19 – Sustainable financing: co-financing and sustainability

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This panel debate session dealt with issues around results-focused aid, the importance of communication, and how financial sustainability is strongly linked to political will and innovative thinking

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Copyright UNICEF/2009/Giacomo Pirozzi

Financing and sustainability are crucial challenges in an evolving aid landscape. This panel debate session dealt with issues around results-focused aid, the importance of communication, and how financial sustainability is strongly linked to political will and innovative thinking.

Co-financing is a vital part of GAVI’s engagement with countries and there was agreement that conversations should begin at the earliest possible stage to ensure co-financing arrangements can be put into the broader context of country’s health budget.

Graduation away from GAVI support was another key talking point. Both implementing countries and donors agreed that early discussions would enable governments to have stronger plans in place to be ready for when they no longer receive GAVI funding.

While there was agreement that co-financing was important and innovative step towards sustainability, some delegates saw further opportunities to post finance experts in health ministries to help secure value for money. “I would hire more economists from the Ministry of Health to make sure we are funding the right things, getting value for money and changing the way we deliver health,” said Richard Sezibera, East African Community, Tanzania.

The importance of results to implementing countries and donors alike was clear. As Pitchette Kampeta Sayinzoga, Permanent Secretary of the Rwandan Ministry of Finance observed: “Often Ministries of Finance are not convinced that that health intervention will do.

“It is not an issue of not willing to invest in health. What comes first? The results or the money? When the results came through, the Ministry of Finance says this is worth it. Ministries of Health need to articulate results with the money that is available. Ministries of Finance need bankable projects.”

Ensuring immunisation programmes are on a sustainable footing and delivering results is a goal of all partners in the vaccine world. This session offered some interesting and encouraging perspectives on how this can be achieved.

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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