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Challenges to sustainable immunization systems in Gavi transitioning countries
Tania Cernuschi1, Stephanie Gaglione2, Fiammetta Bozzani3
1World Health Organization, Geneva, Switzerland.
Vaccine
|October 1, 2018
Summary
Middle-income countries transitioning from Gavi support face challenges in achieving Global Vaccine Action Plan targets. This study highlights the need for data beyond financing to improve immunization program sustainability and policy-making.
Area of Science:
- Global Health
- Vaccinology
- Health Systems Research
Background:
- The Global Vaccine Action Plan (GVAP) aims for universal vaccine benefits.
- Middle-income countries, particularly those transitioning from Gavi support, struggle with GVAP targets.
- Existing literature primarily focuses on domestic financing challenges in immunization.
Purpose of the Study:
- To identify programmatic challenges in Gavi-transitioning countries beyond financial sustainability.
- To analyze decision-making, service delivery, and supply chain issues in immunization.
- To address the lack of comparative analyses on immunization system performance in these countries.
Main Methods:
- Systematic review of existing literature on immunization in Gavi-transitioning countries.
- Analysis of country assessments by immunization partners since 2011.
- Focus on policy, service delivery, and supply chain aspects.
Main Results:
- Identified a gap in comparative analyses of immunization system performance.
- Documented challenges in immunization policy decision-making, service delivery, and supply chain management.
- Highlighted the predominant focus on domestic financing in current research.
Conclusions:
- Immunization system performance requires data beyond financing for Gavi-transitioning countries.
- Continued data compilation is crucial for developing sustainable immunization programs.
- Systematic data collection will inform policy and identify key areas for investment.
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