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首页> 外文期刊>Vaccine >Tracking donor funding towards achieving the Global Vaccine Action Plan (GVAP) goals: A landscape analysis (1990–2016)
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Tracking donor funding towards achieving the Global Vaccine Action Plan (GVAP) goals: A landscape analysis (1990–2016)

机译：跟踪捐助者资助实现全球疫苗行动计划（GVAP）目标：景观分析（1990-2016）

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摘要

Efforts driving universal coverage have recently been strengthened through implementation of the Global Vaccine Action Plan (GVAP) where cost estimates for immunization support were developed totaling US$40 billion of donor assistance by 2020. In addition to resource mobilization, there has been an increasing focus on improving both vaccine access and delivery systems. We track donor assistance for immunization by funding objective and channel from 1990 to 2016, and illustrate projections through 2020 to inform progress of the GVAP.Using available data from development agencies supporting immunization, we categorize funding by vaccine and quantify support for systems strengthening. We split time into four periods including the post universal childhood immunization era (1990–1999) and Gavi’s three funding phases between 2000 and 2015, during which annualized funding changes are estimated. Lastly, we perform a linear extrapolation through 2020 to predict the success of stipulated resource mobilization targets. Double counting was eliminated and results presented in real 2017 US dollars.Over the last 27?years, funding for immunization increased by 10.5% annually, with non-Gavi funding increasing by 7.1% and Gavi funding by 23.6% in the last 17?years. Gavi disbursements targeting vaccines and health system improvements increased uniformly at 15%, compared to 22.5% for vaccines and 11.7% for system strengthening from non-Gavi channels. Funding fluctuated for non-Gavi channels with disbursements declining before 2000 and during Gavi funding phase II, while Gavi disbursements continued to grow relative the previous phase. New and underused vaccines were prioritized by Gavi whereas non-Gavi channels focused on elimination efforts. Projected funding targets were estimated to be on track for Gavi contrary to non-Gavi support which was estimated to remain 40% below the stipulated target.Renewed assessments for funding requirements need to be undertaken, while strengthening existing resource efficiencies in order to achieve current global universal coverage targets.
机译：最近通过实施全球疫苗行动计划（GVAP）来加强促进普遍覆盖的努力，其中在2020年，制定了免疫支持的成本估计，总额为400亿美元的捐助者援助。除了资源调动，还有一直在越来越关注改善疫苗接入和交付系统。我们通过资助目标和渠道从1990年到2016年追踪捐助者援助，并通过2020年说明预测，告知GVAP.USING来自支持免疫的发展机构的可用数据，我们将疫苗提供资金并量化对系统加强的支持。我们将时间分为四个时期，包括普遍儿童免疫时代（1990-1999）和Gavi在2000年至2015年间的三个资金阶段，在此期间估计年度融资变更。最后，我们通过2020执行线性推断，以预测规定的资源调动目标的成功。消除了双重计数，并在2017美元兑美元中展示了结果。过去27年，免疫的资金每年增加10.5％，非Gavi资金增长7.1％和Gavi资金在过去17人中增加了23.6％ 。 Gavi靶向疫苗和卫生系统的提高均匀增加了15％，而非GAVI渠道的系统加强，疫苗的22.5％。对于非GAVI渠道的资金波动，在2000年之前和Gavi资助阶段在2000年之前下降，而GAVI支付持续相对于前阶段继续增长。新和未被发救的疫苗由Gavi优先考虑，而非Gavi渠道专注于消除努力。预计的资金目标估计有关Gavi违反非GAVI支持的轨道，估计仍然低于规定的目标40％。需要进行资金需求的编制评估，同时加强现有资源效率，以实现现有的全球资源效率普遍覆盖目标。

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