14th GAVI BOARD MEETING
Abuja, Nigeria, 4-5 December 2004
SUMMARY REPORT

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10 Framework for strengthening immunization services

• A balance between performance-based and needs-based funding is needed to avoid rewarding the high performers and neglecting the weaker countries, or rewarding low performance by providing support based on need.
• Countries will need to be consulted to identify how to improve accountability, especially within the ICCs.
• Operational, or applied, research is still needed to identify and replicate best practices while also identifying those practices which are not as effective.

DECISIONS
The Board:

10.1 Endorsed the proposed principles for immunization services support in GAVI Phase 2, to use as the basis for developing a comprehensive proposal for GAVI Board consideration. This proposal will to the furthest possible extent follow the investment case framework guidelines.

10.2 Endorsed the timeline for finalizing this process, i.e. reporting on progress and key policy issues to the GAVI Board at its next meeting (March/April 2005), and presenting a full proposal to the Board in June/July 2005.

10.3 Named a task team of interested partners, coordinated by the Secretariat, to take this work forward: GAVI Secretariat (coordinator), Danida, Gates Foundation, DFID, NORAD, PATH, WHO, UNICEF, World Bank [industrialized country vaccine industry subsequently requested to be on the team].

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