Table 4

The sequence of changes in the Spanish IMS made to deal with the setting up of the vaccination campaign

2020EU-level actionNational actionIMS
MarEmergency call for coronavirus research, support to CureVac Bottom-up
JunEU strategy and funds for vaccine development and deployment
AugEC secures first vaccine contracts
DecEC approves first vaccinesAutonomous Communities follow standard health plans
2021
JanEC approves more vaccinesNew national vaccines procurement centre createdPure top-down
FebEC secures more vaccine contracts
MarEC secures delivery of vaccinesInter-territorial coordination and civil society roles intensifiedJoint governance model
Apr–JulEC accelerates vaccine delivery
Aug Autonomous Communities resume procurement leadBottom-up
Source(s): Authors’ own work

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