Draft strategic action plan on polio transition (WHA71 Agenda Item 11.3)
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1 Draft strategic action plan on polio transition (WHA71 Agenda Item 11.3) The Global Health Centre at the Graduate Institute & the United Nations Foundation, 20 May 2018, Geneva.
2 National Country Transition Plans: Key Priority for Support Country Transition Planning Dashboard (May 2018) Country Communication initiated Coordination body established Mapping of assets Mapping of priorities Transition strategy agreed Transition plan drafted and costed (detailed costing are still being finalized in some countries) Transition plan finalized and funding agreed Afghanistan Angola Complete Complete Complete Complete Complete Complete In process Bangladesh Complete N/A Complete Complete Complete Complete In process Cameroon Complete Complete Complete Complete Complete Complete In process Chad Complete Complete Complete Complete Complete Complete In process DRCongo Complete Complete Complete Complete Complete Complete In process Ethiopia Complete Complete Complete Complete Complete Complete In process India - WHO Complete Complete Complete Complete Complete Complete In process Indonesia Complete N/A Complete Complete Complete Complete Not yet started Myanmar Complete N/A Complete Complete Complete Complete In process Nepal Complete Complete Complete Complete Complete Complete In process Nigeria Complete Complete Complete Complete Complete Pakistan The key goal of polio transition is to strengthen country capacities impacted by the scaling down and eventual closure of the Global Polio Eradication Initiative Being Finalized Not yet started Somalia Complete Not yet started Complete In process Not yet started Not yet started Not yet started S. Sudan Complete Complete Complete Complete Complete Complete In process Sudan Complete Complete Complete Complete Complete In process Not yet started 2
3 Context for Polio Transition Planning GPEI Budget rampdown for polio-free countries in AFRO, EMRO, SEARO HR Risks: Impact on over 900+ WHO Staff and over 6,000 others working on polio eradication Financing Risks: Polio Programme Budget ( $1.16 Billion in biennium, 25% of WHO s expenditure; and over 40% in AFRO and EMRO) Programmatic Risks: Impact on Immunization, Health Emergencies, Neglected Tropical Diseases, Health Systems programmes that have been benefitting from the polio infrastructure Stregnthen country ownership and capacity Immunization systems, capacities for IHR implementation, Health Systems; Opportunity to increase domestic financing to support health systems 3
4 Strategic Plan responds to: Member State Decision - WHA 70(9) 29 May, 2017 Develop a strategic action plan on polio transition that:
5 Strategic Action Plan: Objectives Sustain a polio-free world after eradication Strengthening immunization systems, including vaccine preventable diseases surveillance to achieve GVAP goals Strengthen emergency preparedness, detection and response capacity in countries to also fully implement IHR 5
6 Process of developing the strategic action plan Close coordination with Country Offices, Regions, and relevant departments in HQ Detailed costing of polio essential functions (based on GPEI budget categories) for 64 countries that currently receive GPEI funding Key assumption: Certification will be achieved in 2021 Cost of integrating essential polio functions ( ) is $667 M These costs will be moved to the WHO s core budget ( ) Development of Roadmap with milestones, M&E framework, Audit 6
7
8 Potential Impact: What will $667 million buy? Impact in 19 priority countries and 50+ other countries in AFRO, EMRO, SEARO, EURO. Support Integrated VPD surveillance to cover approx. 790 million children under 15 years; Contribute to increased immunization rates for 294 million children under 5 years of age, and GVAP goals; Sustain and expand the scope of 20 Laboratories, many of them serve multiple countries, and other disease programmes; Re-purposing / Mainstreaming 700+ WHO Staff, and non-staff to support Immunization systems, emergencies and IHR core capacities in countries with weak health systems 8
9 Risks and uncertainties Date of Polio Eradication and Global Certification GPEI funding post 2019 Endemic countries, Other high-risk countries Transition Countries domestic funding and absorption of capacities Financing of WHO s GPW13 Implementation of Polio Post Certification Strategy (PCS) (e.g. governance and financing options) WHO Transformation Agenda and new Operating Model HR: Staff Retention ; Liabilities after March
10 Thank you
Session 3: Analysis of available draft plans so far from priority countries
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