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Harmonisation

Report: status of implementing the Paris Declaration on Aid Effectiveness

GAVI’s way of working directly reflects the five global health partnership principles, of ownership, alignment, harmonisation, managing for results and accountability, applying the process for monitoring required by OECD-DAC. The GAVI Secretariat works closely with the Global Fund for AIDS, TB and Malaria to evaluate how better to align its support to country needs.

Measuring the Paris Declaration on Aid Effectiveness

 

target level (%)

Indicator

By 2010

Aid flows are aligned on national priorities

100

Use of country public financial management systems

90

Use of national procurement mechanisms

No target

Avoidance of parallel implementation structures

100

Aid is more predictable

100

Use of common arrangement procedures

100

GAVI aid flows are fully aligned on national priorities  

GAVI has set up an innovative coordinating mechanism at country level: the Inter-Agency Coordinating Committee (ICC). This involves both the Ministry of Health and other partners in the management and use of funds provided by GAVI to the country.  GAVI support is planned for, implemented and monitored by the ICC in line with government plans and priorities.

Increasing use of country public financial management systems

Both cash and vaccines are provided to support national immunisation programmes (during 2005 cash support represented only 25% of the total GAVI disbursement). Their management is audited by national mechanisms.  GAVI aims increasingly to align its support with government financial mechanisms.

From 2007 onwards, in line with GAVI’s principle of aligning itself with national budget and planning cycles, a change towards reflecting GAVI funds in the Ministry of Finance budget is expected. This will result in an increase in the use of country public financial management systems. By 2010, 90% of support will be accounted for within country public financial management systems.

Use of national procurement mechanisms: GAVI has not set a target for this indicator, as the majority of new vaccines supported by GAVI are procured through UNICEF. This takes advantage of its sourcing and ability to negotiate best market prices through bulk procurement. Partner countries have the option to use national procurement mechanisms but so far, only 2% of funds spent by GAVI on new vaccines have gone through national procurement mechanisms.

GAVI avoids parallel implementation structures: Funds are provided through existing programmes and no parallel structures are supported by GAVI.

GAVI aid is predictable: GAVI informs countries about approved multi-year support. Funds are provided according to an agreed disbursement schedule and are aligned with national budgetary processes.

GAVI uses common arrangement procedures

All GAVI support is coordinated through the Inter-Agency Coordinating Committee. Health System Strengthening support will also be coordinated by the Ministry of Health and partners together. GAVI expects to maintain its target of 100% for this indicator.