Independent Monitoring Board - Global Polio Eradication Initiative

Figure 5: TEN TRANSFORMATIONS NEEDED BYTHE GLOBAL POLIO ERADICATION INITIATIVETransformation 1: Senior leaders give the Programme true operational priorityEmergency protocols have been activated by WHO, CDC and UNICEF. Heads of spearheading agencies meet quarterly tocoordinate. WHO Regional Directors and UN Secretary-General are providing personal leadership. A Head-of-Governmentled task force has been established in every endemic country.Transformation being achieved - sustainTransformation 2: Close collaboration and coordination amongst partnersConsiderably closer working between spearheading partners at global and regional levels, but some non-spearheadingpartners still feel under-involved; coordination is variable at national level; there is no systematic approach to identify andbuild practical alliances with non-polio initiatives at local level; spearheading partners too often work separately, includingvaccinators and social mobilisers; and inter-country meetings across vulnerable borders (e.g. Nigeria, Chad, Niger andCameroon) could be more frequent.Some progress – much unrealised potentialTransformation 3: Staff all well-managed and accountable160 staff have been trained explicitly in managing people, a first for WHO. Increasingly, underperforming staff are notallowed to linger in post. There is more engagement of individuals with the power to hold staff to account, such as DistrictCommissioners in Pakistan, but engagement of State Governors in Nigeria is variable; NGOs in Southern Afghanistan arepoorly accountable.Strong progress to build onTransformation 4: Sufficient technical support staff in-countryMany additional international and national staff are in-post or under recruitment through a number of different mechanismsincluding STOP teams, but structures to manage these major personnel surges are not yet sufficiently developed to makebest use of these staff; and there is greater potential to use the resources available to other public health initiatives presenton the ground.Strong progress to build onTransformation 5: Front-line vaccinators well-trained and well-motivatedPay has been increased in some countries. Emergency action plans pay attention to selection, training and monitoringof vaccinators, but the fundamental issue of timely pay remains unresolved in many places; there is much potential toimprove the way in which the programme staff think of and treat front-line workers; far more could be done to engageand motivate these crucial individuals.Some progress – much unrealised potential18Independent Monitoring Board of the Global Polio Eradication Initiative Every Missed Child