Consent agenda


GAVI Alliance Board meeting
Dar es Salaam, Tanzania, 4 -5 December 2012
GAVI Alliance Board meeting
4-5 December 2012
Decision 1: Board/ Committee member
appointments (1/14)
1
The GAVI Alliance Board:
(a) Appointed the following Board members:
? Orin Levine as Board Member representing the Bill & Melinda Gates
Foundation in the seat currently held by Christopher J. Elias effective
1 January 2013 until his successor is appointed and qualified.
? Zulfiqar A. Bhutta as Board Member representing research and
technical health institutes in the seat currently held by Anne Schuchat
effective 1 January 2013 until 31 December 2015.
? Awa Marie Coll -Seck of Senegal as Board Member representing
developing country governments in the seat formerly held by
Toupta Boguena (Chad) effective immediately until 31 December 2015.

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Report to the
GAVI Alliance Board

Board-2012-Mtg-3-Doc 02a
4-5 December 2012
Subject: Consent Agenda: Board/Committee member appointments
Report of: Debbie Adams, Managing Director, Law and Governance
Authored by: Kevin A. Klock, Head of Governance and Assistant Secretary
Agenda item: 02a
Category: For Decision
Strategic goal: Alliance operations
Section A Overview
1 Purpose of the report
1.1 This report informs the Board of the Governance Committee?s
recommendations for Board and committee membership.
2 Recommendations
2.1 The Governance Committee recommends that the Bo ard:
 Appoint the following Board members:
1
o Orin Levine as Board Member representing the Bill & Melinda
Gates Foundation in the seat currently held by Chri stopher J.
Elias effective 1 January 2013 until his successor is appointed
and qualified.
o Zulfiqar A. Bhutta as Board Member representing research
and technical health institutes in the seat current ly held by Anne
Schuchat effective 1 January 2013 until 31 December 2015.
o Awa Marie Coll-Seck of Senegal as Board Member
representing developing country governments in the seat
formerly held by Toupta Boguena (Chad) effective im mediately
until 31 December 2015.
1 All Board candidate biographies are located in secti on B.

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Report to the
GAVI Alliance Board

Board-2012-Mtg-3-Doc 02b
4-5 December 2012
Subject: Consent Agenda: Board Chair appointment
Report of: Debbie Adams, Managing Director, Law and Governance
Authored by: Kevin A. Klock, Head of Governance and Assistant Secretary
Agenda item: 02b
Category: For Decision
Strategic goal: Alliance operations
Section A Overview
1 Purpose of the report
1.1 This report reviews the nomination of the Board Chair.
2 Recommendations
2.1 The Governance Committee recommends that the Bo ard:
 Appoint Dagfinn H?ybr?ten as Chair of the Board with indiv idual
signatory authority effective 1 January 2013 and until 31 December
2014.
The minutes will note that Dagfinn H?ybr?ten did no t participate in
discussion or voting on his appointment.
3 Executive Summary
3.1 On 23 August 2012, Dagfinn H?ybr?ten sent a let ter to the Governance
Committee Chair copying the Board to express an int erest in
reappointment. The Governance Committee Chair respo nded on 26
August noting that the Board had ?greatly benefited from the energy and
focus that you have brought it its oversight. Indee d, the GAVI Alliance as a
whole has made huge strides under your chairmanship ?.?
3.2 At the Governance Committee?s 3 October meeting , the Governance
Committee Chair proposed a process to appoint the n ext Board Chair. She
reminded the Committee of Dagfinn H?ybr?ten's lette r and that the Nordic
Council of Ministers, which had recently appointed Mr H?ybr?ten as
Secretary General, would allow him adequate time an d travel to fulfil his
GAVI responsibilities. The Governance Committee Cha ir reported her
understanding that there is strong support for his candidacy among the

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Report to the
GAVI Alliance Board

Board-2012-Mtg-3-Doc 02c
4-5 December 2012
Subject: Consent Agenda: Committee Chair appointments
Report of: Debbie Adams, Managing Director, Law and Governance
Authored by: Kevin A. Klock, Head of Governance & Assistant Secretary
Agenda item: 02c
Category: For Decision
Strategic goal: Alliance operations
Section A Overview
1 Purpose of the report
1.1 This report informs the Board of the Governance Committee?s
recommendations for committee chairships.
2 Recommendations
2.1 The Governance Committee recommends that the Bo ard:
 Appoint the following chairs of the committees until the c ommittees
are refreshed for the 2014 year:
o Wayne Berson as Chair of the Audit and Finance Committee
o George W. Wellde, Jr as Chair of the Investment Committee
o Gustavo Gonzalez-Canali as Chair of the Programme and
Policy Committee
o Sania Nishtar as Chair of the Evaluation Advisory Committee
The minutes will note that candidates for these pos itions did not
participate in discussion and voting on their appoi ntments.
The minutes will note that Dagfinn H?ybr?ten (Execu tive Committee)
and Geeta Rao Gupta (Governance Committee) are stat utorily
appointed to chair their respective committees. The y will also note
that Geeta Rao Gupta is also statutorily appointed as Vice Chair of
the Executive Committee.

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Report to the
GAVI Alliance Board

Board-2012-Mtg-3-Doc 02d
4-5 December 2012
Subject: Independent Auditor Selection and Evaluation Policy
Report of: Barry Greene, Managing Director, Finance and Operations
Authored by: Louis Mkanganwi, Director of Financial Reporting
Agenda item: 02d
Category: For Decision
Strategic goal: Alliance operations
Section A Overview
1 Purpose of the report
1.1 This paper presents to the Board a draft Indepe ndent Auditor Selection and
Evaluation Policy (the ?Draft Policy?), which the A udit and Finance
Committee (?AFC?) recommends to the Board for appro val. This responds
to the Board?s request at its 16-17 November 2011 m eeting.
1.2 It also recommends that the Board appoint KPMG as the independent
auditor of the GAVI Alliance for the financial year ending 31 December
2012 and to provide tax services for the GAVI Allia nce in respect of that
year.
2 Recommendations
2.1 The Audit and Finance Committee recommends that the Board:
(a) Approve the GAVI Alliance Independent Auditor Selection an d
Evaluation Policy attached as Annex 1 to Doc 2d.
(b) Appoint KPMG SA/AG as the independent auditor of the GAVI
Alliance for the financial year ending 31 December 2012.
(c) Appoint KPMG SA/AG to provide Swiss tax services for the G AVI
Alliance for the financial year ending 31 December 2012.
(d) Appoint KPMG LLP to provide United States tax services for the GAVI
Alliance for the financial year ending 31 December 2012.

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Report to the
GAVI Alliance Board

Board-2012-Mtg-3-Doc 02e
4-5 December 2012
Subject: Consent Agenda: By-Law and Committee charter
amendments
Report of: Debbie Adams, Managing Director, Law and Governance
Authored by: Kevin A. Klock, Head of Governance and Assistant Secretary
Agenda item: 02e
Category: For Decision
Strategic goal: Alliance operations
Section A Overview
1 Purpose of the report
1.1 This report proposes amendments to the By-Laws and committee charters
to clarify roles and responsibilities in relation t o the business planning
process as agreed by the Board, and to align the Au dit and Finance
Committee Charter and the Investment Committee Char ter with policies
adopted by the Board.
2 Recommendations
2.1 The Governance Committee recommends that the Bo ard:
 Amend the By-Laws and committee charters as follows to i mplement
the Board-approved business planning process:
o By-Laws Article 7.1 (Functions of the Secretariat): The bullet
point that states ?prepare the strategic plan and r elated work plans
and budgets that demonstrate the value for money an d efficiency of
the GAVI Alliance? is deleted and replaced with:
Prepare the strategic plan for review and approval by the Board.
To implement the strategic plan, prepare draft busi ness plans and
budgets in consultation with Alliance partners in a ccordance with
these By-Laws, the committee charters, and any addi tional
instructions from the Board.

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Report to the
GAVI Alliance Board

Board-2012-Mtg-3
4-5 December 2012
Report of the Chief Executive Officer

A thought piece on immunisation and the Post-2015 D evelopment
Agenda

Redefining a fully immunised child ? a 21 st century routine immunisation indicator

Discussions are well under way to shape the Post-20 15 Development Agenda (post-2015
agenda). The next set of development goals represen t an opportunity for us to rethink what
makes development that is inclusive, inspiring, inn ovative, and applicable to all people. It is
an opportunity to build on lessons learned, but als o to create a vision for the future for our
next generation to take forward.
The United Nations Secretary General has urged the world to be bold and ambitious when
we define the next chapter in development. While g lobal goals promote global solidarity,
there is a strong call for greater flexibility in t he next chapter of development - with goals and
targets that can be tailored for global, regional a nd country-level impact.

Health is at the core of development. Like other g lobal health stakeholders, the GAVI
Alliance is promoting the inclusion of at least one specific health goal. Goals, targets and
indicators should resonate with the general public, yet be robust enough to meet some of the
world?s most complex economic, environmental, and s ocial issues. These goals and
indicators need to make sense within a 21
st century context.

Below the health goal will be a series of indicator s. There are good reasons to include a
health indicator that speaks to routine immunisatio n. The evidence of the health and
economic benefits of vaccines demonstrate that immu nisation is one of the most successful
and cost-effective public health interventions. Im munisation offers protection against a
myriad of preventable diseases, avoiding catastroph ic health expenditures for both
individuals and societies and improving productivit y.

Routine immunisation coverage is also a proxy indic ator of the strength of a health system
1.
It is also a societal measure to assess the extensi on of services to those hardest to reach,
and a measure of an individual?s right to lifesavin g services.

An indicator to measure global progress to achieve full routine immunisation coverage
therefore addresses health systems, equity, and hum an rights. It is applicable to all countries
- no matter if rich or poor - the target is for eve ry child to have the opportunity to be fully
immunised.
1 A fully-functioning immunisation system comprises a well-trained work force, robust vaccine supply and distribution
systems, and strong management and monitoring funct ions.

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Report to the
GAVI Alliance Board

Board -2012 -Mtg -3-Doc 03
4-5 December 2012
Report of the Chief Executive Officer


27 November 2012
Dear Board Members,

It gives me great pleasure to provide this report on the eve of our Board meeting in
the United Republic of Tanzania, which will begin a significant week f or the Alliance
as we see more than 60 0 friends of GAVI gather at our Partners? Forum to consider
what progress we have together made and how we can collectively build upon it.

I would like to th ank the Government of Tanzania ? from the President down ? for the
support they have provided for the Board meeting and the Partners? Forum.
Tanzania has much to be proud of. In 1999, 147 out of every 1000 children died
before their fifth birthday. That figure was down to 67 in 2011, putting Tanzania on
track to meet the Millennium Development Goal on child mortality. One of the
reasons for that impressive reduction has been the work that Tanzania has done with
our Alliance. In 2001, Tanzania was one o f the first countries to be supported by
GAVI to use the then ne w DTP -HepB combination vaccine. We then supported the
introduction of pentavalent vaccine in 2009, which now reaches 90% of Tanzania?s
children. And Tanzania will take another dramatic step this week in protecting its
children against the two biggest child killers ? pneumonia and severe diarrhoea,
which cause a quarter of under five d eaths in Tanzania ? by introducing
pneumococcal and rotavirus vaccines.

The Forum will also give us the opportunity to mark a new phase in the Decade of
Vaccines following the approval earlier in the year by the World Health Assembly of
th e Global Vaccine Action Plan. At the AFRO regional committee meeting in Angola
two weeks before our Board meeting I had the chance to discuss with health
ministers how they are planning to meet the ambitious Plan, and how GAVI can help.
The week before that I was in Bra zil, where the Brazilian government renewed its
commitment to work with GAVI and start contributing to IFFIm ? although the path
through the Brazilian bureaucracy is still not entirely clear . I am sure that Dagfinn
H?ybr?ten, chair of the Board, will update the Board on his visit with Australian and
New Zealand MPs and Helen Evans to Myanmar; from what I have heard and seen of
the media coverage, it was a highly successful visit.

Accelerated introductions

The pace of the Alliance?s work continues to accele rate: by the end of 2012 we will
have seen a record total of 30 vaccine introductions into countries? routine schedules
and 6 campaigns supported by GAVI over the course of the year. These include five
pentavalent, seven rotavirus, ten pneumococcal, and e ight measles second dose

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Report to the
GAVI Alliance Board

Board -2012 -Mtg -3-Doc 04
4-5 December 2012
Subject : Committee Chair reports
Agenda item : 04
No paper

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Report to the
GAVI Alliance Board
Board-2012-Mtg-3-Doc 05
4-5 December 2012
Subject: Financial Forecast and Programme Funding
Envelope approval
Report of: Barry Greene, Managing Director, Finance & Operatio ns
Authored by: Tony Dutson, Senior Director, Finance & Chief
Accounting Officer
Agenda item: 05
Category: For Decision
Strategic goal: Alliance operations

Section A: Overview
1. Purpose of the report
1.1 This paper informs the GAVI Alliance Board (?Bo ard?) of the updated GAVI
financial forecast for 2011-2020 (Version 6.0Fb) an d requests the Board to
approve a programme funding envelope to be allotted by the Secretariat
through 31 December 2013.
2. Recommendations
2.1 The Board is requested to:
 Approve a Programme Funding Envelope for unrestricted coun tries from
which the Secretariat, under the Programme Funding Policy, shall allot
funding to programmes until 31 December 2013, to:
a) Endorse or adjust previously endorsed amounts of programme multi-
year budgets for existing programmes and new cash p rogrammes for
an aggregate amount not exceeding US$ 600 million. (These
endorsements would constitute acknowledgement of su ch budget
amounts at the time of allotment but would not cons titute a funding
approval, decision, obligation or commitment of the GAVI Alliance or its
contributors.)
b) Establish or adjust near-term liabilities of the GAVI Alliance in respect of
endorsed programme budgets for periods ending no la ter than 31
December 2014 for an aggregate amount not exceeding US$ 1,482
million. (These amounts are a sub-component of endo rsed programme
budgets.)

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Report to the
GAVI Alliance Board

Board-2012-Mtg-3-Doc 06
4-5 December 2012
Subject: 2013-2014 Business plan and budget
Report of: Helen Evans, Deputy CEO
Authored by: Adrien de Chaisemartin; Barry Greene; Ciara Goldste in;
Claire Hugo; Nina Schwalbe; Tony Dutson; Ulf Herzer
Agenda item: 06
Category: For Decision
Strategic goal: Affects all strategic goals
Section A Overview
1 Purpose of the report
1.1 This report provides the Board with an overview of the key programmatic and
budget aspects of the 2013-14 Business Plan, the op erating model to
implement it and the allocation of resources across priority areas.
1.2 A summary of the Business Plan programme object ives, deliverables, costs,
and main activities are included in Annex 1 of this document. Annex 2 provides
the background information for the changes in basel ine and corresponding
targets for some of GAVI?s Business Plan indicators . More details are included
in two Appendix documents available on the myGAVI s ite
1, including a
narrative describing key work areas in details, and an excel document
providing details on deliverables, activities and b udget.
1.3 The Business Plan takes into account the outcom es from the workshops held
in May 2012 which informed high level guidance on t he priorities for the next
two year business plan provided by the Board on 12 June 2012, and reviews
by the Executive Committee (EC) on 20 September 201 2, the Programme and
Policy Committee (PPC) on 17 October 2012, the join t Audit and Finance
Committee (AFC)/PPC meeting on 9 November 2012 and the EC meeting on
15 November 2012.
1.4 At their joint meeting on 9 November, the PPC a nd AFC recommended to the
Executive Committee that it, in turn, recommend the 2013-2014 business plan
and budget to the Board, subject to UNICEF Supply D ivision submitting the
clarifications requested by the committees. In addi tion, the AFC recommended
the Board to approve the carry-forward mechanism, d escribed in Annex 8.

1 Page available on http://mygavi/display/boardgroup/Board+additional+do cuments

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Report to the
GAVI Alliance Board

Board -2012 -Mtg -3-Doc 07
4-5 December 2012
Subject : Long -term funding strategy
Report of: Marie -Ange Saraka -Yao, Director, Programme Funding and
David Ferreira, Managing Director, Innovative Finance
Authored by: Marie -Ange Saraka -Yao, Director, Programme Funding and
David Ferreira, M anaging Director, Innovative Finance
Agenda item : 07
Category: For Decision
Strategic goal : SG3 - Financing: global predictability/nat'l sustainability
Section A Overview
1 Purpose of the report
1.1 This report presents GAVI?s long -term funding strategy (LTFS) , n amely the
long -term funding model , capital structure, and the replenishment process.
The strategy focuses on the period 2016 -20 , although the
recommendations consider the impact beyond 2020.
2 Recommendations
2.1 The S ecretariat recommends that the GAVI Alliance Board :
a) Approve GAVI?s long -term funding strategy priorities as presented
in paragraph 3.4 of Doc 07 .
3 Executive Summary
3.1 Since the conclusion of the 2011 pledging meeting, implementation of
GAVI supported programs has accelerated at an unprecedented pace 1 to
meet the agreed target s by 2015. While the GAVI Mid -Term Review
(MTR) at the end of 2013 will detail results achieved so far , countries ?
longer -term requirement s to build on and sustain immunisation gains are
already emerging for the next period 2016 -20 and beyond . With Sub -
Saharan Africa , South and East Asia still lagging behind on MDG4 and 5,
looking ahead , GAVI plans to demonstrate both that it has cost -effectively
achieved a substantial health impact, and what it can achieve over the
next replenishment cycle .
1 See Board Paper on update on programmes, December 2012 , Doc 14.