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Managing the Gavi Transition

Gavi provides a variety of support to lower income countries with the goal of accelerating equitable uptake of vaccines, increasing effectiveness and efficiency of immunization service delivery as an integrated part of strengthened health systems, and improving the sustainability of national immunization programs. As countries cross the World Bank’s low-income country threshold, Gavi begins to wind down its financial commitments, while countries increase their co-financing until they become fully self-financing. During the transition process, Gavi intensifies its support to help countries achieve financial and programmatic sustainability. More information about the Gavi transition process can be found on Gavi’s website.

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.

Click the button below to access Gavi and partner resources related to the Gavi transition process, including recordings of webinars from LNCT’s new “Ask Gavi” series featuring Gavi representatives.

Explore the Data

Select a country using the dropdown list on the left in the dashboard below to see a detailed breakdown of key transition indicators across the dimensions of coverage, equity, systems, economic performance, and health and immunization financing. Hover over an indicator for additional information. (Weak internet connection? Download the country dashboards as PDFs here.)

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.

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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.

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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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