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Maintaining political will and commitment during transition

With an estimated $16 return on every $1 investment, immunization is one of the best health investments in terms of value for money. Gavi transitioning countries may have limited fiscal space for health due to a low tax base and competing priorities. For ministries of health to successfully implement immunization policy, they must advocate for sufficient immunization resources and effective laws, policies, and processes to Parliament and other government agencies, such as the Ministry of Finance or subnational governments. Political commitment is critical in planning for future introductions of new vaccines, which require substantial costs up-front; ensuring that funds from the national budget are released on time to avoid gaps in coverage; allocating sufficient budget for operational costs critical for service delivery; and establishing legislation, regulations and procedures that allow for the efficient procurement of safe vaccines and the implementation of the immunization program.
LNCT country representatives have expressed an urgent need for data and materials to make a strong case for increased government spending on vaccines, operations, and service delivery for routine immunization to maintain or expand existing coverage during Gavi transition.

Click the button below to access materials demonstrating the value of immunization that can be adapted depending on country goals and target audience along with other key resources.

Managing the Gavi transition

Gavi’s vision for a successful transition is one in which countries have successfully expanded their national immunization programs with vaccines of public health importance and sustain these vaccines post-transition with high and equitable coverage of target populations, while having robust systems and decision-making processes in place to support the introduction of future vaccines. Explore our Country dashboards to get a detailed breakdown of key transition indicators across the dimensions of coverage, equity, systems, economic performance, and health and immunization financing.

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Financing immunization programs during transition

Ensuring the financial sustainability of immunization programs to meet the goal of successful transition requires securing new domestic resources for immunization and strengthening the planning, budgeting, and financial management capacity of immunization programs. Explore our Health & Immunization Financing dashboard to see how LNCT countries compare to each other in terms of economic performance and health financing.

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Strengthening immunization program performance for transition

Ensuring the sustainability of immunization programs post-transition requires maintaining or strengthening core immunization program functions during and after transition. These include collecting, analyzing, and using program, coverage and surveillance data to make decisions; establishing and regularly consulting advisory bodies to improve governance and decision-making; ensuring an adequate pipeline of skilled immunization professionals at all levels of the health system; and advocating for immunization in the context of larger health program changes, such as primary healthcare reform. Explore our Immunization Performance, Service Delivery, and Supply Data dashboard to see how LNCT countries compare to each other in terms of immunization performance, service delivery and supply.

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Affordable and Sustainable Vaccines for Transition

Ensuring the sustainability of immunization programs post-transition requires ensuring a vaccine supply that is adequate, safe, reliable, and affordable.

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