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Working within the macro-fiscal context to ensure sustainable immunization financing during transition

Ensuring a sustainable immunization system post-Gavi transition requires understanding the broader government and health financing context and analyzing fiscal space for health. In some countries, Gavi transition will take place alongside broader health system or health financing reform. For example, many LNCT countries are simultaneously introducing, reforming, or expanding national social health insurance schemes, and have identified understanding how immunization services fit into these schemes as a high-priority topic for Gavi transition.

Click the button below to find key training resources for Ministry of Health or Finance staff looking to learn more about immunization financing. You can also find information about the macroeconomic context of transitioning countries, the financial risks transitioning countries face, and guidance for countries exploring various immunization financing structures, including social health insurance.

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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