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Immunization Financing News VOL. 6, ISSUE 2, AUGUST 2014 Immunization Financing News Quarterly news from the Sustainable Immunization Financing (SIF) Program J VOL. 6, ISSUE 2, AUGUST 2014 From left to right: Dr. Paba Palihawadana, Hon. Maithripala Sirisena, Dr. SRI LANKA ADVANCES ITS NATIONAL Palitha Mahipala. IMMUNIZATION POLICY On 29 April 2014, Sri Lanka inched closer to a national immunization bill which will assure sustainable immunization financing. The occasion was a ceremony at the Bandaranaike Memorial International Conference Hall, in Colombo, in which Chief Epidemiologist Dr. Paba Palihawadana delivered the country’s new National Immunization Policy to the health minister, Hon. Maithripala Sirisena. Over 150 guests attended, including members of parliament Hon. Dr. Sudarshini Fernandopulle and Hon. Dr. Ramesh Pathirana; Chief Minister of the southern province Hon. Shan Vijayalal de Silva, and; Health Ministers of North Western and Central provinces Hon. D.B. Herath and Hon. Bandula Yalegama. Other Ministry of Health officials in attendance included Dr. Palitha Mahipala, Director General of Health Services, Dr. Minister Sirisena will next pass the policy document to the Sarath Amunugama, Deputy Director General of Public Council of Ministers. From there it will go to Parliament Health Services, Dr. Ananda, Consultant Epidemiologist and where a corresponding Act of Parliament will be generated, EPI team. They were joined by officials from the Ministries translating the policy into law. of Finance and Planning, Education and Justice, all of whom participated in formulating the policy. The event was widely covered by the print and electronic media, reported Sabin MONGOLIAN AUTHORITIES REPORT Senior Program Officer Devendra Gnawali, who also HEALTH INVESTMENTS TO CITIZENS attended. Minister Sirisena recognized the members of the National Immunization Policy Development Subcommittee On 6 May, Mongolia unveiled a new advocacy strategy to and thanked them for their contributions to the effort. consolidate immunization financing. The setting was a sunny plaza in western Hovd District (aimag) where approximately A necessary step in the legislative process, the draft policy, two-hundred citizens gathered to commemorate Tax Day. was formulated over a one-year period with input from the The ceremony was opened by parliamentarian Hon. Battsogt public and a range of non-government stakeholders. The Dogsom, who represents this district in Mongolia’s Grand policy states that the Federal Government will provide Hural, accompanied by Mike McQuestion, Director sufficient funding for timely procurement and supply of Sustainable Immunization Financing Program, and Director quality vaccines and their delivery. It provides for a separate of the District Tax Department Ms. Khandtsetseg Galindev. budget line item for the national immunization program. Ms. Galindev called out the names of artisans and Secondly, the policy states that provincial governments shall entrepreneurs, who received their plaques on stage, and co-finance immunization delivery. Thirdly, mechanisms will commemorated them for the taxes they had paid. The be put into place to monitor the financial sustainability of the ceremony continued with singing and dancing by children immunization program. dressed in traditional attire. www.sabin.org/fr (en français) page 1 www.sabin.org/sif VOL. 6, ISSUE 2, AUGUST 2014 The program then shifted to sustainable immunization the importance of this sub-regional briefing, seeing that it financing. Leaflets were distributed to the crowd with a photo marked the first time discussions were held regarding the of a child being immunized and a list of bullet points about importance of effective spending for immunization at the immunization. The leaflets included general information on provincial and district levels. Prof. Duong commented on immunization, in addition to financial data on local increasing contributions from provincial governments on government expenditures for immunization and other health immunization financing. He noted that in collaboration with services in Hovd District the previous year. the Sabin Vaccine Institute, NIHE has already demonstrated progress towards sustainable financing. In 2014, all health- In a briefing of health workers later that day, discussions related budgets, including immunization, were reduced by 40 focused on resource tracking at the local level and advocacy percent as a result of a downturn in the economy. However, activities for sustainable immunization financing. During the NIHE was able to increase its budget for immunization by briefing, district health workers were given a more detailed closely working with the National Assembly. analysis of local health expenditures. Hon. Dogsom emphasized the fact that it would be very useful to have Following, Dr. An, Deputy Director of Finance in Vietnam’s detailed budget and finance data on health to leverage funding Ministry of Health, highlighted the success of the EPI for following year budgets. Dr. Enkhamgalan Agvaandash, program and its long history of high performance in District Health Officer, agreed, adding that she will make it a sustainable financing practices. Dr. An challenged the Hai priority to include this type of financial reporting and analysis Duong province to step up its financial commitment to the in future meetings. program. He stated that the national government is committed to achieving sustainable financing; however, it still needs Another important topic that was covered at the briefing was provincial support to reach the overall goals of the program. that of fuel and transportation costs needed for health officials to travel to households for vaccinations. Local vaccinators Dr. Bui Huy Njanh, Director of the Hai Duong Provincial and health officers worked together to come up with ideas to Center of Medicine, discussed provincial financing practices make the programs more efficient. which was later followed by briefings led by district and commune officials. Last year, Dr. Khongorzul Dari, Sabin Senior Program Officer, along with counterparts at the General Tax This briefing emphasized the importance of sustainable Department and Ministry of Health, developed a model to immunization financing and resource tracking to local leaders demonstrate how the government uses tax revenue for public at the subnational level. In light of the goals set forth by Dr. health services. This work produced a national report, which Khongorzul Dari, Senior Program Officer at the Sabin was well received by government officials and the public. The Vaccine Institute, a series of subnational briefings are planned next step is to work with the country’s remaining 22 districts, in Vietnam. with the goal of delivering financial data on immunization. CENTRAL AFRICAN PEERS REVIEW VIETNAM BRIEFINGS FOCUS ON THEIR IMMUNIZATION FINANCIAL SUSTAINABLE FINANCING AT REPORTS SUBNATIONAL LEVEL On 7-9 April 2014, in Kinshasa, DRC, health officials sought On May 20, officials from the Ministry of Health, Ministry of to strengthen their immunization programs by scrutinizing Finance, National Institute of Hygiene and Epidemiology each others’ financial reports. The WHO/UNICEF- organized (NIHE), and provincial-level officials from the People's peer review meeting drew around sixty participants Committees Health Centers and Finance Departments, representing ten Central African countries. Such peer review gathered in Vietnam’s Hai Duong province to discuss meetings, which date back to 2007 in this subregion, usually sustainable immunization financing at the provincial level. focus on preparing new grant proposals. This time, participants assessed how well they and their peers are Hai Duong province has a population of 1.7 million, tracking and reporting what their governments are spending encompassing 12 districts and 265 communes. At each level, on immunization. there is a health committee responsible for immunization and other health programs. The budget for immunization is Countries report this information annually through the currently 680M VND, higher than other provinces. WHO/UNICEF Joint Reporting Form for immunization (JRF). Getting the numbers right is increasingly important Prof. Duong Nhu Tran, Deputy Director of NIHE, opened the because government expenditures comprise the key indicator briefing by welcoming all of the participants. He highlighted of country ownership in the Decade of Vaccines Global www.sabin.org/fr (en français) page 2 www.sabin.org/sif VOL. 6, ISSUE 2, AUGUST 2014 Vaccine Action Plan Monitoring and Evaluation/ Evaluation and Accountability Report, which was prepared Accountability Framework. for the session by the WHO Secretariat. Among other issues, the ministers recognized the need for countries to increase The peer review process was straightforward. First the their immunization investments in order to achieve country delegations presented their figures, describing how they ownership. The GVAP provides for similar monitoring and obtained and aggregated the data. Next they scrutinized each feedback sessions in each World Health Assembly through others’ reports, identifying logical inconsistent and missing 2020. Read more on the 67th WHA GVAP session here. values. Delegates corrected their reports and passed them to the WHO and UNICEF facilitators who later submitted them to the JRF system. The countries will have one more look at CONGOLESE PARLIAMENTARIANS their reports before they become official. EXPAND THEIR IMMUNIZATION Among the workshop facilitators were
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