Full country evaluations

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Gavi, the Vaccine Alliance has launched a new set of evaluations to collect real-time data on immunisation programmes, vaccine-related issues and the contribution of Vaccine Alliance support in five countries.

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A Bangladeshi child is vaccinated with Gavi support.
Photo credit: Gavi/2011/Dan Thomas.

Gavi takes the need for independent evaluation of its programmes extremely seriously. Our evidence-based approach is key to helping us reach our goal of immunising an additional quarter of a billion children by 2015, averting four million future deaths.

It is vital that we understand how vaccination programmes are being implemented, what they are achieving, the obstacles to immunisation that individual countries face and the impact that Gavi support is having on the lives of children and adults.

Bangladesh, India, Mozambique, Uganda and Zambia are taking part in the Full Country Evaluation project, which will run from 2013 to 2016. Local research institutions are partnering with the Institute of Health Metrics and Evaluation and PATH to collect information, data and evidence to help improve immunisation programmes.

Results and findings from these evaluations will be made available on the Gavi website throughout the evaluation period.

Key principles of the Full Country Evaluations

  • Real-time data – Timely and systematic feedback to country stakeholders and Gavi for program improvement
  • Country-driven approach – evaluation led by in-country researchers reflecting the needs of country partners
  • Sustainability – Strengthen country capacity and create a sustainable monitoring and evaluation structure that can be used for other purposes
  • Efficiency – Leverage and build upon existing monitoring and evaluation activities and avoid duplication
  • Flexibility – adaptive evaluation approach

Scope and evaluation methods

The evaluations will examine factors that influence successful immunisation programmes, obstacles to strengthening them, and the contribution of Gavi to improvements. Gavi’s support for new and underused vaccines will be assessed, along with cash-based support to countries. The scope and methods employed will vary to some extent across the five countries, but will include:

  • Process evaluation methods (key informant interviews, stakeholder network analysis, process tracking, focus groups, observation etc)
  • Resource tracking
  • Facility and household surveys
  • Vaccine effectiveness studies, including innovative methods such as the use of biomarkers
  • Small-area analysis, for example, at the district level of key indicators such as immunisation coverage and child mortality

The Evaluation Coalition

Following a competitive bidding process, a coalition led by the Institute for Health Metrics and Evaluation , University of Washington was selected to conduct these evaluations in the five countries. The other members of the coalition include:

+ 150 million

By the end of 2013, 11 countries in the African meningitis belt had collectively immunised 153 million people against meningitis A with support from the Vaccine Alliance.

WHO/UNICEF

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