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Lessons learned from the GAVI Financial Sustainability Plan 2003 review process

C. Natasha Hsi, MPH, Partners for Health Reform plus Project (PHRplus), Abt Associates, 4800 Montgomery Lane, Suite 600, Bethesda, MD 22203, 301 718 3151, natasha_hsi@abtassoc.com

Countries receiving funding from the Vaccine Fund (VF) and the Global Alliance for Vaccines and Immunizations (GAVI) are required to submit Financial Sustainability Plans (FSP) during their second year of funding. GAVI has produced guidelines and costing tools to assist countries in producing FSPs. The FSP details the country’s current immunization specific costs and financing, projects future costs and financing, and lays out a strategic plan to attain financial sustainability.

This presentation will review four countries (Uganda, Azerbaijan, Uzbekistan and Madagascar) who used the 2003 guidelines and tools and examine factors which affected the quality of their FSP.

A great deal of revision went into the 2003 guidelines and tools that simplified the necessary calculations for the FSP. This enabled countries to conduct various analyses which showed the primary cost drivers of the immunization program and financial gaps. By conducting these analyses and realizing the full cost of the national immunization program, countries have been able to construct strategic plans to narrow the financing gap. Some countries have performed better than others in developing a strategic plan for financial sustainability.

As funding for countries from the VF and GAVI is limited to 5 years, it is important that countries develop an accurate picture of the costs and financing of their immunization program. Whether countries do well or poorly on the development of the FSP will have implications on the long-term sustainability of their national immunization program.

Learning Objectives:

Keywords: Immunizations, Financing

Related Web page: www.phrplus.org

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

From Planning to Sustainability: Is the Journey Too Long?

The 132nd Annual Meeting (November 6-10, 2004) of APHA