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Sustainable financing for Immunization Agenda 2030.

H Saxenian1, S Alkenbrack2, M Freitas Attaran3

  • 1Independent Consultant, United States.

Vaccine
|December 4, 2022
PubMed
Summary

Securing sustainable financing for immunization is crucial for global health goals. Strategies involve increasing resources, optimizing use, aligning partnerships, and managing transitions from external aid, especially post-pandemic.

Keywords:
EfficiencyEquityFinancingImmunizationPublic financial managementUniversal health coverage

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Area of Science:

  • Global Health
  • Health Economics
  • Public Health Policy

Background:

  • Sustainable financing ensures adequate and predictable resources for immunization goals within broader health financing.
  • The Immunization Agenda 2030 (IA2030) identifies four key areas for sustainable financing.
  • The COVID-19 pandemic poses significant economic challenges to health funding, impacting essential services like immunization.

Purpose of the Study:

  • To summarize evidence and propose interventions for sustainable immunization financing.
  • To address challenges in resource mobilization and utilization for immunization programs.
  • To align immunization strategies with health sector reforms and global health goals.

Main Methods:

  • Evidence synthesis on sustainable financing strategies for immunization.
  • Analysis of resource allocation, utilization, and partnership alignment.
  • Review of transition strategies from external assistance for lower-income countries.

Main Results:

  • Strategies for resource mobilization vary by income group, including revenue generation and budget reprioritization.
  • External financing from Gavi and GPEI remains critical but requires transition planning for some countries.
  • Improving the use of domestic and external resources can incentivize high-quality primary health care and immunization services.

Conclusions:

  • Governments must lead in sustainable immunization financing, supported by collective action from diverse stakeholders.
  • Strengthening health system financing is essential for pandemic preparedness and achieving universal health coverage.
  • Aligning immunization programs with health sector reforms supports the IA2030 vision and Sustainable Development Goals.