Strengthening PFM and immunisation budgeting

Budget structure, planning, and execution plays an important role in determining the efficiency, quality, and cost-effectiveness of health service delivery. Conducting adequate long-term planning and budgeting of immunisation programmes in collaboration with immunisation programme staff is a critical step toward ensuring that immunisation programmes have the resources they need to achieve coverage goals. Additionally, some Network countries are undergoing larger governance and institutional reforms that affect public financial management in the health sector. For example, some are shifting to new budget structures, such as output-based or program-based budgets, and payment mechanisms that incentivize high service quality and preventative services as they transition off donor funds. Others are undergoing fiscal decentralization and looking at ways to strengthen planning, budgeting, transparency, and accountability at the subnational level.

Click the button below to find a collection of key resources and tools for immunisation budgeting and public financial management.

Managing the Gavi transition

Gavi’s vision for a successful transition is one in which countries have successfully expanded their national immunisation programmes with vaccines of public health importance and sustain these vaccines post-transition with high and equitable coverage of target populations, while having robust systems and decision-making processes in place to support the introduction of future vaccines. Explore our Country dashboards to get a detailed breakdown of key transition indicators across the dimensions of coverage, equity, systems, economic performance, and health and immunisation financing.

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Financing immunisation programmes

Ensuring the financial sustainability of immunisation programmes requires securing new domestic resources for immunisation and strengthening the planning, budgeting, and financial management capacity of immunisation programmes. Explore our Health & Immunisation Financing dashboard to see how Network countries compare to each other in terms of economic performance and health financing.

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Strengthening immunisation programme performance

Ensuring the sustainability of immunisation programmes requires maintaining or strengthening core immunisation programme functions. These include collecting, analyzing, and using program, coverage, and surveillance data to make decisions; establishing and regularly consulting advisory bodies to improve governance and decision-making; ensuring an adequate pipeline of skilled immunisation professionals at all levels of the health system; and advocating for immunisation in the context of larger health program changes, such as primary healthcare reform. Explore our Immunisation Performance, Service Delivery, and Supply Data dashboard to see how Network countries compare to each other in terms of immunisation performance, service delivery, and supply.

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Affordable and Sustainable Vaccines

Ensuring the sustainability of immunisation programmes requires ensuring a vaccine supply that is adequate, safe, reliable, and affordable.

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