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Civil Society in the GAVI Alliance: Reaching More Children through Improved Partnership Professor Adenike Grange President, International Paediatric Association (IPA) Civil Society Representative, GAVI Alliance Board GAVI Alliance Board 20 June 2006, Washington DC Overview

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Civil Society in the GAVI Alliance:

Reaching More Children through Improved Partnership

Professor Adenike Grange

President, International Paediatric Association (IPA)

Civil Society Representative, GAVI Alliance Board

GAVI Alliance Board

20 June 2006, Washington DC

GAVI Alliance Board Meeting

20 June 2006

Washington, DC

overview
Overview
  • Part I: Introduction
    • The GAVI Civil Society Task Team
    • Civil Society Organizations: A Working Definition for GAVI
    • Civil Society Organization (CSO) Roles in Immunization
    • Looking Ahead: CSOs and GAVI
  • Part II: The Civil Society Task Team Proposals
    • Government – CSO Partnerships
    • Strengthened CSO Representation within GAVI

GAVI Alliance Board Meeting

20 June 2006

Washington, DC

the gavi civil society task team
The GAVI Civil Society Task Team
  • The GAVI Civil Society Task Team was formed at the 2005 GAVI Partners’ Meeting in New Delhi to explore ways to reintegrate and strengthen civil society organizations’ participation in GAVI
  • Current members include:
    • Adenike Grange, President of International Paediatric Association & GAVI Alliance Board member (chair)
    • Simon Mphuka, Church Health Association of Zambia & member of the GAVI Working Group
    • Mark Kane, former PATH, former GAVI Alliance Board representative & former Working Group member
    • Jane Schaller, International Paediatric Association
    • James Cheyne, PATH
    • Jean Roy, International Federation of Red Cross and Red Crescent Societies
    • Marc Hofstetter, Abdallah Bchir & Tristan Blanchard, GAVI Secretariat

GAVI Alliance Board Meeting

20 June 2006

Washington, DC

the gavi civil society task team4
The GAVI Civil Society Task Team

Objectives:

  • To assess the current and possible future role of CSOs in the GAVI Alliance
  • To develop a process for eligibility for GAVI partnership, and to develop a process for supporting the eligible CSOs
  • To develop a list of projects through which civil society can best contribute to promotion of GAVI Alliance goals to civil society whilst promoting the role of civil society in the GAVI Alliance
  • To develop indicators for measuring progress and outcomes of CSOs’ engagement in GAVI and of GAVI support to CSOs

GAVI Alliance Board Meeting

20 June 2006

Washington, DC

gavi cso partners a working definition
GAVI CSO Partners: A Working Definition
  • GAVI CSO partners must have an active constituency and values consistent with the spirit and purposes of the GAVI Alliance: reducing suffering, disease and death through improved and sustained immunisation services
  • GAVI CSO Partners:
    • Agree to work collaboratively with governments, the GAVI Alliance Secretariat, and other GAVI Partners
    • May be international, regional, or country level in structure and scope
    • Should be independent of government and UN agencies
    • Must have established headquarters, externally audited accounts, and a record of work relevant to improving the impact of immunisation for at least three years

GAVI Alliance Board Meeting

20 June 2006

Washington, DC

gavi cso partners a working definition6
GAVI CSO Partners A Working Definition

Organizations of specific relevance for GAVI Partnership include:

  • Community-based organisations in countries,
  • Consortiums of NGOs in health,
  • Professional associations,
  • Specialized technical assistance organisations,
  • International and local health consulting groups,
  • CSOs responding to emergencies in countries in crisis.

GAVI Alliance Board Meeting

20 June 2006

Washington, DC

cso roles in immunization
CSO Roles in Immunization

The Civil Society Task Team commissioned a review to identify the role of civil society in immunization (A Bass, May 2006)

The review found:

  • No systematic, global collection of civil society’s role in immunization service delivery; difficult to quantify
  • Civil society organizations (CSOs) often reach the hardest to reach geographically or marginalized populations
  • Civil society plays a critical role in countries in crisis

Routine Immunisations Delivered by Civil Society Organizations in Sample Countries

GAVI Alliance Board Meeting

20 June 2006

Washington, DC

cso roles in immunization8
CSO Roles in Immunization

The review also highlighted:

  • Civil society has made enormous contributions to polio eradication, measles, and neonatal tetanus programmes
  • Civil society offers the potential to reach millions of currently unreached children
  • It is often not possible for governments to directly fund civil society organizations

Populations Reached by Partnerships with Civil Society Organizations

GAVI Alliance Board Meeting

20 June 2006

Washington, DC

roles of csos in gavi
Roles of CSOs in GAVI
  • Background: Civil Society’s Role in GAVI
    • Civil society played an important role in founding GAVI & many GAVI tools and technologies
    • Role of civil society in GAVI has diminished over time
    • Difficulty in developing an effective & representative constituency
    • Civil society representation on Interagency Coordinating Committees (ICCs) has varied
  • Looking forward: Opportunity of Phase 2
    • CSOs can play a significant role in a number of activities of added value to GAVI (such as reaching the hardest to reach, creating demand for immunization)
    • “The time for justifying ‘if’ civil society had a role to play in immunisation is history – the current issue and challenge is ‘how’ civil society should be facilitated to play its role.”

GAVI Alliance Board Meeting

20 June 2006

Washington, DC

features of the cso task team proposals to gavi
Features of the CSO Task Team Proposals to GAVI
  • Government – CSO Partnerships
    • A proposal to encourage partnership between government and CSOs which would be supported by GAVI through existing mechanisms
    • An opportunity to reach additional children while continuing to strengthen national planning
    • An incentive to support both government and CSOs, presenting a potential “win-win” situation for both
  • Strengthened CSO representation within GAVI
    • Strengthened CSO constituency
    • Strengthened representation in GAVI governance structures

GAVI Alliance Board Meeting

20 June 2006

Washington, DC

government cso partnerships
Government – CSO Partnerships

Three opportunities for GAVI to encourage Government – CSO Partnerships:

(1) Immunisation Services Support (ISS) – Phase 2 Extension

  • Principles:
    • Utilize the comparative advantages of CSOs to reach additional children
    • Support national decision-making authority & coordination
    • Encourage effective partnerships
  • Mechanism:
    • An additional 10% of ISS funding available for Government-CSO partnerships
    • Civil society organisations submit proposals to government to enhance immunization services
    • Proposals selected on a merit basis by the Interagency Coordinating Committees

GAVI Alliance Board Meeting

20 June 2006

Washington, DC

government cso partnerships12
Government – CSO Partnerships

(2) Health Systems Strengthening (HSS)

  • Principle:
    • Utilize the comparative advantages of CSOs to conduct activities which address system-wide barriers
    • Support national decision-making authority & coordination
    • Encourage effective partnerships
  • Mechanism:
    • To be determined
    • Health Systems Strengthening guidelines encourage CSOs’ participation in coordinating bodies

(3) Innovations

  • Principles and mechanisms to be developed

GAVI Alliance Board Meeting

20 June 2006

Washington, DC

civil society representation in gavi
Develop an effective & representative constituency

Civil Society Task Team is developing a report outlining the tools & methods CSOs will employ to become a more effective constituency

Strengthen civil society representation in GAVI governance structures

GAVI should consider inclusion of CSO representation in its organisational and governance structures, including the Alliance Executive Committee

Civil Society Representation in GAVI

Strengthening CSO representation in GAVI has two components:

GAVI Alliance Board Meeting

20 June 2006

Washington, DC

the gavi civil society task team next steps
The GAVI Civil Society Task Team: Next Steps

The next phase of the Civil Society Task Team will :

  • Develop a proposal for GAVI support to government – CSO partnerships for presentation to the Alliance Board in November 2006
  • Develop a proposal to improve the organization of civil society as an effective, representative, and value added partner to the Alliance for presentation to the Alliance Board in November 2006
  • Seek broader contributions from key Alliance Partners to ensure consistency with GAVI principles
  • Work with relevant groups to develop mechanisms for CSOs’ contributions to immunization activities in countries in crisis, utilizing the innovations window of support

GAVI Alliance Board Meeting

20 June 2006

Washington, DC

the gavi cso task team requests to the board
The GAVI CSO Task Team Requests to the Board

The GAVI Alliance Board is requested to:

  • Endorse the development of the GAVI CSO Task Team proposal for government – civil society partnerships through current and future GAVI windows of support
  • Include a civil society representative on the GAVI Alliance Executive Committee

GAVI Alliance Board Meeting

20 June 2006

Washington, DC