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GAVI Guidance for Country-Level Support Proposals Under Post-transition Engagement

The Gavi Alliance Board, at its meeting in November 2017, approved continued Gavi Alliance engagement with all countries after they have transitioned from Gavi support. The goal of this engagement is to ensure that these countries sustain the gains achieved with Gavi support and mitigate potential risks to the sustainability of now self-financed vaccine programs. … Continued

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Blog: 4 Things Ministers of Finance Need to Know about Immunization in Gavi Transitioning Countries

Authors: Helen Saxenian, Logan Brenzel, Leah Ewald, and Meghan O’Connell The Ministry of Finance is a crucial ally for Ministries of Health and country immunization programs aiming to successfully manage Gavi transition. Ministries of Health, Ministries of Finance, Ministries of Budget, and development partners often have separate planning processes, which can make it difficult to … Continued

Transition to Program Budgeting in Health: Experience from Countries and Lessons Learned

WHO’s Department of Health Systems Governance and Financing is providing support to Ministries of Health in this transition process, with the following aims: 1) building the knowledge base on good practices in health budget reforms, including the development of an online health budget portal and country case studies; 2) providing technical support and guidance to … Continued

Donor Transitions From HIV Programs: What Is The Impact On Vulnerable Populations?

“Many middle-income countries are transitioning away from donor-funded health programs in a range of areas including immunization, maternal and child health, tuberculosis, malaria, and HIV. Unless these donor exits are managed well, they could imperil the sustainability of the remarkable gains that have been achieved over the past two decades in fighting killer infectious diseases and maternal … Continued

WHO Resources for Health Budgeting & Public Financial Management

LNCT has prepared this compilation of WHO resources related to health budgeting and public financial management. These resources include reports, road maps, case studies, and e-learning materials, and are useful for Gavi transitioning countries. Health Budgeting • Repository of Health Budgets: The repository of health budgets consolidates open source information on finance laws and related … Continued

From Silos to Sustainability: Transition Through a UHC Lens

Focusing attention only on replacing external assistance with domestic revenues for the programmes concerned is problematic in two ways: firstly, this approach limits the sustainability question to revenues, and secondly, it limits the scope for action to the specific health programme that was receiving external support. The commitment countries have made to universal health coverage … Continued

Challenges to Sustainable Immunization Systems in Gavi Transitioning Countries

A new study conducted by the World Health Organization documents the programmatic challenges related to decision-making for immunization policy, delivery of services, and access to affordable and timely supply in Gavi transitioning countries. The study consisted of a literature review as well an analysis of country assessments conducted by immunization partners. The analysis includes data … Continued

Lessons in Transition: The Honduras Experience

In 2016, Honduras successfully transitioned out of Gavi support to fully fund its own immunization program. Former Minister of Health in Honduras, Dr. Edna Yolani Bátres, reflects on her country’s experience of transition and shares lessons learned in this new Q&A.

Highlights from This Year’s Global Immunization Meeting: Navigating Transitions

This year’s Global Immunization Meeting (GIM) took place on June 26-28, 2018 in Kigali, Rwanda. Approximately 240 participants attended, including Ministry of Health representatives from LNCT members,  Ghana, Nigeria, Sri Lanka, and Timor Leste. The topics covered ranged from the challenges associated with transitioning from donor financing to the future goals for global and regional … Continued

Transition Twins: Sri Lanka and Timor-Leste Team Up for Sustainable Immunization

Sri Lanka, Timor-Leste

Over 5,000 kilometres separate Sri Lanka and Timor-Leste, but there are strong parallels between the countries’ two health systems. Both have lived through recent devastating internal conflict. Both have had to rebuild and reintegrate their health infrastructure. And, in the past two years, both have also transitioned out of Gavi support to take fully responsibility … Continued

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