Report to the
GAVI Alliance Board

Board -2011 -Mtg -3-Doc A
16 -17 November 2011
Subject : Third Annual Report on Implementation of the Gender
Policy
Report of: Helen Evans, Deputy CEO
Authored by: Meegan Murray -Lopez , Senior Executive Officer
Agenda item : A
Category: For Information
Strategic goal : Affects all strategic goals

Section A: Overview

1. Purpose of the repor t

1.1 The purpose of this report is to update the GAVI Alliance Board on progress in
2011 in implementing the GAVI Alliance Gender Policy , which was adopted by
the GAVI Board in 2008.

2. Recommendations

2.1 This report is for information only.

3. Executive summary

3.1 Since the last update to the Board, the focus of the GAVI Gender Policy work
has been on strengthening capacity within the Secretariat , in line with outcome
four of the 2009 -2010 Implementation Plan on introducing gender sensitive
approaches.

3.2 The Secretariat has put in place an external Gender Help Desk mechanism to
ensure easy access for Secretariat staff to gender and health expertise . The
Secretariat has also taken steps internally to strengthen capacity on gender by
establishing a Gender Working Group, comprised of staff representatives from
each team, to provide input and track progress on its gender -related activities.

3.3 In the past year, t here have also been key developments related to GAVI
programmes: the PPC has made recommendations to the Board related to the
introduction of rubella and HPV vaccines. In addition, H ealth Systems Funding
Platform (HSFP) application materials now re quest information about gender -
related barriers to accessing vaccination services.

3.4 Other GAVI Alliance structures, such as Board and the IRC, have seen
positive changes to their composition and gender balance.

Report to the
GAVI Alliance Board

Board -2011 -Mtg -3-Doc B 1
16 -17 November 2011
Subject : Review of Eligibility Threshold
Report of: Nina Schwalbe, MD, Policy and Performance
Authored by: Aur?lia Nguyen, Eliane Furrer , Policy and Performance
Agenda item : B
Category: For Information
Strategic goal : Affects all strategic goals


Section A: Overview

1. Purpose of the repor t

1.1 The purpose of this paper is to inform the Board about the analytical work that has
been done following the request of some Board members in July 2011 to explore
the impact of raising the GAVI eligibility thr eshold from US$ 1,500 to US$ 2,000
Gross National Income (G NI ) per capita.

2. Recommendations

2.1 This paper is for information only.

3. Executive summary

3.1 In July 2011, some Board members raised the question as to whether or not GAVI
should consider rais ing the eligibility threshold to US$ 2,030 1 due to successful
replenishment.

3.2 Six graduating countries with a combined birth cohort of roughly 600?000 infants
wo uld regain eligibility under this revised threshold.

3.3 The expected financial cost implication for the GAVI Alliance , but also the additional
health impact , is small as all six countries have already introduced pentavalent
vaccines and most have been approved for introduction of pneumo coccal and/or
rotavirus vaccines.

3.4 Almost 90% of GAV I?s additional f inancial outlay resulting from a revision of the
threshold to US$ 2,030 would not contribute to gaining additional health impact, but
would result in lower countr y co -financing for countries remaining eligible longer .
1 US$ 2,030 in 2012 co rresponds to the inflation adjusted US$ 2,000 in 2011

Report to the
GAVI Alliance Board

Board -2011 -Mtg -3-Doc C
16 -17 November 2011
Subject : Decade of Vaccines C ollaboration
Agenda item : C
Category: For Information


1. Introduction

1.1 On the occasion of the 10th anniversary of the establishment of GAVI at the 2010
World Economic Forum, Bill and Melinda Gates called for the next decade to be
the ?Decade of Vaccines?. Margaret Chan, Director General of the World Health
Organization (WHO) and Anthony Lake, Executive Director of UNICEF, pledged
their personal and institutional commitment to the Decade of Vaccines.
Renowned leaders, including Anthony Fauci, Director of the National Institute of
Allergy and Infectious Diseases and Joy Phumap hi are also lending their
expertise and leadership.


2. Key activities

2.1 WHO Member States approved the Decade of Vaccine vision and the need for
a global vaccine action plan (GVAP) at the 64th World Health Assembly
(WHA). The Decade of Vaccines Collaboration (DoVC) Steering Committee
has integrated the output of the DoVC working groups and outlined the key
issues to be included in the draft global vaccine action plan (GVAP) that must
be addressed in immunization over the next decade. A draft GVAP will be
presented to the WHO Strategic Advisory Group of Experts (SAGE) on
Immunization for discussion on 8 November 2011. This marks the beginning of
the DoVC consultation process on the draft GVAP which will continue through
mid -February. A revised GVAP will be presented at a special SAGE meeting
on 16 February 2012 for their endorsement. The final GVAP will be submitted
to the WHA in May 2012 for review and approval by Member States. The
GAVI Partners? Forum ? planned for Q4 in 2012 ? also presents an opportunity
to discuss the implementation of the GVAP.

3. The Decades of Vaccines Vision

3.1 The DoVC is a time -limited effort whose purpose is to outline a global vaccine
action plan to achieve the following vision: "We envision a world where children,
familie s, and communities enjoy life protected from the threat of disease. Access
to safe and effective vaccines is a human right that is currently not enjoyed by
everyone, particularly in low - and middle -income countries."

1

GAVI Alliance Board







COUNTRY BRIEFING ? BANGLADESH











16 -17 November 2011


2

Content

1. Basic information about Bangladesh
2. Economic, political and social context
3. Health and development
4. GAVI Alliance support to Bangladesh

GAVI Alliance Board Meeting
16-17 November 2011
Board-2011-Mtg-3 1


GAVI Alliance Board Meeting
16-17 November 2011
Dhaka, Bangladesh

FINAL MINUTES

1. Chair?s report

1.1 Finding a quorum of members present, the meetin g commenced at 9.03
Dhaka time on 16 November 2011. Dagfinn H?ybr?ten, Board Chair, chaired
the meeting.

1.2 The Chair welcomed new Board members and altern ates, Her Royal
Highness Princess Cristina of Spain, and members of the board of the
International Finance Facility for Immunisation (IF FIm). Also, he thanked the
Ministry of Health of Bangladesh for hosting the me eting and the Secretariat
Governance team and local staff of BRAC, WHO, and U NICEF for their
assistance. He cited this as a good example of the GAVI partnership at work.


1.3 The Chair summarised the outcomes of the execut ive session of the Board
held on 15 November 2011: He noted that the process for constructing the
2012 budget had been extraordinary given the change in Secretariat
leadership and committed that the 2013 process woul d be more ordinary,
starting with Executive Committee consultation. Ne xt, he highlighted work to
be done on managing conflicts of interest, includin g clarifying the role of the
vaccine industry in GAVI?s governance. There had be en good dialogue and
proper management of conflicts to date, but the Boa rd needs an agreed-upon,
comprehensive philosophy that can be clearly articu lated to the public. The
Board also discussed roles and responsibilities of the Board, Secretariat and
Alliance partners, and agreed to have a full discus sion at its 2012 retreat.
Finally, the Board received an update from Cees Klu mper, Director of Internal
Audit, on investigations of misuse in recipient cou ntries.

1.4 The Chair reflected on remarks made the previou s evening by Ban Ki-moon,
Secretary General of the United Nations, to the GAV I Board. The Chair
recognised Seth Berkley, Chief Executive Officer, c ommenting on his
determined and enthusiastic start. He also highligh ted Sweden?s positive
assessment of GAVI, noting Sweden?s recently releas ed review that stated
that GAVI is highly relevant to its development coo peration and that GAVI?s
internal and external effectiveness is very high.

1.5 Standing declarations of interest were tabled t o the Board (Doc 01a in the
Board pack). In addition, Ronald Brus reported that given Crucell?s purchase

.......
Minutes of the GAVI Alliance Governance Committee Meeting
15 November 2011
Gov -2011 -Mtg -05 1




GAVI Alliance Governance Committee Meeting
15 November 2011
Dhaka, Bangladesh


FINAL M INUTES


1. Chair?s report

1.1 Finding a quorum of members present, the meeting commenced at 15.35
Dhaka time on 15 November 2011. Dagfinn H?ybr?ten , Governance
Committee Chair , chaired the meeting .

1.2 Standing declarations of interest were tabled to the Committee (Doc #1a in
the Committee pack). In addition, Rajeev Venkayya reported that he had
accepted a senior position in Takeda Pharmaceuticals and would have an
interest in any matter involving that company, though he was unaware of any
current financial relationship between GAV I and Takeda.

1.3 The Committee reviewed the minutes of it s meeting on 5 October 2011.

Decision One

The GAVI Alliance Governance Committee :

? Approved the minutes of its meeting on 5 October 2011 .

------

2. Committee leadership structure

2.1 Stemming from the Committee?s discussion in July 2011, the Chair proposed
additional changes to GAVI?s governing documents with regard to the
leadership of the Executive and Governance Committees. (Doc #2) The
proposal would effectively swap the leadership of those committees so that
the Chair of the Board would lead the Executive Committee and the Board
Vice Chair would lead the Governance Committee. This recommendation is
based on the understanding that the Executive Committee is responsible for
making cr itical and time sensitive decisions in between Board meetings , and
its mandate to make recommendations t o the Board on GAVI?s strategy and
business plan and therefore the Chair of the Board should Chair the
Committee making these decisions.

 

.......
GAVI Alliance Audit and Finance Committee Meeting
3 November 2011
AFC -201 1-Mtg -06 1




GAVI Alliance Audit and Finance Committee Meeting
3 November 201 1
Teleconference


FINAL MINUTES

1. Commencement

1.1 Finding a quorum of members present, the meeting commenced at 16.02
Geneva time on 3 November 201 1. Wayne Berson , Audit and Finance
Committee Chair , chaired the meeting .

------

2. 2012 business plan budget

2.1 The Committee referred to its discussion on 28 October 2011 that it was not in
a position to recommend the budget to the Board in light of its determination
that it would be helpful for the full Programme and Policy Committee (PPC) to
review the budget implications as well .

2.2 Gustavo Gonzalez -Can ali, Chair of the PPC reported that his committee
reviewed budget implications during a teleconference on 2 November 2011.
He reported that he reminded the PPC that in 2010, the Board had approved
the strategy and business plan for 2011 -2015, the budget fo r 2011, and a
provisional budget for 2012.

2.3 The PPC had supported the priority areas including strengthening
accountability. It was also noted that the 2012 budget request did not support
a change in role for the Secretariat; the emphasis was on enhan cing
engagement and coordination, particularly at country -level. Further, the PPC
discussed the proposed CEO reserve acknowledging that the CEO ought to
have some meaningful flexibility, but that scrutiny over the size and use of the
reserve was part of th e Board?s fiduciary responsibility. The CEO reported that
after listening carefully to the PPC, he had recommended that the reserve be
reduced.

2.4 The PPC also discussed funding for research, increases to the budget for the
law and governance team, implementation of vaccine introduction and health
system strengthening activities, and potential Executive Committee review of
the budget.

 

 

GAVI Alliance Investment Committee Meeting , 20 March 2011 DRAFT MINUTES

Inv -2011 -UWC -2-Minutes




GAVI Alliance Investment Committee Decision
2 November 2011



1. Investment Policy

Decision One

By unanimous consent, the GAVI Alliance Investment Committee :

? Recommended to the Board that it approve the GAVI Alliance Investment
Policy (Doc 1) and revoke the GAVI Alliance Cash and Short -term
Investments Policy.






__________________________
Mr Kevin A. Klock
Assistant Secretary







 

 

 

GAVI Alliance Program me and Policy Committee Meeting
2 November 2011

PPC -2011 -Mtg -4 1



GAVI Alliance Programme and Policy Committee Meeting
2 November 2011
Teleconference


FINAL MINUTES


1. Commencement

1.1 Finding a quorum of members present, the meeting commenced at 16.06
Geneva time on 2 November 2011. Gustavo Gonzalez -Canali, the Chair
(?Chair?) of the Programme and Policy Committee (?PPC?) , chaired the
meeting .

----- -

2. Business plan and budget

2. 1 The Chair reminded the PPC that in 2010, the Board had approved the strategy
and business plan for 2011 -2015, the budget for 2011, and a provisional
budget for 2012. It was anticipated that as GAVI?s financial picture became
clearer, more details for the 2012 budget would be provided to the Board .

2. 2 The PPC held a high level discussion on 28 -30 September 2011 concerning
adjustments to business plan activity . Next the Audit and Finance Committee
performed a financial review d uring its session on 28 October , inviting PPC
members to attend. Given this additional input , the Audit and Finance
Committee determined that it would be helpful for the full PPC to review the
budget implications as well . It was for this reason, that the PPC Chair called
for thi s PPC meeting.

2. 3 At the outset , the Chair stated that the PPC should no t re -open points upon
which the Board had already agreed in 2010 . He also stated that from his
perspective the current submission did not represent a policy change from
what was pr eviously agreed. W ith regard to the budget , he stated that the
PPC?s role in the business planning process this year was to ensure that the
priority areas were appropriately managed and resourced while the Audit and
Finance Committee would evaluate whethe r the overall budget level was
appropriate and sustainable for GAVI in the current economic environment.

2. 4 Next, Helen Evans, Deputy CEO reviewed the changes to the budget, which
focused on four priority areas as outlined in the pape r.

2. 5 Also , Helen Evans noted that the revised budget compensates for changes in
the foreign exchange rate between the Swiss Franc and the U.S. Dollar.
 

 

The Report aims to present the evidence that supports the case for expanded access to Cancer Care and Control (CCC), describe innovative models for achieving this goal, and provide a blueprint for future action in resource constrained settings as part of efforts to improve health systems strengthening. The Report draws on the work of more than 115 authors and contributors, includingmembers of the GTF.CCC and its Technical Advisory Committee, as well as patients and representatives of academic, civil society, private sector, multi-lateral and govern mental institutions from countries at all resource levels.

Published monthly by WHO, this update contains information on immunisation technology and GAVI, plus news of immunisation activities in countries.