GAVI Eligibility Requirements

The Challenge

The Global Alliance for Vaccines and Immunization (GAVI), which provides more than a billion dollars a year to the poorest developing countries to strengthen and improve their immunization systems, faced a difficult challenge in determining which countries should be eligible for support in the coming years. Should access to aid be based on a country’s average per capita income or the number of children currently not being reached with vaccinations? Or some other criteria? How often should thresholds be updated, and how should graduation from GAVI eligibility be handled?

The Opportunity

GAVI engaged R4D to carry out a major study on GAVI’s policies on “country eligibility.” Over the course of eight months, the R4D team, assessed the strengths and weaknesses of the current eligibility criteria and their consistency with GAVI’s strategic goals; identified new eligibility policy options; evaluated the potential impact of these options on GAVI’s future expenditures and vaccine markets and prices; and proposed improved processes for applying and updating the eligibility policy.

Our Work

  • Major deliverables of the project included an inception report, six country case studies, a technical brief on the pharmaceutical manufacturers’ likely response to changes in GAVI eligibility policies, a model projecting the future financial requirements of the organization, and draft and final reports to GAVI.


R4D has demonstrated a solid commitment to the international development agenda. Their unique combination of smart-thinking, innovation and results-based research strongly positions them to achieve their important strategic agenda.

— Julian Lob-Levyt, Former Head of Global Alliance for Vaccines and Immunization (GAVI)

Global & Regional Initiatives

R4D is a globally recognized leader for designing initiatives that connect implementers, experts and funders across countries to build knowledge and get that knowledge into practice.