A key focus of Italy’s development strategy is to contribute to global health by strengthening the fight against inequalities in terms of the right to health (poorest countries, rural areas and suburbs, minorities and vulnerable groups). Their Health Guidelines in the Programming Guidelines and Directions for Italian Development Cooperation 2017-2019 are well aligned with Gavi’s mission through a focus on health system strengthening (HSS), maternal, newborn and child health (MNCH), non-communicable and communicable diseases, and mental health.
Italy has contributed to the Vaccine Alliance since 2006 when they became a founding member of IFFIm and is its third largest contributor with a total commitment of EUR 492.3. Italy also took a leading role in launching the first AMC to accelerate the development and availability of pneumococcal vaccines. They are the largest donor to the AMC with a pledge of USD 635 million. At Gavi’s 2015 replenishment conference, Italy pledged an additional EUR 100 million in direct contributions for 2016-2020.
Contributions and pledges in total:
Note: Proceeds are funds made available to Gavi from donor contributions and commitments, either through cash payments made to Gavi, through frontloading via the capital markets of a future donor commitment to IFFIm, or through AMC funds released to Gavi via the World Bank. IFFIm proceeds are allocated over five-year periods coinciding with Gavi’s strategic periods. Proceeds for the current and future strategic periods are indicative until the end of each period and could be revised following changes in market conditions (interest rates or foreign exchange rates), the signing of new pledge(s) and/or changes in IFFIm’s disbursement profile.
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Direct Contributions (including Matching Fund)
Received contributions: non-US$ contributions for 2000-2019 are expressed in US$ equivalents using the exchange rates on the dates of receipt. For 2014-2019, where contributions were hedged to mitigate currency risk exposure, these have been expressed using the rates applicable to the hedge agreement.
Future contributions: non-US$ Direct Contribution and Matching Fund pledges for years 2020 and beyond are expressed in US$ equivalents using the applicable 'forecast rates' from Bloomberg as at 31 December 2019 or using the rates applicable to any hedge agreement in place.
Received contributions: non-US$ contributions for 2000-2019 are expressed in US$ equivalents as confirmed by the IBRD (World Bank)
Future contributions: non-US$ contributions for years 2020 and beyond are expressed in US$ equivalents as follows:
Where the contribution agreement has been signed: contributions are expressed in US$ equivalents using the exchange rates at the time of signing the respective donor grant agreements
Where the contribution agreement has not yet been signed: contributions are expressed in US$ equivalents using the applicable 'forecast rates' from Bloomberg as at 31 December 2019
Due to IFFIm’s nature as a frontloading vehicle, yearly contributions paid into IFFIm can differ significantly from yearly proceeds transferred to Gavi. While IFFIm grants are irrevocable and legally binding, they are subject to a Grant Payment Condition that can potentially reduce the amount due in the event that a programme country is in protracted arrears with the International Monetary Fund. As of 31 December 2019, IFFIm donor grant payments are reduced by 1.5%, however such reductions are not reflected in future contributions figures.