This report presents the findings and lessons learnt from a review of the AVI project undertaken by Cambridge Economic Policy Associates for Gavi. The AVI initiative was established in 2008 with two core goals to be achieved over the period 2009-2015:
(ii) create a platform for introducing other new vaccines.
The initiative was established to build on and implement the work started by the Accelerated Development and Introduction Plans for rotavirus and pneumococcal vaccines and the Hib initiative. The AVI is hosted within the Gavi Secretariat and its activities are delivered through its Partners – WHO, UNICEF and the Bill & Melinda Gates Foundation as an observer – and a competitively selected outsourced entity AVI Technical Assistance Consortium.
The objectives of this review were to:
CEPA used a mixed methods approach to this review. This included a desk based review and analysis; extensive stakeholder consultations (including a short email questionnaire on AVI value added to the AVI Management Team members); some quantitative analysis; and a comparison with a matrix management model.
The review underscores the added value of the AVI in terms of:
(i) providing a needed coordination and communication platform amongst the Partners and the Gavi Secretariat;
(ii) enhancing the focus and priority placed on this important set of activities. Further, the initiative is unique in its attempt to identify, cost and house all of the necessary activities related to vaccine introduction across countries, in a single framework.
Despite difficulties, which are outlined in the report, the AVI initiative has succeeded in delivering many important activities necessary for accelerating vaccine introduction in countries. Planned country introductions of pneumococcal and rotavirus vaccines have surpassed the original AVI targets, even if it is difficult to identify and isolate the contribution of AVI specifically.
The key lessons learnt from this review are that any future model for supporting new vaccine introduction should have, as a minimum, the following attributes:
Lessons learnt from the Accelerated Vaccine Introduction (AVI) Project.