NATIONAL PRIMARY HEALTH CARE DEVELOPMENT AGENCY Plot 681/682 Port Harcourt Crescent Off Gimbiya street, off Ahmadu Bello Way Garki Area 11 Abuja 2014 NIGERIA POLIO ERADICATION EMERGENCY PLAN December 2013 Abuja 1 2 Table of Contents Contents ..................................................................................... Error! Bookmark not defined. Abbreviations ........................................................................................................................ 6 1. EXECUTIVE SUMMARY ....................................................................................................... 7 2. INTRODUCTION ................................................................................................................. 9 2.1. Context of Polio Eradication Efforts in 2013 ..................................................................................................... 9 2.2. Poliovirus Epidemiology .............................................................................................................................................. 9 2. 2 Status of Implementation of 2013 NPEEP strategies towards interrupting poliovirus circulation ................................................................................................................................................................................. 11 2.3. SIA Calendar for 2014 ................................................................................................................................................. 16 2.4. Geographic Focus for 2014 ....................................................................................................................................... 16 3. GOAL, TARGETS, AND MILESTONES .................................................................................. 19 3.1. Goal ..................................................................................................................................................................................... 19 3.2. Targets ............................................................................................................................................................................... 19 3.3. Milestones ........................................................................................................................................................................ 19 4. OVERSIGHTS AND MANAGEMENT .................................................................................... 20 4.1 National Level .................................................................................................................................................................. 20 4.1.1. Presidential Task Force on Polio Eradication (PTFoPE) ............................................................................. 21 4.1.2. National Primary Health Care Development Agency (NPHCDA)............................................................. 21 4.1.3. Northern Traditional Leaders Committee on Primary Health Care (NTLC-PHC) ........................... 21 4.1.4. Nigeria Governors Forum (NGF) ............................................................................................................................. 21 4.1.5. National Polio Eradication Operations Centre (EOC) ................................................................................... 22 4.2 State Governments ........................................................................................................................................................ 24 4.2.1 State Task Forces ............................................................................................................................................................. 25 4.2.2. State EOCs/State Operations Rooms ..................................................................................................................... 25 4.3 Local Governments ........................................................................................................................................................ 26 4.3.1. LGA Task Force ................................................................................................................................................................ 26 4.4 Independent Advisory bodies and Global Partners ......................................................................................... 26 5. STRATEGIC PRIORITIES FOR NPEEP 2014 ........................................................................... 27 5.1 Improving IPDs quality in persistent poor performing LGAs / Wards .................................................... 27 5.1.1. Activities ............................................................................................................................................................................. 27 5.2. Increased reach in security-compromised areas ............................................................................................. 30 5.2.1. Activities ............................................................................................................................................................................. 31 5.3 Rapidly containing circulation in the breakthrough polio transmission zones ................................... 33 5.3.1. Activities ............................................................................................................................................................................. 33 5.3.2 Targets, milestones and indicators ......................................................................................................................... 34 3 5.4 Outbreak response to WPV and cVDPV ................................................................................................................ 35 5.4.1 Activities .............................................................................................................................................................................. 35 5.4.2. Targets, Milestones and Indicators ........................................................................................................................ 36 5.5. Special Strategies to reach underserved populations .................................................................................... 36 5.5.1. Activities: ............................................................................................................................................................................ 36 5.5.2. Targets, Milestones and Indicators: ....................................................................................................................... 37 5.6. In-between round activities to further increase population immunity and reduce threat of importation of poliovirus .............................................................................................................................................. 38 5.6.1. Activities: .............................................................................................................. Error! Bookmark not defined. 5.6.2 Targets, Milestones and Indicators ........................................................... Error! Bookmark not defined. 5.7. Enhancing Surveillance .............................................................................................................................................. 40 5.7.1. Activities: ............................................................................................................................................................................ 41 5.7.2. Targets, Milestones and Indicators ........................................................................................................................ 42 6. CROSS CUTTING PRIORITIES ............................................................................................. 42 6.1. Intensifying household and community engagement to build demand ................................................. 42 6.1.1. Activities ............................................................................................................................................................................. 43 6.1.2. Targets, Milestones and Indicators ........................................................................................................................ 44 6.2. Enhancing use of Technological Innovations .................................................................................................... 44 6.2.1 Activities .............................................................................................................................................................................. 45 6.2.2. Targets, Milestones and Indicators ........................................................................................................................ 45 6.3. Optimizing human resources ................................................................................................................................... 46 6.3.1. Activities: ............................................................................................................................................................................ 46 6.3.2. Targets, Milestones and Indicators ........................................................................................................................ 46 7. ACCOUNTABILITY ............................................................................................................. 47 7.2. Activities: