Pandemic Vaccines: Can Local Production Improve Access?

✓ Medically reviewed | Published: | Evidence level: 1A
The WHO Pandemic Agreement, adopted in May 2025, identifies geographically diverse manufacturing as a way to improve access to pandemic vaccines and other health products. WHO's technology-transfer work illustrates what this requires: trained manufacturers, reliable production methods and funding that sustains capacity between emergencies.
📅 Published:
✓ Reviewed by iMedic Medical Editorial Team
📄 Public Health

Quick Facts

Agreement Adopted
20 May 2025
Local Production
Article 10
Technology Transfer Initiative
Started in 2021

How could local vaccine production improve pandemic preparedness?

Quick answer: Manufacturing across more regions could expand supply and reduce dependence on a limited number of production sites.

Access to vaccines depends on whether manufacturers can produce enough doses and deliver them when needed. The World Health Assembly adopted the WHO Pandemic Agreement on 20 May 2025, following negotiations prompted by shortcomings in the COVID-19 response. Improving timely access to vaccines, treatments and diagnostics is a central objective. [WHO adoption announcement](https://www.who.int/news/item/20-05-2025-world-health-assembly-adopts-historic-pandemic-agreement-to-make-the-world-more-equitable-and-safer-from-future-pandemics).

Article 10 addresses the practical manufacturing challenge. It calls for support for geographically distributed facilities, workforce skills, investment and purchasing arrangements that help manufacturers remain operational. The public-health rationale is that established regional capacity could respond when demand rises rapidly. That benefit remains conditional: additional factories need functioning supply chains and distribution systems before their output can reach patients. [WHO Pandemic Agreement, Article 10](https://apps.who.int/gb/ebwha/pdf_files/WHA78/A78_R1-en.pdf).

What does vaccine technology transfer actually involve?

Quick answer: Technology transfer gives manufacturers the production methods, practical training and quality-control procedures needed to reproduce a vaccine-making process.

Manufacturing a vaccine requires detailed knowledge of how to run, monitor and reproduce its production process. WHO's April 2021 call to establish an mRNA vaccine technology-transfer hub described a comprehensive technology package, training, and standard procedures for manufacturing and quality control. It also addressed the licensing arrangements needed for participating manufacturers to use the technology. [WHO technology-transfer proposal](https://www.who.int/news-room/articles-detail/establishment-of-a-covid-19-mrna-vaccine-technology-transfer-hub-to-scale-up-global-manufacturing).

For patients, the crucial implication is consistency: a facility must reliably manufacture a product that meets its specifications. Sharing equipment designs or scientific instructions is only part of that task; staff need practical expertise and established quality systems. WHO's approach therefore links access to technology with training and production controls. Technology transfer builds manufacturing capability, while each vaccine still requires the evidence and regulatory assessment appropriate to its intended use.

Why must vaccine factories remain viable between pandemics?

Quick answer: Facilities need continuing funding, skilled staff and viable products to preserve the capacity required for an emergency response.

A WHO report published in 2026, documenting an investment meeting held on 17 April 2024, examines the challenge of sustaining mRNA manufacturing. Its analysis considers both construction and operating costs, alongside research into products that could support activity between pandemics. The distinction matters: paying to establish a facility does not automatically cover the continuing costs of keeping its capabilities available. [WHO investment meeting report](https://cdn.who.int/media/docs/default-source/mhp-hps/whohsdhpspam2026-1.pdf).

The report also discusses modeled production scenarios. These are conditional estimates rather than evidence that a particular volume of doses will be available during the next emergency. A practical implication is that preparedness should be assessed through demonstrated manufacturing capability, workforce readiness, quality oversight and reliable supply arrangements. For communities, the meaningful outcome is whether safe, effective vaccines become accessible when needed; announced capacity alone cannot establish that result.

Frequently Asked Questions

Manufacturing location does not remove the need for appropriate quality controls and regulatory assessment. Technology-transfer programmes must establish reliable production methods, and vaccines require evidence supporting their safety and effectiveness.

No. Its manufacturing provisions set objectives and measures to improve access. Actual availability depends on implementation, successful vaccine development, production capacity, purchasing and delivery.

Not automatically. Existing technology and trained staff may help, but manufacturers must adapt and validate production processes, obtain necessary materials and meet the regulatory requirements for the resulting vaccine.

References

  1. World Health Organization. World Health Assembly adopts historic Pandemic Agreement to make the world more equitable and safer from future pandemics. 20 May 2025. [WHO announcement](https://www.who.int/news/item/20-05-2025-world-health-assembly-adopts-historic-pandemic-agreement-to-make-the-world-more-equitable-and-safer-from-future-pandemics).
  2. World Health Organization. WHO Pandemic Agreement. Resolution WHA78.1, 20 May 2025. [Agreement text](https://apps.who.int/gb/ebwha/pdf_files/WHA78/A78_R1-en.pdf).
  3. World Health Organization. Establishment of a COVID-19 mRNA vaccine technology transfer hub to scale up global manufacturing. 16 April 2021. [WHO proposal](https://www.who.int/news-room/articles-detail/establishment-of-a-covid-19-mrna-vaccine-technology-transfer-hub-to-scale-up-global-manufacturing).
  4. World Health Organization. Meeting Report: Initial Discussions on Investment Opportunities for mRNA Technology in Low and Middle-Income Countries. Published 2026; meeting held 17 April 2024. WHO/HSD/HPS/PAM/2026.1. [WHO report](https://cdn.who.int/media/docs/default-source/mhp-hps/whohsdhpspam2026-1.pdf).