PARTNERS' ENGAGEMENT FRAMEWORK (PEF) BOARD MEETING Anuradha Gupta 14-15 June 2017, Geneva, Switzerland Reach every child www.gavi.org
Three key funding streams to provide technical assistance to support countries $74M $25M $33M Targeted Country Special Investments in Foundational Assistance (TCA) Support (FS) Strategic Focus Areas (SFAs) • Responsive to • Time limited investments for • Funding to core specific country transformative approaches in partners for longer- needs term activities key programmatic areas at undertaken at global/ global / regional levels regional levels 4 Note: Figures from financial forecast 2017
2016 was the first year of TCA implementation Cash disbursements by partner by Dec 2016 ($M) 21 UNICEF 20 20 WHO 18 3 World Bank 3 3 CDC 3 2 CSOs Expanded Budgeted Disbursed 6 Partners 5
Already seeing encouraging progress from 2016 PEF … Mali Yemen Embedded technical assistance to Technical assistance supported support new country leadership to increase in immunisation outreach finalise strategic plans activities for IDPs and refugees 6
… and sustainable results Myanmar Angola Successful transition to domestic Embedded technical assistance to streamline budget process and purchasing of traditional vaccines using the Vaccine increase domestic financing for immunisation Independent Initiative (VII) 7
TCA under PEF is also seeking to shape progress and outcomes at the sub-national level Pakistan Over 64% of PEF-funded staff is embedded in provinces • Technical assistance compliments CCEOP investments in 65/149 districts (3M birth cohort, 1M under- immunised children)
PEF model leverages partners to enhance country-level planning • Joint Appraisal (JA) guidance A major step towards strengthens focus on: harmonisation & transparency Equity • Country capacity • Risk assurance • JA discussion to be preceded by comprehensive data analyses • One TA Plan and one joint communication achieved in 2017 • A new Partner Portal now shares a seamless view of objectives, milestones & performance 9
New Leadership, Management, and Coordination (LMC) approach has been rolled-out ‘Menu’ of interventions Situational Objectives analysis adjusted to country context and need • Empower national Diagnosis of gaps EPI Management Partner EPI teams to through • Enhancement of EPI performance effectively manage • PCAs management practices the EPI • • Joint appraisals EPI Management Training programme • • Other (e.g. EPI EPI exchange opportunities (tbd) Strengthen reviews) • Enhanced EPI team capacity through Coordination time bound strengthening Forums (ICCs/HSCCs) • Guidance, tools and technical support for Coordination Forums
New Leadership, Management, and Coordination (LMC) approach has been rolled-out ‘Menu’ of interventions Situational Situational Objectives analysis analysis e.g., adjusted to country context and need Malawi, • Empower national Diagnosis of gaps EPI Management Partner PNG EPI teams to through • Enhancement of EPI performance effectively manage • PCAs management practices the EPI e.g., • • Joint appraisals EPI Management Training programme Uganda, • • Other (e.g. EPI EPI exchange opportunities (tbd) Kenya Strengthen reviews) • Enhanced EPI team capacity through Coordination time bound strengthening Forums (ICCs/HSCCs) Partners • Guidance, tools and technical support for being Coordination Forums selected
Time-limited investments in Supply Chain SFA are accelerating progress Leadership Continuous Data for Cold Chain System design Improvement Plans Management Equipment • Slow start but • New e-learning • A new digital • 7 core Alliance • TA supports proposal modules EVM tool indicators development accelerating standardised • Assessment • 500 trained • Faster/cheaper • 18/24 proposals • Integrated into to date already recommended tool still under • Enables on-going grant for CCEOP finalisation supervision performance framework 12
There are challenges to addressing data quality in countries... Country level challenges Kenya : Varying estimates of DTP3 coverage • Variable coverage data from multiple sources 92 • Inaccuracies in denominator estimation 90 88 86 81 • Weak culture of using data especially 78 72 disaggregated data • Lack of triangulation and unified strategy • Uncoordinated data strengthening initiatives 2008 2014 2016 DHS Administrative WUENIC 13
…and solutions being encouraged through Data initiatives and investments Investments • Updated WUENIC methodology in 2017 • Strengthening subnational estimates of coverage • Triangulation of data from various sources (incl vaccine stocks) • New guidance around denominators • Strengthening birth registration • Building country capacity for regular data review Initiatives • Gavi Data SFA Coordination and Planning Forum • Results Framework for Gavi’s Data Strategy 14
Immunisation financing and sustainability: Engagement with the World Bank • Health Financing System Assessments (HFSA) in 30 Gavi countries to diagnose constraints/opportunities • Findings inform the policy dialogue around sustainable financing With Gavi cost-sharing Without Gavi cost-sharing
www.gavi.org
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