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Uzbekistan National Immunization Program Financing Assessment

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This financing assessment of the Uzbekistan national immunization program was made as part of the Asian Vaccination Initiative and in collaboration with the Government of Uzbekistan, the United Nations Children's Fund (UNICEF), the World Health Organization (WHO), and the World Bank.

Rather than being a comprehensive review of the program, the assessment was made primarily to:

• estimate the current and future costs of the program, including additional costs associated with strengthening and expanding it
• identify future sources of funding and determine any funding gaps
• provide recommendations related to finance and finance policy to strengthen the program and improve overall financial sustainability
• provide information that the Government could use in immunization financial planning, policy dialogues, and funding negotiations with donors and international agencies.

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Contents

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Illustrations and Tables

Acknowledgments

Abbreviations

Executive Summary

Introduction

Purpose of the Assessment

Methodology

Background

Socioeconomic Situation in Uzbekistan

Allocation of Health Resources
Convertibility of Hard Currency

Demographic and Health Indicators for Uzbekistan

Vaccine-preventable Diseases

Health System of Uzbekistan

Structure and Reform
Finance
Donor support

National Immunization Program

Strategic Plan

Organization Structure

Coverage

Financing Structure

National Sources of Funds
Oblast Sources of Funds

Past and Current Funding

Vaccine Costs
Nonvaccine Costs
Overall

Future Financing

Key issues

Vaccine Supply: Price, Quality, and Financial Sustainability
Cold-chain and Vaccine Management
Safe Injecting Practices
Surveillance and Disease Control
Introduction of New Vaccines
Disease Control Initiatives

Financing Needs, Sources, Gaps

Projected Costs of the Routine Program
Projected Costs of the Strengthened/Expanded Program
Projected Funding Sources and Funding Gap

Policy and Financing Options

Policy Options

Budget Line
Centralizing Procurement
Hard-currency Convertibility and Import Duties
Financial Information Systems
General

Financing Options

Summary

Recommendations

Appendixes

Appendix A: Summary of Findings and Recommendations in Previous Consultants’ Reports on Uzbekistan

Appendix B: Draft EPI National Immunization Plan for Uzbekistan for 2000–2005

Appendix C: Target Population

References