Case for Sustainability

Fiscal sustainability is the key to safeguarding public health and building healthy, thriving populations.

In accordance with the GAVI model, we believe self-sufficiency must be the ultimate goal of national immunization programs. In the short term, many countries will need to mobilize and efficiently use both domestic and supplementary external resources to achieve their stated immunization financing goals. This approach allows countries to develop secured, long-term funding arrangements as they build stable, high-performing immunization systems.

Legislation

Even if political will exists, legislative guarantees of publicly provided vaccination are sometimes lacking or insufficient, and few countries have up-to-date legislation. Ideally, a vaccination law should contain a range of provisions, including means of EPI financing, vaccine procurement mechanisms, vaccination regulations.

In the Democratic Republic of Congo’s southwestern city of Matadi, a review of the country’s Comprehensive Multi-Year Plan (cMYP) for immunization for 2011-2015 took place from August 20-25.

Dengue Vaccine Initiative

Sabin is part of the Dengue Vaccine Initiative (DVI), a consortium of organizations working to lay the groundwork for dengue vaccine introduction in endemic areas so that, once licensed, vaccines to prevent dengue will be swiftly adopted. A collaboration between Sabin, the International Vaccine Institute (IVI), the International Vaccine Access Center at the Johns Hopkins University (IVAC), and the World Health Organization (WHO), DVI works to support improved diagnosis, surveillance and development of vaccines to control dengue. 

Cambodia

Health system and EPI Program

In 1996, following decades of civil war, Cambodia undertook to reform its healthcare system.

Public health services are delivered through 76 health districts. The districts, which do not correspond to political jurisdictions, prepare annual plans and administer 930 health centers. A cadre of supervisors links the central level with 24 provincial health departments.

A debate is emerging about the potential use of genetically modified (GM) mosquitoes to combat dengue in the United States and in other countries around the world. Most recently, news out of Brazil indicated that the country plans to breed GM mosquitoes to stop the spread of dengue.

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