Registro

Inequidades globales en el acceso a vacunas contra la COVID-19 y sus implicaciones para América Latina y el Caribe

Olmedo Pimentel, Yaribeth Virginia; Gardellini, Tatiana

Global inequities in access to COVID-19 vaccines and their implications for Latin America and the Caribbean




Autores Olmedo Pimentel, Yaribeth Virginia
Autores Gardellini, Tatiana

Tema América Latina
Tema Cooperación internacional
Tema COVID-19
Tema Determinantes sociales de la salud
Tema Equidad en salud
Tema Política de salud
Tema Salud global
Tema Vacunas contra la COVID-19
Tema Latin America
Tema International cooperation
Tema COVID-19
Tema Social determinants of health
Tema Health equity
Tema Health policy
Tema Global health
Tema COVID-19 vaccines

Descripción The COVID-19 pandemic represented one of the greatest challenges to global public health in the twenty-first century and exposed profound structural inequalities in access to essential health technologies. Although the rapid development of vaccines constituted an unprecedented scientific achievement, their distribution was shaped by economic, political, and geopolitical factors that favored countries with greater financial and technological capacity. This essay analyzes inequities in access to COVID-19 vaccines from the perspective of international public health and global health governance. It examines the power relationships among States, international organizations, and pharmaceutical corporations, as well as the impact of vaccine nationalism, intellectual property protection, and the limitations of multilateral cooperation mechanisms. Furthermore, it explores how these dynamics exacerbated health inequalities and affected the social determinants of health, particularly in low- and middle-income countries. Special attention is given to Latin America and the Caribbean, a region that faced significant barriers to timely vaccine access due to structural constraints, technological dependence, and limited production capacity. Finally, the paper highlights the need to strengthen international cooperation, regional health sovereignty, and preparedness mechanisms to improve responses to future public health emergencies.
Descripción La pandemia de COVID-19 constituyó uno de los mayores desafíos para la salud pública global del siglo XXI y expuso profundas desigualdades estructurales en el acceso a tecnologías sanitarias esenciales. Aunque el desarrollo acelerado de vacunas representó un logro científico sin precedentes, su distribución estuvo condicionada por factores económicos, políticos y geopolíticos que favorecieron a los países con mayor capacidad financiera y tecnológica. El presente ensayo analiza las inequidades en el acceso a las vacunas contra la COVID-19 desde la perspectiva de la salud pública internacional y la gobernanza global de la salud.  Se examinan las relaciones de poder entre Estados, organismos internacionales y corporaciones farmacéuticas, así como el impacto del nacionalismo vacunal, la protección de la propiedad intelectual y las limitaciones de los mecanismos multilaterales de cooperación. Asimismo, se analiza cómo estas dinámicas profundizaron las desigualdades sanitarias y afectaron los determinantes sociales de la salud, especialmente en los países de ingresos bajos y medianos. Se dedica especial atención a América Latina y el Caribe, región que enfrentó importantes barreras para acceder oportunamente a las vacunas debido a limitaciones estructurales, dependencia tecnológica y capacidad restringida de producción. Finalmente, se destaca la necesidad de fortalecer la cooperación internacional, la soberanía sanitaria regional y los mecanismos de preparación ante futuras emergencias de salud pública.

Editorial Universidad Metropolitana de Educación, Ciencia y Tecnología

Fecha 2026-07-30

Tipo info:eu-repo/semantics/article
Tipo info:eu-repo/semantics/publishedVersion

Formato application/pdf
Formato application/epub+zip

Identificador https://revistas.umecit.edu.pa/index.php/saluta/article/view/2240
Identificador 10.37594/saluta.v1i14.2240

Fuente Saluta; No. 14 (2026): SALUTA July - December 2026; 81-92
Fuente Saluta; Núm. 14 (2026): SALUTA Julio - Diciembre 2026; 81-92
Fuente 2644-4003
Fuente 2519-0342
Fuente 10.37594/saluta.v1i14

Idioma spa

Relación https://revistas.umecit.edu.pa/index.php/saluta/article/view/2240/3108
Relación https://revistas.umecit.edu.pa/index.php/saluta/article/view/2240/3109
Relación /*ref*/Referencias 1. Hunter DJ, Abdool Karim SS, Baden LR, Farrar JJ, Hamel MB, Longo DL. Addressing vaccine inequity—COVID-19 vaccines as a global public good. N Engl J Med. 2022;386(12):1176-1179. doi:10.1056/NEJMe2202547.
Relación /*ref*/Burki T. Global COVID-19 vaccine inequity. Lancet Infect Dis. 2021;21(7):922-923. doi:10.1016/S1473-3099(21)00344-3.
Relación /*ref*/Brown S, Rosier M. COVID-19 vaccine apartheid and the failure of global cooperation. Br J Polit Int Relat. 2023;25(3):535-554. doi:10.1177/13691481231178248.
Relación /*ref*/Obinna DN. Solidarity across borders: a pragmatic need for global COVID-19 vaccine equity. Int J Health Plann Manage. 2022;37(1):21-29. doi:10.1002/hpm.3341.
Relación /*ref*/Singh B, Chattu VK. Prioritizing equity in COVID-19 vaccine distribution through global health diplomacy. Health Promot Perspect. 2021;11(3):281-287. doi:10.34172/hpp.2021.36.
Relación /*ref*/Tatar M, Shoorekchali JM, Faraji MR, Wilson FA. COVID-19 vaccine inequality: a global perspective. J Glob Health. 2022;12:03072. doi:10.7189/jogh.12.03072.
Relación /*ref*/Eccleston-Turner M, Upton H. International collaboration to ensure equitable access to vaccines for COVID-19: the ACT-Accelerator and the COVAX Facility. Milbank Q. 2021;99(2):426-449. doi:10.1111/1468-0009.12503.
Relación /*ref*/Gürsel M. COVID-19 vaccine inequity: high time to calibrate the global moral compass. Eur J Immunol. 2021;51(11):2705-2707. doi:10.1002/eji.202149535.
Relación /*ref*/Lee I, Tipoe E. Global COVID-19 vaccine inequity: preferences for overseas vaccine donations over booster shots. Brain Behav Immun Health. 2022;21:100447. doi:10.1016/j.bbih.2022.100447.
Relación /*ref*/Ferranna M. Causes and costs of global COVID-19 vaccine inequity. Semin Immunopathol. 2024;46:469-480. doi:10.1007/s00281-023-00998-0.
Relación /*ref*/Green H, Fernandez R, MacPhail C. The social determinants of health and health outcomes among adults during the COVID-19 pandemic: a systematic review. Public Health Nurs. 2021;38(6):942-952. doi:10.1111/phn.12959.
Relación /*ref*/Watson MF, Bacigalupe G, Daneshpour M, Han WJ, Parra-Cardona JR. COVID-19 interconnectedness: health inequity, the climate crisis, and collective trauma. Fam Process. 2020;59(3):832-846. doi:10.1111/famp.12572.
Relación /*ref*/Gozzi N, Chinazzi M, Davis JT, et al. Estimating the impact of COVID-19 vaccine inequities: a modeling study. Nat Commun. 2023;14:3272. doi:10.1038/s41467-023-39098-w.
Relación /*ref*/Watson OJ, Barnsley G, Toor J, Hogan AB, Winskill P, Ghani AC. Global impact of the first year of COVID-19 vaccination: a mathematical modelling study. Lancet Infect Dis. 2022;22(9):1293-1302. doi:10.1016/S1473-3099(22)00320-6.
Relación /*ref*/Tran JYS, Chan PCF, Wong SYS, Wong MCS. The privilege of COVID-19 vaccine wastage – Hong Kong. Public Health Challenges. 2022;1(4):e39. doi:10.1002/puh2.39.
Relación /*ref*/Mohamed K, Rzymski P, Islam MS, et al. COVID-19 vaccinations: the unknowns, challenges, and hopes. J Med Virol. 2022;94(4):1336-1349. doi: 10.1002/jmv.27487.
Relación /*ref*/Shan D, et al. Identifying potential vulnerability to long COVID through global-to-local inequalities in years lived with disability attributed to COVID-19. Med Res. 2025;1:297-317. doi:10.1002/mdr2.70023.
Relación /*ref*/Taylor L. COVID-19 vaccination in Latin America: challenges and opportunities. Lancet Reg Health Am. 2021;1:100042. doi:10.1016/j.lana.2021.100042.
Relación /*ref*/Sanahuja JA. COVID-19 and vaccine diplomacy in Latin America. Pensamiento Propio. 2021;53:27-52.
Relación /*ref*/Arbelaez JJ, Milner H, Rapp-Hooper M. Vaccine diplomacy and COVID-19 in Latin America. Americas Quarterly. 2022;16(1):44-52.
Relación /*ref*/The Lancet Regional Health–Americas. COVID-19 vaccination in Latin America and the Caribbean: equity and access. Lancet Reg Health Am. 2022;11:100250. doi:10.1016/j.lana.2022.100250.
Relación /*ref*/Economic Commission for Latin America and the Caribbean (ECLAC). The economic and social impact of COVID-19 in Latin America and the Caribbean. Santiago: United Nations; 2022.
Relación /*ref*/Basto-Abreu A, Carnalla M, Torres-Ibarra L, Romero-Martínez M, Barquera S. COVID-19 vaccination challenges and opportunities in Latin America. Lancet Reg Health Am. 2022;11:100248. doi:10.1016/j.lana.2022.100248.
Relación /*ref*/World Health Organization. mRNA Technology Transfer Programme [Internet]. Geneva: WHO; 2025 [cited 2026 Jun 29]. Available from: https://www.who.int
Relación /*ref*/Organización Panamericana de la Salud. Programa Especial sobre Innovación y Plataforma Regional de Producción [Internet]. Washington (DC): OPS; 2025 [cited 2026 Jun 30]. Available from: https://www.paho.org/es/programa-especial-sobre-innovacion-y-plataforma-regional-de-produccion
Relación /*ref*/Savedoff WD, Keller JM. Globalizing vaccines: a post-COVID perspective on industrial policy and international health. Washington (DC): Center for Global Development; 2025.
Relación /*ref*/Pan American Health Organization. COVID-19 vaccination in the Americas: progress and challenges [Internet]. Washington (DC): PAHO; 2022 [cited 2026 Jun 29]. Available from: https://www.paho.org
Relación /*ref*/Spinardi J, Dantas AC, Carballo C, Thakkar K, Al Akoury N, Kyaw MH, et al. Narrative review of the evolution of COVID-19 vaccination recommendations in countries in Latin America, Africa and the Middle East, and Asia. Infect Dis Ther. 2023;12(5):1237-1264. doi:10.1007/s40121-023-00804-2.
Relación /*ref*/Kahn R, Janusz CB, Castro MC, da Rocha Matos A, Domingues C, Ponmattam J, et al. The effectiveness of COVID-19 vaccines in Latin America, 2021: a multicenter regional case-control study. Lancet Reg Health Am. 2023;20:100474. doi:10.1016/j.lana.2023.100474
Relación /*ref*/LaRotta J, Escobar O, Ávila-Aguero ML, Torres JP, Sini de Almeida R, Morales GDC, et al. COVID-19 in Latin America: a snapshot in time and the road ahead. Infect Dis Ther. 2023;12(2):389-410. doi:10.1007/s40121-022-00748-z.
Relación /*ref*/Duke Global Health Innovation Center. Launch and Scale Speedometer: COVID-19 vaccine procurement [Internet]. Durham (NC): Duke University; 2021 [cited 2026 Jun 29]. Available from: https://launchandscalefaster.org
Relación /*ref*/Atlantic Council. Latin America and COVID-19 vaccine diplomacy [Internet]. Washington (DC): Atlantic Council; 2021 [cited 2026 Jun 29]. Available from: https://www.atlanticcouncil.org

Derechos Derechos de autor 2026 SALUTA
Derechos https://creativecommons.org/licenses/by-nc-sa/4.0