Sr. Manager, Immunisation Financing

vor 2 Wochen

Geneve, Schweiz Gavi, the Vaccine Alliance Secretariat Vollzeit

**BACKGROUND**
Gavi’s 5.0 strategy for the period 2021 to 2025 focuses on introducing and scaling up vaccines (Strategic Goal 1), reducing the number of zero-dose children and addressing issues of equity (Strategic Goal 2); and ensuring the sustainability of immunisation programs through strengthened domestic resources (Strategic Goal 3). While the Immunisation Financing and Sustainability (IF&S) team is specifically accountable for Strategic Goal 3 and Gavi’s unique approach to sustainability, it supports country teams in using financing mechanisms to achieve all three goals. The team provides strategic and thought leadership across the Secretariat on issues related to immunisation financing and sustainability, oversees the implementation of the eligibility, co-financing and transition policies, and provides support to country teams on a broad range of financing issues. To strengthen its capacity in immunisation and health financing Gavi is looking to recruit a dynamic, results-oriented Senior Programme Manager (SPM) - Country Focal Point to join its Secretariat in Geneva.
There are some important successes that the Gavi Alliance has achieved in immunisation financing. Country co-financing of vaccines has been maintained or increased during the COVID-19 pandemic and has surpassed $160 million In 2021. A review of the transition of 16 countries from Gavi support has highlighted the maintenance or expansion of vaccine portfolio in all of them and the maintenance of coverage rates in most of them.
Despite the successes, there are threats to immunisation and health financing in the countries supported by Gavi. The macro-fiscal situation is complex and is likely to remain uncertain until the end of the Gavi 5.0 period or beyond. The COVID-19 pandemic has left many countries with large amounts of debt, the financing of which might well reduce the fiscal space for health and immunisation. The war in Ukraine might further complicate the macro-economic situation and further reduce government allocations for health. The timing is unhelpful because many countries have suffered setbacks in immunisation and primary health care (PHC) which would point to need for additional financing for health services. Navigating these challenges will require greater financing expertise in immunisation programs and in Ministries of Health, strong collaboration with Alliance partners, and effective advocacy.
These myriad challenges will also necessitate the testing of innovations that can increase the effectiveness and efficiency of investments in immunisation and PHC. Some of the most promising financing innovations, and where evidence is accumulating quickly, are those that pay for outputs or outcomes rather than inputs. This entails diverse approaches, such as the use of small conditional cash transfers (CCTs) to encourage families to avail of immunisation services or direct facility financing (DFF) which provides operating budgets directly to frontline health facilities, or engagement with civil society organisations (CSOs) to help deliver services to under-served communities.

**THE ROLE**

**Key results expected**:
The SPM is expected to contribute to the achievement of the following outcomes, with a specific focus on a portfolio of 8-12 countries in the countries s/he is responsible for:

- Greater mobilisation of domestic and external (on-budget) resources dedicated to immunisation and primary health care (PHC);
- Timely and complete payment of co-financing obligations in keeping with Gavi policies;
- Timely and accurate reporting and analytics on country performance implementing Gavi’s co-financing and transition policies;
- Country examples and lessons learned in increasing domestic health financing and innovations to strengthen effectiveness and efficiency of health investments documented and shared;
- Appropriate sequencing and prioritisation of Gavi support in countries approaching transition;
- Successful transition of countries from Gavi support;
- Appropriate investments (TCA, HSS, EAF) towards transition preparedness and robust, results-based PHC and immunisation financing;
- Increased effectiveness and efficiency of financial resources in reaching zero-dose children and improving equity;
- The appropriate deployment of results-based financing approaches, such as demand side incentives such as conditional cash transfers (CCTs), direct facility financing (DFF), supporting civil society organisations (CSOs) in delivering immunisation services, etc. in the service of decreasing the number of zero-dose children and improving immunisation coverage;
- Strengthened advocacy for domestic resource mobilisation through work with CSOs, local champions, elected representatives, and government officials;
- Greater engagement of external partners such as the International Monetary Fund (IMF), World Bank, and other multilateral development banks (MDBs) on issues of immunisation and PHC financing.

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