Title page
Contents
Introduction 4
Immunization In Latin America and the Caribbean 5
History of Immunization Programs 5
Regional and National Trends in Immunization Coverage 5
Current and Future Challenges 7
Immunization Financing Mechanisms 10
Public Resources 10
PAHO's Revolving Fund 11
Gavi Support for Low-Income Countries 13
Innovation For Funding Immunization Programs 14
Innovation for Domestic Financing 14
Additional Innovative Financing Mechanisms 16
Conclusions 20
About the Authors 21
Acknowledgements 22
Figure 1. DPT3 Coverage by WHO Region, 2000-2021 6
Figure 2. DPT3 Coverage Rate by District, Region of the Americas, 2020 7
Figure 3. Children with No DPT Dose, Region of the Americas: 2019 vs. 2021 8
Figure 4. Budgetary Categories Involved in the Operation of Vaccine Delivery Programs 11
Figure 5. Yearly Purchase of Vaccines and Supplies through the Revolving Fund, PAHO, 2006-2021 12
Figure 6. Immunization Program Challenges and Potential PPP Support Types and Models to Address Them 17
Boxes
Box 1. Cold Chain 8
Box 2. Breakdown of a Vaccination Budget 10
Box 3. Success Story of a Digital Health Information System 15