1


Report to the
GAVI Alliance Board

Board -2012 -Mtg -3-Doc 08
4-5 December 201 2
Subject : Chair?s reflection on the day
Agenda item : 08
No paper

1


Report to the
GAVI Alliance Board

Board -2012 -Mtg -3-Doc 09
4-5 December 2012

Subject : Chair?s overview
Agenda item : 09
No paper

1


Report to the
GAVI Alliance Board

Board -2012 -Mtg -3-Doc 10
4-5 December 2012

Subject : Country presentation
Agenda item : 10
No paper

1



Report to the
GAVI Alliance Board

Board-2012-Mtg-3-Doc 11
4-5 December 2012
Subject: Risk management update
Report of: Helen Evans, Deputy CEO
Authored by: Claire Hugo; Adrien de Chaisemartin; Nina Schwalbe, Helen
Evans
Agenda item: 11
Category: For Guidance
Strategic goal: Affects all strategic goals
Section A Overview
1 Purpose of the report
1.1 This report outlines the risk management framew ork of the GAVI Alliance
and provides an update on the key risks of the Alli ance.
2 Recommendations
2.1 The Board is requested to provide guidance on w hether Board members
agree with the key risks identified and that the ri sk mitigation strategies
adequately address the risks of the Alliance.
3 Executive Summary
3.1 The key risk management tools for the Alliance include:
a) Transparency and Accountability Policy : This policy intends to
ensure that all cash-based support provided by GAVI to countries is
used for the purposes for which it was approved. Al l countries or
implementing entities that receive cash grants from the Alliance
undergo a Financial Management Assessment (FMA) whi ch evaluates
whether systems provide reasonable assurance that t he resources
provided will be used for their agreed intended pur poses, with due
attention to the principles of economy, efficiency, effectiveness,
transparency and accountability.
b) Risk Register : Whilst TAP focuses on the fiduciary risks related to
cash support at country level, the Secretariat cond ucts a quarterly risk
assessment focusing on risks that would prevent GAV I from reaching
its targets. Each risk has a responsible focal poin t within the

1


Report to the
GAVI Alliance Board

Board-2012-Mtg-3-Doc 12
4-5 December 2012
Subject: GAVI and fragile states: a country by country appro ach
Report of: Nina Schwalbe, Managing Director, Policy and Performance
Authored by: Aur?lia Nguyen, Anna-Carin Matterson, Policy and Ma rket
Shaping; Paul Kelly, Country Programmes
Agenda item: 12
Category: For Decision
Strategic goal: SG1 - Vaccines, SG2 - Health systems, SG3 - Financing
Section A Overview
1 Purpose of the report
1.1 This report presents the proposed policy for GA VI and fragile states: a
country by country approach. The Programme and Poli cy Committee
(PPC) endorsed the policy at its meeting on 16-17 O ctober 2012.
2 Recommendations
2.1 The GAVI Alliance Programme and Policy Committe e recommends that
the GAVI Alliance Board:
 Approve GAVI?s policy on fragility and immunisation in Anne x 1 to Doc
08 subject to the following amendment:
Section 5.4.1 Replace a ?2 week timeframe? by a ?4 week timeframe.?
3 Executive Summary
3.1 In November 2011 the Board requested the Secret ariat ?to develop a
policy that clearly defines the GAVI Alliance?s app roach to fragile and
under-performing countries?.
3.2 There are many lists categorising fragile stat es and they vary in terms of
definitions. Of the eight definitions analysed
1, 44 out of the 57 GAVI-
eligible countries were categorised as fragile on a t least one list. None of
1 Includes: World Bank; OECD; Global Fund; Country Indicator for Foreign Policy, Carleton
University, Canada; Brookings Institute; Fund for P eace; GAVI 2006 list of fragile states.

1


Report to the
GAVI Alliance Board

Board -2012 -Mtg -3-Doc 13
4-5 December 2012
Subject : New strategy for polio eradication: possible GAVI & IFFIm
participation
Report of: David Ferre ira , Managing Director, Innovative Finance
Authored by: David Ferreira , Managing Director, Innovative Finance , and
Hind Khatib -Othman , Managing Director, Country Programmes
Agenda item : 13
Category: For Decision
Strategic goal : Affects all strategic goals
Section A Overview
1 Purpose of the report
1.1 This report present s a possible plan for closer collaboration with the Global
Polio Eradication Initiative ( GPEI ) and other partners in the area of
strengthening health systems to provide routine immunisation. This
collaboration could span the introduction and implementation of inactivated
polio vaccine (IPV), support services for these efforts and perhaps support
the procurement and supply tools for oral poliovirus vaccine (OPV). GAVI?s
participation across these areas will be defined by identified overlaps and
synergies betw een GAVI and GPEI programmes. (Note: A decision on IPV
will be brought separately to the Board in 2013 through the Vaccine
Investment Strategy.)
1.2 Should frontloading be required to support the GPEI fundraising effort and
GAVI programmatic collaboration with GPEI, IFFIm is a mechanism well -
suited to contribute to this . Expanding IFFIm to provide frontload ed , flexible
and predictable financing to support GAVI?s role in polio eradication could
have advantage s for donors who contribute to GPEI , GAVI and IFFIm.
2 Recommendations
2.1 The Secretariat recommends that the GAVI Alliance Board:
? Approve GAVI playing a complementary role to the Global Polio
Eradication Initiative (GPEI) in the polio eradication effort, in line with
GAVI?s core mission to increase access to immunisation, and
approve GAVI exploring the possible use of IFFIm as a funding
str ucture for activities within GAVI?s strategy and mission using
existing structures, processes and procedures.

1

Report to the
GAVI Alliance Board

Board-2012-Mtg-3-Doc 14
4-5 December 2012
Subject: Country programme update
Report of: Hind Khatib-Othman, Managing Director, Country Prog rammes
Authored by: Paul Kelly, Bakhuti Shengelia, Stefano Malvolti and Jon
Pearman
Agenda item: 14
Category: For Information
Strategic goal: Affects all strategic goals

Section A: Overview

1 Purpose of the report

1.1 The GAVI Secretariat has established a restruct ured Country Programmes
Department that comprises Country Support, Vaccine Implementation
(formerly the Accelerated Vaccine Introduction init iative) and Technical
Support.
1 This report provides an update on GAVI?s work with countries.

2 Recommendations
2.1 This report is for information only.

3 Executive Summary
3.1 The Secretariat has focused on strengthening it s Country Programmes
Department through the following measures:
(a) An increased number of Country Responsible Off icers (CRO) are now in
place allowing for more frequent contact with count ries. Staff are
deepening their understanding of immunisation and d evelopment issues
in GAVI countries, as well as strengthening relatio nships with
governments and in-country partners. Improved moni toring of GAVI-
funded programmes allows the Secretariat to be more proactive in jointly
identifying and resolving implementation problems.
(b) The Secretariat has restructured AVI, now inte grated into the Country
Programmes Department. The new team will have an e xtended focus on
implementation (reflected in the name change to Vac cine
Implementation) and on the entire GAVI portfolio of vaccines. A new
Director has been added to ensure stronger coordina tion across the
Alliance. The VI team will concentrate on programm e rollouts with
dedicated specialist support for vaccines implement ation and supply
chain management.

1 Effective 1 September.

1


Report to the
GAVI Alliance Board

Board-2012-Mtg-3-Doc 15
4-5 December 2012
Subject: Health Campus option for Geneva office space
Report of: Barry Greene, Managing Director, Finance and Operat ions
Authored by: Barry Greene, and Barry Ardiff, Manager Building and Services
Agenda item: 15
Category: For Decision
Strategic goal: Alliance operations
Section A Overview
1 Purpose of the report
1.1 The Geneva Health Campus presents an option to meet GAVI?s future
office space needs. Participation in the Campus wou ld require GAVI to
make a commitment during 2013. This and alternative options are
presented in this paper for Board consideration and decision.
2 Recommendations
2.1 The Secretariat recommends that the Board:

 Approve the delegation to the CEO of the authority to nego tiate and
execute, if appropriate, the contractual arrangemen ts necessary to
relocate its Geneva office to the Health Campus, in consultation with
the Chair of the Board and the Chair of the Audit a nd Finance
Committee.
3 Executive Summary
3.1 GAVI currently leases its office in Geneva, at a cost of US$ 2.5 million
1 per
year. The lease will expire on 31 December 2016 and will be automatically
renewed for a further five years unless notice to t erminate is given by
either party by 31 December 2015.
3.2 The Geneva authorities are fostering the establ ishment in Geneva of a
Health Campus located close to WHO and other Intern ational
Organisations. The Campus will be a hub for (non-co mmercial)
organisations engaged in Global Health. Because th e Canton of Geneva
is making the land available at a low lease cost, r ental rates to
1 The current US$ equivalent of the Swiss franc rent.

1


Report to the
GAVI Alliance Board

Board -2012 -Mtg -3-Doc 16
4-5 December 2012

Subject : IFFIm report
Agenda item : 16
No paper

1


Report to the
GAVI Alliance Board

Board-2012-Mtg-3-Doc Annex A
4-5 December 2012
Subject: Fourth annual report on implementation of the Gende r Policy
Report of: Helen Evans, Deputy CEO
Authored by: Meegan Murray-Lopez, Senior Executive Officer
Agenda item: Annex A
Category: For Information
Strategic goal: Affects all strategic goals
Section A Overview
1 Purpose of the report
1.1 The purpose of this report is to update the GAV I Alliance Board on
progress in 2012 in implementing the GAVI Alliance Gender Policy.
2 Recommendations
2.1 This report is for information only.
3 Executive Summary
3.1 Since the last annual update to the Board, the internal GAVI Gender
Working Group has implemented a work plan of gender activities for 2012
and has reported on those activities to the Executi ve Team and the Board
on MyGAVI on a quarterly basis.
3.2 Key activities in 2012 related to strengthening awareness and
understanding on gender and immunisation within the Secretariat and
Independent Review Committee panels, strengthening approaches to
gender within GAVI programming, and incorporating g ender into GAVI?s
media and advocacy activities.
3.3 The GAVI Alliance Board became compliant with t he Board Guidelines on
Gender Balance for the first time in April 2012 whe n it reached a 60/40
ratio of male and female Board members and Board Al ternates. However,
the next round of nominations to be approved by the Board in December
may modify this ratio.
3.4 Each IRC panel in 2012 included a gender and eq uity expert, who
reviewed the proposals or annual progress reports w ith a gender lens and
prepared detailed recommendations on gender.

GAVI Alliance Board Meeting
4-5 December 2012
Board-2012-Mtg-3 1


GAVI Alliance Board Meeting
4-5 December 2012
Dar es Salaam, Tanzania

FINAL MINUTES

1.
Chair?s report

1.1 Finding a quorum of members present, the meetin g commenced at 9.15 local
time on 4 December 2011. Dagfinn H?ybr?ten, Board C hair, chaired the
meeting.

1.2 The Chair welcomed the Board members to Tanzani a, stating it was an
opportunity to celebrate the Alliance. It was also an opportunity to celebrate
the achievements of Tanzania, a country which WHO a nd UNICEF estimate
has a DTP coverage rate of greater than 90%. The Ch air thanked Hussein Ali
Mwinyi, Minister of Health and Social Welfare of Ta nzania for hosting the
Board meeting and the forthcoming Partners? Forum.
1.3 The Chair reported he had visited a health clin ic in Arusha the day before and
had been able to see GAVI and its implementing part ners at work. He
reminded the Board that GAVI?s major partners are t he mothers (and fathers
too) and that he had talked to them about the launc h of vaccines in Tanzania
to prevent pneumonia and diarrheal diseases. Their expressions were a
reminder that these are diseases that are part of t heir experience and that the
introduction of these life-saving vaccines offered new hope. He also reported
on his recent visit to Myanmar with colleagues from the Secretariat and
Australian and New Zealand parliamentarians.
1.4 He welcomed several new Board members and noted that there will be an
opportunity for an appreciation of departing Board members during the ?family
dinner? that evening. He also welcomed Ren? Karsent i, Chair of the IFFIm
Board, and thanked the IFFIm Board for its leadersh ip in a particularly
challenging environment.
1.5 He reported that over 500 global health and gov ernment leaders will join the
Board later in the week for the Partners? Forum. He noted that he particularly
looked forward to seeing former GAVI Fund Chair Gra ?a Machel. He
remarked that it is an important point in GAVI?s hi story. The Alliance has
promised to deliver, deliver, deliver and the Partn ers? Forum is really the first
major opportunity since the June 2011 pledging meet ing to demonstrate what
GAVI has accomplished and for stakeholders to hold GAVI accountable. He

Seth Berkley, MD
Chief Executive Officer
CEO Board report


GAVI Alliance Board meeting
Dar es Salaam, United Republic of Tanzania
4 -5 December 2012
GAVI Alliance Board meeting
4-5 December 2012
Tanzania ? pneumococcal and rotavirus dual
launch 6 December
2
Photo: Rift Valley Children's Fund -USA, Inc