Madagascar

Madagascar is pursuing financial sustainability for its immunization services through legislation. The Sabin Sustainable Immunization Financing (SIF) Program began its efforts in Madagascar in December 2009.

Immunization Program Structure

Madagascar’s Expanded Program on Immunization (EPI) is located in the Immunization Department, Maternal and Child Health Directorate, General Secretariat, Ministry of Health & Family Planning (MOHFP).

Madagascar’s Progress to Date

Government Spending on Immunization

Liberia

Liberia is pursuing financial sustainability for its immunization services through legislation and expenditure tracking. The Sabin Sustainable Immunization Financing (SIF) Program began its efforts in Liberia in November 2008.

Immunization Program Structure

Liberia’s Expanded Program on Immunization (EPI) is located in the Preventative Services Division, Health Services Department, Ministry of Health & Social Welfare (MOHSW).

Liberia’s Progress to Date

Government Spending on Immunization

Kenya

Kenya is pursuing financial sustainability for its immunization services through a new financing arrangement. The Sabin Sustainable Immunization Financing (SIF) Program began its efforts in Kenya in October 2008.

Immunization Program Structure

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

Kenya’s Progress to Date

Government Spending on Immunization

DRC

The Democratic Republic of the Congo is pursuing financial sustainability for its immunization services through legislation, budget advocacy and expenditure tracking. The Sabin Sustainable Immunization Financing (SIF) Program began its efforts in DRC in June 2009.

Immunization Program Structure

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

DRC’s Progress to Date

Government Spending on Immunization

Congo (Brazzaville)

The Republic of Congo is pursuing financial sustainability for its immunization services through budget advocacy. The Sabin Sustainable Immunization Financing (SIF) Program began its efforts in Congo in February 2012.

Immunization Program Structure

Congo’s immunization program (EPI) is located in the Family Health Department, Ministry of Health.

Congo’s Progress to Date

Government Spending on Immunization

Vaccination Financing Mechanism

Cameroon

Cameroon is pursuing financial sustainability for its routine immunization services through new financing arrangements, budget advocacy and resource tracking. The Sabin Sustainable Immunization Financing (SIF) Program began its efforts in Cameroon in October 2008.

Immunization Program Structure

Cameroon’s Expanded Program on Immunization (EPI) is a division within the Ministry of Health (MOH).

Cameroon’s Progress to Date

Government Spending on Immunization

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.

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