Back التحالف العالمي للقاحات والتحصين Arabic GAVI Catalan Gavi, die Impfallianz German GAVI Esperanto GAVI Spanish اتحاد جهانی واکسن و ایمن‌سازی Persian Alliance mondiale pour les vaccins et l'immunisation French GAVI Alliance Italian GAVIアライアンス Japanese 세계백신면역연합 Korean

GAVI

For the footballer Pablo Martín Páez Gavira, see Gavi (footballer).
For other uses, see Gavi (disambiguation).

Gavi (Global Alliance for Vaccines and Immunization)
Founded2000 (2000)
TypePublic–private partnership
Legal statusActive
FocusVaccination
Location
Key people
Sania Nishtar, Seth Berkley, Dagfinn Høybråten, José Manuel Barroso, Anuradha Gupta
Websitewww.gavi.org
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GAVI, officially Gavi, the Vaccine Alliance[1] (previously the GAVI Alliance, and before that the Global Alliance for Vaccines and Immunization)[2] is a public–private global health partnership with the goal of increasing access to immunization in poor countries.[3] In 2016, Gavi channeled more than half of total donor assistance for health, and most donor assistance for immunization, by monetary measure.[4]

Gavi supports the immunization of almost half the world's children. Gavi has helped immunize over 760 million children, preventing over 13 million deaths worldwide, helping increase diphtheria vaccine coverage in supported countries from 59% in 2000 to 81% in 2019, contributing to reducing child mortality by half. It also seeks to improve the economics of vaccines, negotiating bulk prices, supporting price discrimination, and reducing the commercial risks that manufacturers face when selling vaccines to the poor and developing vaccines.[4][5] It also provides funding to strengthen health systems and train health workers across the developing world,[4] though the effectiveness of its health-system-strengthening programs is disputed.[6]

Along with Global Health Initiatives (GHIs) in general, Gavi was described as innovative, effective, and less bureaucratic than multilateral government institutions like the WHO. Gavi programmes may produce quantified results within an election cycle, which is appealing to parties locked in an election cycle.[7] One author described Gavi's approach to public health as business-oriented and technology-focused, using market-oriented measures, and seeking quantifiable results. Gavi follows a model termed the "Gates approach" or US-type approach.[6][7] It contrasts with the approach typified by the Alma Ata Declaration, which focuses on the effects of political, social, and cultural systems on health.[7]

Gavi facilitates vaccinations in developing countries by working with donor governments, the World Health Organization,[8] UNICEF,[9] the World Bank,[10] the vaccine industry in both industrialised and developing countries, research and technical agencies, civil society, the Bill & Melinda Gates Foundation[11] and other private philanthropists. Gavi has observer status at the World Health Assembly.[citation needed] GAVI has been criticized for giving private donors more unilateral power to decide on global health goals,[7] prioritizing new, expensive vaccines while putting less money and effort into expanding coverage of old, cheap ones,[12] harming local healthcare systems,[7] spending too much on subsidies to large, profitable pharmaceutical companies[13] without reducing the prices of some vaccines, and its conflicts of interest in having vaccine manufacturers on its governance board.[14] Gavi has taken steps to address some of these concerns.[7]

  1. ^ Ravelo, Jenny Lei (10 November 2014). "The evolution of global health's 'best-kept secret'". Devex. Retrieved 25 January 2017.
  2. ^ "GAVI – The Global Alliance for Vaccines and Immunizations". World Health Organization. Archived from the original on 5 April 2022. Retrieved 26 May 2022.
  3. ^ Boseley, Sarah (17 November 2011). "Green light from Gavi for cervical cancer vaccine". Guardian. Retrieved 29 April 2014.
  4. ^ a b c Ikilezi, Gloria; Augusto, Orvalho J.; Dieleman, Joseph L.; Sherr, Kenneth; Lim, Stephen S. (2020). "Effect of donor funding for immunization from Gavi and other development assistance channels on vaccine coverage: Evidence from 120 low and middle income recipient countries". Vaccine. 38 (3). sciencedirect.com: 588–596. doi:10.1016/j.vaccine.2019.10.057. PMID 31679863.
  5. ^ Jaupart, Pascal; Dipple, Lizzie; Dercon, Stefan (2019). "Has Gavi lived up to its promise? Quasi-experimental evidence on country immunisation rates and child mortality" (PDF). The British Medical Journal. 4 (6): e001789. doi:10.1136/bmjgh-2019-001789. PMC 6936423. PMID 31908857. Retrieved 4 October 2020.
  6. ^ a b Cite error: The named reference HSS_content was invoked but never defined (see the help page).
  7. ^ a b c d e f Cite error: The named reference ethnograph was invoked but never defined (see the help page).
  8. ^ "GAVI Alliance". WHO. Archived from the original on 11 March 2015. Retrieved 15 January 2020.
  9. ^ "Supplies and Logistics – GAVI". UNICEF. 9 April 2007. Archived from the original on 16 March 2013. Retrieved 27 January 2013.
  10. ^ "The World Bank's Partnership with the Gavi Alliance". World Bank Group. 18 July 2014. Retrieved 15 January 2020.
  11. ^ "What We Do -VACCINE DELIVERY- Strategy Overview". Bill&Melinda Gates Foundation. Archived from the original on 15 January 2020. Retrieved 15 January 2020.
  12. ^ Cite error: The named reference humanosphere was invoked but never defined (see the help page).
  13. ^ "GAVI money welcome but could it be more wisely spent?". Médecins Sans Frontières (MSF) International. 14 June 2011.
  14. ^ Cite error: The named reference pneumococcal was invoked but never defined (see the help page).

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