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Linking programmes and systems: lessons from the GAVI Health Systems Strengthening window
B Galichet1, L Goeman, P S Hill
1Department of Country Focus, World Health Organization, Geneva, Switzerland. bene_galichet@hotmail.com
Tropical Medicine & International Health : TM & IH
|December 17, 2009
Summary
GAVI Alliance Health Systems Strengthening (GAVI-HSS) applications reveal diverse country priorities for health system constraints. The process fostered alignment with national plans and stakeholder engagement, supporting GAVI-HSS
Area of Science:
- Global Health
- Health Systems Strengthening
- International Development
Background:
- The GAVI Alliance Health Systems Strengthening (GAVI-HSS) funding window supports countries in addressing health system constraints.
- Analyzing early application rounds provides insight into country-driven health system priorities and planning processes.
Purpose of the Study:
- To analyze the first four rounds of GAVI-HSS country applications.
- To understand how countries identify and propose solutions for health system constraints.
- To assess the alignment and harmonization of GAVI-HSS applications with Paris Declaration Principles.
Main Methods:
- Analysis of 48 funding applications from 40 countries across the first four GAVI-HSS rounds.
- Evaluation criteria included country analysis of health system constraints, coordination, alignment with national plans, inclusiveness, and stakeholder engagement.
Main Results:
- Applications demonstrated diverse health system constraints and proposed activities.
- GAVI requirements promoted strong alignment with government policies and planning.
- The application process led to good stakeholder inclusion and utilization of local technical support.
Conclusions:
- GAVI-HSS initiatives can link programmatic and systemic health strengthening, influencing policy and process harmonization.
- Applications enhanced in-country coordination and planning, utilizing existing assessments.
- Evidence suggests broad stakeholder inclusiveness and alignment with national health plans, supporting the GAVI-HSS initiative.
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