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

Expenditure Tracking

Legislation for Sustainability

Domestic Advocacy Network

SIF Program Inputs

Government Spending on Immunization

Over the period 2006-2014, the country’s Gross National Income rose from US$1,210 to $2,680 per capita, a 121% increase. According to the WHO/UNICEF Joint Reporting Form (JRF), the Congolese government spent $3 on routine immunization per surviving infant in 2006. By 2014, this figure had increased more than five-fold to $17. In addition, the government share of total routine immunization expenditures increased from 26% to 40% over the period. Since 2010, Congo has reported consistently on JRF financial indicators. The data suggest that Congo has progressed towards country ownership of its immunization program. Among SIF countries, Congo ranked sixth in terms of routine immunization spending per surviving infant in 2014.

Congo's JRF Financial Feedback Report, 2006-2014.

 

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.

Expenditure Tracking

The EPI team completed a budget analysis exercise using 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.”

The government of Congo began drafting the country’s immunization bill in June 2012.

In a peer exchange workshop in November 2012, Congolese counterparts amended the immunization bill.

Domestic Advocacy Network

In August 2015, the National Assembly Health Committee Chairman began organizing a Parliamentary Coalition for Immunization.

SIF Program Inputs

  • August 2015: Program Director and Senior Program Officer meet with the National Assembly Health Committee
  • June 2015: National Assembly Health Committee Chairman joins DRC Advocacy Coalition mission to Katanga province
  • December 2014: Congolese counterparts join DRC, Malgache, Cameroonian, Malian, and Senegalese delegates in peer review workshop
  • August 2013: Congolese counterparts attend Sabin-sponsored colloquium
  • November 2012: Congolese counterparts join DRC, Malgache, Cameroonian, Malian, and Senegalese delegates in legislative peer review workshop
  • February 2012: Senior Program Officer conducts introductory briefings with the MOH and EPI