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BACK TO EIGHTH GAVI BOARD MEETING
Eighth GAVI Board Meeting, Paris, 19-20 June 2002
Pre-meeting symposium on Scaling
up a joint response between global and national efforts: Summary
of Presentations and Discussion
Click
here to download presentation [Powerpoint, 26 kb]
Click
here to download presentation [Powerpoint, 37 kb]
Julian Lob-Levyt presented a summary of the
current health and development context:
- There is an increased international commitment
to development, and health in particular. This increase in interest
is related to :
- HIPC and Poverty Reduction Strategies
- Globalisation, trade, access to medicines
- HIV/AIDS
- The importance of investing in health, as demonstrated
by the Report of the Commission on Macroeconomics and Health
- Millennium Development Goals
- This new focus is also translating into increase
in resources and innovative partnerships focused on accelerating
R&D; or delivering health resources. The great challenges are to
become more outcome focussed and avoid sterile debates, e.g.,
on vertical vs. integrated, or categorical vs. systems approaches.
- In the donor community, there is a need to bridge
the divide between global initiatives and country co-ordination;
to set longer term development agendas; to develop an effective
response and 'lock it in' while there is this strong interest
in health; and to enhance capacity (particularly of multilaterals)
to provide support at country level.
Sigrun Mogedal then presented a summary of potential
strategies for developing a response:
- Donors need to take the lead in increasing predictability
in funding and partnering; countries need to take the lead in
developing systems that respond to and manage benefits of global
initiatives.
- In the GAVI process there are a number of opportunities
to build these bridges:
- Efforts to ensure financial sustainability
- Link ICC partners and SWAP partners.
- Engage UN and World Bank in bridging with MDGs
and PRS.
- Communicate better with civil society / NGO development
partners
- Identify a GAVI partner at the country level
that can serve as a communicator between actors.
- Strengthen research at country level to strengthen
capacity and inform policy decisions
The Board then engaged in a discussion of the
points raised:
- In order to engage in the macroeconomic debate
and make the case to Finance Ministers to provide more support,
we need to highlight the developmental benefits of vaccination,
including future costs averted. This also needs to link into country
level priority setting processes.
- We need clearer lines of accountability, and measurements
of progress against targets, for country health systems and the
GAVI alliance.
- We have a limited window of opportunity. Some donors
may be willing to make longer-term commitments to the poorest
countries. However, we need to provide numbers showing how the
money we have spent has had an impact. Is this new way of doing
business getting the results we have intended?
- The lack of skilled and motivated staff is a limiting
factor in any effort to improve health outcomes in countries.
How do we address this problem, given donors' traditional reluctance
to provide recurrent staffing costs?
- Finally, it is agreed that GAVI is giving partners
an excellent opportunity to explore new strategies, learn lessons,
and help to show the way for other similar efforts.
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