Plan for IPV Introduction
For the most part, IPV introduction will involve the same process as other new vaccine introductions. However, there are some notable differences:
• Unprecedented timelines - the urgency of eradication necessitates an accelerated introduction plan— all OPV-using countries should introduce a dose of IPV by end-2015;
• Global scope - its objective focuses on achieving a global good; and
• Lack of direct impact indicators - evaluation will be based on routine immunization coverage in contrast to indicators used to measure the impact of other vaccines (e.g. reduced mortality or infection rates at national level).
Once the decision to introduce IPV has been made by the national authorities, the first step in IPV introduction will be for the GPEI, GAVI and other immunization partners to support national authorities to develop annual integrated action plans for strengthening immunization services in the countries that need it most. Details will be elaborated and a model workplan with milestones and deadlines finalized by the end of 2013. Within this framework, focus will be on the following four areas:
• Programme management - including use of accountability frameworks, data management, evidence-based planning, training and supply management;
• Microplanning - including population mapping, harmonization of routine immunization microplans with polio SIA microplans to enable more complete session planning, vaccine supply management and cold-chain logistics;
• Advocacy and communication - including top-level advocacy, engagement of local community leaders and household-level outreach.
• Immunization delivery - monitoring of immunization sessions, local community coverage and vaccine acceptance, social mobilization efforts, availability of health workers, vaccine delivery and other immunization session logistics and overall quality and impact of services.