KEY CHANNELS OF DEVELOPMENT ASSISTANCE FOR HEALTH Gavi, the Vaccine Alliance Gavi, the Vaccine Alliance is a public-private partnership Gavi is currently working toward its own replenishment, dedicated to creating equal access to vaccines for people in aiming to raise $7.4 billion to cover the period 2021–2025. To the world’s poorest countries; Gavi’s mission is to save that end, in 2019, Gavi announced that its next replenishment children’s lives and protect people’s health by increasing conference would be hosted by the United Kingdom.43 equitable use of vaccines in lower-income countries. Founded “Vaccines don’t just build healthier societies, they build in 2000 by a group of public-private partners – the Bill & healthier economies,” said Dr. Ngozi Okonjo-Iweala, the chair Melinda Gates Foundation, UNICEF, WHO, and the World of Gavi’s board, when the conference was announced. Some Bank – Gavi works “to encourage manufacturers to lower examples of projects Gavi supported in 2019 include vaccine prices for the poorest countries in return for Ethiopia’s introduction of a measles vaccine44 and a Gavi- long-term, high-volume, and predictable demand from those funded cholera vaccine campaign in Mozambique.45 countries.” Gavi supports countries by offering health In 2019, Gavi disbursed $1.8 billion in funding, increasing systems strengthening support, vaccine support, cold-chain 11.1% from 2018. The UK provided $306.4 million to Gavi in equipment optimization programs and support, and targeted 2019, the Gates Foundation provided $406.1 million, the US country assistance. In 2019, Gavi channeled $1.8 billion in provided $307.0 million, and Norway provided $185.8 million. development assistance for health to child health (94.4% of Figure 1 shows Gavi DAH provided by source in 2019, while Gavi funding) and non-communicable disease-related Figure 2 shows trends in DAH by health focus area for the programs. Top sources of funding for Gavi in 2019 were the period 2010–2019. And per Figure 3, in 2017, 52.6% of DAH Bill & Melinda Gates Foundation, the United States, and the disbursed by Gavi went to sub-Saharan Africa and 25.5% to United Kingdom. South Asia. FIGURE 1 DAH disbursed by Gavi from each source, 2019* 1 1 1 5% 6% 2 Gates Foundation 10 Other governments *2019 estimates are preliminary. US Other governments = China, Ireland, Japan, Luxembourg, Netherlands, Norway, South Korea, UK Spain, Sweden, non-OECD Development Germany Assistance Community countries Other sources Private philanthropy = other private and Canada corporate donations 17 Australia France 22 Private philanthropy 17 FINANCING GLOBAL HEALTH 2019 | GAVI, THE VACCINE ALLIANCE PROFILE healthdata.org FIGURE 2 DAH disbursed by Gavi targeting each health focus area, 1990–2019 2.0 hil an nen health ncnicale ieae 1.5 1.0 Billions of 2019 dollars 0.5 0.0 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018* 2019* FIGURE 3 DAH disbursed by Gavi targeting each GBD super-region, 2017 1 1 6% 7 ahaan Aica 7 *2018 and 2019 estimates are preliminary. th Aia Due to data limitations, development assistance for health estimates are not available by recipient th Aica an ile at region for 2018 or 2019. theat Aia, at Aia, an ceania 53% Glal ental e, aten e, an ental Aia atin Aeica an aiean 2 FINANCING GLOBAL HEALTH 2019 | GAVI, THE VACCINE ALLIANCE PROFILE healthdata.org.