POLIO END GAME STRATEGY

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 & 3withdrawal

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

1Objective

2

3

42

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

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 any country still using tOPV

4

5

Timeline of the Switch plan till May 2016MonthWeek 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 4Planning & 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 mechanismsImplementation•Prioritize & fund activities•National SWITCH Day: 11 April 2016•Recall all tOPV: 9-10 April 2016Waste management•Coordination with NAFDAC •Identification of waste disposal sites•Identification of warehousing space for vaccine awaiting disposal•Production of disposal bags and stickersCommunication•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 mileValidationNational Validation

March April MayAug Sep Oct Nov Dec Jan Feb

6Note: 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

Objective 4 of the Endgame Plan:Legacy Planning

7

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

Lega

cy tr

ansi

tion

phas

e

Current endemics

Transition planning

underway

Planning & Decision Preparation & Execution

Preparation & Execution

WHA

Planning & Decision

Planning & Decision Preparation & Execution

Nigeria

DRCNepalIndia

COUNTRY EXAMPLESPHASE RCMs

Timeline contingent upon eradication status

Timeline contingent upon eradication status

2014 2015 2016 2017 2018POST GPEI

SudanEthiopiaSomaliaS. SudanAngola

BangladeshIndonesiaMyanmar

EgyptChad

8

Timeline of the legacy plan till December 2015

9Legacy Working Group meeting at the National EOC