Post on 27-Mar-2015
Global Alliance forVaccines and Immunization
An Alliance Traditional and new partners Public and private sector
Partners have in common: Situation Analysis Vision Set of strategic objectives
What is GAVI ?
Three Gaps in Vaccines and Immunization
Stagnation of immunization coverage with decline in certain countries and regional discrepancies
Lack of introduction into the poorer developing countries of newly-developed vaccines against major child killers
Limited investment into vaccine research for diseases with high burden in developing countries
GAVI Mission
“To save children’s lives and protect people’s health through the widespread use of vaccines with a particular emphasis on developing countries”
Five Strategic Objectives
Improve access to sustainable immunization services
Expand use of all existing cost-effective vaccines Accelerate introduction of new vaccines Accelerate R&D on vaccines for developing
countries, (HIV/AIDS, malaria and tuberculosis) Make immunization coverage a centrepiece in
international development efforts
Countries (Developing and industrialised) Agencies (UNICEF, WHO) Development Banks (World Bank, ADB, AB) Industry Technical Agencies (CDC, NIH) Foundations (Bill and Melinda Gates,
Rockefeller, Mérieux...) NGOs (Path/CVP, AMP...) Academia
WHO is GAVI?
GAVI Board
15 membersHigh-Level : Institutional Commitment
Working Group
Secretariat
Monthly Tele/Video Conferences 3 meetings
per year
Weekly Tele/Video Conferences
5-6 Meetings per year
10 members
Joint policy development,
Agency workplans
Small team,
Funded by partner fees
Coordination
Support coordination of partners input
How Does GAVI Work ?
How Does GAVI Work ?
Task Forces : Advocacy (UNICEF) Country Coordination (WHO) Financing (World Bank and USAID) R&D (Academia, Industry, WHO)
Regional Working Groups Africa, East Asia -Pacific, South Asia, Middle
East
and ….
Strengthened Immunization Services and Strengthened Immunization Services and New Vaccines Delivered in CountriesNew Vaccines Delivered in Countries
Vaccine procurement
The Fund• Independent Board for fundraising &
management
• Working Capital Account (at UNICEF) for vaccine procurement and resource disbursement
• Three Sub-accounts:
Financial Tools: Shares, matching grants
Vaccines & Safe injection
materials
Immunization services
R & D(not yet active)
GAVI BoardGAVI BoardEstablishes Establishes PrinciplesPrinciples
recommendations recommendations on fund allocationon fund allocation
ContributorsContributorsGates Foundation Gates Foundation USA, UK, Norway, USA, UK, Norway,
Netherlands, ...Netherlands, ...
$$$
The Global Fund For Children’s Vaccines
Requirements for GFCV Support
Eligibility Countries with < US$ 1,000 GNP / capita Special arrangements foreseen for China,
India and Indonesia Assessment Criteria
Functioning collaborative mechanism (e.g., ICC)
Immunization assessment within last three years
Multi-year plan for immunization
Support for new and under-used vaccines
Support for immunization services and new and under-used vaccines
Support for immunization services
DTP3coverage
>80%
DTP3coverage
50% - 80%
DTP3 coverage
<50%
Basic Conditions
GNP/capita < US$ 1000
ICC or equivalent
Immunization assessmentin last 3 years
Multi-year plan forimmunization
What will the FUND Finance ?
New and Under-used Vaccines Hepatitis B globally Hib vaccine for Africa, Latin America, Middle East &
where evidence exists Yellow fever where recommended in Africa & South
America even when DTP3<50%
Safe injection equipment: auto-disable syringes and safety boxes ‘bundled’ with
vaccine shipped to countries Combination vaccines
priority to weakest programmes
Immunization Services Add to pool of existing funding Invest in advance, on the basis of set targets for the
improvement of the programme Reward progress according to performance Monitor progress by reporting of district
performance, according to standard indicators and annual review to ICC, to GAVI partners
Delegate allocation of funds through government, partner agency, or other ICC mechanism - ‘no strings’, no international input monitoring system.
How are Applications Assessed ?
Independent review committee (10 members) Tunisia, Ghana, Tanzania, Cameroon, USA, Thailand,
Slovenia, Bahamas, Moldova Majority from developing countries Strong immunization programme management
experience Meets for 10 days- 2 weeks for in-depth review Each application reviewed by 3 members Members declare any conflict of interest Recommendations to the GAVI Board
Pledges to GAVI Objectives
• Gates Foundation : US $ 750 million (5 yrs)• USA : US $ 50 Million (1 yr ) • Norway NKr 1 billion (5 yrs)• UK : GB £ 3 million (1 yr)• Netherlands : NGL 250 million (5 yrs)• Denmark : Dkr 20 million (1yr)• Sweden US $ 2 million (1yr)
Total Pledges to date : 0ver US $ 1 029 million
For re-
submission
14Not
approved2
Conditional approval
6
Not applied
27
Approved25
Status of 74 Eligible* Countries
* (GNP per capita < US$ 1,000)
Commitments through 2002: US $ 16,5 Million for immunization services strengtheningUS $ 74 Million in new vaccines
Next Milestones
Progress report : 1 October 2001Mid term review : 1 October 2002
Next reviews of applications: 1 May : Review starting 24 May November 2001 ...until Spring 2002 All applications approved before Spring 2002 will
result in 5 years support
What is Expected of Countries ?
Increased commitment to strengthen immunization Establish, strengthen and manage an Inter Agency
Coordination mechanism Develop,monitor and update a multi-year plan for
immunization including: Polio eradication Injection safety Resource mobilization plan
Negotiate and secure financing from National Budgets (including loans) Bilateral and Multi-lateral Partners’ support The Global Fund for Children’s vaccines
What are Partners Responsible For?
Increased commitment to immunization Increased coordination of technical and financial
support Procurement of vaccines and goods Consultants, Funding Training (technical, management, financing) Capacity building to develop regional expertise Networking with other countries to learn from
experiences