GAVI Alliance Board update on policies and
programmes
Andrei Usatii,
Minister of Health of the Republic of Moldova,
GAVI Board Member for Developing Countries AMRO/EURO regions
Mission and strategic goals 2011–2015
To save children’s lives and protect people’s health by
increasing access to immunisation in poor countries
1
The vaccine goal
Accelerate the uptake and
use of underused and new
vaccines
2
3
The financing goal
Increase the predictability
of global financing and
improve the sustainability
of national financing for
immunisation
4
The health systems goal
Contribute to
strengthening the capacity
of integrated health
systems to deliver
immunisation
The market shaping goal
Shape vaccine markets to
ensure adequate supply of
appropriate, quality
vaccines at low and
sustainable prices
Board Composition
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18 "representative" seats
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UNICEF
WHO
World Bank
Bill & Melinda Gates Foundation
Governments Industrialised Countries (5)
Governments Developing Countries (5)
Vaccine Industry Industrialised Countries
Vaccine Industry Developing Countries
Research & Technical Health Institutes
Civil Society Organisations
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9 "unaffiliated/independent" seats
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GAVI CEO (non-voting)
4
GAVI governance – a mix of public and
private
Board Nomination – appointed in December
2012 (for 3 years period of time) 2012-2015
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Operate in good faith in the best interests of the GAVI Alliance
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Ensure a strong advocacy role
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To exercise care in the performance of the duties
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Keep fully informed of the GAVI Alliance activities and strategic plans
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Ensure commitment of the developing countries that implement GAVI
programmes
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Consult the policies and documents with the constituencies before their
approval at GAVI Board
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Inform countries about Board Decisions
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Represent constituencies interests and concerns with reference to the policies
adopted.
Board Committee Structure
Developing country governments
constituency for EURO/AMRO regions
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Andrei Usatii (Representative) from Moldova and Bheri Ramsaram (Alternate)
from Guyana represent these GAVI – eligible/graduating countries (14).
Armenia*
Azerbaijan*
Bolivia*
Cuba*
Georgia*
Guyana*
Haiti
Honduras*
Kyrgyz Republic
Moldova*
Nicaragua*
Tajikistan
Ukraine*
Uzbekistan*
Constituencies aspects
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The main challenge characteristic for both regions is that
11 out of 14 countries are in graduating phase
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It is hard to advocate the interests of the constituency at
GAVI Board when the main majority are not eligible for
new support
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Lack of commitment for consultation process from the
countries (lack of inputs from country level)
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Exchange of experience and lessons learned between the
two regions
Main challenges from the constituency
perspective
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Financial affordability (other donors also phasing out
from LMICs like Global Fund and GAVI is the main or last
donor for vaccine support)
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Insufficient advocacy efforts to mobilize additional
resources, accompanied with weak planning and
budgeting process
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Access to quality-assured vaccines at an optimum and
affordable price (self-procurement mechanism) for EURO
region
Policies approved by GAVI Board with
impact on the constituencies:
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GAVI engagement with graduating countries (BM,
November 2013)
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GAVI Alliance Strategy 2016-2020 (BR, April 2014)
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Polio and routine immunization ( BM, November 2013)
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GAVI’s supply chain strategy ( BM June 2014)
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Vaccine investment strategy (BM, November 2013)
Polio and Routine Immunization
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Part of the Endgame Strategy for 2013-2018
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The Board approved to support with IPV all GAVI eligible
countries, regardless their graduation status.
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No co-financing requirements
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Eligibility for IPV support is not opening the window for
other vaccines introduction in graduating countries.
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In 2018, the Board will decide on co-financing
requirements.
GAVI engagement with graduating
countries
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GAVI engagement with graduating countries was approved at the last
GAVI Board Meeting, held in November 2013 with a lot of resistance
from donors. In their opinion the financial and programmatic
sustainability is a responsibility from the Government side. Several
round tables have been organized with donors and discussions have
been held in order to demonstrate how critical this additional support
is to ensure gains achieved with GAVI support post-graduation.
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A new framework for assessing all graduating countries was piloted
in 3 countries (Honduras,Moldova and Papua New Guinea) in Q1
2014.
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At the PPC meeting in May 2014 the experience from the 3 countries
were shared and it was agreed to proceed with all graduating
countries.
GAVI Strategy for 2016-2020
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The consultation process is still on-going.
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A lot of discussion on changing the eligibility threshold
and/or inclusion of other eligibility indicators, besides GNI
per capita like, access, equity, coverage issues, etc.
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The mission and objective remains the same
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Long-term visions
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30 countries will still be eligible by 2030 for full GAVI
support
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Coverage and equity
Plans and commitment
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Expand GAVI engagement with graduating countries to all
GAVI graduating countries
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GAVI support for access to appropriate pricing for GAVI
graduates & other LMICs
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Review of the co-financing policy (later in 2014)
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Graduation policy
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Eligibility policy
Sustainable Immunization Financing
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Sabin Vaccine Institute Programme
“Sustainable Immunization Financing”:
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Eastern Europe region: project will be
Implemented in 4 countries: Uzbekistan,
Georgia, Armenia and Moldova
Thank you
GAVI/2011/Ed Harris