27
Jan

Across regions, demographic transitions are reshaping societies: youthful populations demand expanded services while ageing populations tighten fiscal space. These shifts redefine how governments raise and allocate resources for health and human development.

At the same time, the global landscape for health and immunisation financing is evolving. As external assistance declines and domestic budgets face competing pressures, countries must balance immediate fiscal realities with long-term investments that strengthen public health systems and human capital for generations. Immunisation stands as a compelling example of how such choices shape the sustainability of progress itself.

Amid these fiscal and demographic shifts, digital transformation is redefining how immunisation and broader health systems are financed, managed, and delivered. Robust health information systems and real-time data analytics enable countries to track coverage gaps and optimise resource allocation, while digital payment platforms strengthen transparency and improve financial inclusion, driving efficiencies at scale. These innovations help governments do more with constrained budgets, ensuring that every dose reaches those most in need, and build public trust through accountability. Gavi’s Leap initiative embeds these innovations to strengthen agility and fiscal responsibility across the immunisation ecosystem.

As Gavi advances into a new strategic period and its organisational transformation through Gavi Leap, the Alliance is reimagining how it works with countries to deliver sustainable immunisation outcomes within complex demographic and fiscal environments. Leap aims to make Gavi more agile, integrated, and responsive to countries’ needs, ensuring that future support models strengthen both system resilience and fiscal accountability. Within this context, it is essential to explore how global and domestic actors can share responsibility more fairly and design financing systems that stand the test of demographic change.

It begs the question of who contributes, who benefits, and who decides when financing public goods such as vaccines. What is considered fair across income groups, sectors, and generations? In the context of demographic transition, it means protecting preventive investments that secure tomorrow’s prosperity leveraging adaptive financial models even as fiscal priorities shift toward ageing and curative care.

This session will review these critical questions and a policy framework for sustainable and equitable public health financing. Using immunisation as a lens, it will link ethics, economics, and equity to examine how societies can design fairer and more resilient financing systems for future generations.