IMFIN brief 7: Domestic trust funds

What are trust funds for immunization? How have they worked in practice?

Key points

• Domestic trust funds have attracted interest as a way to fund immunization programs, but few countries have implemented them.
• In theory, trust funds can help protect or manage sources of immunization funding, generate additional revenue through interest earned on investments, and promote donor confidence.
• The limited experience to date has shown that trust funds for immunization and for other health priorities can be costly and complicated to establish, fund, and manage.