Pilot Prioritisation Mechanism

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When overall demand for support from GAVI-eligible countries is higher than available donor resources, GAVI needs to make fair, transparent and objective decisions on how to use its limited resources most effectively

In June 2013, the GAVI Board reviewed the mechanism which allows the ranking of technically sound proposals from GAVI-eligible countries and the subsequent prioritisation of funding choices in case of insufficient resources.

What is the purpose of GAVI's pilot prioritisation mechanism?

The pilot prioritisation mechanism guides GAVI's funding decisions when resources are restricted by enabling the ranking of country proposals recommended for funding by the Independent Review Committee (IRC) for new and underused vaccine support (NVS)*.

When is the prioritisation mechanism applied and how does it work?

The pilot prioritisation mechanism is applied when GAVI resources are limited compared to overall demand in a particular application round. All applications recommended for funding by the IRC will be weighted and ranked according to the following criteria:

For New Vaccine Support proposals




Health impact

Deaths averted per 1000 vaccinated


Value for money (cost effectiveness)

Cost per death averted


Financial sustainability

Government commitment to health


Country income

GNI per capita


Countries can still apply for as many new vaccines as they wish, but the prioritisation mechanism means that only one application can be funded per country per round if there is a constraint on resources. This ensures a more equitable distribution of resources across countries. After being ranked through the prioritisation mechanism, countries with more than one IRC recommended proposal will be invited to select which one they would like to see funded. The unfunded IRC recommended proposals will automatically be considered in the next application round.

More information on the pilot prioritisation mechanism including the calculation of proposal scores can be found in the June 2010 Board paper on Prioritisation. .

When was the pilot mechanism approved and when will it be updated?

The pilot prioritisation mechanism came into effect in June 2010, following GAVI Board approval. The pilot will be reviewed and, if necessary, updated after the 2011 application round.

*Cash-based programmes receive support according to the Health Systems Resource allocation formula.

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