Liberia

Country Overview
The immunization law has been passed by one of two houses of parliament
The domestic advocacy network has been established, meets bi-weekly, and has an official Terms of Reference.

Expanded Program on Immunization (EPI)
The Liberian EPI is in the Preventative Services Division, Health Services Department, Ministry of Health & Social Welfare (MOHSW).

Kenya

Country Overview

  • Public immunization fund is established. Vaccine procurement fund is under discussion.
  • Two laws are under development which address immunization financing.
  • Domestic advocacy network is under development.

Expanded Program on Immunization (EPI)
The Kenyan EPI is in the Immunization Division, Department of Family Health, Ministry of Public Health and Sanitation (MOPHS).

Ethiopia

Country Overview

  • Financing mechanism under conceptualization
  • Resource tracking in high demand
  • Legislative review under conceptualization

Expanded Program on Immunization (EPI)
The Ethiopian EPI is in the Ministry of Health (MOH).

DRC

Country Overview
Expenditure tracking nearly institutionalized at national level, operational at subnational level
Parliamentary Network nearly institutionalized<
Draft legislation being conceptualized

Expanded Program on Immunization (EPI)
The DRC EPI is in the Disease Control Directorate, Ministry of Public Health (MOPH).

Cameroon

Country Overview

  • Domestic advocacy network established and institutionalized
  • Private fund and public fund for immunization under development
  • Draft legislation under development

Expanded Program on Immunization (EPI)
The Cameroonian EPI is its own division within the Ministry of Health (MOH).

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.

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