The Ministry of Health and Family Welfare (MoHFW) is implementing a range of reform measures to strengthen the resilience, efficiency, and equity of the health system in line with the recommendations of the Health Reform Commission (2025). These reforms aim to align Bangladesh’s health system with the principles of equity, participation, and accountability ensuring that health is realized as both a constitutional right and a public good. In this regard, the Ministry has prepared a comprehensive proposal titled “Health Sector Transformation in Bangladesh”, outlining the strategic priorities, implementation modalities, and expected outcomes of the reform agenda. The proposal emphasizes eight key strategic areas including governance and institutional reform, primary healthcare restructuring, workforce planning, financial sustainability, digital transformation, medicine regulation, documentation of transition strategies, and stakeholder communication.
The Ministry seeks the technical and strategic partnership of the World Health Organization (WHO) to support the implementation of these reform initiatives. WHO will provide technical assistance, policy advice, and coordination support to ensure that the reform measures are effectively implemented and aligned with global best practices in health system strengthening.
Objectives of the Assignment
To document the GAVI transition process for EPI and identify key milestones, responsibilities, and implementation arrangements.
To assess opportunities and barriers in transitioning vaccine procurement and financing to government systems.
To analyze institutional, financial, and regulatory readiness for ensuring the availability of quality-assured vaccines.
To identify capacity-building and policy support needs for maintaining WHO prequalification standards during and after the transition.
To provide evidence-based recommendations for strengthening vaccine procurement, supply chain management, and sustainability.
The consultant will-
Review existing GAVI transition framework, EPI strategic plans, and national immunization policy documents.
Map the vaccine procurement process — from demand forecasting and budgeting to tendering, quality control, and distribution.
Identify institutional responsibilities and financial flows in government-led procurement mechanisms.
Conduct stakeholder consultations with MoHFW, DGHS, CMSD, EPI, WHO, UNICEF, and GAVI to understand opportunities and challenges.
Document the barriers, risks, and mitigation strategies in the shift from GAVI-supported to government-financed vaccine procurement.
Assess adherence to WHO prequalification standards and national regulatory frameworks for vaccine quality assurance.
Develop a detailed report outlining the GAVI transition plan, including recommendations for policy, operational strengthening, and long-term sustainability.
The consultant will coordinate closely with EPI, CMSD, DGHS, Planning Wing, WHO, UNICEF, and GAVI, ensuring that documentation aligns with global standards and national policy frameworks. MoHFW will facilitate access to relevant data, documents, and stakeholders.
Expected Deliverables:
Sl. No.
Activities
Deliverables
Timeline
1
Situational Review and Data Compilation –
Conduct desk review and consultations with EPI, MoHFW, DGHS, and development partners to gather data on GAVI-supported activities, transition progress, and current procurement mechanisms.
Comprehensive Documentation of the GAVI Transition Plan for EPI –
Detailed report outlining the status, progress, challenges, and strategies related to the GAVI transition plan, including exit and sustainability approaches.
Day 1–10
2
Assessment of Institutional and Market Readiness –
Analyze institutional capacity, policy frameworks, and market dynamics for government-led vaccine procurement; identify systemic barriers and opportunities.
Analytical Report on Opportunities, Barriers, and Institutional Readiness for Government-Led Vaccine Procurement –
Evidence-based analysis with actionable findings and key insights.
Day 11–20
3
Development of Policy and Operational Recommendations –
Formulate recommendations and strategies to ensure sustainable, quality-assured, and cost-effective vaccine procurement and supply management post-GAVI transition.
Policy and Operational Recommendations Report –
Final document providing practical recommendations, implementation roadmap, and capacity-building measures for sustainable vaccine procurement.
Day 21–30
