Financial sustainability has been a core principle of Gavi's mission since its inception, with developing countries encouraged to co-finance or contribute to the cost of purchasing their vaccines with the Vaccine Alliance. In 2010, 53 countries co-financed Gavi-supported vaccines compared with 27 in 2008.
For the period 2011-15, strategic goal three aimed to secure commitments from low- and middle-income countries to co-finance, and assisted some countries ready to 'graduate' to cover the full cost of their national vaccination programmes.
To do this, Gavi focused on institutionalising vaccine spending in national budgets and health planning.
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