GAVI 2012 Report

This report presents the results of an assessment of the Global Alliance for Vaccines and Immunisation (GAVI) conducted by the Multilateral Organisation Performance Assessment Network (MOPAN). MOPAN did not assess GAVI’s development results, although this was a pilot component included in the Common Approach for four multilateral organisations in 2012.

The year 2012 marks the first occasion for MOPAN to involve a global fund in its Common Approach assessments. Adaptations to the MOPAN methodology were required so as to reflect GAVI’s unique operating structure. GAVI was a supportive and willing partner in this process.

The GAVI Alliance is a public-private partnership, created in 2000 in response to declining immunisation rates in developing countries. It brings together multilateral organisations, civil society organisations, public health institutes, the pharmaceutical industry, donor and implementing country governments, and non-profit organisations with a common focus on increasing access to immunisation in developing countries. In 2010, the GAVI Board approved the GAVI Alliance Strategy and Business Plan 2011-2015 that articulates four main goals: 1) “the vaccine goal” of accelerating uptake and use of new and underused vaccines; 2) “the health systems goal” of strengthening the capacity of integrated health systems to deliver immunisation; 3) “the funding goal” of increasing the predictability of global financing and related “co-financing goal” aimed at improving the sustainability of national financing for immunisation; and, 4) “the market shaping goal” of minimising vaccine market prices and securing vaccine supply.

Based on a gross national income (GNI) per capita below or equal to US$ 1,520, 57 countries are eligible for GAVI support. GAVI sets conditions for each type of support. In 2012, 73 countries are receiving GAVI support (57 eligible and 16 graduating countries). The support, provided in the form of either vaccines or cash, is channelled through the regional and country offices of GAVI’s implementing partners (UNICEF, WHO, and the World Bank) or directly to implementing country governments. In 2011, GAVI raised US$4.3 billion in donor pledges. This brought GAVI’s total available resources for the period 2011-2015 to US$ 7.6 billion. Over the past three years, GAVI’s new leadership has undertaken a number of reform efforts to improve its effectiveness, including the strengthening of its results-based, change and risk management systems.

In 2012, MOPAN assessed GAVI based on information collected at the organisation’s headquarters, from MOPAN members, and from stakeholders in fifteen GAVI-supported countries: Bangladesh, Cambodia, Democratic Republic of Congo, Georgia, Ghana, Honduras, Indonesia, Nicaragua, Niger, Nigeria, Pakistan, Rwanda, Tanzania, Yemen, and Zimbabwe.

MOPAN’s survey targeted six categories of respondents: MOPAN members based in the country and at headquarters, global and country-level implementing partners, representatives of governments and civil society organisations GAVI works with, and other GAVI Alliance partners and peer organisations. A total of 102 respondents participated in the survey. MOPAN’s document review assessed GAVI’s systems and practices through an examination of publicly available, corporate and programming documents provided by GAVI. Given the small number of responses by MOPAN donors in-country, implementing partners, government, and civil society groups, caution should be used in interpreting survey results from these respondent groups.