WHO EURO In Country Coordination and Strengthening National Interagency Coordinating Committees

Role of Regional IICC WHO/EURO 4IICC has played a strong role in; –support of polio eradication and diphtheria control, –towards sustainable immunization programmes in many countries 4there is a clear need for its continued (new and enlarged) role, to strengthen various aspects of routine immunization services 4critical in providing and coordinating support and overseeing commitment to national immunization programmes in general WHO EURO

Support to national immunization programmes Need for sustained support is recognized and partners will work with countries to help find additional resources to improve immunization programmes that contribute to better overall health systems...

ICC, a pre-requisite for GAVI Support è a functioning Interagency Coordinating Committee (ICC) or equivalent at national level endorsing; –country proposals –national immunization plans –annual, mid term and final reviews WHO EURO

Interagency Coordinating Committees (ICC) Rationale 4To provide a facilitative tool to tackle major immunization challenges –improved access to sustainable immunization services –expand use of all existing cost-effective vaccines –accelerated development and introduction of new vaccines

Interagency Coordinating Committees (ICC) General Objective 4provide national governments and partners to jointly identify resources and technical assistance needed to achieve the goals of the national immunization programmes

Role of National ICCs -1 4New and larger roles in supporting governments to improve and expand national immunization programmes 4Advocacy to increase national commitment 4identify required resources and assistance to strengthen immunization services –for sustainable –self-sufficient immunization programmes –selected disease control and/or elimination targets WHO EURO

Role of National ICCs -2 4coordinate support of existing partners to ensure most effective use of resources, 4identify and invite additional partners to meet the needs of the country 4do not replace current funding or pre-empty new sources of funding 4support formulation and implementation of strategies and activities, 4monitor accomplishment and performance WHO EURO

Strengthening Interagency Coordinating Committees (ICC) Strengthening Interagency Coordinating Committees (ICC) Ministry of Health National Health and Immunization plans ICC Alliance partners at country level GAVI/Fund Alliance partners at global level Support Needs

National ICCs Conceptual Framework - 1 4should unite government entities and partners together to prioritize immunization activities and ensure sustainability 4establish a forum for information, mobilization of resources and coordination of partner support, 4look further beyond immunization and adjust to health sector reforms, decentralization and other ongoing political processes WHO EURO

National ICCs Conceptual Framework - 2 4Not one recipe for all countries; has to be functional, flexible and country specific, with focus on country priorities 4has to build on existing national coordination mechanisms when present 4has to interface with other coordinating bodies at national level WHO EURO

National ICCs Conceptual Framework -3 4could serve as an advisory board and clearing house for matters related to immunization services 4use the national immunization plan of action as a tool for coordination and monitoring 4should be a transparent and accountable coordination mechanism 4build national capacity WHO EURO

National ICCs Conceptual framework - 4 4leadership and ownership should belong to the MoH and governments being the driving entity 4should meet regularly with a prepared agenda, and minutes with review of decisions taken, circulated to all members WHO EURO

National ICCs Main Partners 4National governments with the Ministries of Health playing the lead role 4Other relevant Ministries, Planning, Budget, Finance… 4WHO, UNICEF, World Bank, Rotary International 4Bilateral agencies 4Multilateral agencies 4NGOs 4Private national and international institutions WHO EURO

National ICCs Functions at national level Technical 4development of national policy framework, setting of attainable targets 4provision of appropriate guidelines 4identification of programme needs 4periodic in-depth assessments of national immunization programme 4advisory body for national strategic plan of action WHO EURO

National ICCs Functions at national level Technical 4support in implementation of plans of action for immunization 4monitor performance and evaluate immunization services delivery and specific disease control initiatives 4ensure quality control mechanisms are in place and adhere to accepted international standards

National ICCs Functions at national level Financial 4evaluation of the efficient and effective use of available resources –coordinate resources to avoid duplications and gaps –review needs and mobilize additional resources when necessary –stimulate commitments from agencies to financial support of national immunization programme 4assist immunization programme in enhancing transparency and accountability by reviewing use of funds and other resources WHO EURO

National ICCs Functions at national level Political 4advocate and increase national commitment to immunization services 4raise public awareness through social mobilization efforts 4share information and provide feed-back at national, sub-national level and also to interested partners outside the country WHO EURO

National ICCs Functions at national level Capacity Building 4strengthen the role and capacity of the government to take ownership in the administration and delivery of national immunization services

National ICCs Outputs –endorse a national policy for immunization –assist in preparation and endorse multi-year and annual immunization plans of action –technical support in preparation of policy guidelines –monitor and review performance –coordination within subregional and regional committees WHO EURO

National ICCs Monitoring functions 4Terms of reference incorporating all aspects of immunization services 4Level of the ICC chairman within the MoH (Chairmanship at a higher level) 4List of members 4Regular meetings with minutes (frequency/preferably quarterly) 4Minutes of meetings and circulation to members WHO EURO

National ICCs Monitoring functions -2 4Regular attendance of all interested partners and MoH staff with decision capacity 4Plans and budget requirements for strengthening ICC 4National action plan, incorporating all aspects of immunization services, endorsed, discussed and revised by ICC with cost of activities and funding specified by national and partners source WHO EURO

National ICC Summary 4ICC plays a critical role in partner coordination towards a sustainable immunization programme –coordination of resources –promotion of political, technical and financial support to national programme WHO EURO