UPDATE ON GAVI - who.int · Julian Lob-Levyt UPDATE ON GAVI Global Immunisation Meeting New York, February 2009. The GAVI Alliance Board structure GAVI Alliance Informal, not a legal

Julian Lob-Levyt

UPDATE ON GAVI

Global Immunisation MeetingNew York, February 2009

The GAVI Alliance Board structure

GAVI Alliance

�Informal, not a legal entity

�Partner representatives

�Public sector expertise(plus vaccine industry)

�Programmatic oversight andpolicy development

�Responsible for approvingcountry programmes

Global Immunisation Meeting

New York, February 2009

GAVI Fund

� A legal entity

� Individual volunteers

� Private sector expertise

�Financial oversight(investment, accounting,auditing)

�Responsible for approvingfinancing for countryprogrammes

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Positive outcomes for implementing countries

� Countries are better represented on both the Board and its committees.

� The Programme & Policy Committee will bring country perspectives to the forefront of all policy decisions.

� The partnership does not change.



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GAVI support approvals , end-2008



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Immunisation coverage with DTP3,hepatitis B and Hib vaccines inGAVI-supported countries, 2000-2009



Source/credits: WHO-UNICEF coverage estimates for 1980-2007, as of August 2008; WHO-ICE T coverage projections for 2008-2010, as of September 2008

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Reaching the hard to reach

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Close to US$ 4 billion approved for country programmes through 2015

Towards MDG 4 Projected expenditure, 2009-2015

Estimates as at January 2009* HPV, JE vaccines, rubella and typhoid** Hib, hepB (tetra/monovalent), yellow fever, measles second dose Microsoft Office

Excel Binary Worksheet

Country co-financing

� Boosting sustainability and country ownership of immunisation programmes.

� Compulsory for some countries from 2008.

� Well received: most countries fulfilled commitments. Some paid more – and a few struggle.

� Country response to the policy show that vaccines are priority.

Rasoka Thor/UNICEF Cambodia

Transparency & Accountability Policy rationale

� Increase in GAVI cash support: projected to be over $200m in 2009.

� Need to increase financial assurances of country programme implementation.

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Christine Nesbit/GAVI Alliance

Transparency & Accountability Policy implementation

Began on 1 January 2009 and includes:

� Strengthen financial management sectionsin all new proposals and annual progress reports;

� Involve financial management experts on the Independent Review Committee;

� Develop an early warning system – a modelling tool that allows GAVI to identify risks pre-emptively;

� Conduct financial management assessment (FMA).

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Strengthening and aligning reviews

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APR (Annual progress report) 15 May 2009 submission deadline

15 May 1 September

Measuring impact

�Strong need for valid, reliable and useful measures of delivery and performance of GAVI support.

�GAVI partner concern: current data insufficient.

�KEY ACTIONS taken to address measurement challenge.



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Accelerated Vaccines Introduction: The Plan

� Assist countries make decisions on introduction of pneumo & rota vaccines.

� Develop platform for introduction of other new vaccines.

� Target of 42 pneumo and 44 rota introductions by 2015.

� Detailed work-plan for 2009, with partners & AVI -TAC* roles mapped.

* TAC = Technical Advisory Consortium (merged ADIPs & Hib initiative)



Other key issues

� Vaccine Investment Strategy currently developed:Board agreed focus on HPV, Rubella, JapaneseEncephalitis and Typhoid (subject to finance).

� Future of service / systems components from 2010 (HSS and CSO evaluations and ISS future)

� Technical support: quality, availability, sustainability and transparency

� Eligibility criteria

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Way forward

� Keep GAVI Alliance being accountable and transparent.

� International Health Partnership (IHP+) – a milestone in thehistory of global health programming and financing.

� GAVI Alliance partners: foster the continued collaboration for in country activities.

� Regional Working Groups: strengthen the compositionHSS & Immunisation) and the function to better support implementation of GAVI policies.

� Strengthening civil society organisation involvement and representation.

� Manage the impact of the international financial crisis.

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www.gavialliance.org

Thank you

UPDATE ON GAVI - who.int · Julian Lob-Levyt UPDATE ON GAVI Global Immunisation Meeting New York, February 2009. The GAVI Alliance Board structure GAVI Alliance Informal, not a legal

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