GAVI, the first steps: lessons for the Global Fund.

Area of Science:

• Global health initiatives
• Health systems strengthening
• Vaccine financing

Background:

• The Global Alliance for Vaccines and Immunization (GAVI) serves as a model for the Global Fund to Fight AIDS, Tuberculosis and Malaria.
• GAVI aims to improve access to vaccines and strengthen health systems in developing countries.

Purpose of the Study:

• To assess the experiences of ministries of health in four African countries applying for GAVI funds.
• To identify challenges and successes in applying for funds to strengthen health systems and introduce new vaccines.

Main Methods:

• Qualitative assessment involving ministries of health and partners in four African countries.
• Interviews and district-level visits to gather data on application processes and health system capacity.

Main Results:

• Countries welcomed new vaccines (e.g., hepatitis B) and financial support for immunization programs.
• Challenges included a rapid application pace, low staffing, inadequate transport, poor cold chains, and unreliable information systems.
• Sustainability of high-cost vaccines post-GAVI funding is a concern.

Conclusions:

• The Global Fund's application process will likely be more demanding for already over-stretched ministries of health.
• A phased approach focusing on strengthening existing systems is recommended for initial activities.
• Careful planning and assessment are crucial for the success of large-scale health programs.