Table 6.

Recommendations to the GAVI Board by the Delphi panellists

Domains for GAVI support	Recommendations
Conceptualization of the proposals	The HSS proposal must be more realistic for the time horizon of the subvention – it is not possible to expect impact on the health system, but rather on the health system building blocks.
Leadership and governance	Improve leadership capacity and management skills: strategic and “day to day” GAVI and the MOH must agree on mechanisms to stabilize and retain personnel responsible for the management of the project Improve communication between GAVI and MOH Establish adequate administrative structures for the GAVI funds
Implementation	Will be more successful if attention is given to governance and management capacities, including capacities at decentralized levels of the health system.
Financing	Improve skills to administer cash funds.

HSS: Health System's Strengthening; GAVI: The Global Alliance for Vaccines and Immunization; MOH: Ministry of Health.