In November 2011 the GAVI Alliance Board requested that the Secretariat begin to investigate a more flexible policy to address how GAVI will support fragile or low-performing countries. Under varying criteria, 44 of the 57 GAVI-eligible countries were categorized as "fragile" using at least one criteria. Fragility, under the draft document, could include anything from political instability to humanitarian disaster, or be based on immunization-related circumstances like a devolved health system or vast inequalities in immunization coverage.
Under these circumstances a country's ability to roll-out new or underutilized vaccines, reliably fulfill co-financing agreements, or successfully submit proposals to GAVI may be jeopordized.
ACTION welcomes the opportunity to consult on the draft country-by-country policy which expands the number of country-specific strategizies GAVI already has, and looks forward to submitting our feedback.
If you'd like to learn more about ACTION's work on inequalities in immunization coverage, please read our report.