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Measles Initiative Management and Financing September 13, 2011. Overview. MI management and finance mechanism strengths and challenges Financial update. MI Process. Management. Disbursement. Management - Strengths. Country driven No secretariat Flexible Transparent

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Measles Initiative Management and Financing September 13, 2011

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Measles Initiative

Management and Financing

September 13, 2011


  • MI management and finance mechanism

    • strengths and challenges

  • Financial update

MI Process



Management - Strengths

  • Country driven

  • No secretariat

  • Flexible

  • Transparent

  • Defined roles and responsibilities: with shared responsibility and credit

  • Well coordinated: avoids programme fragmentation

  • Clearly defined monitoring and evaluation indicators and process

  • Accountable: accurate & detailed reporting of results & resources on annual basis


Balance needs of each partner agency with needs of the MI

MI communication/advocacy support hired

MI branded communication tools, Facebook, Twitter, Storify, etc.




Raise awareness of partnership and goals

Advocacy survey

Inform direction of MI advocacy team

MI advocacy team (MIAT)

Finalizing TORs, structure and management, short-term workplan



Financial Mechanism



UNF (matching funds)

Other Donors

“The Measles Fund”

(Donor Partners)



Costs, Technical Assistance, and Lab/Surveillance




Country Plans





(UN Partners)


MOH, Red Cross/Crescent Societies, Lions, LDS and other NGOs



(In-Country Partners)

Note: Funds are released when ICC-approved country plans are approved by partners.

Financial Mechanism - Strengths

  • Flexible

  • Rapid and full disbursement of funds

  • Able to balance WHO and UNICEF funding needs in different settings

  • Low overhead costs

  • Low transaction costs for donors, partners and countries (one pooled donor fund, one proposal, one report)

  • Streamlined: joint resource mobilization

Decline in funds available

Additional resource mobilization support

TORS developed, interviews underway

New partners

Measles mortality reduction investment case (Dec. 2011)

Eradication investment case (Apr. 2012)

High net worth individuals investment case (near final)

Financial Mechanism



Measles Initiative Annual Donations, 2001-2011*

*Excluding country contributions

Financial Mechanism

Large outbreaks that require emergency ORI

$30m in 2010 and in 2011

Sufficient funds for high quality preventative campaigns

Ongoing discussions regarding outbreak response fund

Coordination with other humanitarian agencies



Measles Case Distribution by Month,

Sub-Saharan Africa 2006-2010

Financial Mechanism

Non-binding agreement with countries to finance 50% of SIA costs

On-going discussions with GAVI and other partners to explore common standards for implementing country co-financing

MI advocacy team to focus on raising political and financial commitment from implementing countries



Financial Update

Historic Measles Initiative Support

  • Technical

    • Vaccination and surveillance strategies

    • Program planning, implementation, M and E

  • Financial

    • Bundled vaccine

    • SIA operational costs

      • 100% catch-up campaigns

      • 50% for follow-up campaigns

  • Lab and surveillance

  • Technical assistance

  • Advocacy and communication

  • Additional Cost Elements to Achieve Goals

    • Research

    • Outbreak response

    • Routine

      • Scale up of MCV1

      • MCV2 introduction

    • Rubella

      • Catch-up campaigns

      • Introduction into routine

    Annual Donations 2001-2011 and Financial Resource Requirements, Projections, Funding Gap 2012

    Funding Gap 2012: $43.4 million

    * Excluding country contributions

    External Contributions, Projected Contributions and

    Funding Gap for 2001-2012

    Total: $987 million (excluding country contributions for follow-up SIAs, & intro. of MCV2)

    2012 funding gap US$43.4 m

    *includes ARC and partners: ARC chapter contributions, Anne Ray Charitable Trust, BD, Herman and Katherine Peters Foundation, and others

    ** includes UNF and partners

    Next Steps

    • Financial resource requirements, 2011-2015

    • Measles eradication investment case

      • global burden of disease

      • expected benefits, risks, and costs of the eradication and comparator options (i.e., control)

      • social, political, and economic challenges

      • ethical considerations

      • operational and other research needs

      • different financial instruments and funding mechanisms

      • options for management and governance

    Anne Ray Charitable Trust

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