The response to flexibility: Country intervention choices in the first four rounds of the GAVI Health Systems Strengthening applications

Goeman, Lieve, Galichet, Benedicte, Porignon, Denis G., Hill, Peter S., Hammami, Naima, Elouma, Marthe-Sylvie Essengue, Kadama, Patrick Y. and Van Lerberghe, Wim (2010) The response to flexibility: Country intervention choices in the first four rounds of the GAVI Health Systems Strengthening applications. Health Policy and Planning, 25 4: 292-299. doi:10.1093/heapol/czq002


Author Goeman, Lieve
Galichet, Benedicte
Porignon, Denis G.
Hill, Peter S.
Hammami, Naima
Elouma, Marthe-Sylvie Essengue
Kadama, Patrick Y.
Van Lerberghe, Wim
Title The response to flexibility: Country intervention choices in the first four rounds of the GAVI Health Systems Strengthening applications
Journal name Health Policy and Planning   Check publisher's open access policy
ISSN 0268-1080
1460-2237
Publication date 2010-07-01
Sub-type Article (original research)
DOI 10.1093/heapol/czq002
Volume 25
Issue 4
Start page 292
End page 299
Total pages 8
Editor Richard Coker
Sara Bennett
Place of publication Oxford, U.K.
Publisher Oxford University Press
Collection year 2011
Language eng
Formatted abstract
Since December 2005 the GAVI Alliance (GAVI) Health Systems Strengthening (HSS) window has offered predictable funding to developing countries, based on a combined population and economic formula. This is intended to assist them to address system constraints to improved immunization coverage and health care delivery, needed to meet the Millennium Development Goals. The application process invites countries to prioritize specific system constraints not adequately addressed by other donors, and allows them to allocate their eligible funds accordingly.

This article presents an analysis of the first four rounds of countries’ funding applications. These requested funding for a variety of health system initiatives that reflected country-specific requirements, and were not limited to improving immunization coverage. Analyses identified a dominance of operational-level health service provision activities, and an absence of interventions related to demand and financing. While the proposed activities are only now being implemented, the results of this study provide evidence that the open application process employed by the HSS window has led to a shift in analysis and planning—from the programmatic to the systemic—in the countries whose applications have been approved. However, the proposed responses to identified constraints are dominated by short-term operational responses, rather than more complex, longer term approaches to health system strengthening.
© The Author 2010; all rights reserved.
Keyword Health systems strengthening
Systemic constraints
Immunization
Planning
Alignment
STEPS
Q-Index Code C1
Q-Index Status Confirmed Code
Institutional Status UQ

Document type: Journal Article
Sub-type: Article (original research)
Collections: Official 2011 Collection
School of Public Health Publications
 
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Created: Sun, 11 Jul 2010, 10:05:47 EST