Introduced in 2006 with a budget of US$29.2m, the Gavi civil society organisation (CSO) programme comprises:
(i) Type A support, to strengthen the coordination and representation of CSOs by providing lump sum grants between US$10,000-100,000, available to all 72 Gavi eligible countries;
(ii) Type B support, for ten selected pilot countries to help implement the Gavi health system strengthening (HSS) proposal or comprehensive Multi-Year Plans (cMYPs).
The CSO support was set up as a pilot, initially for the period 2007-09 and subsequently extended by the Gavi Board.
This evaluation aimed to assess the policy rationale, programme design, implementation and results of Gavi’s support to CSOs.
The purpose of the evaluation was to:
The Cambridge Economic Policy Associates (CEPA) used a mixed methods approach to this review. This included a desk based review and analysis; comparator analysis with similar organisations; structured interviews; five countrycase studies (Afghanistan, Democratic Republic of Congo, Ethiopia, Indonesia and Pakistan) and e-surveys.
These methods were used for all three themes of the evaluation framework (policy rationale and programme design, implementation and results), albeit with some methods being more relevant for particular evaluation questions than others.
Overall CEPA concluded that Gavi’s support to CSOs is, in principle, important to achieve the country’s and its own immunisation objectives, particularly in countries where CSOs play a key role in immunisation service delivery and supporting activities. However, there have been a number of issues with the programme design and implementation, warranting a ‘significant re-think’ of the support going forward. These issues have diminished the programme results achieved to date, although there is evidence of some positive outputs and outcomes.
CEPA developed numerous recommendations for Gavi to consider as it further develops its support to CSOs related to the structure of Gavi CSO support, programme design and programme implementation. Their main recommendation was to integrate Gavi’s CSO support (as a single funding stream) with the HSS / Health Systems Funding Platform.