SIF Action Points: Armenia 2015 Meeting with Senior Program Officer Financing Arrangements Keep up with the increasing inflation which is bloating immunization expenses and threatens predictability and sustainability Legislation Formulate a Public Health Law which is slated to provide for public immunization financing Budget Advocacy and Resource Tracking Prove that the proposed and approved immunization budget were identical after using the SIF Budget Flow Analysis 2016 Kathmandu Colloquium Financing Arrangements Legislation Budget Advocacy and Resource Tracking
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SIF Action Points: Armenia
2015 Meeting with Senior Program Officer
Financing Arrangements
Keep up with the increasing inflation which is bloating immunization expenses and threatens predictability and sustainability
Legislation Formulate a Public Health Law which is slated to provide for public immunization financing
Budget Advocacy and Resource Tracking
Prove that the proposed and approved immunization budget were identical after using the SIF Budget Flow Analysis
2016 Kathmandu Colloquium
Financing Arrangements
Legislation
Budget Advocacy and Resource Tracking
SIF Action Points: Cambodia
2011 Addis Colloquium 2013 Dakar Colloquium
2016 Sri Lanka Peer Review
Financing Arrangements
Collaborate with development partners to fulfill the gap of the immunization program fund
Legislation
MoH will initiate to discuss with related sector, agency to draft the immunization law
Draft immunization law through a series of workshops
Work on sub-decree and present it to MoH, who will submit it to legislative council
Submit draft law to the National Assembly
Need to advocate and submit law
Budget Advocacy and Resource Tracking
Increase budget for immunization program
Resource tracking (consultation with stakeholders, technical workshop in Nov. 2013, and a quarterly follow-up
More follow up to maintain 95% immunization coverage
Continue to monitor and promote immunization activity at the provincial level through local authority
Need standardized reporting, information system to track budget monitoring, develop evaluation to assess program objectives
2016 Kathmandu Colloquium
Financing Arrangements
Legislation
Budget Advocacy and Resource Tracking
SIF Action Points: Cameroon 2011 Addis
Colloquium 2013 Dakar Colloquium
2014 Kribi Peer Review
2015 Dakar Peer Exchange
Financing Arrangements
Ensure the Health Support Fund is operational by 2014
Institute National Immunization Fund
Legislation
Prepare technical arguments for establishment of immunization section of directorate
Complete legislative process of law on vaccination by June 2014
Adoption of an immunization law
Pass law establishing immunization section of directorate for effective management of immunization
Submit law and secure approval from government
Prepare draft law to create national immunization fund
Submit law to parliament
Budget Advocacy and Resource Tracking
Organize a day of advocacy for political commitment at the highest level
Develop national action plan to implement global vaccine action plan (GVAP) before 2014
Creation of multisectoral Ad Hoc Budget Tracking Committee
Adopt budget tracking indicators
Prioritize EPI as a National Immunization Agency
Identify missing financial information using PRED
Install and train EPI manager on PRED
2016 Kathmandu Colloquium
Financing Arrangements
Legislation
Budget Advocacy and Resource Tracking
SIF Action Points: Congo 2012 Kinshasa Peer
Exchange 2013 Dakar Colloquium
2014 Kribi Peer Review
Financing Arrangements
Legislation
Elaborate a draft law for immunization
Popularize immunization bill among EPI stakeholders
Adopt immunization law which guarantees immunization financing
Institutionalize EPI into a central Directorate
Finalize draft law for submission to government
Establish formal advocacy coalition targeting the law
Advocate with MPs and Senators to adopt law
Monitor various stages of legislative process
Budget Advocacy and Resource Tracking
Update the cMYP 2012-2016
Advocate for increased funds allocated to immunization in budget law 2014 to Director General of Health in accordance with revised cMYP 2013-2017
Advocate for vaccine purchase budget line
Revise the GAVI transition plan
Establish resource tracking mechanisms at local level
Advocacy meetings with officials from MoH, MoF, and MPs
Monitor various stages of budget process
Establish inclusive immunization information network
Advocate for involvement of local authorities, oil companies, and mobile telephones for immunization financing
Organize an immunization information session
Establish financial data collection mechanism at intermediate and local levels
2016 Kathmandu Colloquium
Financing Arrangements
Legislation
Budget Advocacy and Resource Tracking
SIF Action Points: Democratic Republic of Congo
2011 Addis Colloquium
2013 Dakar Colloquium
2014 Kribi Peer Review
Financing Arrangements
Create a National Immunization Fund
Legislation
Legislation for the National Immunization Fund (NIF): review of the proposals for draft law on NIF, filing and passing draft law in parliament, disseminate information on new NIF law
Monitor different stages of legislative process
Advocate for an immunization-related law
High level advocacy to accelerate the process
Budget Advocacy and Resource Tracking
Restitution and advocacy with institutional authorities for sustainable financing of immunization
Allocate adequate funds to immunization within overall health budget
Strengthen advocacy by making EPI credit line an obligatory expense
Formulation, execution, and supervision of vaccination budget
Enter immunization budget lines as part of the mandatory spending in the country
Incorporate new law on public finance to support resource tracking efforts
Engage EPI to present cMYP and evaluate budgetary estimates for immunization
Extend the network of parliamentarians to the Provincial Assemblies
Increase allocated immunization budget
2016 Kathmandu Colloquium
Financing Arrangements
Legislation
Budget Advocacy and Resource Tracking
SIF Action Points: Georgia
2016 Georgia Policy Workshop
Financing Arrangements
Develop innovative approaches and make incentives for using existing resources effectively
Legislation
MOH works on legislative improvements. Parliamentary Health Committee have committed to build necessary consensus on legislative changes to support immunization program
Budget Advocacy and Resource Tracking
Prioritization of immunization and trends of increasing state immunization budget should be maintained
MOH should regularly use budget analysis of the immunization program to advocate for sufficient funding
Gavi graduation period should be used by government to prepare for full country ownership
2016 Kathmandu Colloquium
Financing Arrangements
Legislation
Budget Advocacy and Resource Tracking
SIF Action Points: Indonesia
2014 Phnom Penh Peer Review
Financing Arrangements
Legislation
Indonesian stakeholders must advocate for new or amended legislation, whether a law or a Presidential decree
Budget Advocacy and Resource Tracking
Use government-wide e-Monev resource tracking mechanism, established in 2013, to capture immunization expenditures
MOH should regularly use budget analysis of the immunization program to advocate for sufficient funding
MoF in partnership with UNICEF will conduct a four-district resource tracking study in East Java
2016 Kathmandu Colloquium
Financing Arrangements
Legislation
Budget Advocacy and Resource Tracking
SIF Action Points: Kenya 2011 Addis
Colloquium 2013 Dakar Colloquium
2015 Nairobi Africa Peer Review
2016 Abuja Africa Peer Review
Financing Arrangements
Focus on establishing an immunization fund
Legislation
Draft legislation for immunization financing and free, compulsory routine vaccination
Consolidate/build consensus on draft immunization bills & factor in devolution
Push legislation to secure immunization financing within devolution process
Have specific legislation on immunization financing
Budget Advocacy and Resource Tracking
Donors who are involved in financing activities within immunization framework are obliged to report to relevant ministry
Parliament continue to ensure adequate & appropriate funding until immunization law is in place
Translate immunization budgeting, planning, & reporting methods to county level
Work with MoF to create immunization budget line
Ensure itemized budget tracking & monitoring and flexibility in use of funds
Stabilize vaccine procurement & distribution at federal & county levels
Have champions within county government and MPs within Parliamentary Committee on health
Immunization budget formulation, execution, and oversight shall be undertaken by relevant department to ensure they give cash flow projections
Communicate with Council of Governors on immunization financing issues
Institutionalize micro-planning across all levels of government
Advocate for more funds to meet Gavi co-financing requirements
Advocate for more funds to meet Gavi co-financing requirements
2016 Kathmandu Colloquium
Financing Arrangements
Legislation
Budget Advocacy and Resource Tracking
SIF Action Points: Liberia 2011 Addis
Colloquium 2013 Dakar Colloquium
2015 Nairobi Africa Peer Review
2016 Abuja Africa Peer Review
Financing Arrangements
Create a line item to be included in the fiscal year budget to support immunization
Increased budgetary support for immunization (new vaccines, immunization services)
Joint executive-legislative retreat
Legislation
Develop legislation for sustainable immunization financing
Finalize legislation for sustainable immunization financing
Revise pending bill by July 2016
Propose executive legislative retreat
Introduce provisions into larger health insurance bill that will support immunization process in Liberia
Review and finalize TOR for Legislative Forum
Re-introduce Immunization Bill in hopes of passing by end of May
Finalize health insurance bill
Have public hearing to ensure Bill is adequate and contains necessary immunization provisions
Budget Advocacy and Resource Tracking
Conduct advocacy and awareness at the executive, legislative, country, and district levels for sustainable immunization financing
Scale up advocacy and awareness to include county and district levels (tradition leaders, women, students, and civil society organizations)
Provide immunization expenditure reports to counties
Tracking of immunization fund
Multi-media county-level advocacy and MoH public relations training
Active advocacy at all levels involving media and stakeholder
2016 Kathmandu Colloquium
Financing Arrangements
Legislation
Budget Advocacy and Resource Tracking
SIF Action Points: Madagascar 2011 Addis
Colloquium 2013 Dakar Colloquium
2014 Kribi Peer Review
2016 Point Noire Peer Review
Financing Arrangements
Recommendation/ declaration on financing the National Immunization Fund
Update funding needs for immunization
Institute a National Immunization Fund
Legislation
Elaborate a draft law on the creation of a National Immunization Fund
Consolidate amendments to vaccination bill by the MoH and MoFB
Submit law to government in 2015
Finalize draft vaccination bill based on government counterpart comments
Finalize vaccination bill by lawyers
Submit to parliament’s first ordinary session in 2015
Submit bill to next ordinary session of Parliament (Oct 16)
Submit vaccination bill to government
Adopt an immunization law
Lead advocacy efforts for the new vaccination law on all levels
Budget Advocacy and Resource Tracking
Advocate to mobilize local resources in the regions, districts, communes
Establish mechanism for monitoring and evaluating immunization financing involving different entities
Prioritize EPI as a Directorate
Budgetary circular with MoFB to track budget execution
Advocate for funding from various public and private decision makers
Involve MPs through entire process
Create multisectoral ad hoc budget tracking committee
2016 Kathmandu Colloquium
Financing Arrangements
Legislation
Budget Advocacy and Resource Tracking
SIF Action Points: Mali 2011 Addis
Colloquium 2013 Dakar Colloquium
2014 Kribi Peer Review
2015 Dakar Peer Exchange
Financing Arrangements
Increase immunization budget allocation or establish National Immunization Fund
Legislation
Prepare technical arguments to establish immunization section in directorate
Official submission of the draft immunization law to the National Assembly
Produce legislation that improves EPI’s institutional position
Pass law establishing immunization section in directorate for effective management of immunization
Adoption and enactment of immunization laws
Adopt an immunization law
Prepare draft law to create national fund for immunization
Change the immunization section into the directorate of immunization within the MoH
Budget Advocacy and Resource Tracking
Epi should participate in budgetary preparations
Adopt budget tracking indicators
Identify missing financial information at every level
2016 Kathmandu Colloquium
Financing Arrangements
Legislation
Budget Advocacy and Resource Tracking
SIF Action Points: Mongolia
2013 Dakar Colloquium
2016 Sri Lanka Asia Peer Review
Financing Arrangements
Suggest at Parliament that a portion of the health fund goes towards the immunization fund
Ensure sustainable financing when Gavi co-financing stops
Decrease the price of vaccines and use limited government funds efficiently
Legislation
Discuss sustainable immunization financing at Parliament within the framework of drafting the health program proposal
Budget Advocacy and Resource Tracking
Provide trainings for vaccine officers to insure all standards are met
Would like to do local level costing study to better plan for future of financing
Establish group for women parliament members to advocate for sustainable financing
Learn about advocacy techniques and replicate them to influence decision makers, MPs, and local authorities such as local EPI managers
Increase public awareness and educate citizens about family planning and having healthy children
2016 Kathmandu Colloquium
Financing Arrangements
Legislation
Budget Advocacy and Resource Tracking
SIF Action Points: Nepal
2011 Addis Colloquium
2013 Dakar Colloquium
2016 Sri Lanka Asia Peer Review
Financing Arrangements
Increase vaccination resources for National Immunization Program
Establish the immunization fund
Organize meeting with Parliamentary and committee members regarding immunization budget
Legislation Submit final draft bill to Parliament
Forward draft bill to Parliament once Parliament exists
Develop draft immunization regulation
Budget Advocacy and Resource Tracking
Improve budget estimation, source identification, approval, disbursement, and expenditure
2016 Kathmandu Colloquium
Financing Arrangements
Legislation
Budget Advocacy and Resource Tracking
SIF Action Points: Nigeria 2011 Addis
Colloquium 2013 Dakar Colloquium
2015 Nairobi Africa peer Review
2015 Abuja Africa Peer Review
Financing Arrangements
Public-private immunization trust fund
State gov’t and federal gov’t will co-fund immunization value chain
PPP trust fund arrangement driven by private sector
Legislation
Lobby and advocate for the passage of the health bill
Continue advocacy for passage of the health bill
Set up gazette of National Health Act
Need a policy on local vaccine production and create a business plan. Private sector driven using international best practices
Budget Advocacy and Resource Tracking
Solicit continuous support of the debt relief grants that support immunization
Expand scope of Accountability Framework for RI in Nigeria (AFRIN) to include indicators and tracking of immunization funds
NPHCDA finalized cMYP, a working document for country, includes joint reporting and monitoring provisions
Advocate for and secure funding for implementation of the National RI Strategic plan
Accountability framework at delivery level
Strengthening the PHC system and develop the scorecard to use for advocacy
Explore local vaccine production
Pilot an expedition tracking resources based financing and basket funding
2016 Kathmandu Colloquium
Financing Arrangements
Legislation
Budget Advocacy and Resource Tracking
SIF Action Points: Senegal 2011 Addis
Colloquium 2013 Dakar Colloquium
2014 Kribi Peer Review
2015 Dakar Peer Exchange
Financing Arrangements
Legislation
Prepare the technical arguments for the establishment of the Immunization Section in the Directorate
Development and adoption of draft immunization law by 2015
Adopt an immunization law guaranteeing public immunization financing
Sensitization of President, PM, NAHC, and Finance Minister
Pass a law establishing an Immunization Section in the Directorate for the effective management of immunization
Strengthen advocacy to MoH and Parliament
Establishment of a parliamentary immunization network
Adoption of an immunization law guaranteeing an immunization fund
Budget Advocacy and Resource Tracking
Organize a day of advocacy for political commitment at the highest level
Translate Global Vaccine Action Plan into the National Action Plan
Establish resource tracking mechanisms at peripheral, intermediate, and local levels
Validation of budget tracking indicators at technical ICC meeting
Establish inclusive immunization advocacy coalition and information network
Development and implementation of collection tools, analysis of tracking indicators, and training of users
Escalate EPI’s institutional position
2016 Kathmandu Colloquium
Financing Arrangements
Legislation
Budget Advocacy and Resource Tracking
SIF Action Points: Sierra Leone 2011 Addis
Colloquium 2013 Dakar Colloquium
2015 Nairobi Africa Peer Review
2016 Abuja Africa Peer Review
Financing Arrangements
Legislation
Formulate concept paper on sustainable immunization financing addressing three key issues (advocacy, legislation, budgeting/financing)
Finalization of the cabinet paper to seek approval to address legislation on sustainable immunization financing
Multiple agencies draft bill
Multiple agencies will work to review Immunization Bill, currently in draft stage
Present concept paper to MoH for adoption, ownership, and leadership
Creation of Parliamentary Forum on Immunization
Convene stakeholder meeting
Create Immunization Task Force, following in Nigeria’s footsteps
Prepare cabinet paper to seek approval on recommendation to address three key issues
Set up ad-hoc tripartite committee comprised of MoF, MoF, and parliament to implement conclusion of cabinet position
Convene stakeholders engagement meeting with MoH to discuss how to continue to take ownership of immunization financing
Budget Advocacy and Resource Tracking
Resource tracking capacity building
Expand resource tracking and capacity building
2016 Kathmandu Colloquium
Financing Arrangements
Legislation
Budget Advocacy and Resource Tracking
SIF Action Points: Sri Lanka
2011 Addis Colloquium
2013 Dakar Colloquium
2016 Sri Lanka Asia Peer Review
Financing Arrangements
Legislation
Sri Lanka will continue to follow good practices and regularly update parliamentary committees on the NIP
Immunization act to be amended by 2014
Policy needs to become legal document: expert legal draftsmen will be consulted and they will write up the law
Committee will be appointed to assess legal provisions for sustainable vaccine financing
Advocacy sessions for government officials at all levels
Strategic plan on immunization needs to be printed and distributed
Raise awareness among district level politicians
Budget Advocacy and Resource Tracking
MoH requests additional funding for new vaccine introduction. Process will be transparent and constructive and involve all relevant stakeholders including representatives of MoF
Increase budgetary allocation of immunization by 25% for 2014
Costing study needs to be finalized, analyzed, presented, and published
To estimate direct/indirect cost incurred by NIP-cross sectional study
2016 Kathmandu Colloquium
Financing Arrangements
Legislation
Budget Advocacy and Resource Tracking
SIF Action Points: Uganda 2011 Addis
Colloquium 2013 Dakar Colloquium
2015 Nairobi Africa Peer Review
2016 Abuja Africa Peer Review
Financing Arrangements
Advocate for phased increase in the allocation of resource for the new vaccines
Legislation
Alternative communication modalities between government and parliament
Disseminate Immunization Act and finalize the regulations to operationalize the Act
Budget Advocacy and Resource Tracking
Lobby parliament and cabinet to increase immunization financing, then debrief respective heads of ministries and institutions
Encourage MPs to monitor immunization through trend analysis (coverage, budget), MP information, and cost-benefit analysis
Immunization resource utilization and community reporting of practice
Continue meetings between MOF and MOH to establish immunization resource utilization and reporting community of practice
Review how routine immunization can be strengthened and develop a strategy for action
Improved budget allocation tools
Prepare budget allocation tools to capture finance and expenditure data at subnational levels and enhance transparence
Convene a meeting, in collaboration with Kenya, to develop common strategies to increase sustainable immunization financing in region
2016 Kathmandu Colloquium
Financing Arrangements
Legislation
Budget Advocacy and Resource Tracking
SIF Action Points: Uzbekistan
Various Immunization Meetings
Financing Arrangements
In 2015, EPI team expressed interest in partnering with the private sector in a joint immunization financing arrangement
Legislation In 2015, EPI team agreed to hand over immunization-related legislation to Senior Program Officer to identify areas to address
Budget Advocacy and Resource Tracking
In 2016, peers committed to retrieve the data for the remaining Budget Flow Analysis
2016 Kathmandu Colloquium
Financing Arrangements
Legislation
Budget Advocacy and Resource Tracking
SIF Action Points: Vietnam
2013 Dakar Colloquium
2016 Sri Lanka Asia Peer Review
Financing Arrangements
Vaccination should be paid by health insurance as treating diseases for children under 6 (free of charge) following the strategy/itinerary health insurance for all Vietnamese people
Citizens in the rich provinces are willing to pay for the vaccination (new vaccines) although immunization is free of charge. The government spending on poorer provinces determined using the definition of Ministry of Labor
Legislation
Promulgate immunization decree by the end of the year and disseminate to all provinces
Budget Advocacy and Resource Tracking
Improving domestic vaccine products, new technology as vaccines are approved as national products by the government
Gather support from private sector and conduct costing studies to create more sustainable financing solutions
Advocate and strongly involve local authorities and communities (particularly parents) for immunization
Invite all ministries to work together with MPS for EPI annual meeting