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    • Opinion
    • Global Health

    Opinion: Why these global health 'failures' changed the world

    For large global health campaigns, does failure to reach targets actually constitute lack of success?

    By Candela Iglesias // 17 January 2024

    COVAX, the bold initiative to vaccinate 40% of the world against COVID-19 by 2021, has been labeled a failure because it did not reach its targets. Back in the 2000s, the “3 by 5 initiative” to provide 3 million people with anti-HIV medication by 2005 also did not reach its target. Yet, arguably, the legacy of the initiative has been profound. Will the same be true for COVAX?

    In the early 2000s, as I worked my way through my graduate degrees in medical virology in the field of HIV, a battle was brewing to expand access to lifesaving HIV treatment. That battle would also change my perspective on what's possible, for years to come.

    Antiretroviral treatment, the highly effective combination treatment against HIV that transforms the infection from a death sentence to a manageable chronic condition, was discovered in the mid-1990s. By the early 2000s, only 685,000 people living with HIV in the world had access to it, and fewer than 1% were in sub-Saharan Africa.

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    Read more:

    ► Is COVAX part of the problem or the solution?

    ► Is COVAX still relevant as a vaccine sharing initiative?

    ► COVAX stirs mixed emotions on Twitter and in Kigali

    • Global Health
    • Funding
    • COVAX
    Printing articles to share with others is a breach of our terms and conditions and copyright policy. Please use the sharing options on the left side of the article. Devex Pro members may share up to 10 articles per month using the Pro share tool ( ).
    The views in this opinion piece do not necessarily reflect Devex's editorial views.

    About the author

    • Candela Iglesias

      Candela Iglesias

      Candela Iglesias is a global health specialist and the founder and director of Alanda Health, a purpose-driven organization supporting NGOs, academia, and multilateral organizations worldwide to improve their health projects through better use of evidence and strengthened leadership and project management. She holds a master's of public health and a doctorate degree.

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