Opportunities for a New Compact between Gavi and Partner Countries

Opportunities for a New Compact between Gavi and Partner Countries CGD NOTE 364 | APRIL 2024 Opportunities for a New Compact between Gavi and Partner Countries Anastassia Demeshko and Tom Drake Health aid in its current form is fragmented, burdensome, and lacks country ownership in how it is allocated. [...] We outline a package of policy shifts for Gavi to consider, in line with the core approach of prioritising country ownership and financing of the highest priority vaccines while health aid is provided at the margin. [...] Challenges facing Gavi and its partner countries At a macro-level, countries continue to recover from the pandemic and respond to an evolving global landscape—growing conflict and fragility, the polycrisis involving climate change, and deteriorating macroeconomic conditions. [...] • Progressively assume a greater • There is a clearer compact between • Countries choose to implement • Provide technical assistance or full share of financing and national public providers and their with some degree of out-of-pocket to support both domestically- delivery of the highest priority constituent population on the payment, potentially resulting in and Gavi-financed vaccines. [...] manufacturers (continued) OPP ORTUNIT IES FOR A NE W COMPAC T BE T WEEN GAVI AND PARTNER COUNTRIES 11 POLICY SPECIFICS POLICY SHIFT GAVI PARTNER COUNTRY BENEFITS CHALLENGES AND RISKS* Ensure • Enhance technical assistance • Develop or strengthen systems • Equitable prioritisation through the • Given the high level of need in comprehensive to ensure continued progress for financing and implementing.