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Strengthening PFM and immunization budgeting for transition

Budget structure, planning, and execution plays an important role in determining the efficiency, quality, and cost-effectiveness of health service delivery. Conducting adequate long-term planning and budgeting of immunization programs in collaboration with immunization program staff is a critical step toward ensuring that immunization programs have the resources they need to achieve coverage goals during Gavi transition. Additionally, some LNCT countries are undergoing larger governance and institutional reforms that affect public financial management in the health sector. For example, some are shifting to new budget structures, such as output-based or program-based budgets, and payment mechanisms that incentivize high service quality and preventative services as they transition off donor funds. Others are undergoing fiscal decentralization and looking at ways to strengthen planning, budgeting, transparency and accountability at the sub-national level.

Click the button below to find a collection of key resources and tools for immunization budgeting and public financial management.

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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