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Regional GAVI HSS Status

Dr Sunil Senanayake
Regional Adviser
(Health Systems Management)
Country
Bangladesh

Amount
committed (US
$)

Amount
received (US
$)

Start
Year

End
Year

13,671,418.00

7,243,500.00

2008

2013

193,987.00

152,987.00

2008

2013

DPR Korea

4,361,000.00

2,448,100.00

2009

2013

Indonesia

24,287,250.00

11,683,995.00

2008

2014

Myanmar

32,780,902.00

2,833,405.00

2008

2015

Nepal 1st
Application

8,667,000.00

8667000

2008

2010

Nepal 2nd
Application

14,540,690.00

4,656,945.00

2010

2012

4,505,000.00

3,447,765.00

2008

2013

45,000,000.00

September

2012

2017

3,000,000.00

September

2012

2017

151,007,247.00

41,133,697.00

Bhutan

Sri Lanka
India
Timro Leste
Total
What other countries are doing…
• Bangladesh – Focusing 20 low coverage districts
• Bhutan – service expansion
• DPRK – cold chain equipment and training
• India – cold chain equipment and logistics
• Indonesia – Training, information gathering,
service expansion
• Nepal – service expansion and HRH development
• Sri Lanka – 12 low coverage districts
• Timor Leste – service expansion and HRH
development
What are the major issues…
Bangladesh

capacity development of all levels, Quality aspects,
Incentive package, accountability, coordination of
partners

Bhutan

redundancy of planned activities, reprogramme,
phasing off GAVI Support

DPR Korea

Quality, AEFI surveillance, Emphasis on
performance/outcome indicators

Indonesia

Annual revision f unit costs and frequent changes in
financial regulations, Inter-district variations in
technical and management capacity

Nepal

coordination of planning, implementation and
monitoring, frequent staff changes, combine funds
and difficulty in getting financial reports on GAVI
HSS, political instability, HR and procurement
issues

Sri Lanka

Lack of guidance from missions, results based
financing, Work load is too heavy for existing staff
at project level
Myanmar HSS
•
•
•
•
•
•
•
•

Overall Health Systems Assessment???
HRH Assessment & Profiles
HIS Assessment and HMN support
Drugs, medical products, equipment
Assessment???
Essential drug list???
Drug Regulatory mechanism???
Service availability mapping commenced??
Health sector master plan???
Thank you!!!!
Thank you!!!!

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GAVI Regional HSS Status and Issues in Asia

  • 1. Regional GAVI HSS Status Dr Sunil Senanayake Regional Adviser (Health Systems Management)
  • 2. Country Bangladesh Amount committed (US $) Amount received (US $) Start Year End Year 13,671,418.00 7,243,500.00 2008 2013 193,987.00 152,987.00 2008 2013 DPR Korea 4,361,000.00 2,448,100.00 2009 2013 Indonesia 24,287,250.00 11,683,995.00 2008 2014 Myanmar 32,780,902.00 2,833,405.00 2008 2015 Nepal 1st Application 8,667,000.00 8667000 2008 2010 Nepal 2nd Application 14,540,690.00 4,656,945.00 2010 2012 4,505,000.00 3,447,765.00 2008 2013 45,000,000.00 September 2012 2017 3,000,000.00 September 2012 2017 151,007,247.00 41,133,697.00 Bhutan Sri Lanka India Timro Leste Total
  • 3. What other countries are doing… • Bangladesh – Focusing 20 low coverage districts • Bhutan – service expansion • DPRK – cold chain equipment and training • India – cold chain equipment and logistics • Indonesia – Training, information gathering, service expansion • Nepal – service expansion and HRH development • Sri Lanka – 12 low coverage districts • Timor Leste – service expansion and HRH development
  • 4. What are the major issues… Bangladesh capacity development of all levels, Quality aspects, Incentive package, accountability, coordination of partners Bhutan redundancy of planned activities, reprogramme, phasing off GAVI Support DPR Korea Quality, AEFI surveillance, Emphasis on performance/outcome indicators Indonesia Annual revision f unit costs and frequent changes in financial regulations, Inter-district variations in technical and management capacity Nepal coordination of planning, implementation and monitoring, frequent staff changes, combine funds and difficulty in getting financial reports on GAVI HSS, political instability, HR and procurement issues Sri Lanka Lack of guidance from missions, results based financing, Work load is too heavy for existing staff at project level
  • 5. Myanmar HSS • • • • • • • • Overall Health Systems Assessment??? HRH Assessment & Profiles HIS Assessment and HMN support Drugs, medical products, equipment Assessment??? Essential drug list??? Drug Regulatory mechanism??? Service availability mapping commenced?? Health sector master plan???