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Strengthening service delivery =>> Enhanced efforts in large population countries =>>

Lessons from accelerated disease control initiatives (ADCs) applied in the large population countries as appropriate.

Responsible entity: UNICEF
Completed by: December 2005
Total budget: $0

Target description and how it will help reach GAVI milestones

This is the third of four targets that aim to ensure that the seven selected large population countries get back on track towards achieving their immunization coverage goals. This target takes into consideration the application of lessons learned from the accelerated disease control (ADC) initiatives which include polio eradication, measles control and maternal and neonatal tetanus elimination. Three of these countries (India, Pakistan and Nigeria) are priority countries for polio eradication and it is important to take advantage of the on-going intensive efforts. The ADC initiatives focuses on reducing childhood morbidity and mortality, fully exploiting the potential of existing vaccines by using intensive strategies to reach all children. The ADC initiatives have played a key role in maintaining the high visibility of immunization in both developing and donor countries.

ACCESS MILESTONE: It is imperative that GAVI partners work with the large population countries without delay. The current “struggle” to get rid of polio in some of these large population countries should be taken in a positive light where lessons from ADC efforts are integrated into routine immunization as is already done in smaller countries.

Justification for selection of activities

Will apply lessons learned from ADC initiatives. 3 of these countries (India, Pakistan, Nigeria) are priority for polio eradication and can take direct advantage of on-going efforts.

ADCs play a key role in maintaining high visibility of immunization.


Activities Budget Coordinating partner/ support partners Expected outcomes
Review of lessons learned from ADC and their application to strengthening routine immunization is undertaken. $0 CDC UNICEF WHO MoH key country partners • Consolidated draft report of ADC lessons learned is produced and translated
Lessons learned draft report is reviewed and discussed at global, regional and country meetings (including ICCs). $0 CDC UNICEF WHO MoH • Additional input and revisions to the report are made;
• Lessons learned are disseminated widely (particularly the seven countries);
• Printing of finalized report of ADC lessons learned
Progress reports from 7 priority countries include discussion of applying lesson learned from ADC. $0 MoH key country partners • Lessons learned are applied and documented in seven countries.

Detailed information on activities

The lessons from the ADC efforts will be reviewed by the various partners and documented through a report. Countries will then assess the relevance of these lessons learnt to their country situation, apply the lessons as appropriate and include these as part of their progress reports.

Targets by priority area

Strengthening service delivery

==> Health information and monitoring systems

==> Contributing to alleviation of system-wide barriers

==>> Enhanced efforts in large population countries

Seven large population countries have made analysis of the barriers and possible solutions, and have agreed with their ICCs on action plans.
GAVI and partners have established new policies to support the seven large population countries.
Lessons from accelerated disease control initiatives (ADCs) applied in the large population countries as appropriate.
The large population countries are back on track or show tendency of getting back on track in immunization coverage.

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 sutainability

==>> Recapitalization of The Vaccine Fund

Strategic planning & monitoring

==>> Setting priorities

==>> Monitoring progress


==>> Alliance coordination

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