Transitioning From Donor Support: Lessons Learned from Nigeria's GAVI Transition Plan Development

Below is an excerpt from a new blog, Transitioning from Donor Support: Lessons Learned from Nigeria's GAVI Transition Plan Development, published by the Learning Network for Countries in Transition (LNCT) and co-authored by the Clinton Health Access Initiative (CHAI) and the National Primary Health Care Development Agency (NPHCDA). This blog post outlines six critical lessons learned from Nigeria’s experience developing a Gavi transition plan. 

Nigeria, like most low and middle-income countries, is supported by donors to fill the gaps in the health system. This support ranges from technical and managerial assistance to reach global and country strategic goals, to financing the procurement of critical equipment, supplies, and activities for an equitable and sustainable health system. For instance, Gavi, the Vaccine Alliance, has provided over $732,130,326.00 to Nigeria since 2001 for vaccines and cold chain procurement, technical assistance, immunization campaigns, and health systems strengthening. However, with Nigeria’s Gross National Income (GNI) per capita exceeding the current Gavi threshold of support of $1,580 GNI for three consecutive years, Nigeria entered the accelerated phase of the Gavi transition in 2018 with the expectation of becoming fully self-financing by 2028. To succeed in this transition, Nigeria’s immunization program will need to navigate several financial and programmatic risks to its sustainability...

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