14 – Country tailored programming workshop

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At yesterday’s meeting, the GAVI Board approved a new policy that defines the GAVI Alliance’s approach to fragility and immunisation. Through country tailored approaches, this new policy aims to improve vaccination coverage in a subset of countries with particularly challenging circumstances

Malawi_GAVI_2011_Doune Porter2 copyF

Copyright GAVI/2011/Doune Porter

At yesterday’s meeting, the GAVI Board approved a new policy that defines the GAVI Alliance’s approach to fragility and immunisation.

Through country tailored approaches, this new policy aims to improve vaccination coverage in a subset of countries with particularly challenging circumstances.

The policy also outlines the emergency flexibilities that GAVI might extend in response to catastrophic events which threaten the immunisations system and/or the implementation of existing GAVI support.

Many government stakeholders, EPI managers and in-country partners – primarily from countries that are likely to benefit from a country tailored approach – attended this interactive workshop.

Speakers from the panel and the audience provided powerful examples of how political instability, humanitarian emergencies or the devolution of healthcare services can pose serious challenges to a country’s immunisation programme.

In a vibrant and frank discussion, participants shared their experience with GAVI support and offered very practical suggestions for what could be done differently to enhance programme effectiveness.

Some key challenges included weak financial management systems, difficulties to mobilise sustainable resources for co-financing and required investments in the immunisation and health system, and management of the post-crisis recovery phase.

While creative solutions and lessons from other countries can be a source of inspiration, there was general agreement that each situation is different and requires a thorough understanding of the context in order to design appropriate responses. Participants therefore welcomed the new GAVI policy that aspires to provide more effective support by taking into account all relevant dimensions, be they political, organisational, geographic, social or cultural.

This session also provided an excellent opportunity to discuss the scope and boundaries of the new policy.

Various practical ideas were suggested and will be explored further with countries and partners as GAVI moves towards development and implementation of the country-specific approaches in the 10 countries currently identified by the new framework.

US$ 8.4 billion

By 31 August 2013, GAVI had committed US$ 8.4 billion in programme support until 2016 to the world’s poorest countries.

GAVI Alliance, 30 April 2013

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