Sustainable financing for Immunization Agenda 2030

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.