Financial Management in the Context of Sustainability: Priorities and Lessons Learned from the REACH Experience

摘要

The report presents information on the financial management of expanded programs of immunization (EPI), drawing from recent studies as well as lessons learned from various programs. Research findings are first presented on the costs and cost-effectiveness of immunization, the affordability of EPI targets, and means of raising revenues for EPI. The next section presents general lessons learned related to revenue generation, resource allocation and management, and sustainability. The final section of the report identifies several priorities to be addressed in designing and undertaking initiatives in health financing and financial management. These priorities include: (1) long-term planning, (2) integrated approaches, (3) practical financial management tools, (4) incentives for effective and efficient resource management, and (5) investment in institutional and skills development. A major theme of the report is that financing and related management strategies for immunization should not be developed in isolation from the financing and service delivery structure of primary health care and the total health system.