Board -2021 -Mtg -3-Doc 04a
Classified as Internal
Section A: Executive Summary
At its June 2021 meeting, the Gavi Alliance Board approved : a) the continued
administration of the COVAX Facility by Gavi in 2022 ; b) the propos ed future
participation model for Self -Financing Participants (SFPs) ; and c) Gavi taking an
active role in the provision of fast, responsive and flexible funding through the
creation of a COVID -19 Delivery Support (CDS) envelop e and cross -cutting
delivery element s. These decisions were taken in the context of growing inequities
in access to COVID -19 vaccines and affirmed the COVAX Facility ?s continued
central role in the global vaccine response .
To date, COVAX Pillar partners ha ve supplied a total of 261 million doses , of which
204 million have gone to AMC countries (including 10 million for India) and 58
million to Self -Financing Participants (SFPs ). It is the main or only source of
vaccine for an estimated 57 countries. In the face of supply challenges , the COVAX
Facility has worked hard to adapt and build resilienc e, including through the
establishment of a dose sharing programme that has supplied 110 million donated
doses (of over 660 million th at have been pledged to date ) and through portfolio
diversification across vaccines platforms, geographies and manufacturers. Based
on the latest COVAX Facility Supply Forecast most likely supply scenario, close to
1 billion doses will be available for supply between now and the end of 2021, and
the 2 billion mark will be met before the end of Q1 2022 . For AMC Participants, the
COVAX Facility can provide access to ~2.5 billion doses through donor funds and
vaccine donations , enough to fully vaccinate ~37% of the AMC population 1.
In light of the WHO COVID -19 Global Vaccination Strategic Vision , the ongoing
COVAX Pillar Strategy effort , and a continuously evolving external environment ,
the Facility is updating its strategy for 2022 and beyond, while maintaining focus
on core operations and working across Gavi and Alliance partners and countries
to prepare for the significant increase s in deliver ies over the coming quarter.
Questions this paper addresses
W hat should the COVAX Facility contribution to global vaccin e supply in 2022 be ?
How is the delivery of COVAX vaccine s progressing and what should Gavi?s role
in COVID -19 vaccine delivery in 2022 for AMC92 be ?
1 Average excludes India, who gets 20% of COVAX APA doses
SUBJECT: COVAX : KEY STRATEGIC ISSUES
Agenda item: 04a
Category: For Guidance
Report to the Board
28 September 2021