
Geography: Asia Pacific · South Asia · India
The Serum Institute of India (SII), founded by Cyrus Poonawalla, is the world's largest vaccine manufacturer by number of doses produced — over 1.5 billion annually. An estimated 65% of the world's children receive at least one SII-manufactured vaccine. The company produces vaccines for measles, rubella, BCG, polio, diphtheria, tetanus, pertussis, hepatitis B, and COVID-19, all WHO-prequalified.
During the COVID-19 pandemic, SII manufactured Covishield (the Oxford-AstraZeneca vaccine) at massive scale, producing hundreds of millions of doses for India and low-income countries through the COVAX facility. SII has now partnered with CEPI (Coalition for Epidemic Preparedness Innovations) to strengthen pandemic preparedness, including work on H5N1 avian flu vaccines.
SII's model — licensing proven vaccine technologies from international partners and manufacturing them at scale and low cost in India — is uniquely powerful for global public health. The company can produce vaccines at a fraction of the cost of Western manufacturers because of India's lower manufacturing costs, economies of scale, and process optimization expertise. This makes vaccination economically feasible for billions of people in developing countries who could never afford Western-priced vaccines.