Polio End Game Strategy
- 1. POLIO END GAME STRATEGY
- 2. 2013 2014 2015 2016 2017 2018 Virus detection & interruption Target last wild polio case Certification RI strengthening & OPV withdrawal Containment & certification Introduce IPV; withdraw OPV2 Wild virus interruption Outbreak response (esp. cVDPVs) RI strengthening & OPV2 withdrawal preparations OPV 1 & 3 withdrawal preparations Legacy Planning Finalize long-term containment plans Complete containment & certification globally Consultation & strategic plan Initiate implementation of legacy plan Last OPV2 use Major Objectives of Polio Eradication & Endgame Strategic Plan 2013-2018 1 Objective 2 3 4 2
- 3. 3 Introduce • at least one dose of IPV into routine immunization Switch • tOPV to bOPV Withdraw • bOPV & routine OPV use Before end 2015 2016 2019-2020 Ongoing STRENGTHENING of routine immunization services Objective 2 of the Endgame Plan: RI Strengthening and OPV Withdrawal
- 4. Meeting of the Switch Committee at the National EOC • An Inaugural Meeting of the bOPV/tOPV Switch Committee was held at the National EOC on 4th August 2015 • The switch would be done on 11th April 2016 and synchronized globally during 2 weeks to guard against importing cVDPV2 from any4
- 5. 5 Timeline of the Switch plan till May 2016 Month Week 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 1 2 3 4 Planning & Coordination •Setting up of the coordination structures & meeting schedules •Develop the National Plan & budget •Setting up an operations centre •Clarifying roles & responsibilities (development of ToRs) Logistics •Develop a logistics plan •Forecasting & pipeline management/procurement •Stock monitoring •Cold Chain Inventory- Conduct & Analyse •Plan for reverse logistics •Identify transport mechanisms Implementation •Prioritize & fund activities •National SWITCH Day: 11 April 2016 •Recall all tOPV: 9-10 April 2016 Waste management •Coordination with NAFDAC •Identification of waste disposal sites •Identification of warehousing space for vaccine awaiting disposal •Production of disposal bags and stickers Communication •Polio Comm? Human Resources Management •Identify human resources requirements •Identify & map existing staff to dedicate to SWITCH activities •Map existing staff against needs •Develop ToRs •Recruit staff (LGA switch monitors where LGAFs are not in place) Training •National Master Training •State Training •Implementation Training at LGA level (for HW at health facilities) Data management •Stock management information •Cold Chain Inventory Information •Mapping of equipped facilities •Technical Assistance (identify or recruit a dedicated data analyst) Monitoring •Development of clear milestones •U-Report Polling for milestone monitoring especially at last mile Validation National Validation March April MayAug Sep Oct Nov Dec Jan Feb
- 6. 6 Note: 5% allowed for contingency & 5% miscellaneous Budget for Switch: Funded by GPEI and Partners Local currency USD Document production 22,606,023 113,598$ Human resources 89,320,000 448,844$ Immunisation session supplies 13,519,800 67,939$ Logistics 4,800,000 24,121$ Planning and preparations 250,000 1,256$ Social mobilization, IEC and advocacy 82,799,688 416,079$ Training en meetings 306,337,000 1,539,382$ Transport for implementation and supervision 238,087,633 1,196,420$ Waste management 101,191,300 508,499$ % additional monitoring expenses (follow up on problems identified)25,482,773 128,054$ Subtotal 884,394,217 $ 4,444,192 Miscellaneous 44,219,711 222,210$ Contingency 44,219,711 222,210$ GRAND TOTAL 972,833,638.47 4,888,611$ Total budget
- 7. Objective 4 of the Endgame Plan: Legacy Planning 7
- 8. The ICC Legacy Working Group has had several meetings. The latest meeting was held on 4th August 2015 and an activity plan was developed for each phase of the transition plan. This is being tracked by the National EOC. Consultants have been hired to record the current inventory of all resources from all agencies The Nigerian Polio Legacy Plan Stakeholder engagement needed to raise awareness of need for country-level planning All other polio-free and recent outbreak Legacytransitionphase Current endemics Transition planning underway Planning & Decision Preparation & Execution Preparation & Execution WHA Planning & Decision Planning & Decision Preparation & Execution Nigeria DRC Nepal India COUNTRY EXAMPLESPHASE RCMs Timeline contingent upon eradication status Timeline contingent upon eradication status 2014 2015 2016 2017 2018 POST GPEI Sudan Ethiopia Somalia S. Sudan Angola Bangladesh Indonesia Myanmar Egypt Chad 8
- 9. Timeline of the legacy plan till December 2015 9 Legacy Working Group meeting at the National EOC