- Vaccine procurement account under development
- Draft immunization law complete
- Advocacy network being conceptualized
Expanded Program on Immunization (EPI)
The Congolese EPI is in the Family Health Department, Ministry of Health.
Government Spending on Immunization
Over the period 2006-2013, the country’s Gross National Income increased from US$1,210 to US$2,660 per capita, a 120 percent increase. According to the WHO/UNICEF Joint Reporting Form (JRF), the Congolese government spent $3 on routine immunization per surviving infant in 2006. By 2013, this figure had risen to $10, a 233 percent increase. While increasing in absolute terms, the government share of total routine immunization expenditures dropped from 26 percent to 24 percent from 2006-2013. Caveats: Reporting for JRF Indicator 6500 is complete but remains inconsistent across the other JRF financial indicators. The data suggest that Congo has progressed towards country ownership of its immunization program.
Vaccination Financing Mechanism
In October 2014, the MOH began developing guidelines for a “Special Appropriation Account”, which will be used for vaccine procurement and will be subsidized by an airline tax.
Tracking Expenditure Flows
The EPI completed the SIF Budget Process tool in August 2013.
Legislation for Sustainability
Title I, Article 34 of the 1992 Constitution states: “The State is the guarantor of public health. Every citizen has the right to a standard of living adequate for the health and well-being of himself and his family, including food, clothing, housing, medical care and necessary social services. The right to create private social and health institutions is guaranteed. Social and health institutions are subject to approval by the State and governed by law.”
In May 2012, the Economic Community of Central African States (ECCAS) in partnership with the WHO issued an advocacy memo to the Congolese president, urging him to support the development of Congo’s immunization law. The government began drafting the law the following June. In October, law drafters streamlined provisions from the Latin American & Caribbean model law into the draft law. The draft law was completed that same month.
The drafters incorporated amendments recommended by African peers in a legislative peer review workshop in November 2012.
Domestic Advocacy Network
The MOH began conceptualizing a Parliamentary Network for Immunization in October 2014.
Major SIF Program Efforts
- December 2014: Senior Program Officers from Cameroon and DRC co-organize the Francophone Africa Peer Review Workshop on Sustainable Immunization Financing. Government peers from DRC, Congo-Brazzaville, Madagascar, Cameroon, Mali, and Senegal participate.
- October 2014: Senior Program Officer participates in the Gavi Graduation Assessment in Congo.
- April 2014: Senior Program Officer participates in the Rota Virus Launch event, hosted by the Health Minister.
- May 2013: Senior Program Officer and peer exchangers from DRC and Congo participate in Gavi survey of Central African annual situation reports.
- November 2012: Senior Program Officers from Cameroon and DRC co-organize the SIF francophone Africa legislative peer review. Government officials from Cameroon, Mali, Senegal, DRC, Congo-Brazzaville, and Madagascar participated.
- May 2012: Three Congolese peer exchangers participate in WHO/UNICEF/AMP/SIF cMYP review workshop for Central African countries.
- February 2012: Senior Program Officer conducts introductory briefings with the MOH and EPI.