Polio Eradication Branch, Centers for Disease Control and Prevention, United States.
Strategic Information and Workforce Development Branch, Centers for Disease Control and Prevention, United States.
Vaccine. 2020 Jan 29;38(5):1220-1224. doi: 10.1016/j.vaccine.2019.11.008. Epub 2019 Nov 18.
One objective of the 2013-2018 Global Polio Eradication Initiative (GPEI) Strategic Plan was the transition of GPEI polio essential functions to other public health programs [1]. For many developing countries, in addition to polio essential functions, GPEI funding has been supporting integrated communicable disease surveillance and routine immunization programs. As GPEI progresses toward polio eradication, GPEI funding for some polio-free countries is being scaled back. The Somalia Polio Eradication Program, led by international organizations in collaboration with local authorities, is a critical source of immunizations for >2.5 million children. In addition, the polio program has been supporting a range of communicable disease surveillance, basic health services (e.g. routine immunizations) as well as emergency response activities (e.g. outbreak response). To assess current capacities in Somalia, interviews were conducted with representatives of relief organizations and ministries of health (MoHs) from Somaliland, Puntland, and South-Central political zones to elicit their opinions on their agency's capacity to assume public health activities currently supported by GPEI funds. Seventy percent of international and 62% of representatives of domestic relief agencies reported low capacity to conduct communicable disease surveillance without GPEI funds. Responses from MoH representatives for the three zones in Somalia ranged from "very weak" to "strong" regarding capacity to conduct both polio and non-polio related communicable disease surveillance and outbreak response activities. Zones programs are unprepared to provide communicable diseases services if GPEI funding were substantially reduced abruptly. Polio transition planning must strategically plan for shifting of GPEI staffing, operational assets and funding to support identified gaps in Somalia's public health infrastructure.
2013-2018 年全球脊髓灰质炎根除倡议（GPEI）战略计划的目标之一是将 GPEI 的脊髓灰质炎核心职能过渡到其他公共卫生计划[1]。对于许多发展中国家来说，除了脊髓灰质炎核心职能外，GPEI 的资金还在支持综合传染病监测和常规免疫规划。随着 GPEI 朝着根除脊髓灰质炎的方向发展，一些无脊灰国家的 GPEI 资金正在逐步减少。由国际组织与地方当局合作领导的索马里脊髓灰质炎根除计划是为 250 多万儿童提供免疫接种的重要来源。此外，脊髓灰质炎规划一直在支持一系列传染病监测、基本卫生服务（如常规免疫接种）以及应急响应活动（如疫情应对）。为评估索马里的当前能力，对来自索马里兰、邦特兰和中南部政治区的救济组织和卫生部代表进行了访谈，以征求他们对各自机构承担目前由 GPEI 资金支持的公共卫生活动的能力的看法。70%的国际代表和 62%的国内救济机构代表表示，如果没有 GPEI 资金，他们进行传染病监测的能力很低。索马里三个地区卫生部代表对开展脊髓灰质炎和非脊髓灰质炎相关传染病监测和疫情应对活动的能力的回应范围从“非常薄弱”到“强”。如果 GPEI 资金大幅减少，各区规划将无法准备好提供传染病服务。脊髓灰质炎过渡规划必须战略性地规划 GPEI 人员、运营资产和资金的转移，以支持索马里公共卫生基础设施中的已确定差距。
