2017 NON FINANCIAL RESOURCE REQUIREMENTS GPEI DONOR CONTRIBUTIONS

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1 2017 NON FINANCIAL RESOURCE REQUIREMENTS GPEI DONOR CONTRIBUTIONS Background The Global Polio Eradication Initiative (GPEI) is financed through a range of public and private donations. The Financial Resource Requirements (FRR) provides an overview of the financial activities planned for the period up to eradication, as well as the corresponding contributions. Each year, Non-FRR funding enables innovations to support the eradication activities funded through the FRR, as well as funding for emergent supporting activities. This report s purpose is to acknowledge these generous and important contributions in the effort to achieve a polio-free world Global Polio Eradication Initiative Non-FRR Funding Contributions Aggregate 2017 Donor Contributions Total Non-FRR Contribution: Number of Donors: Donors: $287,495,145 6 Bill and Melinda Gates Foundation, Global Affairs Canada, Rotary International, United Arab Emirates, U.S. Agency for International Development, U.S. Centers for Disease Control & Prevention Non-FRR Objective & Grantee Type Breakdown Objective Breakdown Non-FRR Objective & Activity Breakdown Objective 1: Poliovirus Detection and Interruption Objective 2: Systems Strengthening and OPV Withdrawal Objective 4, Objective 3, 14,600,809 17,394,145 Immunization, 5,293,918 Switch,, 408, ,716 Cont & Cert, 1,167,262 Objective 2, 71,049,275 Objective 1, 184,450,916 TA, 60,377,091 QI, 75,644,044 Research & Development, 33,989,985 IPV, 34,750,887 Surveillance, 15,590,464 SIAs, 15,279,424 12,265,976 Immunization, 100,000 Non-FRR Objective & Grantee Type Breakdown Grantee Type Breakdown (Implementing) Non-FRR Objective & Activity Breakdown Objective 3: Containment & Certification Objective 4: Transition Planning Cont & Cert, 550,000 Laboratories or Research Institutes Multilateral Orgs. QI, 1,760,797 Transition, 1,335,960 Immunization, 3,855,539 (Technical Assistance) Universities TA, 15,083,348 TA, 8,265,393 1,143,917 $0.0 $40.0 $80.0 Dollars 1

2 Donor Agency: Bill & Melinda Gates Foundation Total Donor Contribution $579,731,338 a) FRR Donor Contribution: $406,840,342 % of total FRR contribution: 70% b) Non-FRR Donor Contribution: $172,890,996 % of total non-frr contribution: 30% $80.0 $60.0 $40.0 $20.0 Immunization Activities Surveillance SIAs SocMob/Comms Technical Assistance Quality Improvements IPV Introduction Switch Research and Transition Planning Development Objective 1 Objective 2 Objective 4 Surveillance, $6,921, TA, $2,954, $6,564, SIAs, $6,927, Immunization, $3,697, QI, $75,644, (Implementing) Multilateral Orgs. Universities (Technical Assistance) Laboratories or Research Institutes $20.0 $40.0 $ Strengthen Emergency Operations Centers (EOCs) in Pakistan, Afghanistan, and Nigeria. - Expand independent campaign monitoring in Pakistan to identify opportunities to reduce the number of missed children and implement localized tactics and strategies to address those opportunities. - Support surveillance strengthening using mobile and GPS technology and increasing community engagement in hard to reach populations. - Develop technical tools to improve GIS tracking and mapping of vaccination activity in Nigeria in order to identify where there are children not being reached. - Buydown vaccines for routine immunization. Objective 2 Immunization Systems Strengthening and OPV Withdrawal Switch, $46, Which GPEI grantees are executing this work? Laboratories or Research Institutes Universities - Support development of a scaleable, low cost, standalone IPV. -Support development of a genetically-stabilized, low-cost nopv2 vaccine - Develop an antiviral to mitigate the risk of long-term viral shedding by immunodeficient individuals. (Implementing) IPV, $34,700, $20.0 $40.0 $60.0 Bill and Melinda Gates Foundation 2

3 Objective 4 Transition Planning Universities - Translate the lessons learned from the fight to eradicate polio into training and teaching materials, and capture the legacy of the GPEI in advancing global health beyond polio eradication. - Assess the global indemnity liabilities of BMGF's primary implementation partners, WHO and UNICEF, associated with the ramp-down of polio work. - Support the development of the post-certificaiton strategy. Transition, $1,035, (Technical Assistance) $0.1 $0.2 $0.3 $0.4 $0.5 $0.6 $0.7 $0.8 Notes: (1) Report excludes ($231,770) in returned funding, which will be re-allocated towards FRR and non-frr activities not detailed in this report. (2) Universities include: University of California (LA and SF), MIT, Dartmouth College, Aga Khan University, Universiteit Antwerpen, London School of Hygiene and Tropical Medicine, Stanford, Imperial College London, Johns Hopkins University, Emory, and th (3) "" includes a range of additional nonprofits and private sector partners. Bill and Melinda Gates Foundation 3

4 Donor Agency: Global Affairs Canada Total Donor Contribution $43,820,000 a) FRR Donor Contribution: $39,980,000 % of total FRR contribution: 91% b) Non-FRR Donor Contribution: $3,840,000 % of total non-frr contribution: 9% Objective $5.0 $4.0 $3.0 $2.0 $1.0 $3,840, SIAs SIAs, $3,840, Multilateral Orgs. The programmatic purpose of Canada's contributions are ultimately to eradicate polio in Nigeria and reduce the burden of disease affecting mothers and children by addressing gaps specifically identified. Canada's contributions are intended to increase and sustain community-level immunity against polio through detection and interruption activities while increasing protection against common vaccinepreventable diseases in the most at-risk areas (11 high risk states; immunization of over 6.6 million girls and 6.9 million boys against polio;154,000 vaccination team members (male and female); training up to 8000 health workers to improve capacity for routine immunization). $1.0 $2.0 $3.0 $4.0 $5.0 Global Affairs Canada 4

5 Donor Agency: Rotary International Total Donor Contribution $123,871,914 a) FRR Donor Contribution: $120,341,560 % of total FRR contribution: 97% b) Non-FRR Donor Contribution: $3,530,354 % of total non-frr contribution: 3% $4.0 $3.0 $2.0 $1.0 $25, Immunization Activities Objective 1 $3,505, SocMob/Comms This funding allows Rotarians to directly engage with their communities and partners to raise awareness, mobilize volunteers and participate in immunization activities. $3,505, $0.5 $1.0 $1.5 $2.0 $2.5 $3.0 $3.5 $4.0 Rotary International 5

6 Donor Agency: United Arab Emirates Total Donor Contribution $32,557,008 a) FRR Donor Contribution: $30,740,000 % of total FRR contribution: 94% b) Non-FRR Donor Contribution: $1,817,008 % of total non-frr contribution: 6% $2.0 $1.5 $1.0 $0.5 Immunization Activities SocMob/Comms UAE support to Pakistan for Polio Eradication activities such as immunization activities, social mobilization, and communications. $259, Immunization, $1,557, $0.5 $1.0 $1.5 $2.0 United Arab Emirates 6

7 Donor Agency: USAID Total Donor Contribution $59,000,000 a) FRR Donor Contribution: $47,128,875 % of total FRR contribution: 80% b) Non-FRR Donor Contribution: $11,871,125 % of total non-frr contribution: 20% $6.0 $5.0 $4.0 $3.0 $2.0 $1.0 Immunization Activities Surveillance SocMob/Comms Technical Assistance Immunization Activities Containment and Certification Transition Planning Objective 1 Objective 2 Objective 3 Objective 4 Surveillance, $4,000,000 TA, $350,000 $4,950,125 Immunization, $1,571,000 (blank) (Technical Assistance) (Implementing) USAID's polio eradication program contributes to the multi-donor, Global Polio Eradication Initiative by focusing support towards national plans to build and sustain population immunity sufficient to stop polio transmission, build and enhance facility and community-based surveillance able to detect and respond to possible polio cases, increase public trust in immunization by working with local partners to address parental concerns, working with civil society to reach the most vulnerable children in high risk areas and along international borders, and assisting in early detection and outbreak response to any new polio cases found in previously polio-free areas. $1.0 $2.0 $3.0 $4.0 $5.0 $6.0 Objective 2 Immunization Systems Strengthening and OPV Withdrawal Immunization, $150, Which GPEI grantees are executing this work? (blank) USAID looks for opportunities to leverage our investments in polio to strengthen routine immunization and the broader health systems. This includes strengthening partnerships, using polio micro plans in support of routine immunization, supporting newborn and pregnant women tracking and mapping, broader behavior change communication and messaging to support immunization, integrated disease surveillance, and support for vlmis. USAID's support to the CORE Group Polio Project specifically supports NGOs to foster strong community engagement, monitor RI sessions, monitor cold chain equipment, assist to validate the switch from trivalent to bivalent OPV, and support broader disease surveillance at the community level. Maternal Child Survival Program (MCSP) has also worked on the switch, IPV introduction, transition planning and other immunization / links with RI $0.0 $0.0 $0.1 $0.1 $0.1 $0.1 $0.1 $0.2 USAID 7

8 Objective 3 Containment & Certification Cont & Cert, $550, (blank) USAID's support to the CORE Group Polio Project supports NGOs work on containment and supports the secretariat model, a formal network of full-time directors and several technical and administrative personnel who organize and harmonize NGO/PVO activities for immunization, supplemental immunization activities, surveillance and other activities. The Secretariat engages closely with local governments and partners to be involved in the certification processes, as well as to develop and implement vaccination coverage surveys, campaign monitoring, workshops, meetings, mapping, micro-planning, training, baby-tracking, identifying and revisiting refusal households to encourage immunization acceptance, conducting community-based surveillance and other critical polio eradication activities. USAID staff is also involved in the containment and certification process providing technical assistance to countries. $0.1 $0.2 $0.3 $0.4 $0.5 $0.6 Objective 4 Transition Planning The Core Group Polio Project, MCSP and USAID staff are involved in legacy and transition planning discussions at the country and global level to ensure the contributions made by Global Polio Eradication Initiative and multi-donors are well transitioned and that the lessons learned in polio eradication are recorded. Transition, $300, (Technical Assistance) $0.1 $0.1 $0.2 $0.2 $0.3 USAID 8

9 Donor Agency: U.S. Centers for Disease Control and Prevention Total Donor Contribution $173,604,000 a) FRR Donor Contribution: $78,501,010 % of total FRR contribution: 45% b) Non-FRR Donor Contribution: $95,102,990 % of total non-frr contribution: 55% $70.0 $60.0 $50.0 $40.0 $30.0 $20.0 $10.0 Surveillance SIAs Technical Assistance Switch Containment and Technical Assistance Quality Improvements Immunization SocMob/Comms Certification Activities Objective 1 Objective 2 Objective 3 Objective 4 Technical Assistance SIAs 2% Surveillance 8% (Technical Assistance) The goal of this funding is to leverage CDC experitise in training, surveillance, program execution, management, and immunization activities to help the three endemic countries of Nigeria, Pakistan, and Afghanistan to be able to achieve interruption. (Implementing) Multilateral Orgs. TA 90% $10.0 $20.0 $30.0 $40.0 $50.0 $60.0 Objective 2 Immunization Systems Strengthening and OPV Withdrawal Which GPEI grantees are executing this work? This funding was dedicated to ensuring a smooth transition from bopv to IPV, after eradication is certified. Switch 33% Cont & Cert 67% Laboratories or Research Institutes $0.4 $0.8 $1.2 U.S. Centers for Disease Control and Prevention 9

10 Objective 3 Containment & Certification QI 10% Achieving and maintaining certification-level surveillance is the primary goal for this funding. There is also a secondary goal of making sure that containment of type-2 polio continues on schedule. (Implementing) Multilateral Orgs. TA 90% $5.0 $10.0 $15.0 $20.0 Objective 4 Transition Planning Immunization 31% (Technical Assistance) (Implementing) The intent of the programmatic funding is to strengthen routine immunization in high risk countries to minimize the chances of a successful importation of polio. The funding is also intended to systemically prepare countries with the most polio assets to be prepared for a post-polio world when funding for polio will end, so that people, systems, and knowledge are retained and used for a broader public health purpose, especially in the realm of immunization. TA 65% SocMob 4% $2.0 $4.0 $6.0 $8.0 U.S. Centers for Disease Control and Prevention 10