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www.gavi.org
FINANCE
BOARD MEETING
Assietou Diouf
15-17 December 2020, Virtual Meeting
Board meeting
15-17 December 2020
EXECUTIVE SUMMARY
Sufficient Resources to fund current and future Board decisions for 5.0
Qualifying
Resources
Expenditures
Net available for
future investments
Investments for
Decision Today
US$ 9.5 bn
US$ 9.2 bn
US$ 0.3 bn
US$ 10.4 bn
US$ 9.3 bn
US$ 0.7 bn
US$ 0.4 bn
2016-2020 2021-2025
1. 2016-2020 Gavi 4.0
? Delivered within 1% budget despite
COVID-19
2. 2021-2025 Gavi 5.0
? Successful replenishment and US$ 1.2 bn
still available for future investments
3. Proposed Investments
? US$ 0.7 bn prioritised
4. Secretariat
5. Partners? Engagement Framework (PEF)
6. Recommendations
2
Excluding COVAX AMC and Self Financing
resources & expenditures

1



Board -2020 -Mtg -6-Doc 10


Section A: Executive Summary
Context
In September 2020, the Gavi Alliance Board requested that the Secretariat present
the proposed approach for Gavi COVAX Advance Market Commitment (AMC)
support to India for COVID -19 vaccines and delivery at its next meeting in
December 2020. It recognised t hat India, given its large population size, second
largest number of COVID -19 cases in the world, contracting economy and role as
a global vaccine supplier, merits a tailored approach, recognising that the 92
economies included in the AMC (AMC92) include c ountries with Gross National
Income (GNI) per capita (p.c.) of similar value or higher than India (see Table 1 ).
Further, given that India accounts for 17% of the world population (35% of the
total COVAX AMC participants? population) , continuing COVID -19 cases in
India would pose a risk to global efforts to stop the pandemic.

Table 1
Country GNI 1 Population 2
India 2,130 1,380, 004, 000
Indonesia 4,050 273, 52 4,000
Nigeria 2,030 206,1 40 ,000

In October 2020, the Programme and Policy Committee (PPC) was requested to
provide guidance on the level of appropriate support within the presented
parameters and further conversations with the Government of India should take
place to align on a proposed package of support to be presented at the December
Board for approval .

Questions this paper addresses
? What is the appropriate level of support of COVAX AMC doses for India ?
? What is the appropriate level of delivery support for India?


1 2019 GNI pc constant USD ( WB Atlas) 2 World Bank 2020 Population projections
SUBJECT : COVAX AMC SUPPORT TO INDIA
Agenda item: 07
Category: For Decision
Report to the Board
15-17 December 2020

1


Re port to the Board

Board -2020 -Mtg -6-Doc 10-Annex A

Annex A

Table 1 ? Scenarios & implications for range of potential AMC support to India
(estimated)
Scenario % of AMC
support to
India 1
# doses to
India 2
Funding to
India 3
% India
population
covered 4
% AMC 91
population
covered 5
Low end of
range
10% ~95 - 125
million
~US$ 66 5
million
~3 -5% ~17 -22 %
High end of
range
20% ~190 - 250
million
~US$ 1.3
billion
~7 -9% ~15-20 %
Pro -rata (for
reference
only)
35% ~330 - 440
million
~US$ 2.3
billion
~12 -16 % ~12 -16 %

Table 2 ? Allocation of US $ 150 million in delivery support (CCE and TA) to
AMC 91
Current Scenario Amount Allocated
Cold Chain Equipment US $ 50 million
Technical Support US $ 60 million
CCE Reserve (e.g. UCC Support) US $ 10 million
Total Alloacted US $ 120 million
Amount held pending India COVAX AMC Board decision US $ 30 million

Low range scenario
US $ 15 m illion (10% of total allocation)
High range scenario
US $ 30 mill ion (20% of total allocation)
Currently estimated Govt needs for TA
above US $ 27 million for preparedness,
planning and delivering for COVID -19
vaccine rollout
The Government of India has already
submitted its needs for urgent TA and CCE
surpassing the maximum envelop e. The
Gov ernment has already mobili sed funds
domestically to supplement CCE , but gaps
remain .
Allocating US $ 15 million would not allow
for urgent gap filling of TA or CCE needs
Allocating US $ 30 million would allow for
similar pro rata allocation of prioritised
AMC56


1 AMC donor -funded doses , and implied estimated funds (actual funding amount will depend on
dose price) . Does not accou nt for cost -sharing . Does not include Buffer. 2 Ranges b ased on base case and high er price resource mobilization scenarios, as presented in
Paper 8. 3 Assumes indicative average fully loaded price of US$ 5.2 - 7 per dose , plus compensation scheme
estimated at US$0.10/dose . Actual price, and thus amount of funding allocated, will vary based on
available technologies. 4 Assumes 2 dose regimen . 5 Assumes 2 dose regimen .

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Board -2020 -Mtg -6-Doc 09-Annex B

Annex B: Pledges to the Gavi COVAX AMC

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Board -2020 -Mtg -6-Doc 09


Section A: Introduction and summary
This paper presents the strategy for the Gavi COVAX AMC replenishment. In doing
so, it presents the fundraising status to date following the launch of the COVAX
AMC at the Global Vaccine Summit in June 2020. With the prospect of COVID -19
vaccines being available in implementing countries early next year, it hig hlights the
need for immediate financing to accelerate and secure doses of the vaccines to
tackle the acute phase of the pandemic in the 92 AMC eligible economies (see
Annex A) , protecting the most vulnerable and helping to restart the world economy .
Final ly, it lays out the plan for the replenishment , including the narrative, the
funding scenarios, and the campaign .
: The hope for equitable access for AMC 92 economies
1.1 The COVID -19 pandemic has had a devastating impact : at least 50 million
people worldwide have been infected , with 1. 5 million deaths , and the
pandemic accelerating in many countries . T he world economy will shrink by
nearly USD 6 trillion this year alone , with negative growth in 150 countries ,
including in sub -Saharan Africa for the first time in quarter of a century . 1.6
billion students have missed school because of the pandemic, and 150
million people will be pushed into extreme poverty by 2021 .
1.2 To fast track a global solution, u nder the umbrella of Access to COVID -19
Tools (ACT) Accelerator, Gavi, the Vaccine Alliance has created the
COVAX Facility and the Gavi C OVAX AMC with our CEPI (Coalition for
Epidemic Preparedness Innovations) and WHO partners with one central
goal : to get effective, safe COVI D-19 vaccines to all participants regardless
of wealth on the same urgent timeline.
1.3 The Gavi Covax AMC has been set up as an innovative finance mechanism
to frontload financing of procurement of at least 1 billion vaccine doses for
low er income countries in record time . It draws upon Gavi?s experience of
rolling out increasing numbers of vaccines and reaching more people and
children over the years: >800m through routine immunisation, and >1bn
people through campaigns, mainly agains t diseases of epidemic potential.
In addition, Gavi and its partners ha ve increasingly expanded and
strengthened the health systems infrastructure to roll out vaccines. Most
importantly Gavi ?s unique experience in innovative financing, market
shaping and procurement at scale of vaccines and cold chains can be key
SUBJECT: AMC RESOURCE MOBILISATION
Agenda item: 09
Category: For Information
Report to the Board
15 -17 December 2020

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Re port to the Board

Board -2020 -Mtg -6-Doc 09-Annex A

Annex A : AMC eligible economies
? Low income : Afghanistan, Benin, Burkina Faso, Burundi, Central African
Republic, Chad, Congo, Dem. Rep., Eritrea, Ethiopia, Gambia, The Guinea,
Guinea -Bissau, Haiti, Korea, Dem. People's Rep., Liberia, Madagascar,
Malawi, Mali, Mozambique, Nepal, Niger, Rwanda, Sierra Leone, Somalia,
South Sudan, Syrian Arab Republic, Tajikistan, Tanzania, Togo, Uganda,
Yemen, Rep.,
? Lower -middle income : Angola, Algeria, Bangladesh, Bhutan, Bolivia, Cabo
Verde, C ambodia, Cameroon, Comoros, Congo, Rep. C?te d'Ivoire, Djibouti,
Egypt, Arab Rep., El Salvador, Eswatini, Ghana, Honduras, India, Indonesia,
Kenya, Kiribati, Kyrgyz Republic Lao PDR, Lesotho, Mauritania, Micronesia,
Fed. Sts., Moldova, Mongolia, Morocco, M yanmar, Nicaragua, Nigeria,
Pakistan, Papua New Guinea, Philippines, S?o Tom? and Principe, Senegal,
Solomon Islands, Sri Lanka, Sudan, Timor -Leste, Tunisia, Ukraine,
Uzbekistan, Vanuatu, Vietnam, West Bank and Gaza, Zambia, Zimbabwe
? Additional IDA eligibl e: Dominica, Fiji, Grenada, Guyana, Kosovo, Maldives,
Marshall Islands, Samoa, St. Lucia, St. Vincent and the Grenadines, Tonga,
Tuvalu.