GAVI’s health system strengthening is based on the principles of the International Health Partnership (IHP+) in line with the Paris Declaration on Aid Effectiveness
GAVI Alliance health system strengthening (HSS) support is intended to address weaknesses identified by implementing countries. They are encouraged to use recent immunisation programme and health sector analyses, National Health Sector Plans and similar inputs to identify weaknesses and gaps in current funding.
HSS should be consistent with the existing objectives, strategies and planning cycles of government health sector policy, aligned with government management systems and financial procedures, and reflected in national budgets wherever possible.
HSS should add value to (not compete with) current or planned efforts to strengthen the health systems by national governments, civil society and health sector partners.
HSS support is, in principle, available for the life of National Health Sector Plans (or equivalent).
HSS funds must be additional to the government's existing budget and not displace previously allocated health sector resources.
Inclusive and collaborative
All key stakeholders (beyond immunisation) should be involved in HSS. Government entities, partners, civil society, and the private sector should all be informed and involved, as appropriate, in the planning, implementation and evaluation stages.
HSS should not result in the creation of stand-alone, independently managed projects. Ideally, it should be an agent for catalytic change where possible - for example, testing pilot projects that could subsequently be scaled up by government.
GAVI encourages health service innovation. HSS can be used to test new strategies or approaches or to adapt learning and best practice from elsewhere.
Implementing countries must link strategies for tackling barriers to specific indicators that show how the use of HSS funds will improve immunisation and other forms of child and maternal health care. The results should be evident at local level. Progress towards agreed goals will be monitored by GAVI Alliance partners including WHO, UNICEF, the World Bank and the Health Metrics Network (HMN).
Implementing countries must take into consideration how the recurring financial and technical requirements of health service improvement of HSS support can be sustained beyond the period of GAVI support.
In addition to these principles, the HSS initiative is intended to: