The Gavi Leap
Transforming the Vaccine Alliance for the future through simplicity, transparency and synergy, paving the way for a ‘Global Health Leap’.
Since the middle of 2024, Gavi began a process of re-examining every aspect of the way it works to prepare for its next strategic period. With this transformation, which has come to be known as the ‘Gavi Leap’, well under way, the principles that underpin it – Country-centricity, Country self-reliance, Focused mandates and Finite lifespans – could be applied to broader reforms across global health.
Dr Sania Nishtar's articles
- The global health system must radically change to survive and thrive (The Telegraph, May 2026)
- A new era of country ownership: introducing Gavi’s first-ever vaccine budgets (VaccinesWork, March 2026)
- Fragmented health systems disproportionately affect women. The Gavi Leap can help address these inequities (VaccinesWork, March 2026)
- Preparing for AI-Enabled Bioweapons (Project Syndicate, March 2026)
- Global health leap: an urgent call to action (The Lancet, January 2026)
- After a year of challenges, Gavi can look forward with optimism (VaccinesWork, January 2026)
- Fragility is on the rise. So is Gavi’s commitment to tackling it (VaccinesWork, December 2025)
- Delay costs lives: why at-risk capital matters before the next pandemic (LinkedIn, December 2025)
- Three years ago we made a promise to girls around the world to help end the scourge of cervical can… (LinkedIn, November 2025)
- It’s time to leap to a new global health architecture (Global Governance Project, October 2025)
- The Gavi Leap: radical transformation for a new global health architecture (The Lancet, June 2025)
Gavi Leap video stories
Gavi Leap testimonials
COUNTRY FIRST
At the heart of the Gavi Leap is a new country operating model that places countries first by increasing resources at the decision-making discretion of countries, making it easier for countries to work with Gavi and promoting immunisation sustainability.
TUNING OUR ENGINE
Transformation also means looking at every aspect of how Gavi colleagues work with each other. From better decision-making and sharper planning to greater accountability and more thoughtful measurement, the Gavi Leap entails a root-and-branch reform of Gavi’s ways of working.
POWERING PARTNERSHIPS
Partnerships are no longer ‘nice to have’ in today’s fiscally constrained environment. With no room for duplication, fragmentation and competitive behaviours, seeking synergy through partnership is therefore one of the defining principles of the Gavi Leap.
EMBRACING THE INTELLIGENT AGE
As the best buy in global health, innovation has always been a hallmark of Gavi, helping us shape markets, improve outcomes and strengthen our balance sheet. Through the Gavi Leap, technology, particularly artificial intelligence (AI), will radically transform our organisation for the better.
HARNESSING THE FUTURE OF IMMUNISATION
The resource-constrained world in which Gavi operates calls for an urgent rethink on how global health organisations work alongside each other. Principles of country-centricity, country self-reliance, focused mandates and finite lifespans, hard-wired into a new development model, will protect the gains of the past and unlock further future progress.
Gavi Leap social media toolkit
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The Gavi Leap: Why it matters
General
The #GaviLeap is the largest and widest ranging reform programme @Gavi has ever undertaken. Learn how Gavi is transforming the way it works with countries to support national self-reliance and put implementing countries in the driving seat: https://bit.ly/3PrXEMU
Op-eds
The #GaviLeap is @Gavi’s most ambitious reform programme in its history. One of its core goals is a fundamental shift in Gavi’s operating model to place countries at the heart of Gavi’s work – giving them more agency over how Gavi support is deployed: https://bit.ly/4oI8H0M
Through the #GaviLeap reforms, @Gavi will operate with enhanced transparency, accountability, delivery capabilities and new ways of working. Read Dr @SaniaNishtar’s article on how its five pillars will transform the Vaccine Alliance: https://bit.ly/4oI8H0M
“When it comes to how they choose to invest in immunising their populations, governments should be firmly in the driver’s seat.” Dr @SaniaNishtar outlines how the #GaviLeap empowers countries to take more control of their own vaccine budgets: https://bit.ly/4uouD4G
Why is Gavi’s introduction of Vaccine Budgets a leap forward for global health? Dr @SaniaNishtar highlights how they ensure Gavi’s available resources are distributed equitably and on the basis of need, rather than on a first-come, first-served basis: https://bit.ly/4uouD4G
For women in lower-income countries, accessing essential health services can mean having to overcome a host of gender-related barriers & navigating a fragmented health system. Dr @SaniaNishtar breaks down how the #GaviLeap reform will help address these: https://bit.ly/40riNJg
Videos
Through the #GaviLeap reforms, @Gavi is radically simplifying the country operating model and tackling the administrative burden on countries. Learn how the grant management reforms are reducing application requirements by 74%!