From a scarcity of midwives and health facilities to poorly equipped hospitals, weak health systems represent a critical barrier to Gavi's mission to increase access to immunisation.
Without the people and equipment to deliver vaccines, no immunisation programme can be sustainable over the long term.
In the 2011-2015 period, we refocused our HSS support on immunisation to “contribute to strengthening the capacity of integrated health systems to deliver immunisation by resolving health systems constraints, increasing the level of equity in access to services and strengthening civil society engagement in the health sector.”
Our Board decided to strengthen the focus on performance and results, highlighting the importance of examining outputs rather than inputs. Performance-based funding was approved by the Board in November 2011 and was rolled out starting with 2012 approved grants.