POST 00898E : GLOBAL INITIATIVES FUNDING 14 March 2006
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This message is cross-posted from UNICEF/ESARO's Technical Updates.
Sincere thanks to Bob Davis and Evelyn Chege.
The Measles Partners meeting took place last 14-15 February in
Washington, DC. Those interested in a good update of the measles situation
should visit the following page and review interesting presentations on
various aspects made at the meeting.
http://www.measlesinitiative.org/meeting2006/agenda.asp
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It is quite remarkable that, with smallpox eradication, polio eradication
and measles mortality reduction, the trend of multi-year agency funding
starts from a low initial level, peaks in the middle years of the
initiative, and tails off towards the end, the period when the unit costs
of breaking transmission chains tend to rise. Veterans of both smallpox
eradication and polio eradication know at first hand the extreme
reluctance of funders to continue financing in the final years of these
initiatives, when funders shift priorities, prematurely.
The Measles Partnership (third slide) is expanding in the near future from
sub-Saharan Africa, with 600 million persons, to South Asia, with
populations more than twice that size. The MP funding projections for the
rest of the decade show no doubling; quite the contrary. Will the Measles
Partnership see the same dwindling of funding as befell SEP and PEI before
it? The Measles Partnership, recently rich in post-tsunami funding
unlikely to recur, is basking in plaudits today. Where will it be, on
present trends, in five years, if funding trends and mortality trends
cross each other on the graph?
In retrospect, the GAVI Board decision of 2005, cutting the IFFIm measles
funding proposals by more than half, may come back to haunt the Board.
With false economies, accelerated disease control decelerates, however
sound its technical basis.
(See attached file: FUNDING BELL CURVES.PPT, a short 3-slides presentation)
Good reading,
Bob
PS Thanks to Evelyn Chege and Andrea Gay for producing the first and third
slides. The second is from the homepage of the Polio Eradication Initiative.
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