Country-level governance of global health initiatives: an evaluation of immunization coordination mechanisms in five countries of Asia

Health Policy and Planning
John Grundy

Abstract

In recent years there have been innovations in immunization financing and new technologies, and the scaling up of investment by the Global Alliance for Vaccines and Immunization (GAVI) in the Asia region. The main mechanism for coordination of this global health initiative (GHI) investment is country-level 'Inter-Agency Coordination Committees' (ICCs). The aim of the evaluation was to determine the utility and future perspectives of stakeholders regarding the role of ICCs in improving immunization services in the Asian Region. A literature review, documentary analysis and semi-structured interviews (n = 65) were undertaken in five countries (India, Bangladesh, Nepal, Sri Lanka and Indonesia), with senior level members of Ministries of Health and the GAVI partnership. The evaluation has identified that there have been significant changes recently in the strategic environment for immunization, including developments in new vaccines, increasing GAVI investment, trends towards health system integration and decentralization, and institutional development of the non-government sector. This evaluation found that ICCs are functioning well in relation to information sharing and GAVI application processes. However, they are performing le...Continue Reading

References

Oct 24, 2006·Social Science & Medicine·Kent Buse, Andrew M Harmer
May 29, 2007·Lancet·Steven Radelet, Bilal Siddiqi
Jan 24, 2009·The International Journal of Health Planning and Management·Joseph F Naimoli

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Citations

Mar 10, 2016·Malaria Journal·Idda RomoreSalim Abdulla
Apr 17, 2015·International Health·Baburam MarasiniJudy Taylor
Nov 21, 2017·PLoS Neglected Tropical Diseases·Valerie MakogeMaria Koelen
Aug 12, 2016·The Cochrane Database of Systematic Reviews·Charles S WiysongeGregory D Hussey

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