gavi.org
COO UPDATE
BOARD MEETING
David Marlow
26 -27 June 2023, Geneva, Switzerland
Executive Summary
2
? Operational Excellence ambition and approach endorsed by the AFC; presented at Governance Committee and Board
Closed Sessions
? Operational Excellence agenda continuing at pace while acknowledging need to balance running the business while
streamlining operations and improving ways of working; multi -year journey
? Increased transparency and connectivity between PPC and AFC discussions; careful sequencing and sharing of
information based on committee mandates. Additional opportunities for connectivity across multiple committees
? Financial forecast process strengthened
? Launch of Programme Leadership Team (PLT); enhanced cross -functional collaboration and ownership for
programmatic drivers impacting financial forecast
? More detailed and timely reporting from countries and partners : greater transparency of cash utilisation and
cash balances in -country
? New draft Balanced Scorecard providing improved holistic and systematic view of performance with relevant deep dive
modules available; will continue to evolve based on feedback and use
? Review and simplification of key policies underway; Ethics policy; PSEAH framework; Programme Funding Policy
? Strategy Operationalisation evaluation ; recommendations on strategy operating model; inform OE work and Gavi 6.0
Key Messages
Board Meeting, 26 -27 June 2023

gavi.org
FINANCIAL UPDATE, INCLUDING FORECAST
BOARD MEETING
Assietou Diouf
26 -27 June 2023, Geneva, Switzerland
Table of contents
COVAX AMC and COVID -19 forecast
F orecast risks and opportunities
Gavi Core 5.1 financial forecast 1
2
4
3
5
Gavi 6.0 forecast
Annex
Board Meeting, 26 -27 June 2023

gavi.org
APPROACH FOR GAVI 6.0
STRATEGY DESIGN AND THE
ROAD TO REPLENISHMENT
BOARD MEETING
Marie -Ange Saraka -Yao, Johannes Ahrendts
26 -27 June 2023, Geneva, Switzerland
Key trends and contextual developments considered
in the development of Gavi 6.0 and the replenishment
? Backsliding of routine immunisation (RI) following the COVID -19 pandemic in Gavi -
supported countries and Middle -Income Countries though signs of recovery in 2022
? Increased pressures on health systems in lower -income countries stemming from drivers of
vulnerability : population growth, urbanisation , growing fragility & conflicts, migration
? Climate change further exacerbates the drivers of vulnerability posing an unprecedented
challenge to global health
? Reshaping of the global health architecture and of the international community in a context of
poly -crises
? Innovation in immunisation systems and technologies , new vaccine agenda
2 Board Meeting, 26 -27 June 2023