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#vaccineswork

GAVI, THE ALLIANCE 2016-2020 STRATEGY - A REFLECTION ON ACP COUNTRIES

Porter Dr Mercy Ahun, Special Representative for

Gavi Eligible Countries Doune

Joanna Wisniewska, Senior Manager, /2012/

Resource Mobilisation Gavi

24 February, 2015, Brussels

www..org

1 ABOUT GAVI

Hockstein

/2013/Evelyn /2013/Evelyn Gavi

2 #vaccineswork GAVI’S PARTNERSHIP MODEL

Building on the comparative advantages of both public and private partners

Developing country representation:

Anglophone Africa •Tanzania ()

Francophone Africa •Senegal (Benin)

Middle East •Sudan ()

Asia, including Pacific •Nepal (Lao PDR)

Americas (including Caribbean) and Eastern Europe •Moldova (Guyana)

3 #vaccineswork GAVI’S MISSION AND GOALS 2011–2015

To save children’s lives and protect people’s by increasing access to immunisation in poor countries through 4 strategic goals

Health Market Vaccine Financing shaping goal systems goal goal goal

Accelerate the Contribute to Increase the Shape vaccine uptake and use strengthening predictability of markets to ensure of underused and the capacity of global financing and adequate supply of new integrated health improve the appropriate, quality systems to deliver sustainability of vaccines at low and immunisation national financing for sustainable prices immunisation

4 #vaccineswork GAVI’S PROGRAMMES: AN OVERVIEW

Refers to the first Gavi-supported introduction of each vaccine.

#vaccineswork 5 GAVI’S CO-FINANCING POLICY

Country ownership and steps to sustainability

Lewis

Sala

/2012/ Gavi

#vaccineswork 6 STRENGTHENING

Gavi supports health systems to address bottlenecks and achieve better immunisation outcomes

Examples:

Seykens

/2014/Oscar /2014/Oscar Gavi

Strong health systems are approved essential in expanding for support and sustaining by the end of 2013 immunisation coverage

#vaccineswork 7 GAVI AND ACP 2 COUNTRIES Gavi supports immunisation and health system strengthening programmes in the ACP

countries.

Hockstein

/2013/Evelyn /2013/Evelyn Gavi

8 #vaccineswork GAVI’S SUPPORT TO ACP COUNTRIES, 2000-2014

9 #vaccineswork GAVI’S IMPACT ON ACP COUNTRIES

2000-2014: 40 ACP States approved for HSS support

10 #vaccineswork

IMPACT ON /2013/Adrian Brooks 3 THE GROUND Gavi The acceleration in vaccine introductions is rapidly translating into tangible results.

11 #vaccineswork IMPACT IN THE BELT 153 million people immunised

Impact: Number of meningitis A cases:

in 2008 in 2013 842 0 Mali 16 0 Burkina Faso 156 0

Source: Meningitis A Campaign. Joint WHO/UNICEF Progress Report January to December 2013.

12#vaccineswork IMPACT ON THE GROUND

Reducing Hib meningitis in Bamako, Mali

Number of cases per year among inpatients

Lewis

Sala

/2012/ Gavi

Courtesy: Centre pour le Développement des Vaccins – Mali, 2013.

13#vaccineswork

TOGETHER, ON THE POST-2015 AGENDA A healthy future for all 4 Gavi 2016-2020 Strategy – Strengthened focus on equity and coverage

Lewis

Sala

/2012/ Gavi

#vaccineswork GAVI STRATEGY 2016-2020

15 #vaccineswork ACCELERATING IMPACT 2016–2020

With US$ 7.5 billion over 5 years:

Fully protected children increase from 5% to 50%

Economic benefits total US$ 80– 100 billion - productivity loss due to death/disability - treatment costs - caretaker productivity loss - transport costs

16 #vaccineswork ACCELERATING IMPACT IN ACP 2016-2020

Investing for results in ACP 2016-2020

130 million additional children immunised

3.5 million additional lives saved

€ 50 billion in economic savings

17 #vaccineswork COUNTRIES TAKING OWNERSHIP

Through the co-financing policy all countries contribute a share of the cost of new vaccines

70 68 90 67 1 62 3 9 80

60 57 4 10

52 70 7 US$ 50 5 73m ▬ 60 US$ 63m

40 50 financing Gavi vaccines financing - 32 40 30 8 US$ 30 20 US$ US$ 36m

32m (millions) inUS$ Amount 31M 20 No payment US$ 10 Partial payment 21m 10

Late payment Number ofco countries Number 0 0 Fulfilled requirement 2008 2009 2010 2011 2012 2013

Source: Gavi data as of September 2014.

18 and Emergency response

. Gavi will continue to support emergency vaccine stockpiles, as it has done for , meningitis and cholera outbreaks.

. The Ebola outbreak confirms the importance of robust routine immunisation and strengthening health systems. Gavi has committed up to US$300 million to procure Ebola vaccines.

. Up to an additional US$90 million could be used to support countries to introduce the vaccines and rebuild devastated health systems and restore immunisation services in Ebola- affected countries.

19 #vaccineswork

BROADER BENEFITS OF IMMUNISATION

Immunisation is one of the most cost-effective ways of improving living standards, health and the global economy

More Child politically & vaccinated economically Child lives stable longer

countries Improved community Fewer stability Hockstein and illnesses

productivity

/2012/Evelyn /2012/Evelyn Gavi Birth rates Strengthened drop – economic mother’s condition health within family improves

More Lower reliable ongoing workforce Greater healthcare educational costs opportunities

20 #vaccineswork WHAT WE WILL ACHIEVE TOGETHER

2016–2020

Prevent more future deaths than children = born in the EU every year

additional children immunised

21 #vaccineswork #vaccineswork

THANK YOU TO

The European Commission

&

The ACP States

Hockstein

/2013/Evelyn Gavi

www.gavi.org