• Logan Brenzel, Carl Schütte, Keti Goguadze, Werner Valdez, Jean-Bernard Le Gargasson, and Teresa Guthrie.
• Logan Brenzel (Logan.Brenzel@gatesfoundation.org) is a senior program officer in cost-effectiveness, vaccine delivery, and global development at the Bill & Melinda Gates Foundation in Washington, D.C.
• Health Aff (Millwood). 2016 Feb 1; 35 (2): 259-65.

AbstractGovernments in resource-poor settings have traditionally relied on external donor support for immunization. Under the Global Vaccine Action Plan, adopted in 2014, countries have committed to mobilizing additional domestic resources for immunization. Data gaps make it difficult to map how well countries have done in spending government resources on immunization to demonstrate greater ownership of programs. This article presents findings of an innovative approach for financial mapping of routine immunization applied in Benin, Ghana, Honduras, Moldova, Uganda, and Zambia. This approach uses modified System of Health Accounts coding to evaluate data collected from national and subnational levels and from donor agencies. We found that government sources accounted for 27-95 percent of routine immunization financing in 2011, with countries that have higher gross national product per capita better able to finance requirements. Most financing is channeled through government agencies and used at the primary care level. Sustainable immunization programs will depend upon whether governments have the fiscal space to allocate additional resources. Ongoing robust analysis of routine immunization should be instituted within the context of total health expenditure tracking.Project HOPE—The People-to-People Health Foundation, Inc.

16 keywords...

hide…