Whereas, prior to 2000, the distribution of and the resources for vaccines for children in the developing world were declining, immunization rates were stagnant or decreasing, and nearly 10,000,000 children died each year before reaching their 5th birthday; Whereas, prior to 2000, it was common for new lifesaving vaccines to take up to 15 years to be introduced in the world’s most impoverished countries; Whereas access to routine immunization and vaccines protects children from deadly but preventable diseases and contributes to national economic growth and poverty reduction by ensuring people live longer, healthier, and more productive lives; Whereas, in 2000, the United States, the United Nations Children’s Fund (UNICEF), the World Health Organization (WHO), the World Bank, government donors, lower-income country governments, foundations (including the Bill & Melinda Gates Foundation), the private sector (including the vaccine industry), faith-based organizations, civil society, and other partners joined forces to create a public-private partnership now known as Gavi, the Vaccine Alliance, in order to expand access to new and underused vaccines and support the introduction and scaleup of these vaccines into routine immunization systems in the world’s most impoverished countries; Whereas, from 2000 through 2022, with support from the United States, and other donors and partners, Gavi has supported country-led vaccine initiatives in 78 countries to support the immunization of more than 1,000,000,000 additional children and averted an estimated 17,300,000 deaths in the world’s most impoverished countries; Whereas Gavi has been a major contributor in reducing the number of childhood deaths in lower-income countries due to vaccine-preventable disease by 70 percent since 2000