The global vaccination effort was generally considered inequitable and ineffective. Vaccination rates mostly followed an income-based pattern both in terms of onset of large-scale vaccination efforts and numbers of people vaccinated. Despite global efforts to address vaccine inequity, vaccination coverage in low-income countries has remained low, though the gap is shrinking. CARE USA, an international poverty fighting and human rights organization, began its Fast and Fair COVID vaccine initiative and advocacy campaign in late 2020 –relatively early in the pandemic period. As the campaign’s name suggests, CARE wanted to help steer the global vaccination effort down the path of fairness and efficiency. This evaluation is an assessment of whether and to what extent CARE, in collaboration with its partners, achieved its objectives