The introduction of new vaccines with much higher prices than traditional vaccines results in increasing budgetary pressure on immunization programs in GAVI-eligible countries, increasing the need to ensure their financial sustainability. In this context, the third EPIVAC (Epidemiology and Vaccinology) technical conference was held from February 16 to 18, 2012 at the Regional Institute of Public Health in Ouidah, Benin. Managers of ministries of health and finance from 11 West African countries (GAVI eligible countries), as well as former EPIVAC students and European experts, shared their knowledge and best practices on immunization financing at district and country level. The conference concluded by stressing five major priorities for the financial sustainability of national immunization programs (NIPs) in GAVI-eligible countries. - Strengthen public financing by increasing resources and fiscal space, improving budget processes, increasing contribution of local governments and strengthen efficiency of budget spending. - Promote equitable community financing which was recognized as a significant and essential contribution to the continuity of EPI operations. - Widen private funding by exploring prospects offered by sponsorship through foundations dedicated to immunization and by corporate social responsibility programs. - Contain the potential crowding-out effect of GAVI co-financing and ensure that decisions on new vaccine introductions are evidence-based. - Seek out innovative financing mechanisms such as taxes on food products or a national solidarity fund.

译文

采用价格比传统疫苗高得多的新疫苗,导致符合免疫联盟资格的国家预防接种计划的预算压力增加,增加了确保其财务可持续性的需求。在这方面,第三次EPIVAC (流行病学和疫苗学) 技术会议于2012年2月16日月18日至18日在贝宁Ouidah的区域公共卫生研究所举行。来自11个西非国家 (符合GAVI资格的国家) 的卫生和财政部经理以及前EPIVAC学生和欧洲专家分享了他们在地区和国家一级预防接种筹资知识和最佳做法。会议结束时强调了符合免疫联盟资格的国家国家预防接种方案财政可持续性的五个主要优先事项。-通过增加资源和财政空间,改善预算程序,增加地方政府的贡献并提高预算支出效率来加强公共融资。-促进公平的社区筹资,这被认为是对扩大免疫方案业务连续性的重大贡献。-通过致力于预防接种基金会和企业社会责任计划探索赞助提供的前景,扩大私人资金。-包含GAVI共同资助的潜在挤出效应,并确保有关新疫苗引进的决定是基于证据的。-寻找创新的融资机制,例如对食品征税或国家团结基金。

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