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Strengthening service delivery =>> Contributing to alleviation of system-wide barriers ==>

Agreement by major health sector stakeholders on joint efforts to alleviate health systems barriers.

Responsible entity: NORAD
Completed by: July 2004
Total budget: $0

Target description and how it will help reach GAVI milestones

The main approaches are to seek alignment at global level of key health sector development partners, promote alignment across global initiatives that face similar system wide barriers, and work with selected countries to find the best areas and workable options where the GAVI alliance can “add value”. Coordination with the efforts of supporting countries in reaching the Health MDGs and other efforts such as the work of the Commission on Macroeconomics and Health (CMH) will be done. Organization will be around three areas: (1) Pathfinder function contributing to find innovative ways in addressing health systems barriers at country level, (2) Harmonization function: aligning with system-wide efforts to address system-wide barriers at country level (including improving ICC and coordination mechanisms); (3) Health systems development function: efforts at global level to address system-wide barriers.

ACCESS MILESTONE: For sustained access, it is necessary to harmonize efforts with other initiatives.

Justification for selection of activities

There is a need to identify what is being done and how joint efforts and resources can be used to address bottlenecks. Activities have been chosen so that GAVI can feed into and piggy-back onto existing initiatives rather than initiating new and parallel efforts. Efforts will be designed in line with GAVI’s “added-value” criteria and will focus on selected system barriers.


Activities Budget Coordinating partner/ support partners Expected outcomes
Map efforts and consult with partners and other global initiatives $0 DfID
• Potential points of entry for global alignment of partners established
Present outcomes and recommendations to GAVI Board $0 NORAD • Principles for partners alignment endorsed, Board guidance obtained
Contribute to high/level global for a (CMH, High Level Forum, MDG) $0 NORAD
• GAVI efforts harmonized with macro-level efforts

Detailed information on activities

A resource group with experience on health system issues (with developing country experience) will work with partners and other initiatives to reach an agreement on joint efforts to address barriers. Funds should be given to the GAVI Secretariat to co-ordinate activities of the resource group and selected countries.

Targets by priority area

Strengthening service delivery

==>> Health information and monitoring systems

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

Agreement by major health sector stakeholders on joint efforts to alleviate health systems barriers.
ICCs strengthened, with stronger links to NGOs and higher level national health coordination committees.
Efforts in 10 high-performing and 10 low-performing countries undertaken, lessons learned, documented and best practices shared.

==>> 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 sutainability

==>> Recapitalization of The Vaccine Fund

Strategic planning & monitoring

==>> Setting priorities

==>> Monitoring progress


==>> Alliance coordination

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