdrawal of U.S. funding, which previously contributed around $300 million annually, poses a significant challenge to Gavi's operations [5][6]. Group 2: Gavi's Operational Model - Gavi operates on a co-financing model where even low-income countries contribute $0.2 per vaccine dose, gradually increasing their financial responsibility as their economies grow [7]. - This model has allowed 19 countries to achieve self-sufficiency in vaccine funding [7]. Group 3: China's Role and Collaboration - China has transitioned from a Gavi recipient to a donor, contributing over $120 million since 2016, and is seen as a model for Gavi's empowerment strategy [9]. - The collaboration began in 2002 with a hepatitis B vaccination program, significantly increasing vaccination rates in impoverished regions [9]. Group 4: Vaccine Development and Global Health - Gavi has facilitated the entry of Chinese vaccines into international markets, with over 540 million doses of the encephalitis vaccine exported to low- and middle-income countries [10]. - Gavi aims to establish a global vaccine reserve for diseases like monkeypox, emphasizing the need for innovative delivery methods in low-resource settings [11][12]. Group 5: Leadership and Vision - Sania Nishtar, the first CEO from a developing country, emphasizes the importance of health equity and the urgent need for global vaccination efforts, especially as millions of children remain unvaccinated [14][15].