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The GAVI 2004-2005 work plan

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Work plan (click on targets to the left)

Approved Interim GAVI Work Plan Report 2004

Cover note - PDF - 28K 
Background Documentation - Documents 1 - 8 (Excluding Document 3) - PDF - 109K
Interim Technical Report on the GAVI Work Plan 2004-05 (Document 3) - PDF - 158K

Approved Interim GAVI Work Plan Report 2004 - including revised budget

Cover note -  Word - 111K
Background Documentation - Documents 1 - 8 (Excluding Document 3) - Word - 606K
Interim Technical Report on the GAVI Work Plan 2004-05 (Document 3) - Word - 570K

Overview

After one year of implementation we can see that the 2004-05 GAVI Work Plan is serving its intended purpose, that is, to strengthen understanding of and commitment to GAVI's added value and clarify the roles and responsibilities of the partners. This interim report on progress reflects massive efforts by the partners and groups responsible for reaching the 30 Board-approved targets.

Most activities are on track. A few exceptions, detailed below, are mainly due to financing delays - now rectified - and difficulties faced in especially challenging countries. Approximately 80% of the targets are meant to be achieved by mid- or end of 2005; many of the activities in the first year consist of studies, surveys, development of tools, guidelines and recruitment of personnel.

Highlights include:
· The Data Quality Self-Assessment tool, which was modelled on the Data Quality Audit (DQA) methodology to help countries diagnose and solve problems in their health information systems, has been finalized and the first field tests were conducted in Nepal, Morocco and Togo. In addition, software tools to strengthen information quality in countries have been introduced and updated.
· Seven countries have passed their DQAs and four failed. Countries that failed their DQA - except those in difficult circumstances - have received timely and adequate support.
· Preparation of Financial Sustainability Plans (FSPs) is well in hand. Currently 10 out of 17 countries are on track with the November submission.
· Activities in the area of system-wide barriers have been more complex than anticipated, but are showing promise as a basis for further immunization services support. 
· The first phase of the evaluation of the GAVI Immunization Services Support (ISS) system has been completed. Strategic documents needed to develop the impact studies of Hepatitis B, Hib and Yellow Fever vaccine introduction have been drafted. Immunization Safety Assessments have been completed in three countries.
· The basic GAVI country support processes - reviews of country proposals and annual progress reports - continue. With the most recent reviews, GAVI/The Vaccine Fund is now supporting 71 countries.
Delays and challenges:
· Implementation of the Data Quality Self-Assessment (DQS) and the waste management study were delayed because of late arrival of funds from the GAVI Secretariat to WHO. The system has now been fixed.
· Efforts to support regional working groups in financial sustainability planning and implementation and the recruitment of a global financial sustainability implementation coordinator took much more time than anticipated.
· Financial reporting on financial sustainability planning and implementation has been difficult. The two partners that are responsible for the activities, WHO and the World Bank, have not been able to differentiate the budgets for financial sustainability planning activities and implementation activities and have had problems in accounting for partner contributions.
· Among the seven countries in the priority area "Enhanced efforts in large population countries", Nigeria has not produced a coverage improvement plan and has not indicated that it will do so in the near future.
· Countries in crisis are not benefiting fully from the regular GAVI processes and also suffer from too weak interagency coordinating committees. Efforts to strengthen these have only recently started and will likely require strong and sustained efforts.
· In absence of the Vaccine Provision Project (VPP), partners have had to take greater responsibility for the priority area "Ensuring supply of existing products". Furthermore, considering the significant problems uncovered with vaccine management in many countries it is recommended that new activities to monitor and support vaccine management in countries should be launched.

Priority areas

Strengthening service delivery

==>> Health information and monitoring systems

==>> Contributing to alleviation of system-wide barriers

==>> Enhanced efforts in large population countries

Ensuring access to vaccines and related products

==>> Procurement/Supply of existing products

==>> Development and introduction of new, near-term products

==>> Managing process for country support from Vaccine Fund

Securing long-term financing

==>> Financial sustainability

==>> Recapitalization of The Vaccine Fund

Strategic planning & monitoring

==>> Setting priorities

==>> Monitoring progress

Other

==>> Alliance coordination

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