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Financial Resource Requirements 2010-2012
Since the first Financial Resource Requirements document (FRR) of the year was issued in February, the operational approaches laid out in the new Global Polio Eradication Initiative (GPEI) Strategic Plan 2010-2012 have started bearing fruit.
As of writing, northern Nigeria and the northern Indian states of Uttar Pradesh and Bihar has seen a precipitous decline in cases. Two of the four countries with probable re-established transmission of an imported virus, the Democratic Republic of the Congo and Sudan, had not reported cases for over six months. Similarly, 10 of the 15 previously polio-free countries that were re-infected in 2009 had stopped their outbreaks.
The fragility of this progress – made all the more fragile by the substantial gap in financing – was drummed home by new importations of polio into Nepal, Senegal and Tajikistan (the last of which is in the WHO European Region, polio-free since 2002).
Achieving the milestones outlined in the Strategic Plan 2010-2012 will require – in addition to full ownership and engagement of the political leadership at all levels in the remaining polio-infected countries – the continued support of the international development community to rapidly make available the necessary financial resources.
For core running costs, all planned supplementary activities and emergency response, the budget is US$ 2.6 billion and the funding gap is US$ 1.3 billion.
In the first quarter of 2010, insufficient financing forced the cancellation of planned activities in Burundi, Rwanda, Kenya, Uganda, Djibouti, Eritrea, Yemen and the Congo, the scaling back of planned activities in the Democratic Republic of the Congo and Ethiopia and cuts to surveillance and campaign budgets in the WHO African Region.
Failure to meet the financial requirements of eradication has human consequences, in terms of children paralyzed for life by a disease which is entirely vaccine-preventable, as well as the economic consequences of ongoing supplementary immunization in perpetuity in order to maintain the current number of cases. But most compelling are the ethical consquences: failing to protect future generations when the tools are available to do so.
The FRR will be updated quarterly, based on the prevailing epidemiological and financial situation.
Links to download full publication (pdf)
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(Executive Summary)
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(Executive Summary)
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(text-only)
Links to financial and activity charts
(pdf)
The overarching milestones in the Strategic Plan are to stop
wild poliovirus transmission:
- by mid-2010 in all countries with new outbreaks in
2009;
- by end-2010 in the countries with re-established
transmission;
- by mid-2011 in all countries with new outbreaks in
2010;
- by end-2011 in two of the four endemic countries;
- by end-2012 in the remaining two endemic countries.
Process milestones are in place
to monitor progress towards each of these expected results.
Executive Summaries:
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