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Global Alliance for Vaccines and Immunization. WHAT IS GAVI ?

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Presentation on theme: "Global Alliance for Vaccines and Immunization. WHAT IS GAVI ?"— Presentation transcript:

1 Global Alliance for Vaccines and Immunization


3 n An Alliance u Traditional and new partners u Public and private sector n Partners have in common: u Situation Analysis u Vision u Set of strategic objectives What is GAVI ?

4 Situation analysis: Three Gaps +Stagnation of immunization coverage with decline in certain countries and regional discrepancies + Lack of introduction into the poorer developing countries of newly-developed vaccines against major child killers + Limited investment into vaccine research for diseases with high burden in developing countries

5 Vision: GAVI Mission “To save children’s lives and protect people’s health through the widespread use of vaccines with a particular emphasis on developing countries”

6 Five Strategic Objectives +Improve access to sustainable immunization services +Expand use of all existing cost-effective vaccines +Accelerate introduction of new vaccines +Accelerate R&D on vaccines for developing countries, (HIV/AIDS, malaria and tuberculosis ) +Make immunization coverage a centrepiece in international development efforts

7 Milestones +By 2002, 80% countries with adequate delivery system will introduce Hepatitis B vaccine and all countries by 2007 +By 2005, 80% developing countries will have routine immunization coverage of at least 80% in all districts +By 2005, 50% of poorest countries with high burden of disease and adequate delivery systems will have introduced Hib vaccine +By 2005, the vaccine efficacy and BOD will be known for all regions for rotavirus and pneumococcal vaccines, and mechanisms identified to make the vaccines available to poorest countries


9 n Countries (Developing and industrialised) n Agencies (UNICEF, WHO) n Development Banks (World Bank, ADB, AB) n Industry n Technical Agencies (CDC, NIH) n Foundations (Bill and Melinda Gates, Rockefeller, Mérieux...) n NGOs (Path/CVP, AMP...) n Academia WHO is GAVI?

10 How does GAVI work ? GAVI Board 15 members High-Level : Institutional Commitment Secretariat Monthly Tele/Video Conferences 3 meetings per year Weekly Tele/Video Conferences 5-6 Meetings per year 10 members Joint policy development, Agency workplans Small team, Funded by partner fees Coordination Responsive to Alliance needs Working Group

11 How does GAVI work ? Task Forces : u Advocacy (UNICEF) u Country Coordination (WHO) u Financing (World Bank and USAID) u R&D (Academia, Industry, WHO) Regional Groups u Africa (2), u East Asia-Pacific, u South Asia, u Middle East and ….

12 Strengthened Immunization Services and New Vaccines Delivered in Countries Vaccine procurement The Vaccine Fund Independent Board for fundraising & management Working Capital Account (at UNICEF) for vaccine procurement and resource disbursement Three Sub-accounts: Financial Tools: Shares, matching grants Vaccines & Safe injection materials Immunization services R & D (not active) GAVI Board Establishes Principles, recommendations on fund allocation Contributors Gates Foundation USA, UK, Norway, Netherlands, DK $$$ The Vaccine Fund


14 Requirements for Vaccine Fund support n Eligibility u Countries with < US$ 1,000 GNP / capita n Assessment Criteria u Functioning collaborative mechanism (e.g., ICC) u Immunization assessment within last three years u Multi-year plan for immunization n Large countries u Special arrangements for China, India and Indonesia

15 Support for new and under-used vaccines Support for immunization services and new and under-used vaccines Support for immunization services DTP3 coverage >80% DTP3 coverage 50% - 80% DTP3 coverage <50% Basic Conditions GNP/capita < US$ 1000 ICC or equivalent Immunization assessment in last 3 years Multi-year plan for immunization What will the Vaccine Fund finance ?

16 New and under-used vaccines : Principles n Hepatitis B globally n Hib vaccine for Africa, Latin America, Middle East & where evidence exists n Yellow fever where recommended in Africa & South America u even when DTP3<50% n Safe injection equipment: u auto-disable syringes and safety boxes ‘bundled’ with vaccines shipped to countries n Combination vaccines u priority to weakest programmes

17 Immunization services sub-account:  Add to pool of existing funding  Invest in advance, on the basis of set targets for the improvement of the programme  Reward progress according to performance  Monitor progress by reporting of district performance, according to standard indicators and annual review to ICC, to GAVI partners  Delegate allocation of funds through government, partner agency, or other ICC mechanism - ‘no strings’, no international input monitoring system.

18 Functioning coordination mechanism (ICC) n Senior Chair from MOH as confirmed by membership and minutes n Broad terms of reference, covering all aspects of immunization, including polio, general EPI and new vaccines introduction : n Regular meetings (minutes) n Broad partnership ë In many cases, ICCs will require strengthening : staff budgets, etc..

19 Recent assessment of immunization programmes n Are recommendations being implemented ? (reflected in the plan) n Surveillance (including AFP surveillance) n Safety of immunization (injections, waste management) n Cold chain, logistics, vaccine wastage n Financing

20 Multi-year plan for immunization n Reflect recommendations of the assessment n Consistent with global polio eradication strategies, measles control and MNT elimination n Plan to ensure safety of injections n Targets for improving coverage and reaching unreached n Disease surveillance n New vaccines introduction n Budget forecast, financing plan and sustainability strategy

21 How are applications assessed ? n Independent review committee (9 members) n Mali, Tunisia, Philippines, Ghana, Tanzania, Bahamas, USA, Thailand, Slovenia n Majority from developing countries n Strong immunization programme management experience n Meets for 10 days- 2 weeks for in-depth review n each application reviewed by 3 members n Members declare any conflict of interest n recommendations to the GAVI Board


23 What is expected of countries ? Increased commitment to strengthen immunization u Establish, strengthen and manage an Inter-Agency Coordination mechanism u Develop,monitor and update a multi-year plan for immunization including: F Polio eradication F Injection safety F Resource mobilization plan u Negotiate and secure financing from F National Budgets (including loans) F Bilateral and Multi-lateral Partners’ support F The Global Fund for Children’s vaccines

24 What are Partners responsible for? Increased commitment to immunization u Increased coordination of technical and financial support u Procurement of vaccines and goods u Consultants, Funding u Training (technical, management, financing) u Capacity building to develop regional expertise u Networking with other countries to learn from experiences

25 Status of 74 eligible countries June 2001 * (GNP per capita < US$ 1,000) June approvals Approved: Uzbekistan Approved with clarification: Turkmenistan, Albania, Tajikistan Conditional Approval: Bosnia & Herz

26 Financial commitments to GAVI objectives… so far ! US $ 750 million : Gates Foundation (5 yrs) US $ 50 Million : USA (FY 2001) GB £ 3 million : UK NKr 1 billion : Norway (5 yrs) NGL 250 million : Netherlands (5 yrs) Dkr 25 million : Denmark

27 Next Milestones Progress report : 1 October 2001 Mid term review : 1 October 2002 Next reviews of applications: n November 2001, ….until Spring 2002 * All applications approved before Spring 2002 will result in 5 years support

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