Fourth GAVI Board Meeting, Noordwijk, The Netherlands, 19 November 2000
review process and recommendations for approval of second-round countries
Tangcharoensathien, Chair of the Independent Review Committee, and
committee members Dr Maria Otelia Costales and Dr Abdallah Bchir,
presented the outcome of the second review of country proposals to GAVI
and the Vaccine Fund. The
report (Word 198k) included country-by-country recommendations, overall
policy considerations and suggestions for improving the process in
Commended the work of the Review Committee and its comprehensive and
thoughtful responses to the country proposals.
Approved the recommendations of the Review Committee in regard to
specific country proposals.
Approved the recommendation of the Review Committee that countries
with less than 50% DTP3 coverage be eligible for Vaccine Fund support to
cover the provision of yellow fever vaccine to infants on a case-by-case
Recognized the Review Committees concern that high measles
incidence, morbidity and mortality poses a serious challenge to the
immunization programmes in many eligible countries.
Confirmed the need to maintain clearly-defined coverage eligibility
criteria by which to assess country proposals and awards for example,
countries must have a minimum of 50% DTP3 coverage to qualify for
support from the new and under-used vaccine sub-account (except for
yellow fever vaccine, as noted in para. 2.3 above).
Agreed to UNICEFs recommendation that the GAVI/Vaccine Fund proposal
form be revised to include banking details for the transfer of funds
from the Vaccine Fund Trust Account at UNICEF.
Endorsed the concept that support to immunization services in
eligible countries (with <80% DTP3 coverage) would not end when
countries reach 80%, but would continue for five years, as long as their
Recognized the need to identify ways for the Vaccine Fund to support
low-income countries, such as Cuba, with relatively strong health and
immunization systems, in order to meet the GAVI milestone of 80%
coverage in all districts in 80% of countries.
Requested UNICEF and WHO to develop a draft GAVI strategy relating to
countries in complex states of emergency (the draft to be submitted to
the GAVI Board for consideration by 1 March 2001).
Requested the Task Force on Country Coordination to develop a draft
GAVI strategy on capacity-building in countries (the draft to be
submitted to the GAVI Board for consideration by 1 March 2001).