2014 Nigeria Polio Eradication Emergency Plan

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The Nigeria's Presidential Task Force on Polio Eradication (PTFoPE) continued to oversee the implementation of the 2014 National Polio Eradication Emergency Plan with the National Emergency Operations Centre (EOC) providing technical direction and coordinating Government and partners efforts at the central level while the State EOCs or the their equivalents at the State Level coordinating implementation at the state level. To ensure that the planned activities in the NPEEP were implemented with quality, the EOC worked on rolling out the accountability framework for all stakeholders at all levels.

Nigeria recorded tremendous achievements in 2013 with at least 58% reduction in the number of WPV1 cases compared to 2012. There has been no case of WPV3 in 2013 with the last WPV3 case in November 2012. Overall there has also been a 50% reduction in the number of infected LGA in 2013 compared to 2012 with the geographical restriction of cases to 4 states (Borno, Yobe, Kano and Bauchi) accounting for 84% of the total cases in 2013.

Within these states, Borno and Yobe, which are security compromised, account for 54% of the polio cases since a significant number of LGAs could not be accessed due to insecurity.

There has also been an 80% reduction in the number of circulating genetic clusters from 8 in 2012 to only 2 in 2013 (N5A and N7B). The circulation of cVDPVs has also been marked reduced (75% reduction) from 8 cases in 3 North West states to only 3 cases in Borno State which is a security compromised state with problems of inaccessibility The improvements in the polio eradication efforts have been due to the improved quality of SIAs in 2013 with the proportion of LGAs achieving an LQAS estimated coverage of at least 80% increasing from 64% to around 74% by September 2013.

The goal of the 2014 NPEEP is to achieve interruption of polio transmission by December 2014 with no new cases reported by end June 2014.

To achieve these milestones, the SIAs quality has to improve with 80% of LGAs achieving at least 80% coverage (LQAs estimates) by March 2014. In the very high risk LGAs, 80% of all LGAs accepted at 80% coverage by LQAs by June 2014; and 90% of the underserved wards achieving at least 90% coverage by independent monitoring data.

The 2014 NPEEP has identified strategic priorities that will be the areas of focus during the low transmission period and the rest of 2014 to ensure interruption by December 2014. These include: (a) improving IPDs quality in persistent poor performing LGAs / Wards; (b) increasing reach of children with OPV in the security compromised areas; (c) rapidly containing circulation in the breakthrough polio transmission zones; (d) mounting timely and adequate polio outbreak responses; (e) reaching underserved populations; (f) intensifying surveillance; (g) expanding technologies / innovations to further improve micro-planning and team performance; (h) intensifying communication and demand creation; (i) Boosting child immunity in-between rounds and in polio-free states; (j) optimizing human resources and stricter implementation of the accountability framework