Since 2000, GAVI provided essential support for an unprecedented increase in the use of hepatitis B (HepB) and Haemophilus influenzae (Hib) containing vaccines in resource poor countries. This increase was supported with significant funding from international donors, intended to be time-limited. To assess the sustainability of this important expansion of the global access to vaccines, the authors of this article reviewed supply chains, financial resources for procurement and decision-making in countries that introduced hepatitis B or Hib vaccines with GAVI support.
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Resources
Sub-national Management of Immunization Services During Health Sector Reform (HSR)
This document is the final installment of WHO’s three-part fact sheet on health sector reform. This sheet serves as a short guide for implementation and monitoring of the health sector reform process as it applies to immunization programs.
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Health Sector Reform (HSR): The Impact of Health Sector Development on Immunization Services
This document is part of a three-part series of fact sheets on health sector reform published by WHO. As the first in the series, the document defines health sector reform and provides background on the process. It also specifically addresses considerations for improving quality and equity of immunization services.
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Health Sector Reform (HSR): Fact Sheet for National Managers
This document is the second in a three-part series of fact sheets on health sector reform published by WHO. Outlined in the sheet are the roles and responsibilities of national managers during the health reform process, including reform of immunization programs.
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Immunization and Health Reform: Making Reforms Work for Immunization
This document has been prepared in response to concerns about the implications of health sector reforms upon EPI. The document is intended to provide guidance for national immunization programs in countries that are undertaking health sector reforms, and for donors providing technical assistance and funding to those countries. Zambia and Uganda were visited while preparing the guideline, which also refers to experience from other places.
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