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

:引入价格比传统疫苗高得多的新疫苗导致符合GAVI资格的国家/地区对免疫计划的预算压力增加,从而增加了确保其财务可持续性的需求。在这种情况下,2012年2月16日至18日在贝宁Ouidah的公共卫生区域学院举行了第三次EPIVAC(流行病学和疫苗学)技术会议。来自11个西非国家(符合GAVI资格的国家)的卫生与财政部的经理以及EPIVAC的前学生和欧洲专家分享了他们在地区和国家层面上的免疫融资知识和最佳实践。会议结束时强调了在符合GAVI资格的国家中国家免疫计划(NIP)的财务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的效率来加强公共筹资。 -促进公平的社区融资,这被认为是对EPI运营连续性的重大和必不可少的贡献。 -通过致力于免疫的基金会和企业社会责任计划,探索赞助商提供的前景,从而扩大私人资金。 -遏制GAVI共同出资的潜在挤出效应,并确保有关新疫苗引入的决定是基于证据的。 -寻求创新的融资机制,例如食品税或国家团结基金。

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