The Lancet, Volume 375, Issue 9717, Page 791, 6 March 2010
As governments pull back on aid commitments, the GAVI Alliance is facing a funding shortfall for the next decade that could hamper the roll-out of new vaccines. Ann Danaiya Usher reports.
The GAVI Alliance, which celebrated its tenth anniversary in January, plans a huge expansion of its programmes amid financial uncertainty among government donors.
To pay for new activities during the next 5 years, GAVI will have to raise up to US$4 billion—an amount equivalent to its total spending during the past decade.
During its first decade, GAVI enjoyed steadily increasing financing from the Bill & Melinda Gates Foundation, bilateral donors, and the International Finance Facility for Immunisation. The latest data from GAVI show that during 1999–2009, it received $3·8 billion (table). Additionally, up to 2015, GAVI has committed funds from its various donors worth $4·5 billion that will cover existing programmes.
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