On January 1, 2009, GAVI enacted a new Transparency and Accountability Policy (TAP) that governs the management of all cash-based support to GAVI eligible countries.
GAVI offers eligible countries significant support for health and immunisation systems to increase their capacity to sustainably introduce new vaccines. This support is provided as cash, which countries can use to address their own specific priorities and systems' bottlenecks.
GAVI must ensure that this flexible, cash-based support is used both in a transparent and accountable manner, and in accordance with best practices for public financial management.
The Alliance's Transparency & Accountability Policy seeks to accomplish this; at the same time, the policy aims to increase harmonisation with other donor practices and improve alignment with countries' national financial management systems.
Financial management assessment (FMA) is central to the implementation of GAVI's TAP. An FMA is now required before any eligible countries introduce new Health Systems Strengthening (HSS) or Immunisation Service Support (ISS) programmes.
The FMA is geared to help GAVI better understand the strengths and weaknesses of each countries’ public financial management system in the health sector. More importantly, the FMA will help countries to identify the best financing mechanism(s) for the management of GAVI cash-based support.
GAVI is introducing the FMA on a phased basis, starting with: 1) countries applying for new cash-based programmes; and, 2) countries deemed "higher risk" for financial management. GAVI aims to conduct FMAs in all eligible countries within a two to three-year period.