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Post 2020: Financial Sustainability 2020-30 (Problem Statement (Real world…
Post 2020: Financial Sustainability 2020-30
Problem Statement
Ideal world
adequate
Predictable
Efficient
Respensive
Real world
Inadequate domestic spending on vaccine and op.
Unpredictable domestic funding for vaccine
Poor governance
weak forecasting and procurement capacity
reliance on donor funding
Vaccine procurement obstacles
Expensive or inaffortable vaccines
lack of price information
lack of access to pooled procurement arrangements
Increasing marginal cost to reach last mile
Inefficiencies in the allocation of health and imm. resources
health budgets in favor of tertiary care
Weak planning, budgeting and financial management
wastage of vaccines
Over-reliance on SIAs.
Unexpected vaccine preventable outbreaks