Immunization Financing in Nigeria

Training Workshop for CSOs on Immunization Advocacy4th and 5th August, 2016 at Rockview Hotel, Abuja

• At the end of this session, participants are expected to;

i. Understand the sources of funding for vaccines

procurement and immunization program activities

ii. Know the funding requirements for vaccines procurement

and storage over the next 10 years

iii. Understand the challenges in implementing approved

budgets for immunization

Learning Objectives;

• Government through Annual Budgets - FG, State, LGA

• Donor Agencies

- Gavi

- BMGF

- Dangote Foundation

• Other development partners – IVAC, CHAI, JICA, EU, etc

• Health workers

• Individuals

Sources of Immunization Funding

=N=

Traditional Vaccines & Devices 1.017b

Clearing & distribution of vaccines & devices 76.97m

Polio Eradication Initiative 9.821b

Hajj Vaccines 220.47m

Non-Polio SIAs (Vaccines + Devices +ops costs)1.743b

Total 12.879b

FG Immunization Budget in 2016 Appropriation Act(46% of FMOH Capital Expenditure)

=N=‘m

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Once a Gavi country’s GNI per capita > US$1,580, it enters graduation and must step up its co-financing amounts over the next 5-7 years

Preparatory

Transition

15% annual increase

in co-financing reqs.

(based on antigen

price)

Accelerated

Phase 2

Increasing country

co-financing

requirements over

5 years*

Transitioned

Country fully

financing RI & NVI,

with access to Gavi

prices for 5 years

post-transition

Source: UNICEF

Country enters transition

Initial Self-

Financing

$0.20/dose

co-financing

for all Gavi

vaccines

*May be extended to 7 years in certain cases (e.g. unexpected rebasing of Nigeria’s GDP)

1a

DRAFT

*National Health Strategy and Development Plan and the National Routine Immunization Strategic Plan

Annual Average: 2022-2025 =

$362m

• Procurement of vaccines

• Storage of vaccines

• Transportation of vaccines to state Central Medical Stores (CMS)

• Maintenance of cold chain

• Immunization outreach to hard-to-reach areas

• Program management for immunization

• Advocacy, communications and social mobilization

What are immunization funds used for?

Late passage of the Appropriation Act

( 2016 budget got presidential assent in May 2016)

Economic recession due to low crude oil prices and

production disruptions in Niger Delta

Delayed/non-release of appropriated funds

Delayed/non-retirement of expended funds

Non-prioritization of Health/Immunization by

Policymakers

Budget Implementation Challenges

• The National Immunization Financing Task Team (NIFT) coordinates efforts by government and NGOs towards unhindered access to vaccines. http://niftng.com/

• NIFT Sub-committees

- Evidence Generation

- Advocacy

- Fund raising

- Local Vaccine Production.

Who coordinates Immunization Financing Advocacy efforts?

• Increased budgetary allocation and appropriation for

immunizations

• Co-funding for the immunization value by Federal

Government, State Governments and the Private Sector

• Setting up and institutionalization of National Trust Fund

for Primary Health Care (including Immunization)

• Local Vaccine Production

Strategies being considered by NIFT for Sustainable Immunization Financing

• Timely release of budgeted funds for immunization

• Timely budget preparation and approval (before the next

fiscal year)

• Biennial appropriation and procurement of vaccines for 2017

& 2018 ($140 million funding gap)

• Finalization and implementation of sustainable immunization

financing strategies

Advocacy Points for Immunization Funding

• WAVA – www.wavang.org

• DCL – www.dclnigeria.com

• NIFT – www.niftng.com

• Twitter - @wavaorg @NIFTng @dcl_ng @IVACtweets

• IVAC Landscape analysis -http://www.jhsph.edu/research/centers-and-institutes/ivac/projects/nigeria/IVAC-Landscape-Analysis-Routine-Immunization-Nigeria-Brief.pdf

• Insightful newspaper interview of former NPHCDA boss -http://guardian.ng/features/natural-health/nigeria-has-secured-enough-vaccines-for-2016-2017/

Websites/Resources

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THANK YOU!