Table 2:

Main Findings of the IPV Introduction Survey from Countries

Dimensions		IPV Introduction Survey Key Findings for Each Country (N=31)	No. of Countries	Percent
Decision to introduce IPV	Time to decide	Countries that took 6 months or less to make decision	26	86
		Countries that took 1–3 months to make decision	17	56
	Main facilitators	Global commitment	9	29
		National political support and commitment	6	19
		Presence of a regional TAG recommendation	5	16
		Availability of supporting evidence regarding rationale for the introduction	4	13
	Main barriers	No difficulties in the decision-making process	21	68
		Financial issues	4	13
IPV introduction process itself	Nationwide or phased introduction	Countries that introduced IPV simultaneously nationwide	25	81
		Countries with phased introduction	6	19
	Main facilitators	PAHO support (technical cooperation and guidelines)	23	74
		Staff training	19	61
		Political will and support	17	55
		Commitment of staff	17	55
		International commitment to the need for global IPV introduction to achieve polio eradication	14	45
		Experience, preparedness, and planning of the EPI	13	42
	Main barriers	Negative perception of change from drop to shot administration	19	61
		Insufficient or delayed training	12	39
		Financial constraints	8	26
		Insufficient monitoring or supervision in the field	8	26

Abbreviations: EPI, Expanded Program on Immunization; IPV, inactivated polio vaccine; PAHO, Pan American Health Organization; TAG, Technical Advisory Group of Immunization.