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

GAVI and partners have established new policies to support the seven large population countries.

Responsible entity: Secretariat
Completed by: December 2004
Total budget: $35,000

Target description and how it will help reach GAVI milestones

This target is the second of four that aims to ensure that the seven countries selected get back on track towards their immunization coverage goals. This task is planned top follow the activities of the first task of this priority area which includes an analysis of barriers and decisions on action plans taken by these countries in agreement with their ICCs. It is believed that these countries may require additional technical and/or financial support from GAVI partners and/or GAVI/VF in order to reach their immuization targets. This task outlines the strategy for GAVI partners and/or GAVI/VF to decide on and provide the required support. The actual form and substance of such support will have to be defined through the process.

ACCESS MILESTONE: If the 7 countries do not enhance their immunization performance the GAVI access milestone will not be reached. Based on current knowledge we have to assume that additional support will be necessary for them to reach their targets.

Justification for selection of activities

The MDGs represent a challenge for the health sector where immunization has a critical role to play. It is therefore essential to coordinate decision making on the 7 countries with the global MDG efforts.


Activities Budget Coordinating partner/ support partners Expected outcomes
Enhanced coordination to link the efforts for the 7 countries to broader health sector work such as MDGs $35,000 Secretariat • Coordination between 7 countries' efforts and global work on MDGs.
Proposal to GAVI Board re possible additional GAVI/VF support $0 Secretariat • New GAVI/VF policy for VF support to the seven countries as required

Detailed information on activities

The global work on MDGs will continue with a meeting in May 04. This would be one opportunity to coordinate with the efforts for the 7 countries; other opportunities may arise or be developed during the spring of 2004.

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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