28 – GAVI graduation: achieve, share, inspire

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A diverse set of experiences from presenters and participants were portrayed in discussions around graduation from the GAVI Alliance and sustainable financing for new vaccine introductions

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A diverse set of experiences from presenters and participants were portrayed in discussions around graduation from the GAVI Alliance and sustainable financing for new vaccine introductions.

The session began with Peter Heller emphasising the need to ensure fiscal space in national budgets for health, followed by a discussion on co-financing and country graduation led by the GAVI Alliance.

Santiago Cornejo explained GAVI’s eligibility policy and graduation process, highlighting the Alliance’s commitment to continue to support countries during the transition period and beyond. He emphasised the Alliance’s commitment “to work with countries in advance of, during and post-graduation, particularly through the provision of technical assistance to conduct sustainability bottleneck assessments and preparation of transition plans.”

The Honourable Ministers of Health from Moldova and Mongolia shared some of the challenges they have faced with graduating from GAVI, with a common challenge being the need for institutional strengthening to sustain vaccines.

Both Ministers also shared some positive trends in their immunisation programmes and agreed that despite challenges, graduation and continuance of EPI programmes “are certainly feasible within the timeframe”.

Finally, WHO and UNICEF highlighted the need to strengthen programmatic aspects related to the sustainability of routine and new immunisation systems. They stressed that the focus should not solely be on financial sustainability.

Procurement and regulation are also incredibly important. In this context, UNICEF shared some of its ongoing efforts working with middle-income countries to secure procurement of vaccines and also reaffirmed their dedication to continue to support countries as financers, such as GAVI, begin to phase out of countries crossing the eligibility threshold.

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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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