Financial management assessments are central to the implementation of GAVI's transparency and accountability policy. An FMA is required before an eligible country can introduce new Health Systems Strengthening (HSS) or Immunisation Services Support (ISS) programmes.
Conducting an FMA is the single most effective way to gather relevant intelligence in a country: from the implementing government agency, in-country partners and bilateral and multilateral organisations. An FMA provides a basis upon which to determine whether further probes into possible misuse are necessary. And carrying out FMAs from the GAVI Secretariat, rather than from inside the country, helps to safeguard the independence and objectivity of the exercise.
The FMA is geared to help GAVI better understand the strengths and weaknesses of each countries’ public financial management system in the health sector. More importantly, the FMA helps countries to identify the best financing mechanism(s) for the management of GAVI cash-based support.
GAVI has implemented FMAs on a phased basis, starting with: 1) countries applying for new cash-based programmes; and, 2) countries deemed "higher risk" for financial management. GAVI conducts FMAs in all eligible countries within a two to three-year period.
As of January 2011, GAVI's Transparency and Accountability unit has carried out over 30 FMAs.
The above safeguards provide a deterrent to potential funding misuse and have improved the effectiveness of GAVI’s response in cases when controls have been identified as weak or the appropriation of GAVI funding has been questioned.