Vaccine allocation policy optimization and budget sharing mechanism using reinforcement learning

ABSTRACT

The optimal allocation of vaccines to population subgroups over time is a challenging health care management problem. In the context of a pandemic, the interaction between vaccination policies adopted by multiple agents and the cooperation (or lack thereof) creates a complex environment that affects the global transmission dynamics of the disease. In this study, we take the perspective of decision-making agents that aim to minimize the size of their susceptible populations and must allocate vaccine under limited supply. We assume that vaccine efficiency rates are unknown to agents and we propose a reinforcement learning approach based on Thompson sampling to learn mean vaccine efficiency rates over time. Furthermore, we develop a budget-balanced resource sharing mechanism to promote cooperation among agents. We apply the proposed framework to the COVID-19 pandemic. We use a raster model of the world where agents represent the main countries worldwide and interact in a global mobility network to generate multiple problem instances. Our numerical results show that the proposed vaccine allocation policy achieves a larger reduction in the number of susceptible individuals, infections and deaths globally compared to a population-based policy. In addition, we show that, under a fixed global vaccine allocation budget, most countries can reduce their national number of infections and deaths by sharing their budget with countries with which they have a relatively high mobility exchange. The proposed framework can be used to improve policy-making in health care management by national and global health authorities.