immunization financing in nigeria financing in nigeria ... (cms) •maintenance of cold chain ......
TRANSCRIPT
Immunization Financing in Nigeria
Training Workshop for CSOs on Immunization Advocacy4th and 5th August, 2016 at Rockview Hotel, Abuja
• At the end of this session, participants are expected to;
i. Understand the sources of funding for vaccines
procurement and immunization program activities
ii. Know the funding requirements for vaccines procurement
and storage over the next 10 years
iii. Understand the challenges in implementing approved
budgets for immunization
Learning Objectives;
• Government through Annual Budgets - FG, State, LGA
• Donor Agencies
- Gavi
- BMGF
- Dangote Foundation
• Other development partners – IVAC, CHAI, JICA, EU, etc
• Health workers
• Individuals
Sources of Immunization Funding
=N=
Traditional Vaccines & Devices 1.017b
Clearing & distribution of vaccines & devices 76.97m
Polio Eradication Initiative 9.821b
Hajj Vaccines 220.47m
Non-Polio SIAs (Vaccines + Devices +ops costs)1.743b
Total 12.879b
FG Immunization Budget in 2016 Appropriation Act(46% of FMOH Capital Expenditure)
=N=‘m
| 7
Once a Gavi country’s GNI per capita > US$1,580, it enters graduation and must step up its co-financing amounts over the next 5-7 years
Preparatory
Transition
15% annual increase
in co-financing reqs.
(based on antigen
price)
Accelerated
Phase 2
Increasing country
co-financing
requirements over
5 years*
Transitioned
Country fully
financing RI & NVI,
with access to Gavi
prices for 5 years
post-transition
Source: UNICEF
Country enters transition
Initial Self-
Financing
$0.20/dose
co-financing
for all Gavi
vaccines
*May be extended to 7 years in certain cases (e.g. unexpected rebasing of Nigeria’s GDP)
1a
DRAFT
*National Health Strategy and Development Plan and the National Routine Immunization Strategic Plan
Annual Average: 2022-2025 =
$362m
• Procurement of vaccines
• Storage of vaccines
• Transportation of vaccines to state Central Medical Stores (CMS)
• Maintenance of cold chain
• Immunization outreach to hard-to-reach areas
• Program management for immunization
• Advocacy, communications and social mobilization
What are immunization funds used for?
Late passage of the Appropriation Act
( 2016 budget got presidential assent in May 2016)
Economic recession due to low crude oil prices and
production disruptions in Niger Delta
Delayed/non-release of appropriated funds
Delayed/non-retirement of expended funds
Non-prioritization of Health/Immunization by
Policymakers
Budget Implementation Challenges
• The National Immunization Financing Task Team (NIFT) coordinates efforts by government and NGOs towards unhindered access to vaccines. http://niftng.com/
• NIFT Sub-committees
- Evidence Generation
- Advocacy
- Fund raising
- Local Vaccine Production.
Who coordinates Immunization Financing Advocacy efforts?
• Increased budgetary allocation and appropriation for
immunizations
• Co-funding for the immunization value by Federal
Government, State Governments and the Private Sector
• Setting up and institutionalization of National Trust Fund
for Primary Health Care (including Immunization)
• Local Vaccine Production
Strategies being considered by NIFT for Sustainable Immunization Financing
• Timely release of budgeted funds for immunization
• Timely budget preparation and approval (before the next
fiscal year)
• Biennial appropriation and procurement of vaccines for 2017
& 2018 ($140 million funding gap)
• Finalization and implementation of sustainable immunization
financing strategies
Advocacy Points for Immunization Funding
• WAVA – www.wavang.org
• DCL – www.dclnigeria.com
• NIFT – www.niftng.com
• Twitter - @wavaorg @NIFTng @dcl_ng @IVACtweets
• IVAC Landscape analysis -http://www.jhsph.edu/research/centers-and-institutes/ivac/projects/nigeria/IVAC-Landscape-Analysis-Routine-Immunization-Nigeria-Brief.pdf
• Insightful newspaper interview of former NPHCDA boss -http://guardian.ng/features/natural-health/nigeria-has-secured-enough-vaccines-for-2016-2017/
Websites/Resources
| 1919
THANK YOU!