and Review Peter Hansen & Daniel Thornton Board Meeting - - PowerPoint PPT Presentation

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and Review Peter Hansen & Daniel Thornton Board Meeting - - PowerPoint PPT Presentation

Dec 21, 2023 440 likes •689 views

Grant Application, Monitoring and Review Peter Hansen & Daniel Thornton Board Meeting Geneva, Switzerland, 11-12 June 2013 Introduction Part of broader change management process Background Workshops with internal and external

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SLIDE 1

Peter Hansen & Daniel Thornton

Grant Application, Monitoring and Review

Board Meeting Geneva, Switzerland, 11-12 June 2013

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SLIDE 2

GAVI Alliance Board Meeting 11- 12 June 2013

Introduction

1

Current Challenges

  • Inefficient, burdensome and complicated
  • Long delays after application
  • Disconnect between HSS and NVS
  • Lack of accountability
  • One-size-fits-all approach for diverse

portfolio of grants

  • Part of broader change management

process

  • Workshops with internal and external

stakeholders

Background

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SLIDE 3

GAVI Alliance Board Meeting 11- 12 June 2013

Average DTP3 coverage in GAVI countries

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10 20 30 40 50 60 70 80 90 100 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011

DTP3 Coverage in GAVI Supported Countries (percent)

Year

…masks substantial variation between countries

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SLIDE 4

GAVI Alliance Board Meeting 11- 12 June 2013

Grants in GAVI’s portfolio are highly variable

3

100 200 300 400 500 600 700 800 20 40 60 80 100 120 140 160 180

GAVI Commitment to Date (millions of dollars) Under 5 Mortality Per 1000 Births Size of Bubble=Population

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SLIDE 5

GAVI Alliance Board Meeting 11- 12 June 2013

4

Country submits application IRC, Board

Overview of existing programme cycle

Country prepares detailed plans Country launches programme Country submits annual progress report (APR) Monitoring IRC, CEO

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SLIDE 6

GAVI Alliance Board Meeting 11- 12 June 2013

Routine Monitoring

5

Country submits EOI IRC, Board Country submits plans

Overview of new programme cycle

Country prepares detailed plans

After ~5 year country planning cycle, IRC reviews entire portfolio

Country launches programme Country renewal request Review Panel, CEO

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SLIDE 7

GAVI Alliance Board Meeting 11- 12 June 2013

Key changes

6

  • Stronger country ownership and planning through

Expression of Interest and use of country plans

  • Strengthened routine grant monitoring: differentiated

approach based on country risk/impact

  • More use of in-country mechanisms to inform grant

monitoring and renewals

  • Strengthened accountability through High Level Alliance

Review Panel

  • Better strategic perspective through full portfolio review

with each c.5 year country planning cycle

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SLIDE 8

GAVI Alliance Board Meeting 11- 12 June 2013

Recommendations

7

The PPC recommended that the Board: (a) Approve the principles and key elements of the proposed redesign of GAVI’s grant application, monitoring and review systems, as described in section B.3 of Doc. 06, with the first evaluation of the system taking place after one year of implementation; and (b) Approve a High Level Review Panel consisting of senior level staff of the Secretariat, WHO and UNICEF, the IRC Chair and two

  • ther IRC members. Senior staff of other Alliance partners may be

invited to the Review Panel, as participants or observers, as appropriate; and (c) Request the Secretariat to work with affiliated entities and partners to ensure launch of the new systems starting 1 January 2014, with all existing and new grants shifting to the new system following this date.

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SLIDE 9

GAVI Alliance Board Meeting 11- 12 June 2013

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SLIDE 10

GAVI Alliance Board Meeting 11- 12 June 2013

Principles of re-designed systems

  • Overall simplification of the process
  • Better alignment of health system strengthening

and new vaccine support

  • Lower transaction costs for countries
  • More effective and efficient use of resources
  • Greater country ownership & better alignment

with country processes

  • Improved transparency and better fiduciary
  • versight

9

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SLIDE 11

GAVI Alliance Board Meeting 11- 12 June 2013

Process to Board decision

10

  • June 2012
  • GAMR

identified as a priority

  • November

2012

  • Participants

from countries and partners

  • Identified

GAMR principles

  • First draft of

re-designed process

  • January 2013
  • Participants

from countries and partners

  • Review, refine

and validate proposed process

  • Q1 2013
  • Countries
  • Donors
  • IRCs

Draft guidelines & templates

GAVI Change Management Process Action Lab I Action Lab II Consultations PPC

  • Recommendations

and guidance

Board

  • Decision
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SLIDE 12

GAVI Alliance Board Meeting 11- 12 June 2013

Implementation timetable if approved by the Board

11

Q2 Q3 Q4 Q1 Q2

Countries submit EOI New proposals IRC Panel Review

Activity

Pilot quarterly risk assessment Full implementation for all grants 2013 2014

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SLIDE 13

GAVI Alliance Board Meeting 11- 12 June 2013

Principles of re-designed systems

  • Overall simplification of the process
  • Better alignment of health system strengthening and new

vaccine support

  • Lower transaction costs for countries
  • More effective and effective use of GAVI Alliance

resources

  • Greater country ownership & better alignment with

country processes

  • Improved transparency and better fiduciary oversight to

allow for a more responsive supply chain

12

Principles of re-designed systems

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SLIDE 14

GAVI Alliance Board Meeting 11- 12 June 2013

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Country submits EOI Country submits plans IRC Board Country submits renewal request Review Panel CEO Country launches HSS/NVI

Overview of new programme cycle

Country prepares detailed plans Throughout the year Triggers discussion & co-

  • rdination of TA

Endorsement from MoH

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SLIDE 15

GAVI Alliance Board Meeting 11- 12 June 2013

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Country submits EOI Country submits plans IRC Board Country submits renewal request Review Panel CEO Country launches HSS/NVI

Overview of new programme cycle

Country prepares detailed plans Iterative process Lighter application package Countries specific plans

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SLIDE 16

GAVI Alliance Board Meeting 11- 12 June 2013

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Country submits EOI Country submits plans IRC Board Country submits renewal request Review Panel CEO Country launches HSS/NVI

Overview of new programme cycle

Country prepares detailed plans Open-Closed- Open 3 x per year NVS & HSS Yes/No decision Standing IRC chair for 1 year Risk/impact assessment

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SLIDE 17

GAVI Alliance Board Meeting 11- 12 June 2013

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Country submits EOI Country submits plans IRC Board Country submits renewal request Review Panel CEO Country launches HSS/NVI

Overview of new programme cycle

Country prepares detailed plans VIMT agrees on doses Vaccine Introduction Grant is received for NVS Detailed introduction/ implementation plan

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SLIDE 18

GAVI Alliance Board Meeting 11- 12 June 2013

Routine Monitoring

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Country submits EOI Country submits plans IRC Board Country submits renewal request Review Panel CEO Country launches HSS/NVI

Overview of new programme cycle

Country prepares detailed plans Additional M&E activities based on impact/risk profile Builds on country mechanisms Track core set of standard indicators across all grants on

  • ngoing basis
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SLIDE 19

GAVI Alliance Board Meeting 11- 12 June 2013

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Country submits EOI Country submits plans IRC Board Country submits renewal request Review Panel CEO Country launches HSS/NVI

Overview of new programme cycle

Country prepares detailed plans Triggers process for annual renewals Aligned with country cycles CRO convenes process to submit recommendation on renewal to Review Panel Possibility for multi-year approvals?

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SLIDE 20

GAVI Alliance Board Meeting 11- 12 June 2013

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Country submits EOI Country submits plans IRC Board Country submits renewal request Review Panel CEO Country launches HSS/NVI

Overview of new programme cycle

Country prepares detailed plans Provides recommendation to CEO Reviews country requests & recommendations

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SLIDE 21

GAVI Alliance Board Meeting 11- 12 June 2013

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Country submits EOI Country submits plans IRC Board Country submits renewal request Review Panel CEO Country launches HSS/NVI

Overview of new programme cycle

Country prepares detailed plans After a ~5 year country planning cycle, the entire portfolio of support is reviewed by the IRC

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SLIDE 22

GAVI Alliance Board Meeting 11- 12 June 2013

Characteristics of Countries in GAVI’s Portfolio are Highly Variable

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Bangladesh Chad Democratic Republic of the Congo Ethiopia India Mali Nigeria Pakistan Sierra Leone Vietnam

100 200 300 400 500 600 700 800 20 40 60 80 100 120 140 160 180 GAVI Commitment to Date (millions of dollars) Under 5 Mortality Per 1000 Births

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SLIDE 23

GAVI Alliance Board Meeting 11- 12 June 2013

Risks to implementation

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Perceived weakening of checks and balances due to removal of monitoring IRC

  • Build upon existing mechanisms at country level
  • CROs to actively identify other partners where needed

Increased transaction costs for Alliance

  • Strengthened routine grant monitoring function
  • Enhanced use of in-country mechanisms to inform grant

monitoring and renewals

  • High Level Alliance Review Panel
  • Holistic IRC assessment between HSS, NVS and monitoring
  • After ~5 year country planning cycle, entire portfolio of support

reviewed by IRC