Table 5.
(Positive) Externalities | ||||||
---|---|---|---|---|---|---|
Polio function | Polio activities | Global public goods | Global | National | Large health & economic benefits | Implications for Polio transition exit strategy |
Policy & planning | Immunization planning | Yes | Domestic public funding1/Integrated in Gavi Strategy3 |
|||
Health emergency preparedness | Yes | Domestic public funding1 | ||||
Training & capacity building | Surveillance & monitoring | Yes | Domestic public funding1 | |||
Emergency assessment and response | Yes | Domestic public funding1 | ||||
Integrated surveillance & monitoring | Central and community-based surveillance; AEFI surveillance | (Yes) | Yes | Yes | Yes | Long-term global support2/Integrated in Gavi Strategy3 |
Laboratory (AFP environmental) | (Yes) | Yes | Yes | (Yes) | Long-term global support2 | |
Immunization | Vaccines procurement and stock; cold chain management; service delivery | Yes | Yes | Yes | Integrated in Gavi Strategy3 |
|
Outbreak and Emergency response | Health emergency response | Yes | Yes | Yes | Yes | Long-term global support2 |
Activities that could be supported by public domestic funding; 2 Activities that could be supported globally to all LMICSs by global health financing mechanisms or institutions; 3 Activities that could receive support as per the Gavi phase out strategy.
Abbreviations: AEFI = Adverse Events Following Immunization; AFP = Acute Flaccid Paralysis. Source: authors analysis based on literature;.