Strategic Goal 2 table

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Strategic objective  

Programme objective  

Programme deliverable (2015)  

Lead partner  

Budget ($m) FY11  

Strategic goal 2. Contribute to strengthening the capacity of integrated health systems to deliver immunisation  

2.1. Contribute to the resolving of the major constraints to delivering immunisation  


Ensure that constraints to immunisation and service delivery are identified and adequately addressed in National Health System policy and planning processes  

At least 20 countries have HSFP support in place, where annual reviews demonstrate substantial progress on addressing the main constraints to service delivery across the MDGs, but focusing on immunisation bottlenecks




Align Gavi funding with country planning and budgeting cycles and improve financial management oversight of cash grants

80% of Gavi health system strengthening (HSS) funded countries have funding included in and synchronised with National health plans and budgets[1]  

Gavi Sec.


2.2. Increase equity in access to services  


Increase coverage and equity[2] (including, geographic, social strata) of routine immunisationin countries with DTP3 coverage of less than 70%

40% of Gavi supported countries have moved from less than 70% coverage to greater than 70% coverage and maintained this level of coverage for a minimum of one year



2.3. Strengthen civil society engagement in the health sector  



Ensure active engagement of Civil Society Organisations (CSOs) in the Health Systems Funding Platform, Health Sector Coordination Committees (HSCCs) and Inter-Agency Coordinating Committees (ICCs)

80% of countries have implemented the Gavi strategies and policies for improving the engagement with CSOs in immunisation service delivery and health sector

Gavi Sec.


[1]Currently 10%.

[2]Two aspects of equity are addressed in the business plan and related activities: equity between the poor and non-poor, and equity between low and high coverage districts. Under the proposed new window Incentives for Routine Immunisation Strengthening (IRIS), performance incentives are given to countries for increasing DTP3 coverage among the poorest 40% of households in the country, as measured through household survey data. The guidelines for IRIS will also require countries to address how they will increase coverage in the districts with the lowest immunisation coverage at baseline.

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