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Routes Countries Can Take To Achieve Full Ownership Of Immunization Programs.

Michael McQuestion1, Andrew Carlson2, Khongorzul Dari3

  • 1Michael McQuestion (mike.mcquestion@sabin.org) is director of the Sustainable Immunization Financing Program at the Sabin Vaccine Institute, in Washington, D.C.

Health Affairs (Project Hope)
|February 10, 2016
PubMed
Summary

Many lower-income countries are developing new funding for immunization programs. However, improving budget transparency and legislative support are crucial for achieving full domestic financing and country ownership of essential vaccines.

Keywords:
Developing World < International/global health studiesFinancing Health CareHealth EconomicsHealth SpendingLegal/Regulatory Issues

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Area of Science:

  • Global Health
  • Public Health Policy
  • Health Economics

Background:

  • The Global Vaccine Action Plan aims for country ownership of immunization programs by 2020.
  • Country ownership is defined as full domestic financing of routine immunization.

Purpose of the Study:

  • To assess progress toward country ownership in 22 lower- and lower-middle-income countries.
  • To identify new financing practices and legislative developments in immunization programs.

Main Methods:

  • Case studies of countries in the Sabin Vaccine Institute's Sustainable Immunization Financing Program.
  • Analysis of practices in public institutions for immunization financing, budget tracking, and legislation.

Main Results:

  • Many countries are implementing novel funding mechanisms for immunization.
  • Budget transparency is a challenge; only 11 of 22 countries analyzed immunization budgets sequentially.
  • Six countries are establishing new, legislatively backed national immunization funding sources.
  • Seven countries have existing immunization laws, with 13 others developing new legislation.

Conclusions:

  • Progress is being made in developing new funding streams for immunization programs.
  • Enhancing budget transparency and enacting supportive legislation are key to achieving sustainable domestic financing and country ownership.