GAVI Alliance Programme and Policy Committee Meeting
16 -17 October 2

PPC -2013 -Mtg -1 1




GAVI Alliance Programme and Policy Committee Meeting
29 -30 April 2013
GAVI Alliance Offices, Geneva, Switzerland


FINAL MINUTES

1. Chair?s report

1.1 Finding a quorum of members present, the meeting commenced at 09.35
Geneva time on 29 April 2013 . Gustavo Gonzalez -Canali, Programme and
Policy Committee Chair, chaired the meeting.

1.2 The Chair welcomed new members attending a PPC meeting for the first time .

1.3 Standing declarations of interest were tabled to the Committee (Doc 01a in
the Committee pack).

1.4 The minutes of the October 2012 PPC and the November 2012 Joint
AFC/PPC meeting were tabled to the Committee (Doc s 01b and 01c in the
Committee pack). They had already been circulated and approved by no -
objection on 28 December 2012 and 7 March 2013 respectively .

1.5 The Chair informed the PPC that as he would be leaving his current position
at the French Ministry of Foreign Affairs in August 2013 he had informe d the
Board Chair and Vice Chair that he would be stepping down as Chair of the
PPC. The Board Chair has asked him to remain in the position until his
successor has been appointed by the Board. It is hoped that the process to be
put in place shortly will e nable this appointment to be made by the Board at its
meeting in June 2013.

1.6 PPC members expressed their appreciation for Dr Gonzalez -Canali ?s work as
Chair of the Committee over the years.

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2. Update from the Secretariat

2.1 Seth Berkley, CEO, gave a report from the Secretariat . He set the context by
inform ing the Committee that GAVI, during its first 12 years, had provided
over 1 billion doses of vaccines through 151 launches and for 6 different
product antigens. In 2013 alone GAVI will provide over half a billion doses ,
there will be 47 -60 launches and the introduction of 3 new antigen products.
This is possible due to the unprecedented work of all Alliance partners.

GAVI Alliance Programme and Policy Committee Meeting
16 -17 October 2

PPC -2013 -Mtg -2 1




GAVI Alliance Programme and Policy Committee Meeting
9-10 October 2013
GAVI Alliance Offices, Geneva, Switzerland


FINAL MINUTES

1. Chair?s report

1.1 Finding a quorum of members present, the meeting commenced at 08.35
Geneva time on 9 October 2013 . Richard Sezibera , Programme and Policy
Committee Chair, chaired the meeting.

1.2 The Chair expressed that he was delighted to be attending his first mee ting as
Chair of the PPC and how much he looked forward to working with the
Committee.

1.3 He welcomed new members attending a PPC meeting for the first time as well
as observers , and introduced his Special Adviser, Stephen Karengera .

1.4 Standing declarations o f interest were tabled to the Committee (Doc 01a in
the Committee pack).

1.5 The minutes of the April 2013 meeting were tabled to the Committee (Doc 01b
in the Committee pack). They had already been circulated and approved by
no -objection on 9 August 2013 .

1.6 Finally the Chair referred to the PPC workplan for 2014 (Doc 01 c) and
reminded Committee members that they may contribute to the workplan by
raising issues with either himself or the Secretariat.

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2. Update from the Secretariat

2.1 Seth Berkley, CEO, ga ve an update from the Secretariat, highlighting that
2013 is a record year for GAVI in terms of vaccine introductions.

2.2 He referred to the Executive Committee meeting which had taken place in
New York on 27 September 2013 and at which the items disc ussed included
the GAVI Strategy 2016 -2020, updates to the business plan for 2014, risk and
risk management and polio and routine immunisation.

2.3 In relation to the GAVI Strategy 2016 -2020 he informed the PPC that based
on the input of the Executive Committee the strategic shifts will be some

PPC -2015 -Mtg -02 1




G avi Alliance Programme and Policy Committee Meeting
21 May 2015
Teleconference


1. Declarations of Interest

1.1 Finding a quorum of members present, the meeting commenced at 16.08 Geneva
time on 4 May 2015 . Richard Sezibera, Programme and Policy Committee Chair,
and Jean -Marie Okwo -Bele, Alternate Board member and PPC member
representing WHO, co -chaired t he meeting. They referred to a document which
had been sent to the PPC by Minister Kesetebirhan Admasu on behalf of Ghana .

1.2 Standing declarations of interest were tabled to the Committee (Doc 01a in the
Committee pack).

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2. Strengthening country transitions out of Gavi support

2.1 Seth Berkley, CEO, briefly introduced this item and Judith Kallenberg, Head of
Policy, provided PPC members with a brief overview of the information presented
to them in the paper for this meeting. They noted that in addition to the d ocument
sent to the PPC on behalf of Ghana, a further document had been sent by the
Secretariat to the PPC following a request for clarifications from a PPC member.

Discussion

? PPC members agreed on the importan ce of the new policy being rules based in
order to ensure credibility of the Gavi model.

? A number of PPC members expressed support for option 3a (GNI p.c. increase
over 10%) as presented in the paper, while others expressed a preference for
option 3b (GNI p .c. increase over 20%) .

? One member of the PPC proposed, and was supported by other members, that
there should be an additional focus on countries entering graduation much earlier
than expected due to a sudden increase in GNI p.c. caused by rebasing.

? PPC members noted that while countries are supposed to rebase their national
income every five years this does not always happen and it is one of the rea sons
why some countries have recently seen such a sudden increase.

? While some members favour ed looking at increases in GNI p.c. over 20% linked
to rebasing , others showed a preference for increases over 30% (regardless of


Minutes

GAVI Alliance Programme and Policy Committee Meeting
16 -17 October 2

PPC -2013 -Mtg -3 1




GAVI Alliance Programme and Policy Committee Meeting
12 November 2013
Teleconference


FINAL MINUTES


1. GAVI engagement with graduating countries

1.1 Finding a quorum of members present, the meeting commenced at 16.05
Geneva time on 12 November 2013 . Richard Sezibera , Programme and
Policy Committee Chair, chaired the meeting.

1.2 The Chair reminded PPC members that he had convened this meeting due to
con cerns raised since the October PPC meeting in relation to the
recommendation on GAVI engagement with graduating countries which
excluded countries that are currently on the graduating track from accessing
the same support as those entering the graduation t rack after 31 December
2013.

1.3 Hind Khatib -Othman, Managing Director, Country Programmes , outlined the
proposed revisions to the October PPC recommendation.

Discussion

? PPC members agreed that they had not had sufficient time to discuss this
item at their October meeting and appreciated the Chair?s initiative to convene
this additional meeting.

? PPC members noted that some of the more detailed information provided in
the paper prepared for the November Board meeting was not in the paper for
the October PPC meeting . The Secretariat clarified that it was not new
information but was contained in the background information which had bee n
put on myGAVI for PPC members in advance of the October meeting.

? PPC members noted that in relation to the recommendation ma de by them at
their October meeting points a) and c) were new in the proposed revised
recommendation and b) was simply a rewording for clarification purposes.

? The PPC noted that the Secretariat does not require additional resources to
manage the new gran ts which may be awarded to countries and that the
workload will be managed jointly by the Country Responsible Officers and the
HSS team within the GAVI Secretariat and WHO colleagues.

GAVI Alliance Programme and Policy Committee Meeting
16 -17 October 2

PPC -2014 -Mtg -1 1




GAVI Alliance Programme and Policy Committee Meeting
5-6 May 2014
GAVI Alliance Offices, Geneva, Switzerland


FINAL MINUTES

1. Chair?s report

1.1 Finding a quorum of members present, the meeting commenced at 09.00
Geneva time on 5 May 2014 . Richard Sezibera , Programme and Policy
Committee Chair, chaired the meeting.

1.2 The Chair welcomed Rajinder Suri who was attending a PPC meeting for the
first time and welcomed Robert Newman who had taken up the position as
Managing Director, Policy & Performance, in February 2014 .

1.3 Standing declarations of interest were tabled to the Committee (Doc 01a in
the Committee pack).

1.4 The minutes of the October & November 2013 PPC meetings were tabled to
the Committee (Doc s 01b and 01d in the Committee pack) and the minutes of
the joint meeting with the AFC, also he ld in October 2013 (Doc 01c in the
Committee pack). They had already been circulated and approved by no -
objection on 19 December 2013, 10 February 2014 and 4 April 2014
respectively.

1.5 The Chair referred to the PPC workplan for 2014 and early 2015 (Doc 01 e)
and reminded Committee members that they may contribute to the workplan
by raising issues with eith er himself or the Secretariat .

1.6 The Chair informed PPC members that Minister Andrei Usatii , Moldova, was
unfortunately unable to attend this meeting but had submitted written
comments which were tabled for Committee members.

1.7 The Chair informed Committee members that he would like to take time at the
beginning of this meeting to have a discussion and get their views on how the
PPC is working. In this context he invited Debbie Adams, Managing Director,
Law and Governance, to review the PPC Charter to highli ght the purpose of
the PPC, as defined in the Charter, and its duties and responsibilities.

1.8 Seth Berkley, CEO, added that in the recently conducted Board and
Committee Self -Evaluation there was a good understanding of what the PPC
did and its role. One of the concerns highlighted in the self -evaluation is that a
large part of the agenda for Board meetings is taken up with information

PPC -2014 -Mtg -02 1



G avi Alliance Programme and Policy Committee Meeting
7-8 October 2014
Gavi Offices, Geneva, Switzerland



1. Chair?s report

1.1 Finding a quorum of members present, the meeting commenced at 08.55
Geneva time on 7 October 2014. Richard Sezibera, Programme and Policy
Committee Chair, chaired t he meeting.

1.2 The Chair welcomed Minister Andrei Usatii and Erik Bossan, both attending a
PP C meeting for the first time, as well as observers Miriam Diallo, Ross Leach,
Michel Zaffran and Violaine Mitchell.

1.3 The Chair noted that Steve Landry, Bill & Melinda Gates Foundation, would not
be able to attend this meeting and that he was to be replaced both as Alternate
Board member and PPC member. The Chair conveyed, on behalf of the
Committee, thanks to Mr Landry for his dedication to the PPC, and to Gavi, over
the years. He highlighted that Mr Landry?s passion and dedication to the Gavi
mission and h is support and insight in relation to the huge number of important
programmatic and policy discussions over the years had been remarkable.

1.4 The Chair also noted that this would be the last PPC meeting for Debbie Adams
as Managing Director, Legal and Govern ance and Secretary to the Board. He
thanked her for her support to the PPC over the years and wished her well in her
future endeavours.

1.5 In the context of a number of comments received in advance of the meeting on
the review of the eligibility, graduation and co -financing policies (Item 6 on the
meeting agenda) the Chair proposed, and members of the Programme and
Policy Committee agreed, that this item would be for infor mation rather than for
decision .

1.6 Standing declarations of interest were tabled to the C ommittee (Doc 01a in the
Committee pack).

1.7 The minutes of the 9-10 October 2013 and the 12 November 2013 Programme
and Policy Committee meetings were tabled to the Committee for information
(Doc 01b and Doc 01c in the Committee pack). Cop ies of the minutes of the 5 -6
May 2014 meeting were available at the meeting for participants on request. All
minutes had been circulated and approved by no -objection on 19 December
2013, 10 February 2014 and 10 July 2014 respectively .



Minutes

PPC -2014 -Mtg -04 1



G avi Alliance Programme and Policy Committee Meeting
10 November 2014
Teleconference



1. Declarations of Interest

1.1 Finding a quorum of members present, the meeting commenced at 16.09
Geneva time on 6 November 2014. Richard Sezibera, Programme and Policy
Committee Committ ee Chair, chaired the meeting.

1.2 Standing declarations of interest were tabled to the Committee (Doc 01 in the
Committee pack).

------

2. Risk Policy

2.1 Seth Berkley, introduced this item, highlighting that the work done on the paper
since the previous meeting of the PPC puts into perspective the overall risk
activities which are going on within the Secretariat. He informed PPC members
that the Board, at its meeting in December 2014, will also be considering a paper
on proposed changes to strengthen fiduciary oversight which has been reviewed
by the Audit and Finance Committee (AFC).

2.2 Robert Newman, Managing Director, Policy and Performance, and Judith
Kallenberg, Head, Policy, updated PPC members on the changes that had been
incorporated into the proposed risk policy, following discussions at the October
2014 PPC meeting. The proposed policy provides an overarching framework for
a risk management approach. While some structures and processes for
implementing this approach are already in place, others will be developed over
the coming months and years.

Discussion

? PPC members commended the Secretariat on the work which had been done on
this paper since the previous PPC meeting. T hey noted that the purpose and
scope of the policy has been clarified as well as the intent of the risk appetite
statement , which is now included in the annex to the proposed policy.

? PPC members noted that further work will be carried out in 2015 in terms of
defining the roles and responsibilities of partners in managing risk for the
Alliance .



Minutes

PPC -2015 -Mtg -03 1




G avi Alliance Programme and Policy Committee Meeting
7-8 October 2015
Gavi Offices, Geneva, Switzerland


1. Chair?s report

1.1 Finding a quorum of members present, the meeting commenced at 09 .05 Geneva
time on 7 October 2015 . Richard Sezibera, Programme and Policy Committee
Chair, chaired t he meeting.

1.2 The Chair welcomed participants and in particular Lene Lothe who had recently
been reappointed to the PPC a s the representative for the
Denmark//Netherlands/Norway/Sweden constituency.

1.3 The Chair noted that as Jason Lane would only be able to join the meeting on the
following day , Donal Brown, Board member for the UK/Canada/Ireland
constituency, would join the meeting in his absence as an observer. He also noted
that Laura Laughlin, Alternate Board member for the IFPMA constituency would
be joining the meeting as an observer in the absen ce of Erik Bossan, and that
pending a nomination from UNICEF to replace Jos Vandelaer on the committee,
Henri van den Hombergh would also attend as an observer.

1.4 The Chair informed participants that Bolan le Oyeludun, IRC Chair, would join the
meeting for I tem 3, that Michel Zaffran, WHO, would join for Item 4, and that he
had agreed that the chairs of the Steering Committees who had been involved in
the preparatory work on the items related to measles, direct financial support and
the supply and procurement strategy could join the meeting by phone for the
related discussions.

1.5 Finally, both the Chair and the CEO, welcomed Philip Armstrong, attending his
first PPC meeting as newly appointed Director of Governance and Secretary to
the Board.

1.6 PPC members noted the written comments that had been submitted by Dr Andrei
Usatii on behalf of his constituency. As Zulfiqar Bhutta would be unable to remain
for the second day of the meeting he also shared written input from his
constituency with the Committee.

1.7 Standing declarations of interest were tabled to the Committee (Doc 01a in the
Committee pack).

1.8 The minutes of the 4-6 May 2015 and 21 May 2015 m eetings were tabled to the
Committee for information (Doc 01b and Doc 01c in the Committee pack). Both
had be en circulated and approved by no -objection on 3 August 2015 .

Minutes

PPC -2015 -Mtg -05 1




G avi Alliance Programme and Policy Committee Meeting
12 November 201 5
Teleconference


1. Declarations of Interest

1.1 Finding a quorum of Programme and Policy Committee members present, the
meeting commenced at 17.40 Geneva time on 12 November 2015. Richard
Sezibera, Programme and Policy Committee Chair, chaired the meeting. He
thanked the Committee for having accommodate d his late request to reschedule
the meeting.

1.2 Taking into account that a number of Committee members, including himself, were
on the line from countries where the phone connections might not remain stable
throughout the meeting, the Chair proposed that th e PPC agree on a provision to
ensure that decisions could be taken in the absence of a normal quorum for a PPC
meeting, and that should he personally be disconnected from the call Jean -Marie
Okwo -Bele chair the meeting in his absence. PPC members agreed.

1.3 Prior to the Chair joining the call, and in the interest of ensuring sufficient time for
PPC m em bers to discuss the items on the agenda, Seth Berkley, CEO, had made
some introductory comments in relation to the potential role and rationale for Gavi
in the next steps for the RTS,S malaria vaccine.

Decision One

The Gavi Alliance Programme and Policy Committee:

? Agreed , for its meeting on 12 November 2015, pursuant to its Charter, to delegate
on an exceptional basis its authority and duties to a subcommittee comprising at
least six voting members present for the purposes of rea ching decisions at this
meeting

? Noted that Jean -Marie Okwo -Bele would chair the meeting, should Richard
Sezibera find himself unable to do so.

------

2. Update on Malaria Vaccine and o ptions for potential Gavi role in next steps

2.1 Professor Peter Smith, Chair of the Joint Technical Expert Group , provided a brief
overview of the results from the RTS,S vaccine trials and the rationale for the
SAGE/MPAC recommendation for Demonstration Projects with the vaccine He
highlighted that the risk/benefit ration of the vaccine had been found favourable by

Minutes

PPC -2016 -Mtg -01 1




G avi Alliance Programme and Policy Committee Meeting
12 -13 May 2016
Arusha Hotel, Arusha, Tanzania

1. Chair?s report

1.1 Finding a quorum of members present, the meeting commenced at 09 .03 Arusha
time on 12 May 2016 . Programme and Policy Committee (PPC) members agreed
that in the absence of Richard Sezibera, PPC Chair, and at his request, Jean -
Marie Okwo -Bele would chair the meeting, ex cept for the item on malaria vaccine
pilots which would be chaired by the CEO.

1.2 The Chair welcomed participants and in particular PPC members attending the
meeting for the first time. On behalf of the PPC he extended thanks to Honourable
Minister Ummy Ally Mwalimu, Minister of Health, Community Development,
Gender, Elderly and Children of the Republic of Tanzania for providing support for
the organisation of the field visit which PPC membe rs had participated in the
previous day, through the national and regional EPI teams. He thanked in
particular Dr Dafrossa Lyimo, EPI Manager, without whose valuable help the visit
wo uld not have been a success.

1.3 Standing declarations of interest were tabl ed to the Committee (Doc 01a in the
Committee pack).

1.4 The minutes of the 6 November 2015 and 12 November 2015 m eetings were
tabled to the Committee for information (Doc 01b and Doc 01c in the Committee
pack). Both had been circulated and approved by no -objection on 21 March 2016 .

1.5 The Chair referred to the PPC workplan for the next year (Doc 01 d) and reminded
Committee members that they may contribute to the workplan by raising issues
with ei ther himself or the Secretariat . It was agreed that the Comm ittee would
further discuss the workplan under Item 12 Any Other Business.

------

2. Update from Secretariat

2.1 Seth Berkley, CEO, started by indicating that during his update he would be
highlighting major programmes and countries where there has been substantial
progress or challenges since the last PPC meeting, as well as recent
developments at the Secretariat. He informed Committee members that a special
write up of the activities of the 2011 -2015 strategic period will be included in the
next annual report.

Minutes

PPC -2016 -Mtg -02 1




G avi Alliance Programme and Policy Committee Meeting
25-26 October 2016
Gavi Alliance Offices, Geneva, Switzerland

1. Chair?s report

1.1 Finding a quorum of members present, the meeting commenced at 09.05 Geneva
time on 25 October 2016. Richard Sezibera, Programme and Policy Committee
(PPC) Chair, chaired the meeting.

1.2 The Chair welcomed participants and in particular PPC members attending the
meeting for the first time , namely Syed Monjurul Islam and Helen Rees . He also
formally thanked Jean -Marie Okwo -Bele for having stepped in for him to chair the
PPC meeting in Arusha in May, and the PPC members for their understanding of
the circumstances which had prevented him from being able to attend the retreat
and the meeting at that time.

1.3 The Chair noted that Jean -Francois Pactet was joining this meeting as an
observer, pending his formal appointment by the Board in December as both an
Alternate Board Member and a PPC member. As had been done in the past for
PPC membe rs elect, he would be welcome to take part in the discussions but
would not be in a position to take part in the decision making processes. The Chair
also noted that Laura Laughlin, Alternate Board member for the IFPMA
constituency, would be joining the me eting as an observer on Day Two.

1.4 The Chair informed participants that Bolanle Oyeludun, IRC Chair, would join the
meeting for Item 4 and that Sylvie Briand, WHO, would join for Item 8.

1.5 PPC members noted the written comments that had been submitted by
Hon ourable Minister Yolani Batres on behalf of her constituency, and by Rama
Lakshminarayanan on behalf of the World Bank. The Chair also referred to
comments that he had received from Canada and Tanzania.

1.6 Standing declarations of interest were tabled to the Committee (Doc 01a in the
Committee pack).

1.7 The note of the 10 May 2016 retreat discussions and the minutes of the 12 -13 May
2016 meeting were tabled to the Committee for information (Doc 01b and Doc 01c
in the Committee pack). The minutes had been circu lated and approved by no -
objection on 3 August 2015.

1.8 The Chair referred to the PPC workplan for the next year (Doc 01d) and reminded
Committee members that they may contribute to the workplan by raising issues
with either himself or the Secretariat. He noted that the workplan sets out the
Minutes

PPC -2017 -Mtg -01 1




G avi Alliance Programme and Policy Committee Meeting
11 -12 May 2017
Gavi Alliance Offices, Geneva, Switzerland


1. Chair?s report

1.1 Finding a quorum of members present, the meeting commenced at 09.0 3
Geneva time on 11 May 2017 . Programme and Policy Committee (PPC)
members agreed that in the absence of Richard Sezibera, PPC Chair, and at his
request, Helen Rees would chair the meeting.

1.2 The Chai r welcomed participants and in particular the new PPC members ,
namely Jean -Francois Pactet and Alejandro Cravioto, the SAGE Chair who was
invited to join the PPC as an independent expert by Dr Sezibera .

1.3 The Chair noted that Abdul Wali Ghayur was joining t his meeting as an observer,
pending his formal appointment by the Board in June as a PPC member. As had
been done in the past for PPC members elect, he would be welcome to take part
in the discussions but would not be in a position to take part in the deci sion
making processes.

1.4 The Chair informed participants that Diana Chang Blanc from WHO would join
for the session on Alliance Update on Country Programmes ; Suvi Rautio f ro m
UNICEF Supply Division wou ld join for the session on the Cold Chain
Optimisation Equipment Platform ; and Michel Zaffran from WHO, would join for
the session on IPV. She noted that Gunilla Carlsson, a member of the Gavi
Alliance Board and the Governance Committee, who served as Chair of the
Governance Committee during the Vice Chair?s l eave of absence, would join for
the session on the review of the PPC Charter. And finally , she informed
participants that David Sidwell, Gavi Alliance Board member and Chair of the
Audit and Finance Committee, would join for the session on the Risk appetit e
statement.

1.5 Standing declarations of interest were tabled to the Committee (Doc 01a in the
Committee pack). The Chair reported on her position as Chair of WHO?s
International Health Regulations Emergency Committee on Polio, while noting
that this was not in conflict with her role at the Gavi Alliance.

1.6 The minutes of the 25 -26 October 2016 meeting were tabled to the Committee
for information (Doc 01b in the Committee pack). The minutes had been
circulated and approved by no -objection on 27 February 2017 .

Minutes