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GAVI Update

12th GAVI BOARD MEETING
Geneva, Switzerland, 9 - 10 December 2003
SUMMARY REPORT

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8. Systems Barriers

• The GAVI access milestone will not be reached unless systemic barriers are addressed in countries. While GAVI cannot address all systemic issues immunization can serve as a valuable entry point.



• It will be important to continue to seek opportunities for GAVI to align itself with the 3x5 Initiative since both are so dependent on stronger health systems.



• UNICEF proposed to give a presentation of the “marginal budgeting for bottlenecks” tool in the context of country-led analysis of system-wide barriers and its application to immunization programmes in particular. This presentation could be given at the next Board meeting.

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