The Biden-Harris Administration has taken important and crucial steps to provide relief to the most vulnerable populations abroad, such as through the American Rescue Plan’s supplemental funding for the international response; contributions to Gavi, the Vaccine Alliance; and commitments to provide 500 million vaccine doses and donate another 80 million excess doses to low- and middle-income countries. But vaccine donations alone are insufficient; they must be complemented by clear plans for and investments in the efficient and rapid delivery of doses, with careful attention to areas not reached by national governments. 

This analysis examines the cost effectiveness of the ingredients necessary and cost per person and cost per outcome achieved from a six-day leadership training course in Zimbabwe.