The health systems goal

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Contribute to strengthening the capacity of integrated health systems to deliver immunisation

Health systems goal

From a scarcity of midwives and health facilities to poorly equipped hospitals, weak health systems represent a critical barrier to GAVI's mission to increase access to immunisation. 

Without the people and equipment to deliver vaccines, no immunisation programme will be sustainable over the long term.

Through its first strategy, the Alliance has boosted the capacity of health and immunisation services through health system strengthening (HSS) support; funding to support civil society involvement in immunisation planning and delivery; and, immunisation services support (ISS), which has used reward payments to encourage developing countries to increase the number of children immunised with three doses of the diphtheria, tetanus and pertussis vaccine (DTP3).

Goal-level indicators

  • Drop-out rate: % drop out between DTP1 and DTP3 coverage.
  • DTP3 coverage: % of surviving infants receiving three doses of DTP-containing vaccine.
  • Equity in immunisation coverage: % of GAVI supported countries where DTP3 coverage in the lowest wealth quintile is not more than 20% points of the coverage in the highest wealth quintile.
  • View GAVI's targets for its health systems goal

Strategic Objectives

A holistic approach to HSS

From 2011-15, GAVI will work closely with WHO, the World Bank and the Global Fund to Fight AIDS, TB and Malaria, UNICEF and others to provide a more holistic approach to HSS. The Health Systems Funding Platform (HSFP) will guarantee:

  • one plan, the Joint Assessment of National Strategies, which will establish the priorities, strengths and limitation of a country’s health strategy;
  • one monitoring and evaluation framework, which will ensure a common process to control the use of funding and move away from the existing myriad checks and balances;
  • one financing platform, which will provide a joint process for HSS funding to countries.

GAVI will also build upon the success of ISS to help countries with low immunisation coverage surpass 70% DTP3 coverage.

CSO engagement

Under the new strategy, GAVI will look to strengthen its support for civil society organisations (CSO), in particular, focusing on:

  • positioning CSOs in the national planning and implementation processes;
  • maintaining a country-by-country approach to CSO engagement;
  • raising awareness in developing countries about the critical role CSO's play in immunisation and child health.

Reaching the hard to reach in Ethiopia

From repairing fridges to fuel for transport, GAVI funding helps civil society organisations fill gaps in the vaccine cold chain that plague efforts to reach Ethiopia’s remotest communities.


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GAVI has provided funding to strengthen health systems and immunisation services in more than 70 countries.

GAVI Alliance

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