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

ICCs strengthened, with stronger links to NGOs and higher level national health coordination committees.

Responsible entity: NORAD
Completed by: December 2005
Total budget: $205,000

Target description and how it will help reach GAVI milestones

The overall scope of this work plan area is to contribute to strengthen service delivery and increase immunization coverage by addressing system-wide barriers in countries supported by GAVI and the Vaccine Fund. 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”.

The work will be coordinated with the efforts of supporting countries in reaching the Health MDGs and other efforts such as the work on the Macroeconomics and Health Commission (CMH). The work plan will be organized 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 improve coordination of immunization efforts.

Justification for selection of activities

Experiences exist but have not been systematized.

Dissemination of best practices will provide guidance for countries.


Activities Budget Coordinating partner/ support partners Expected outcomes
Establish options and best practices for national coordination of immunization efforts $5,000 NORAD
• Reference document available to countries and partners
Efforts undertaken through partners in 10 low-performing countries (same countries as in target 3) $200,000 In country partners, (bilateral and multilateral) • Harmonization with higher level coordination mechanisms, improved partner coordination and ICC operations
Efforts undertaken through partners in all VF supported countries $0 In-country partners • National coordination mechanisms strengthened in all VF supported countries

Detailed information on activities

The guidance document will be developed at the global level. Funds for strengthening country coordination mechanisms will be directed to 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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