GAVI Alliance Board Meeting

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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
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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

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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

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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

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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

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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.

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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
  societys 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
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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
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Roles of CSOs in GAVI

• Background Civil Societys 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.

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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

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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

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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

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Civil Society Representation in GAVI
Strengthening CSO representation in GAVI has two
components

• 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

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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

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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