Vaccinating the next billion: Gavi’s CEO Dr Sania Nishtar

Gavi is a unique global health partnership that has revolutionised access to vaccines in lower-income countries since 2000. Working with governments, UN agencies, private sector partners and civil society, Gavi has helped immunise more than one billion children, averted 18 million deaths and generating over US$200 billion in economic benefits. The organisation is known for its efficiency, keeping operational costs below 3%, and employs an innovative co-financing model where recipient countries gradually increase their contribution as their economic capacity grows, eventually becoming self-sustaining.Gavi’s CEO Dr Sania Nishtar discusses the organisation’s evolving role in global health, from its traditional focus on childhood immunisation to new challenges in vaccine delivery post-COVID. Topics include the concerning rise in "zero-dose" children who haven't received any vaccines, Gavi's expanded mandate in emergency response and vaccine manufacturing, and its upcoming strategy for 2026-2030 which aims to vaccinate another billion children in half the time it took for the first billion. The conversation also explored Gavi's work in the Pacific region, particularly the challenges faced in places like Solomon Islands, and the organisation's upcoming replenishment campaign seeking $9 billion in funding.Dr Nishtar is a cardiologist by training and has built an extraordinary career spanning medicine, civil society, and government. Before joining Gavi in March 2024, she served as a Senator in Pakistan and as Special Assistant to the Prime Minister on Poverty Alleviation, overseeing the implementation of Pakistan's largest social protection program, which reached around 15 million households. She founded Heartfile, an influential health policy think tank in Pakistan, and has chaired numerous high-level international commissions for organisations like WHO and the World Economic Forum. In 2017, she was one of three finalists for the position of WHO Director-General.Devpolicy Talks is the podcast of the Australian National University’s Development Policy Centre. Our producers are Robin Davies, Amita Monterola, Jackie Hanafie and Finn Clarke.  Devpolicy Talks is the podcast of the Australian National University's Development Policy Centre. Read and subscribe to our daily blogs at devpolicy.org.Learn more about our research and join our public events at devpolicy.anu.edu.au.Follow us on Twitter, Facebook, LinkedIn and Instagram for latest updates on our blogs, research and events.You can send us feedback, and ideas for episodes too, to [email protected].