Global Alliance forVaccines and Immunization

An Alliance Traditional and new partners Public and private sector

Partners have in common: Situation Analysis Vision Set of strategic objectives

What is GAVI ?

Three Gaps in Vaccines and Immunization

Stagnation of immunization coverage with decline in certain countries and regional discrepancies

Lack of introduction into the poorer developing countries of newly-developed vaccines against major child killers

Limited investment into vaccine research for diseases with high burden in developing countries

GAVI Mission

“To save children’s lives and protect people’s health through the widespread use of vaccines with a particular emphasis on developing countries”

Five Strategic Objectives

Improve access to sustainable immunization services

Expand use of all existing cost-effective vaccines Accelerate introduction of new vaccines Accelerate R&D on vaccines for developing

countries, (HIV/AIDS, malaria and tuberculosis) Make immunization coverage a centrepiece in

international development efforts

Countries (Developing and industrialised) Agencies (UNICEF, WHO) Development Banks (World Bank, ADB, AB) Industry Technical Agencies (CDC, NIH) Foundations (Bill and Melinda Gates,

Rockefeller, Mérieux...) NGOs (Path/CVP, AMP...) Academia

WHO is GAVI?

GAVI Board

15 membersHigh-Level : Institutional Commitment

Working Group

Secretariat

Monthly Tele/Video Conferences 3 meetings

per year

Weekly Tele/Video Conferences

5-6 Meetings per year

10 members

Joint policy development,

Agency workplans

Small team,

Funded by partner fees

Coordination

Support coordination of partners input

How Does GAVI Work ?

How Does GAVI Work ?

Task Forces : Advocacy (UNICEF) Country Coordination (WHO) Financing (World Bank and USAID) R&D (Academia, Industry, WHO)

Regional Working Groups Africa, East Asia -Pacific, South Asia, Middle

East

and ….

Strengthened Immunization Services and Strengthened Immunization Services and New Vaccines Delivered in CountriesNew Vaccines Delivered in Countries

Vaccine procurement

The Fund• Independent Board for fundraising &

management

• Working Capital Account (at UNICEF) for vaccine procurement and resource disbursement

• Three Sub-accounts:

Financial Tools: Shares, matching grants

Vaccines & Safe injection

materials

Immunization services

R & D(not yet active)

GAVI BoardGAVI BoardEstablishes Establishes PrinciplesPrinciples

recommendations recommendations on fund allocationon fund allocation

ContributorsContributorsGates Foundation Gates Foundation USA, UK, Norway, USA, UK, Norway,

Netherlands, ...Netherlands, ...

$$$

The Global Fund For Children’s Vaccines

Requirements for GFCV Support

Eligibility Countries with < US$ 1,000 GNP / capita Special arrangements foreseen for China,

India and Indonesia Assessment Criteria

Functioning collaborative mechanism (e.g., ICC)

Immunization assessment within last three years

Multi-year plan for immunization

Support for new and under-used vaccines

Support for immunization services and new and under-used vaccines

Support for immunization services

DTP3coverage

>80%

DTP3coverage

50% - 80%

DTP3 coverage

<50%

Basic Conditions

GNP/capita < US$ 1000

ICC or equivalent

Immunization assessmentin last 3 years

Multi-year plan forimmunization

What will the FUND Finance ?

New and Under-used Vaccines Hepatitis B globally Hib vaccine for Africa, Latin America, Middle East &

where evidence exists Yellow fever where recommended in Africa & South

America even when DTP3<50%

Safe injection equipment: auto-disable syringes and safety boxes ‘bundled’ with

vaccine shipped to countries Combination vaccines

priority to weakest programmes

Immunization Services Add to pool of existing funding Invest in advance, on the basis of set targets for the

improvement of the programme Reward progress according to performance Monitor progress by reporting of district

performance, according to standard indicators and annual review to ICC, to GAVI partners

Delegate allocation of funds through government, partner agency, or other ICC mechanism - ‘no strings’, no international input monitoring system.

How are Applications Assessed ?

Independent review committee (10 members) Tunisia, Ghana, Tanzania, Cameroon, USA, Thailand,

Slovenia, Bahamas, Moldova Majority from developing countries Strong immunization programme management

experience Meets for 10 days- 2 weeks for in-depth review Each application reviewed by 3 members Members declare any conflict of interest Recommendations to the GAVI Board

Pledges to GAVI Objectives

• Gates Foundation : US $ 750 million (5 yrs)• USA : US $ 50 Million (1 yr ) • Norway NKr 1 billion (5 yrs)• UK : GB £ 3 million (1 yr)• Netherlands : NGL 250 million (5 yrs)• Denmark : Dkr 20 million (1yr)• Sweden US $ 2 million (1yr)

Total Pledges to date : 0ver US $ 1 029 million

For re-

submission

14Not

approved2

Conditional approval

6

Not applied

27

Approved25

Status of 74 Eligible* Countries

* (GNP per capita < US$ 1,000)

Commitments through 2002: US $ 16,5 Million for immunization services strengtheningUS $ 74 Million in new vaccines

Next Milestones

Progress report : 1 October 2001Mid term review : 1 October 2002

Next reviews of applications: 1 May : Review starting 24 May November 2001 ...until Spring 2002 All applications approved before Spring 2002 will

result in 5 years support

What is Expected of Countries ?

Increased commitment to strengthen immunization Establish, strengthen and manage an Inter Agency

Coordination mechanism Develop,monitor and update a multi-year plan for

immunization including: Polio eradication Injection safety Resource mobilization plan

Negotiate and secure financing from National Budgets (including loans) Bilateral and Multi-lateral Partners’ support The Global Fund for Children’s vaccines

What are Partners Responsible For?

Increased commitment to immunization Increased coordination of technical and financial

support Procurement of vaccines and goods Consultants, Funding Training (technical, management, financing) Capacity building to develop regional expertise Networking with other countries to learn from

experiences