By Mariya Savchuk

In recent years, the developing world has received increasing flows of external financing for immunization efforts. The funding has enabled over 100 million children to be immunized annually against a growing number of diseases. Yet government investments in immunization have not kept pace with the rising costs of immunization; the cost of delivering the full WHO-recommended set of ten vaccines is currently about US$30 per fully immunized child and this figure does not include the full cost of the newest vaccines for pneumococcal androtavirus disease because these vaccines are still heavily subsidized. In the face of growing donor dependency, countries are searching for sustainable immunization financing solutions.

The graph provides a glimpse of the progress of the Sustainable Immunization Financing (SIF) programs 15 pilot countries to date toward the sustainable financing goal. Shown are the routine immunization expenditures reported by a subset of the SIF pilot countries over the period 2000 to 2010. The data up to 2009 come from Fiscal Sustainability Plans, comprehensive Multi-Year Plans (cMYPs) and the WHO/UNICEF Joint Reporting Form . The 2010 data come from direct reports to SIF staff by national EPI managers. Over the period, the data show, routine immunization expenditures in the countries have gradually increased.