TechNet-21 - Forum

This forum provides a place for members to ask questions, share experiences, coordinate activities, and discuss recent developments in immunization.

Discussions tagged CMYP

Political will for supply chain improvements

On day 4 of the TechNet Conference, I facilitated a roundtable discussion on what it takes to generate political will for supply chain improvements. At each table, participants shared their experiences generating political will and discussed in detail what it took to achieve meaningful change. Below are their observations, grouped into like categories. I am sharing this to remind TechNet subscribers of all the ways in which they can influence political will for supply chain improvements. I also encourage subscribers to share experiences of communicating the importance of supply chain to non-technical decision makers within the Ministry of Health, Finance, Planning, or other. How have you been successful? How have you been unsuccessful? What can we learn from these experiences? Seek global buy-in and funding for the issue Global buy-in and funding can be critical for implementing something in a country Collect local evidence and credible indicators of problem Create new evidence to “change the story” about the issue Bring in different content experts to validate and contribute to the evidence so its not just one-sided Keep the momentum going (advocacy is a long process) Find ways to amplify the evidence and have many different people sharing it This process takes a lot of time. To maintain the focus, share small milestones and “wins” along the way. Give frequent updates on progress. Document government and partner commitments so you can hold them accountable later. Cultivate champions and key influencers--speak their language Transform leaders from forces of resistance to the heros—show them the difference they can make and give them credit Map key influencers at MOH and understand who influences the influencers. Learn what interests your key influencers, what their priorities are, what their background is, and what skills they have Speak their language—translate your message into something they care about, consider their point of view Be ready to educate and sensitize people to your issue and explain it in a way that makes sense to them. Seek perspectives from ALL parties affected by an intervention (e.g., district managers, health workers, patients) to anticipate and address confusion and possible resistance. Seek government ownership even if it takes longer Cultivate 1:1 relationships. A lot of political support must be cultivated this way. Acceptable solutions Be clear and specific about the changes you want to see Be aware of context Understand the decision-making system, when are decisions made (e.g., what time of year are budgets decided), what committees and individuals are in charge of making decisions, who they report to and when they meet. Target the right person and at the right time Partnerships Look for ways to lead in collaboration. Focus people on solving a problem together to get stronger buy-in and leadership. Please add to this thread to describe any insights that I did not capture, but you felt were important. Thanks!

WHO-UNICEF guidelines for developing a comprehensive multi-year plan (cMYP)

This IVB document is now online at WHOLIS WHO-UNICEF guidelines for developing a comprehensive multi-year plan (cMYP)(WHO/IVB/14.01) This updated document provides guidance to countries to make national comprehensive multi-year strategic plans (cMYP) for immunization, using the Global Vaccine Action Plan (GVAP) 2011–2020 as a guiding framework. It provides a new approach to planning that can be summarized as follows: 1. Ensuring that the strategies in the plan are sufficiently comprehensive using the GVAP as a guide. 2. Better alignment of immunization and health sector strategies to strengthen ownership, solve shared problems and ensure maximum utilization of resources. 3. Planning by immunization system components rather than by disease or initiative. 4. Including costing and financing strategies for the immunization programme. 5. Ensuring active participation of relevant actors at all levels. 6. Equity in access to immunization services, and monitoring and accountability for the results have been entrenched into the document. The document takes the reader through the process of planning with examples of each step for illustration and guidance. The seven steps for creating a comprehensive multi-year plan include: conducting situational analysis; setting national objectives and milestones; planning strategies and key activities by immunization system components; reviewing planned activities against GVAP activities; making an activity timeline and monitoring and evaluation framework; costing, financing and resource mobilization for the cMYP; then putting the cMYP into action through getting the necessary national level endorsements, developing an annual plan for the relevant year from MYP, integrating and consolidating activities for implementation. Additionally, there is guidance on summarizing the document into few pages to facilitate use for advocacy. Thank you. Regards, the IVB Document Centre

Immunization financing database updated with recent CYMPs is online

Cross posted from the 'Global Immunization News' with thanks. Claudio Politi and Daniela Urfer, WHO/HQ The Immunization Financing Database has been updated with cMYPs recently developed by countries and submitted to GAVI in June 2011 for funding proposals to introduce new vaccines. The database contains information extracted from cMYP costing and financing tools of 62 countries. In particular, key data on costing and financing from the immunization plans were selected and included in the database for public access. The database allows the user to produce reports by country and by WHO region for the planning periods on the following information: Total costs and financing of routine immunization programmes; Total costs and financing of campaigns; Specific immunization and health system shared expenditures; Detailed expenditure composition by item costs and sources of financing; Immunization costs indicators per capita and per child. Country and regional reports are provided in table formats and accompanied by graphical representations.
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