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Aid effectiveness

GAVI ensures its support to developing countries has maximum impact by being transparent, accountable and results-oriented.

The GAVI Alliance uses the principles set out in the Paris Declaration on Aid Effectiveness to guide its work. This international agreement, signed in March 2005, commits ministers, heads of agencies and other stakeholders in aid to harmonising their efforts and monitoring results using rigorous indicators.

The principles of aid effectiveness are enshrined in the four core areas of GAVI’s work.

Country-driven programmes

GAVI believes that the 72 developing countries it supports know best how to increase their immunisation coverage. The Alliance asks them to set their own immunisation priorities and keep ownership of vaccination programmes from start to finish.

GAVI facilitates this process by providing multi-year funding which covers the duration of individual country’s health and immunisation plans. By August 2008, GAVI's support amounted to $3.7 billion, committed to 2015.

Predictable funding

The fact that GAVI’s support is predictable gives developing countries the security to expand their immunisation and child health programmes, and provides an incentive to vaccine manufacturers to increase production. In turn vaccine supplies are stabilised and increased competition drives prices down.

The International Finance Facility for Immunisation (IFFIm) has raised more than US$ 1 billion of predictable financing for GAVI programmes since its launch in 2006. IFFIm finances have scaled-up health and immunisation efforts in more than 70 countries.

Results-based immunisation

The GAVI Alliance encourages countries to go beyond their original immunisation targets by offering cash rewards if additional children are immunised. Countries are then allowed to spend the reward money on improving health care delivery services thereby facilitating even wider vaccination coverage.

From 2000 to 2007, GAVI’s support has averted 3.4 million premature deaths, according to WHO figures.

Harmonised aid

By its very nature the GAVI Alliance brings together all the varied stakeholders in immunisation, from donor countries and implementing governments, to civil society organisations, vaccine industries and international financiers. Through GAVI, public and private sector organisations work together to ensure that aid programmes are harmonised and efficiently carried out to maximise the impact of immunisation support.