This December 2025 document is the formal response of the GPEI Polio Oversight Board (POB) to the recommendations of the 2025 GPEI Governance Review (File 8). It records the decisions made by the POB at its 17 November 2025 meeting following deliberations on the review recommendations. As the highest governance body of the GPEI, the POB's response constitutes an authoritative statement of intent for the initiative's future governance arrangements.

The document summarizes the governance review's scope — assessing effectiveness of GPEI governance structures, accountability mechanisms, and decision-making — and notes this is the third such review since 2014. The POB response is structured around the review's key recommendation clusters, indicating for each whether recommendations are accepted in full, accepted with modifications, deferred for further deliberation, or declined with reasons.

Decisions cover reforms to POB operating procedures and membership arrangements, changes to the GPEI Secretariat's relationship with WHO management, revised accountabilities for partner organizations, streamlining of committee structures, and enhancements to country-level ICC governance. The response indicates implementation timelines and assigns responsibility for specific reforms. Some decisions will require formal amendments to GPEI operating agreements and partner organization memoranda of understanding.

Essential reading for all GPEI governance stakeholders: POB members, Secretariat leadership implementing reforms, partner organization leadership affected by new accountability arrangements, country teams, donor governments, and IMB/TIMB members conducting performance assessments.

Who should read this: GPEI Polio Oversight Board members, GPEI Secretariat leadership, partner organization senior management, IMB and TIMB members, donor government representatives, country ICC chairs.

Document value: Records the POB's binding decisions on governance reform recommendations, establishing institutional changes that will govern GPEI operations in the critical final phase. Essential for accountability tracking of governance reform implementation.