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