SDC/GAVI WEBINAR - TOWARD EQUITABLE ACCESS TO SARS- COV-2 VACCINES FOR ALL - DANIEL THORNTON, SENIOR ADVISER, GAVI 17 FEBRUARY 2021 - TOWARD ...

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SDC/GAVI WEBINAR - TOWARD EQUITABLE ACCESS TO SARS- COV-2 VACCINES FOR ALL - DANIEL THORNTON, SENIOR ADVISER, GAVI 17 FEBRUARY 2021 - TOWARD ...
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       SDC/Gavi Webinar - Toward equitable access to SARS-
       CoV-2 vaccines for all
       Daniel Thornton, Senior Adviser, Gavi

       17 February 2021

                                                             www.gavi.org
SDC/GAVI WEBINAR - TOWARD EQUITABLE ACCESS TO SARS- COV-2 VACCINES FOR ALL - DANIEL THORNTON, SENIOR ADVISER, GAVI 17 FEBRUARY 2021 - TOWARD ...
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       The pandemic poses the greatest threat to global health security
       in a century
                                                       2.4m+
                                                         deaths        110m+
                                                                            cases

                                                                          “we estimate
                                                                    that faster progress on
                                                                    ending the health crisis
                                                                    will raise global income
                                                                   cumulatively by $9 trillion
                                                                  over 2020–25, with benefits
                                                                  for all countries, including
                                                                     around $4 trillion for
                                                                    advanced economies.”
                                                                      IMF’s Chief Economist

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SDC/GAVI WEBINAR - TOWARD EQUITABLE ACCESS TO SARS- COV-2 VACCINES FOR ALL - DANIEL THORNTON, SENIOR ADVISER, GAVI 17 FEBRUARY 2021 - TOWARD ...
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      The COVAX pillar is the engine to deliver on the ACT-A objectives by
      accelerating fair and equitable access to vaccines at scale
     Access to COVID-19 Tools Accelerator (ACT-A)                           “COVAX” pillar                                 Key players

      Therapeutics          Diagnostics                 Vaccine
      partnership           partnership                 partnership
                                                                             Development &       Procurement          Policy and
                                                                             Manufacturing      and delivery at       allocation
       Therapeutics          Find                       CEPI                  Led by CEPI,           scale           Led by WHO
       Accelerator           (co-convener)              (co-convener)         with industry       Led by Gavi
       (co-convener)

       WHO

       UNITAID               Global fund                Gavi, the vaccine
       (co-convener)         (co-convener)              alliance                        COVAX Coordination Meeting (CCM)
                                                        (co-convener)

                         Health systems strengthening

                                                                                                                                   3
SDC/GAVI WEBINAR - TOWARD EQUITABLE ACCESS TO SARS- COV-2 VACCINES FOR ALL - DANIEL THORNTON, SENIOR ADVISER, GAVI 17 FEBRUARY 2021 - TOWARD ...
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SDC/GAVI WEBINAR - TOWARD EQUITABLE ACCESS TO SARS- COV-2 VACCINES FOR ALL - DANIEL THORNTON, SENIOR ADVISER, GAVI 17 FEBRUARY 2021 - TOWARD ...
Progress on Agreements with Suppliers

                                                           To date, the COVAX Facility has signed
                                    SII deal gives AMC92   agreements with six candidates…
                                    economies access to
                                    vaccines licensed       Deal with SII to provide doses for AMC92
                                    from Novavax and          economies
                                                              SII / AstraZeneca collaboration announced on
                                    AstraZeneca               Aug 7, 20201
                                                              SII / Novavax collaboration announced on Sep
                                                              29, 20202
                                                            Deal with AstraZeneca announced on Dec 17,
                                                              20203
                                                            Deal with Pfizer / BioNTech announced on
                                                              Jan. 22, 20215
                                                            MoU with Janssen / J&J announced on Dec
                                                              17, 20203
                                                            Statement of Intent with
                                                              Sanofi / GSK, announced on October 28,
                                                              20204

1.   Gavi press release                                    COVAX is actively negotiating deals with
2.   Gavi press release
3.   Gavi press release                                    several candidates, with further
4.   Gavi press release                                    announcements expected in the near-term
5.   Gavi press release

             Speed, Scale, Access                                                                            5
SDC/GAVI WEBINAR - TOWARD EQUITABLE ACCESS TO SARS- COV-2 VACCINES FOR ALL - DANIEL THORNTON, SENIOR ADVISER, GAVI 17 FEBRUARY 2021 - TOWARD ...
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       COVAX AMC: a reality underway

                US$ 2.6 billion raised, and an additional US$ 4 billion from the US

                At least 1.3 billion doses secured in 2021

                Half a billion roll out scheduled in first half of 2021

                The priority is to procure and roll out the vaccines in low- and middle-income
                countries

                To reach our goal we need at least an additional US$ 2 billion by Q2 2021.

       6
SDC/GAVI WEBINAR - TOWARD EQUITABLE ACCESS TO SARS- COV-2 VACCINES FOR ALL - DANIEL THORNTON, SENIOR ADVISER, GAVI 17 FEBRUARY 2021 - TOWARD ...
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        The COVAX AMC needs additional funding of $2bn by Q2 2021
        • $2.5bn + $4bn from US pledged
                                  Contribution (US$        Donor                 Contribution (US$   Donor Governments        Contribution
            Donor Governments
                                       million)          Goverments                   million)        and other donors        (US$ million)
                 Australia               58               Netherlands                   35
                  Austria                2.9                                                         Other sovereign donors
                                                         New Zealand                    11
                                                                                                       (including Belgium,
                  Canada                246
                                                            Norway                     140             Bhutan, Colombia,
            European Commission         117
                                                                                                       Denmark, Estonia,          117
                                                            Qatar                       10               Greece, Iceland,
                  France                117                                                          Luxembourg, Monaco,
                                                         Saudi Arabia                  153
                                                                                                            Singapore)
                 Germany                121
                                                            Spain                       59
                    Italy               103
                                                           Sweden                       22            Bill & Melinda Gates
                   Japan                200                                                                                       156
                                                                                                            Foundation
                                                          Switzerland                   22
                   Korea                 10

                  Kuwait                 10             United Kingdom                 735               Private Sector            85

        7
*Team Europe (European Commission/EIB) has also pledged 400m EUR in guarantees
SDC/GAVI WEBINAR - TOWARD EQUITABLE ACCESS TO SARS- COV-2 VACCINES FOR ALL - DANIEL THORNTON, SENIOR ADVISER, GAVI 17 FEBRUARY 2021 - TOWARD ...
Classified as Internal                                                                                                                             CAVEATS

         COVAX AMC global supply forecast                                                                                                          Contracts: Some of the supply included in the
                                                                                                                                                   projections are linked to deals that are already
                                                                                                                                                   concluded and some are currently being

         by AMC-eligible participants - 2021                                                                                                       negotiated. Terms are subject to change.
                                                                                                                                                   Candidate attrition: Some candidates are still in
                                                                                                                                                   clinical development. If they do not achieve
                                                                                                                                                   positive clinical trial outcomes (safety and
         AS PER 2021-01-19                                                                                                                         efficacy) and regulatory approval, these volumes
                                                                                                                                                   will not be procured by COVAX.
         PRELIMINARY AND SUBJECT TO ASSUMPTIONS
                                                                                                                                                   Regulatory approval: Supply timing will depend
                                                                                                                                                   on regulatory success and timelines, including
         COVAX AMC Available Supply, Cumulative, Mn doses, 20211                                                                                   reviews of individual batches (“batch release”).
                                                                                                                           1,785
                                                                                                                                                   Manufacturing: In many cases, manufacturing is
              AMC                                                                                                                                  yet to reach full scale. Manufacturing productivity
                                                                                                                1,460                              will be influenced by multiple factors, which will in
                                                                                                                                                   turn influence volume and timing of supply.
                                                                                                      1,175                                        Delivery: Timing of delivery will depend on
                                                                                                                                       Further
                                                                                                                                      volumes      various factors, including local regulatory
                                                                                            940
                                                                                                                                    to become      approval, country readiness, logistics,
                                                                                  785                                                available     indemnification and liability in place, in-country
                                                                                                                                      in 2022,     distribution etc.
                                                                       630
                                                                                                                                     subject to    Funding availability: Total potential supply is
        Corresponding to supply
                                                             465                                                                       funding     shown; procurement of these doses will depend
     availability, regulatory approvals
      may cause delays to deliveries
                                                                                                                                    availability   on COVAX AMC fundraising, AMC92 cost-
                                                  235                                                                                              sharing beyond donor-funded doses, and the final
                                          170
                               105                                                                                                                 prices and volumes of doses allocated to AMC92.

                                                                                                                                                   Allocation: These supply forecasts reflect a
                                                                                                                                                   preliminary distribution of doses based on each
         Jan       Feb        Mar         Apr    May        Jun         Jul      Aug        Sep        Oct       Nov        Dec       Early
                                                                                                                                                   participant’s share of available supply pro rata by
                                                                                                                                      2022         demand and are to be treated as indicative. Final
     1
                                                                                                                                                   timing and volumes will be determined by the
      Supply refers to volumes of vaccine available from the manufacturer. Timing of forecasts is based on anticipated release of doses from
       8                                                                                                                                           WHO Allocation Mechanism.
     manufacturers. Volumes for expected single-dose regimen vaccine candidates doubled to ensure comparability across vaccine candidates.
                                                                                                                                                                                                   8
     Volumes have been rounded to the nearest 5M (except for those smaller than 5M), and so totals may not equal sum of segments.
Classified as Internal

                      COVAX AMC global supply forecast by region - 2021

        AMC91-supported
        countries and
        number of doses,
        to end of 2021

       [ Design note: Marshall Islands no longer included (version 15 Feb 2021) ]
Classified as Internal

       Breakdown of AMC expenditures

       10
Classified as Internal

       Additional donor pledges needed ahead of March 2021 to exercise
       firm orders

       11
Preparing for delivery
Thank you

Communications workshop
Classified as Internal

                             Building the AMC: the path to equitable access
Country Engagement

                                                            92 low- and middle-         COVAX announces
  & Vaccine Deals

                                    More than 150                                                                   COVAX              Publicly announced
                                                             income economies         additional deals to access
                                 countries engaged in                                                               announces            COVAX deals, to
                                                          eligible to get access to     promising COVID-19
                                  COVID-19 vaccine                                                                                          secure
                                                            COVID-19 vaccines           vaccine candidates;         signed deal
                                 global access facility                                                                                   additional
                                                           through Gavi COVAX          plans global rollout         with Pfizer for
                                                                     AMC                                            40m doses            doses in 2021
                                                                                        starting Q1 2021

                                                                                                                                                    The COVAX AMC
    Resource Mobilisation

                                       Gavi launches the                                 Over US $2 billion         Gavi welcomes                   needs at least an
                                     innovative financing                                 raised to support         US contribution                 additional US $2
                                      mechanism COVAX                                    equitable access to        of $4 billion in              billion by June 2021
                                        AMC as the first                                  COVID vaccines             supplemental
                                        building block of                                with additional US$                                      to deliver equitable
                                                                                                                      funding for
                                      the COVAX Facility.                                5 billion needed in       procurement and                access to COVID-19
                                         $500m raised.                                           2021                   delivery.                        vaccines
                                                                                                                                                                                 Vaccine
                                                                                                                                                                                 Summit
                                                                                                                                                                               COVAX AMC
                                                          Global Goal:
       Advocacy Key Moment

                              EC hosts                                                 UNGA
                             Coronavirus                  Unite for Our
                               Global                        Future
                              Response     UK Hosts
                              Pledging      Global                    G20 Call                         Paris Peace
                               Event        Vaccine                   to Action                          Forum
                                            Summit

                                           4 June                                                                                                           Today        June 2021

                                15                               2020                                              [Progress to date]
                                                                                                                                                                2021
Note: conceptual visual, not shown to scale
Classified as Internal

            The Campaign ahead: cascading moments to build up
            momentum
          Phase I: Securing AMC initial Support                                            Phase II: Outreach to donors – securing at least US$ 2 billion                                          Phase III: define 2022 scenarios

                                                                                                                                                                                                   •    Adjust plans after taking stock of
                                                                                         Munich                                                                                                         the results achieved with Phase II
                                                                                                                                                             World Economic
                                                                                         Security
                                                                                                                                                              Forum Annual
                                                                                        Conference
                                                                                                                                                              Meeting "The                         •    Close coordination with the ACT-A
                                       Weekly CSOs                                        (TBC)                              Africa CEO                                                                 platform
                     Launch AMC                                                                                                                               Great Reset"
                     June 2020         engagement                                                                           Forum – Gavi                                      Vaccine Technology
                     GVS                 meeting                                                                                event                                               Summit
                                                                               G7                                                                                                                  •    Clear, consistent, and mutually
                                                                                                                                                                                    London
                                                                              Early                                                                                                                     reinforcing messaging
                                                                             summit
                                                                                                                                           Media brief                Vaccine Summit
Coronavirus Global                                                                                          Media brief                                               TBC 2021                     •    Engage with key journalists and
    Response                                                       Media brief                  IO Launch                                                                                               media outlets in targeted markets
                                                                                                2021
                      Global Goal Unite our    Paris peace                                                                                                                  G7 Summit
                             future              forum
                                                                                                                                                                                                   •    Publishing compelling digital
                                                                     G20 health                                                         World                                                           content across multiple channels to
                                                                    working group                                                    Immunization
                                                                                        G20                                                                                    G20 finance and          enlisting influential champions to
                                                                                      Opening                                           Week             WB Springs
                                              UNGA
                                                                                                                                                          meeting
                                                                                                                                                                                     Dev                extend its public reach, including in
                                                                                       Event                                                                                       tracks
                       G20
                                                                                                     G20 finance
                                                                                                                                                                                                        AMC eligible countries.
             AMC Donor meeting                                                                                               Vaccines launch
                                                                            African                   and Dev
                                                                                                       tracks                In country
                                                                         Union Summit                                        2021
                                                                                                                                                              G20 EU -        World Health Summit
                                                         International Chamber of
                                                                                                                                 WEF Annual meeting         Health Summit      Regional meeting
                                                             Commerce (ICC)
                                                                                                                                     Singapore                                      Kampala
                                                           roundtable breakfast

                                                                                                            AMC Country Leadership Engagement
                                                                                                                                                                                                   Close coordination with ACT-A
                                                                                                                                                                                                             platform
       Building momentum and securing pledges                                                                         G7/ G20 Engagement
                   US$ 2.5 billion
                                                                                                                                                                                                        Targeted media engagement
            16                                                                                                                                                                                         Clear, consistent, and mutually
                        16                                                                                         CSO Advocacy and Campaign                                                               reinforcing messaging
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