The document outlines a regional strategy to strengthen local vaccine production in the Eastern Mediterranean Region. It notes that limited access to affordable vaccines, disruptions during COVID-19, and requests from ministries of health motivated the need for increased local production. Currently, several countries in the region have partial production capabilities. The strategy aims to promote sustainable local vaccine production through establishing strategic plans, facilitating technology transfers, investing in workforce development, strengthening regulatory systems, and implementing critical actions. It seeks regional vaccine security and asks what is needed to finalize and effectively implement the strategy, as well as expectations from WHO support.