1. Polio Legacy Planning discussion On behalf of Dr Salla Mbaye AFRO MR TAG meeting , June 2015

2. Outline Background Objectives and activities GPEI assets
Progress in AFR
Draft Global legacy framework
Next steps

3. Polio Eradication & Endgame Strategic Plan 2013-2018
Poliovirus detection & interruption (by 2014)
Immunization systems strengthening & OPV withdrawal (OPV2 by 2016)
Containment & Certification (by 2018)
Legacy Planning

4. Polio Eradication & Endgame Strategic Plan 2013-2018

5. Polio Legacy Planning: Objectives & activities
Aim:
Develop a plan to ensure polio investments contribute to future health goals, through documentation and transition of lessons learnt, processes and assets of the GPEI
Major activities:
Mainstreaming polio functions
continued integration of polio immunization (utilizing IPV) and communications
polio surveillance and response activities into national and global disease alert and response mechanisms
appropriate containment of polioviruses according to agreed international and national standards, regulations and protocols
Leveraging the knowledge and lessons learnt
Share lessons of more than 20 years of polio eradication with other health initiatives
Transitioning the assets and infrastructure to support other health priorities

6. GPEI Assets
Human resources: Teams and individuals at global, regional, & country levels
Knowledge: experience and expertise on a wide range of issues of public health value, documentations
Systems: Networks, systems & processes, AFP surveillance, Polio laboratory network, partner coordination, governance, GIS/GPS
Physical: Vehicles, communication & information technology equipment, work locations, etc
Financial resources: Governments, local and GPEI partners funds

7. Immunisation Human Resources, 2014
CORE STAFF
POLIO FUNDED STAFF, 93% (n=855)
SURGE
NON-POLIO FUNDED STAFF (n=66)
*Kenya, Niger, Tanzania, Uganda

8. Partners Contribution
2014 Polio Funding: $321,929,065
Partners Contribution
By Activity
By Country

9. Progress in AFR RC 63 in Sep 2013 favoured scenario 2:
transition of the lessons, assets and resources to benefit other existing and relevant national, regional and/or global public health programmes
Regional inter-cluster working group established to:
Document best practices
Develop a regional framework
Elaborate regional legacy plan
Workshop held to develop protocol for documenting polio best practices in countries
Documentation conducted in 2014/2015 in 8 countries: Angola, Chad, Cote d’Ivoire, DRC, Ethiopia, Togo, Nigeria and Tanzania
Working group not functional for several months due to EVD outbreak response

10. Using Polio Infrastructure
Establishment of zones, hubs, sub-regions with appropriate staff and resources in priority countries
Surveillance of other diseases - Measles, Yellow Fever
Capacity building
Data management
Supplemental Immunisation Activities
Measles
Vitamin A and other pluses
Communication
Routine Immunisation
Micro-planning
Nigeria EOC helps response to Ebola
Emergency responses
Certification committees identified for tOPV/bOPV switch validation

11. EB January 2015- Legacy Planning
Reinforced conclusions of RCs in 2013
should benefit existing health priorities
to be driven and led by countries
A draft global legacy planning framework and transition guidelines are being prepared to guide legacy planning at country level through a three-phase approach
planning and decision-making,
preparation, and
execution.

12. Proposed process, roles and responsibilities
Three key stages for Legacy rollout in each country, ideally completed by 2018
Given asset base and current epidemiology, legacy planning may require more time for completion in certain geographies
Should be a country-level and -led process, bringing together GPEI agency offices, government and key donors/other stakeholders
Phase of Transition
Planning & Decision
Preparation
Execution
Definition of project oversight structure
Selection of transition opportunities, cost assessment
Creation of operation and communication strategies
Formation of project oversight team
MoUs with recipient institutions
Revision of contracts
Capacity building
Donor engagement
Implementation of revised contracts
Transfer of assets / capabilities
Monitoring & Evaluation
Ongoing monitoring of transitioned assets / capabilities
Activities
Leadership
Country government
Transition Assistance
Donor Consortium
Project management
Professional Project Management Team
Roles and responsibilities
Asset recipients
Technical assistance
Agencies and other stakeholders
Recipients

13. Next steps
AFR has now nominated members to the Global Polio Legacy Management Group
Regional inter cluster working group to be reactivated
Legacy planning should be led at country level
Planning process should start now
With local and global partners support
Develop the Regional legacy plan

14. Anticipated effect to the measles elimination goal in AFR ?
The polio legacy plan intends to reduce resources
93% of staff funded by Polio financing will have implications to the regional measles elimination targets unless
Resources are rationalised either by member states or identification of alternative source
Transition is well thought through in advance to sustain the support to countries with alternatives of preparing countries
Costed measles elimination strategic plans could be used for advocacy at country level
Other upcoming opportunities need to be immediately thought of
Background of reduced resources of traditional partners like MRI & other partners – already reduced resources observed
Cost of surveillance will increase as most countries move to elimination mode measles surveillance
WHO traditionally to assist with surveillance but with limited funding

15. Question for TAG
Between 2015 to 2018, what can be advocated for to the Region, and member states so that the assets from the Polio Eradication benefit the measles elimination as one of the beneficiaries ? This in background of reduced financial support that is currently faced

16. Thank you!