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Securing long-term financing =>> Financial sutainability =>>

New global and country level financing mechanisms developed and tested.

Responsible entity: Gates’ Foundation
Completed by: December 2005
Total budget: $0

Target description and how it will help reach GAVI milestones

New target as decided by EC.

HEPB & HIB MILESTONES: The results from the first financial sustainability plans show that the countries that have introduced the new vaccines are presented with significant financial challenges after the period of VF support. Exploring new financing mechanism will help to ensure sustainable financing for the new vaccines.


Activities Budget Coordinating partner/ support partners Expected outcomes
Piloting of novel financing strategies in at least four countries $0 Vaccine Fund, World Bank • At least four countries will have piloted novel financing strategies to support their immunization goals as outlined in their respective FSPs.
Developing one global financial mechanism $0 Vaccine Fund, World Bank • At least one global financial mechanism employed to secure sustained access to safe, quality, affordable GAVI vaccines. (e.g. advance purchase contract through Bioshield, UK IFF, put options)
Analyses to address global vaccine financing challenges $0 Vaccine Fund, World Bank • At least two analytical initiatives examining solutions and recommendations to address global vaccine financing challenges will be conducted. (e.g. supply study, investment case, demand forecasting strategy)

Targets by priority area

Securing long-term financing

==>> Financial sutainability

All funded countries have developed their financial sustainability plans (FSP) according to schedule, with lessons learned and experiences shared with countries and partners.
All countries assisted to integrate FSPs into their national planning and budgetting processes (which may include PRSPs and MTEFs)
Role of FTF in coordinating partner inputs and assuring funds for financial sustainability work to be transfered to partner(s) with their future roles and responsibilities clearly defined.
All funded countries have had their FSPs reviewed.
New global and country level financing mechanisms developed and tested.

==>> Recapitalization of The Vaccine Fund

Strategic planning & monitoring

==>> Setting priorities

==>> Monitoring progress


==>> Alliance coordination

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

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