Mar 12, 2012
Historical Analysis of the Comprehensive Multi-Year Plans in GAVI-Eligible countries
Immunization is a critical intervention for achieving the Millennium Development Goal of reducing deaths among children less than five years of age (MDG4) by two-thirds. More than 100 million children are vaccinated each year, protecting them against life-threatening diseases (WHO and UNICEF, 2010). Immunization is considered to be one of the ‘best buys’ in public health (WHO and UNICEF, 2010; World Bank 2010). Traditional vaccines cost pennies per dose and provide health benefits not only for the immunized child, but also for the community in which a child lives through herd immunity. In addition, studies have shown that immunization extends life expectancy and the time spent on productive activity later in life, thereby contributing to economic growth. Given the public goods aspect of immunization and its potential returns for growth and poverty reduction, this is an intervention definitely worth investment by governments. While newer vaccines are more expensive on a per dose basis, they have been shown to be highly cost-effective investments. The purpose of this analysis is to summarize historical trends in immunization costs and financing, both for routine services and campaigns, as countries have introduced new vaccines. The main audience for this document is national, regional, and global technical staff working on national immunization programs.Mar 12, 2012
Historical analysis of the cmyp plans in GAVI eligible countries 2004-2015
cMYP (Comprehensive Multi Year Plan), GAVI, WHO
Global
This paper estimates and compares the costs and financing of a sample of 54 national immunization programs as reflected in comprehensive multi-year plans (cMYPs) submitted to the GAVI Alliance, for the period 2004 to 2015.
Apr 11, 2011
Rwanda EPI cMYP 2011-2015
cMYP (Comprehensive Multi Year Plan), EPI Plan
Rwanda
The overall goal of the national EPI is to contribute to the improved well-being of the Rwandan people through reduction of child morbidity and mortality due to vaccine preventable diseases. Created in 1978, EPI in Rwanda became operational in 1980. It is comprised of three principal components: routine vaccination, supplemental immunization activities, and surveillance for target diseases.
Dec 17, 2010
Ethiopia EPI cMYP 2011-2015
cMYP (Comprehensive Multi Year Plan), EPI Plan
Ethiopia
The Federal Democratic Republic of Ethiopia is the second most populous country in sub Saharan Africa with an estimated population of approximately 79.2 million people and the tenth largest by area with its 1.1 million square kilometres, . The IMR is 77/1,000 in 2005, it is still among the highest in the world (DHS 2005). The health status of Ethiopian children is very poor as attested by the death of an estimated 472,000 under five children each year. Of every 100 children in Ethiopia, 14 do not live to celebrate their fifth birthday mostly due to preventable causes.
May 15, 2006
Nigeria EPI cMYP 2006-2010
cMYP (Comprehensive Multi Year Plan), EPI Plan
Nigeria
The Expanded Programme on Immunization was initiated in Nigeria in 1979 as the main strategy aimed at controlling childhood killer diseases, through provision of vaccines and immunization. The overall goal of the programme is to improve immunization coverage on a sustainable basis and reduce disease burden in all communities in Nigeria, while using immunization as platform to strengthen the overall primary health care delivery system.
Jul 5, 2011
Senegal EPI cMYP 2012-2016
cMYP (Comprehensive Multi Year Plan), EPI Plan
Senegal
Vaccinations have occupied a very important place in Senegal’s national health policy since the adoption of primary health services with the integration of expanded program for immunisation (EPI) for vaccine preventable diseases.
Senegal became involved in 2000 with relaunching EPI following a difficult period marked by reduced immunisation coverage and the resurgence of diseases such as measles. Following the EPI review of 2000 and the creation of the strategic plans for 2001-2005 and 2007-2011, a certain number of actions and measures were taken.
Jul 5, 2010
Burkina Faso EPI cMYP 2006-2010
The comprehensive multi-year plan (cMYP) is a single plan which consolidates several immunisation activities. It is a key planning and management tool for national immunisation programmes. It addresses global, national, and subnational immunisation objectives and strategies, and evaluates the costs and financing of the programme in line with the WHO-UNICEF Global Immunization Vision and Strategy 2006-2015. GAVI requires countries to submit a cMYP along with the standard proposal form when applying for GAVI support (ISS, INS, and NVS). In 2006, over 50 countries had developed cMYPs using the WHO-UNICEF cMYP guidelines and costing tool. The cMYP replaces the financial sustainability plan (FSP), used to assess the funding challenges of a country's national immunisation programme within the broader health financing context and to describe the government’s approach to mobilising and effectively using resources to support medium- and long-term immunisation objectives.May 2, 2011
Benin EPI cMYP 2009-2013
The comprehensive multi-year plan (cMYP) is a single plan which consolidates several immunisation activities. It is a key planning and management tool for national immunisation programmes. It addresses global, national, and subnational immunisation objectives and strategies, and evaluates the costs and financing of the programme in line with the WHO-UNICEF Global Immunization Vision and Strategy 2006-2015. GAVI requires countries to submit a cMYP along with the standard proposal form when applying for GAVI support (ISS, INS, and NVS). In 2006, over 50 countries had developed cMYPs using the WHO-UNICEF cMYP guidelines and costing tool. The cMYP replaces the financial sustainability plan (FSP), used to assess the funding challenges of a country's national immunisation programme within the broader health financing context and to describe the government’s approach to mobilising and effectively using resources to support medium- and long-term immunisation objectives.Jul 1, 2010
Liberia EPI cMYP 2011-2015
cMYP (Comprehensive Multi Year Plan), EPI Plan
Liberia
Liberia is signatory to the achievement of international and regional goals and targets, particularly the Millennium Development Goal to reduce the under-five mortality rate by two-thirds by 2015, the attainment of a routine immunization coverage of 90% nationally with at least 80% coverage in every district and the reduction of measles mortality rate by 90% as compared to the 2000 levels by 2015. This includes extending the benefits of new and underused vaccines to all children; the integration of vitamin A & mebendazole into routine immunization in 2011.
May 3, 2010
Ghana EPI cMYP 2010-2014
cMYP (Comprehensive Multi Year Plan), EPI Plan
Ghana
The comprehensive multi‐year plan (cMYP) is the medium term plan for the Expanded Programme on Immunization (EPI) in Ghana. As expected, it provides the strategic direction of the immunization programme for the period. The cMYP is always prepared in consonance with the 5‐year strategic plan of the health sector. The current cMYP (2007‐2011) had to be revised to 2014 to accommodate the plans to introduce three new vaccines –pneumococcal, rotavirus and second dose measles. After the development of the next health sector 5‐year plan which is from 2012‐2016, the cMYP will be revised and aligned to the health sector plan and period.
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