Financial Resource Requirements 2012-2013 As of October 2012 Partners in the Global Polio Eradication Initiative global polio eradication initiative © World Health Organization 2012 All rights reserved Publications of the World Health Organization are available on the WHO web site (www.who.int) or can be purchased from WHO Press, World Health Organization, 20 Avenue Appia, 1211 Geneva 27, Switzerland (tel.: +41 22 791 3264; fax: +41 22 791 4857; e-mail: bookorders@who.int) Requests for permission to reproduce or translate WHO publications – whether for sale or for noncommercial distribution – should be addressed to WHO Press through the WHO web site (http://www.who.int/about/licensing/copyright_form/en/index html) The designations employed and the presentation of the material in this publication not imply the expression of any opinion whatsoever on the part of the World Health Organization concerning the legal status of any country, territory, city or area or of its authorities, or concerning the delimitation of its frontiers or boundaries Dotted lines on maps represent approximate border lines for which there may not yet be full agreement The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommended by the World Health Organization in preference to others of a similar nature that are not mentioned Errors and omissions excepted, the names of proprietary products are distinguished by initial capital letters All reasonable precautions have been taken by the World Health Organization to verify the information contained in this publication However, the published material is being distributed without warranty of any kind, either expressed or implied The responsibility for the interpretation and use of the material lies with the reader In no event shall the World Health Organization be liable for damages arising from its use Photo front cover: UNICEF/2012/L Andriamasinoro Sani, 4, from Kano State, receives the oral polio vaccine during a door-to-door campaign in Northern Nigeria He is so proud to show his fingermark Fingermarking is essential to make sure that not a single child is missed during campaigns Photo back cover: WHO/Sona Bari Children during an SIA in March 2012 in Islamabad, Pakistan Pakistan remains one of the three endemic countries Persistent wild poliovirus transmission is restricted to three groups of districts: (1) Karachi city, (2) a group of districts in Balochistan Province, and (3) districts in the Federally Administered Tribal Areas (FATA) and the North-West Frontier Province The Government of Pakistan and partners have launched an informative new website outlining the latest in the country’s polio eradication effort The website is www.Endpolio.com.pk Design: philippecasse.ch Layout: Paprika-annecy.com global polio eradication initiative WHO/POLIO/12.06 Table of Contents | Executive summary .3 | Financial Resource Requirements 2012-2013 .6 | Roles and Responsibilities of Spearheading Partners .7 | Definition of the GPEI Activities and Budget Estimates | Polio Research 14 | Review of the GPEI Budgets and Allocation of Funds 15 | Donors 16 | Annexes 17 “Our Commitment to the Next Generation: The Legacy of a Polio-free World”, UN General Assembly, New York, 27 September 2012 Pictured from left to right, Canada’s International Cooperation Minister Julian Fantino, UK’s International Development Minister Alan Duncan, President Hamid Karzai of Afghanistan, President Asif Ali Zardari of Pakistan, Bill Gates, co-chair and trustee of the Bill & Melinda Gates Foundation, President Goodluck Jonathan of Nigeria, Wilfred J Wilkinson, chair Rotary Foundation Trustees, and Dr Margaret Chan, director-general of World Health Organisation, Aseefa Bhutto Zardari, Pakistan polio ambassador and daughter of the President, Dr Ahmad Mohammad Ali Al-Madani, President, Islamic Development Bank Group, Thomas Frieden, Executive Director of the US Centers for Disease Control and Prevention, Anthony Lake, Executive Director UNICEF at a high level event, ‘The Legacy of a Polio-Free World’, at the United Nations The event highlighted global solidarity to urgently complete polio eradication (Stuart Ramson/Insider Images for UN Foundation) Financial Resource Requirements 2012–2013 | As of October 2012 global polio eradication initiative Acronyms and abbreviations AusAID Australian Government Overseas Aid Program AFP Acute flaccid paralysis BMGF Bill & Melinda Gates Foundation bOPV Bivalent oral polio vaccine CDC US Centers for Disease Control and Prevention CIDA Canadian International Development Agency DFID UK Department for International Development EAP Global Polio Emergency Action Plan FRR Financial Resource Requirements GPEI Global Polio Eradication Initiative IDB Islamic Development Bank JICA Japan International Cooperation Agency mOPV Monovalent oral polio vaccine NIDs National Immunization Days OPV Oral polio vaccine PSC Programme support costs SIAs Supplementary Immunization Activities SNIDs Sub-national Immunization Days tOPV Trivalent oral polio vaccine UNICEF United Nations Children’s Fund USAID United States Agency for International Development VAPP Vaccine-associated paralytic polio VDPV Vaccine-derived poliovirus WHO World Health Organization WPV Wild poliovirus Financial Resource Requirements 2012–2013 | As of October 2012 global polio eradication initiative | Executive summary T he Financial Resource Requirements series (FRR) details the funding – required and currently available – to finance activities identified by the Global Polio Eradication Initiative (GPEI) for the 2012-2013 period to interrupt wild poliovirus transmission globally and prepare for the posteradication era The FRR is updated quarterly Programmatic and financial scenarios for the polio eradication endgame strategy and legacy plan (2013‑2018) will be presented in an upcoming edition of the FRR This current edition of the FRR summarizes financial developments in the past quarter in the relevant epidemiological context Global Polio Eradication Initiative’s (GPEI) favour, the World Health Assembly (WHA) in May 2012 adopted a Resolution declaring the completion of polio eradication a programmatic emergency for global public health The three remaining endemic countries – Nigeria, Pakistan, Afghanistan – launched national polio emergency action plans, with the oversight of their respective Heads of State Partner agencies of the GPEI also moved to an emergency footing, operating under the auspices of the Global Emergency Action Plan 2012-2013, to rapidly support countries’ efforts through increased technical assistance at the district level As of October, the 2012-2013 GPEI budget estimates for core costs, planned supplementary immunization activities and emergency response is US$ 2.18 billion, against which there is a funding gap of US$ 700 million (US$ 15 million for 2012 and US$ 685 million for 2013) New contributions of US$ 261 million for 2012-2013 were received during the period from June to September 2012 from Bangladesh, the Bill & Melinda Gates Foundation (BMGF), Estonia, JICA Loan Conversion (Pakistan), India, Nigeria, Nepal, Norway, Turkey, UNICEF , United Kingdom (DFID), USAID and US CDC The Initiative is also tracking US$ 360 million in firm prospects; if donors fulfill these commitments then the overall funding gap for 2012-2013 will be further reduced to US$ 340 million The emergency approaches are having an impact, with the lowest number of new cases in fewer districts of fewer countries than at any previous time This year, as of 25 September 2012, 150 cases have been reported from Nigeria, Pakistan, Afghanistan and Chad But the risks of not taking advantage of this once-in-a-generation opportunity remain high, if these emergency efforts are not fully and effectively implemented in the last few remaining countries, or are not fully funded An acute cash shortage in 2012 forced the scaling back or cutting of activities in 24 high-risk countries, putting children in these areas at increased danger of contracting the disease The Independent Monitoring Board (IMB), in its June 2012 report, underscored the potential consequences associated with the lack of financing, which it called ‘not compatible with the ambitious goal of stopping polio transmission globally’, and describing it as the ‘primary risk’ to eradication The budget estimate of US$ 2.18 billion represents a slight decrease (US$ million) compared to the May 2012 estimate Although there were budget cuts across most budget lines, there were significant increases in operations costs (US$ 28 million) and technical assistance surge capacity (US$ 37 million) for the three remaining endemic countries (Afghanistan, Pakistan and Nigeria), primarily for 2013 Table | GPEI 2012-2013 Budget, as at October 2012 (all figures in US$ millions) Budget, as at May 2,188.00 Budget Decreases -6.00 New Budget (Rounded) 2,182.00 Gap, as at May 945.00 Adjustments to confirmed funding* +24.00 Budget decreases -6.00 New Contributions -261.00 New Gap (Rounded) 700.00 *Reconciliation of earlier projections with actual contributions India has shown irrefutably the technical feasibility of eradication Global success is now a question of political and societal will, and sufficient and timely financing Recognizing both the epidemiological opportunity and the significant and deadly consequences of failure, and to tip the balance in the Full financing and effective implementation of the Global Emergency Action Plan 2012-2013 can realistically and rapidly achieve a polio-free world The May 2012 WHA Resolution declaring polio an emergency clearly outlines the role each stakeholder has to play to attain a polio-free world It calls on remaining infected countries to fully implement the polio emergency action plans, and urges all Member States to ‘make available urgently the financial resources required for the full and continued implementation, to the end of 2013, of the necessary strategic approaches to interrupt wild poliovirus transmission globally.’ The implementing partners of the GPEI are also working through a new architecture that ensures greater accountability and the full engagement and oversight of the heads of agencies Success is a global responsibility, and the benefits of success will be shared equally by all countries and peoples across the world On 27 September, the United Nations Secretary-General Ban Ki-moon hosted a high level event at the United Nations General Assembly called “Our Commitment to the Next Generation: The Legacy of a Polio-free World”, where leaders from around the world vowed to step up polio eradication efforts Heads of state from Afghanistan, Nigeria and Pakistan stood alongside donor government officials and new donors from the public and private sector to outline what is needed to stamp out this disease forever: long-term commitment of resources, applying innovative best practices, and continued Financial Resource Requirements 2012–2013 | As of October 2012 global polio eradication initiative leadership and accountability at all levels of government in the endemic countries Rotary International, which already has contributed US$ 1.2 billion to polio eradication, announced additional funding of $75 million over three years to GPEI Canada announced an initiative to engage civil society to match funds to GPEI through Rotary and BMGF In addition to expanding its grant support for Afghanistan, the Islamic Development Bank (IDB) announced a three-year $227 million financing package to Pakistan which will cover the majority of the country’s polio vaccination campaign costs The United Kingdom also provided £25 million as part of its 5-year pledge to the GPEI The GPEI is currently developing and budgeting a polio eradication endgame strategy and legacy plan 2013-2018 The initial budget estimate is US$ 5.5 billion over years The draft strategy will include the following components: eradication strategies, including strengthening routine immunization; management of associated risks; a process for developing the legacy options, and an indicative 2013-2018 budget The endgame strategy, following a consultative process, will be shared with the Strategic Advisory Group of Experts on Immunization (SAGE) in November 2012 and then submitted to the WHO Executive Board in January 2013 In closing Dr Margaret Chan, Director-General of the World Health Organization said “Failure to eradicate polio is unforgiveable, forever Failure is not an option No single one of us can bring this long, hard drive over the last hurdle But together we can.” Table | Summary of external resource requirements by major category of activity, 2012-2013 (all figures in US$ millions) CORE COSTS Emergency Response (OPV) Emergency Response (Ops) Emergency Response (Soc Mob) Surveillance and Running Costs (Incl Security) Surge Capacity* Laboratory Technical Assistance (WHO) Technical Assistance (UNICEF) Certification and Containment Product Development for OPV Cessation Post-eradication OPV Stockpile 2012 $5.50 $20.00 $1.50 $61.72 $39.22 $11.13 $128.47 $28.75 $5.00 $10.00 $12.30 2013 $20.00 $40.00 $6.00 $63.47 $33.23 $11.33 $128.35 $33.39 $5.00 $10.00 $0.00 2012-2013 $25.50 $60.00 $7.50 $125.19 $72.45 $22.46 $256.81 $62.15 $10.00 $20.00 $12.30 Supplementary Immunization Activities Oral Polio Vaccine NIDs/SNIDs Operations (WHO-Bilateral) NIDs/SNIDs Operations (UNICEF) Social Mobilization for SIAs 2012 $295.40 $332.10 $21.30 $71.98 2013 $291.41 $274.37 $28.28 $85.62 2012-2013 $586.82 $606.47 $49.58 $157.60 Subtotal Programme Support Costs (estimated)** $1,044.38 $52.61 $1,030.45 $54.53 $2,074.83 $107.13 GRAND TOTAL Contributions Funding Gap Funding Gap (rounded) $1,096.99 $1,082.04 $14.95 $15.00 $1,084.97 $399.38 $685.59 $685.00 $2,181.96 $1,481.42 $700.54 $700.00 * UNICEF Social Mobilization surge activities are included under SIA costs for the expanded activities ** Programme Support Costs (PSC) estimates are calculated based on sources and channel of funds Financial Resource Requirements 2012–2013 | As of October 2012 global polio eradication initiative Figure | Annual expenditure 1988-2011, contributions and funding gap 2012-2013 (all figures in US$ millions) 1988-2011 Total expended: US$ billion 2012 Funding Gap: US$ 15 million 2013 Funding Gap: US$ 685 million Figure | Financing 2012-2013, US$ 1.48 billion contributions G8 14% JICA Loan Conversion Multilateral Sector 6% Canada Japan USAID USCDC UK UNICEF WHO Russian Federation EC Bangladesh Domestic Resources 23% India IFFIm World Bank Nigeria Angola Bill & Melinda Gates Foundation Private Sector 20% Australia Luxembourg Others Rotary International Non-G8 OECD/ Other 2% Current Funding Gap: US$ 700 m of US$ 2.18 b budget Firm Prospects: US$ 360 m Best Case Gap: US$ 340 m ‘Other’ includes: the Governments of Austria, Brunei Darussalam, Estonia, Finland, Monaco, Nepal and Turkey, plus other Institutions: Chevron (Angola), Central Emergency Response Fund (CERF), Common Humanitarian Fund (South Sudan), the GOOGLE Foundation/Matching Grant, Total E&P (Angola) and WHO core resources Financial Resource Requirements 2012–2013 | As of October 2012 global polio eradication initiative | Financial Resource Requirements 2012–2013 This Financial Resource Requirements (FRR) outlines the budget to implement the core strategies to stop polio and to institutionalize innovations to improve the quality of intensified SIAs, increase technical assistance to countries with re-established polio transmission, enhance surveillance, systematize the synergies between immunization systems and polio eradication and expand pre-planned vaccination campaigns across the “WPV importation belt” of sub-Saharan Africa Filling subnational surveillance gaps, revitalizing surveillance in polio-free Regions, implementing new global surveillance strategies and intensifying social mobilization work are also costed in the 2012–2013 budget With the launch of the Global Polio Emergency Action Plan 2012–2013 (EAP) in May 2012, the Initiative continues to work under an emergency operating framework The financial requirements outlined in this document reflect the strategic and geographic priorities of the framework as well as the continued implementation of key activities of the Strategic Plan The financial requirements incorporate the full scope of the Emergency Plan The FRR is updated regularly based on evolving epidemiology; this is the third issue of the year1 Financial requirements detailed here represent country requirements and are inclusive of agency (i.e WHO and UNICEF) overhead costs Endemic/recently-endemic2 countries account for 69% of the country budgets; countries with re-established transmission for 15%; and, other importation-affected countries for 16% Just as high-cost control of polio transmission is not sustainable, low-cost control is not effective, since depending on routine immunization alone would lead to 200,000–250,000 cases per year Neither scenario is optimal when eradication is feasible3 Previous costeffectiveness studies4 have demonstrated that US$ 10 billion would be needed over a 20-year period to simply maintain polio cases at current levels, in contrast to the US$ 2.19 billion presented here Financial modelling in 20105 estimated the financial benefits of polio eradication at US$ 40–50 billion Most of those savings (85%) are expected in low-income countries Figure | Comparison of budgets for countries conducting SIAs in 2012 as a % of country-level costs) $350 Polio-endemic/ Recently-endemic countries 69% $300 32% $250 $200 18% Re-established transmission 15% $150 14% Countries with recurrent importations 14% Other importationaffected countries 2% $100 $50 4% $0 i l l r ali so ire pia lia ea da ya en in AR na a on ne ria nia Togo ngo ssau bia itrea erde out esh epa dia ria an an go la ad an an e In ige kist nist Con ngo Ch Sud Sud Nig M a Fa 'Ivo hio ma uin gan Ken em Ben C Gha neg ero Leo ibe rita Co Bi Gam Er e V Djib glad N Y L u A G U N Pa R Se am rra h in te d Et So a p a n g D ut rk Cô C ie M Ca ine Af Ba So S Bu Gu While the FRR provides overall budget estimates, detailed budgets are available upon request As of 28 February 2012, India is no longer considered to be a polio-endemic country For the purposes of the current FRR, it is considered “recently-endemic” Barrett S, Economics of eradication vs control of infectious diseases, Bulletin of the WHO, Volume 82, Number 9, September 2004, 639-718 http://www.who.int/bulletin/volumes/82/9/en/index.html Thompson KM, Tebbens RJ Eradication versus control for poliomyelitis: an economic analysis Lancet 2007; 369(9570): 1363-71 Tebbens RD, et al The Economic analysis of the global polio eradication initiative Vaccine 2010, doi:10.1016/j.vaccine.2010.10.25 Financial Resource Requirements 2012–2013 | As of October 2012 global polio eradication initiative | Roles and Responsibilities of Spearheading Partners The spearheading partners of the GPEI are the World Health Organization (WHO), Rotary International, the US Centers for Disease Control and Prevention (CDC) and UNICEF Rotary International is the leading private-sector donor to polio eradication, advocates with governments and communities and provides field-level support in SIA implementation and social mobilization CDC deploys a wide range of public health assistance in the form of staff and consultants, provides specialized laboratory and diagnostic expertise and contributes funding UNICEF is the lead partner in support of communications and social mobilization, and in the procurement and distribution of oral polio vaccine for supplementary immunization activities UNICEF also works with partners to strengthen routine immunization, including support to cold chain and vaccine distribution mechanisms at national and sub-national levels WHO is responsible for the systematic collection, collation and dissemination of standardized information on strategy implementation and impact, particularly in the areas of surveillance and supplementary immunization activities WHO also leads operational and basic research, provides technical and operational support to ministries of health, and coordinates training and deployment of human resources for supplementary technical assistance WHO also serves as secretariat to the certification process and facilitates implementation and monitoring of bio containment activities The budgets that underpin the FRR are prepared by WHO, UNICEF and the national governments that manage the polio eradication activities The funds to finance the activities flow from multiple channels, primarily through these stakeholders Both UN agencies support the governments in the preparation and implementation of SIAs | Definition of the GPEI Activities and Budget Estimates A robust system of estimating costs drives the development of the global budget estimates from the micro-level up A schedule for SIAs is drawn up based on the guidance of national Technical Advisory Groups (TAGs), Ministries of Health and the country offices of WHO and UNICEF In 2011, for example, more than 2.35 billion doses of OPV were administered to more than 430 million children during 300 polio vaccination campaigns in 54 countries6 The recommended schedule of SIAs is used by national governments, working with WHO and UNICEF to develop , budget estimates These are based on plans drawn up for SIAs at the local level and take into consideration local costs for all elements of an activity – trainings, community meetings, posters, announcements, vaccinator payments, vehicles, fuel, supplies, etc 4.1 Cost Drivers of the GPEI Budget The key cost drivers of the GPEI budget are OPV and SIA operations, followed by technical assistance, social mobilization and surveillance7 (See Table 2) 4.1.1 Oral polio vaccine UNICEF is the agency that procures vaccine for the GPEI, and works to ensure OPV supply security (with In 2011, OPV was given during 144 National Immunization Days, 129 Sub-national Immunization Days, 10 mop-up campaigns and 17 Child Health Days Children may have received more than one dose of OPV For 2012-2013, for example, OPV accounts for 29% of the budget, operations for 32%, technical assistance for 16%, social mobilization for 9% and surveillance for 6%, with the remainder being dedicated to emergency response, surge capacity, laboratories, research activities, etc Financial Resource Requirements 2012–2013 | As of October 2012 global polio eradication initiative multiple suppliers), at a price that is both affordable to governments and donors and reasonably covers the minimum needs of manufacturers In 2011, more than 1.6 billion doses of OPV were required for activities in areas with active poliovirus transmission Since 2005 the supply landscape has become more complex with the introduction of two types of monovalent OPV (types and 3) and, in 2010, bivalent OPV This has contributed to a rise in the weighted average price of OPV from US$ 0.08 per dose to approximately US$ 0.14 per dose since 2000 The flexibility of manufacturers, to adjust production based on the OPV formulation required, comes at a cost Currency fluctuations, the demand for high titres and the finite lifespan of OPV – for which demand will drop after the eradication of polio – also contribute to this price increase Despite these factors, the weighted average price of each OPV dose in 2011 (US$ 0.128) and 2012 (US$ 0.127) show decreases since 2010 Figure | OPV supply and weighted average price, 2000–2012 3,000 0.18 0.16 2,500 2,000 0.12 0.1 1,500 0.08 0.06 1,000 0.04 US$ PRICE PER DOSE 0.14 MILLIONS DOSES tOPV mOPV1 mOPV3 500 0.02 0 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 4.1.2 Operations costs SIAs are vast operations to deliver vaccine to every household: micro-plans have to be drawn up or updated for every dwelling in the area to be covered, whether a single district or an entire country Vaccine has to be delivered to distribution centres throughout the target area Vaccinators have to be trained to vaccinate children and mark fingers and houses, to document their work, to report their activities, to communicate with families appropriately, and so on Vaccinators have to visit every household; supervisors and monitors have to scour every street for unvaccinated children WAP Major factors affecting operations costs are the relative strength of the local infrastructure – whether it be roads, telecommunications or any of a host of facilities – and the local health system, the local economy, availability of semi-skilled workers, security conditions and population density In 2011, 1.44 million paid vaccinators worked in SIAs; vaccinator per diems – to cover basic needs such as food and transport – constitute a large portion of operations costs8 Based on local rates for semi-skilled labour and government remuneration for similar tasks Financial Resource Requirements 2012–2013 | As of October 2012 bOPV 22 global polio eradication initiative Annex C | Surveillance and laboratory costs by country and region, 2012 (all figures in US$ millions) WHO African Region Algeria Angola Benin Botswana Burkina Faso Burundi Cameroon Cape Verde Central African Republic Chad Comoros Congo Côte d'Ivoire DR Congo Equatorial Guinea Eritrea Ethiopia Gabon Gambia Ghana Guinea Guinea-Bissau Kenya Lesotho Liberia Madagascar Malawi Mali Mauritania Mauritius Mozambique Namibia Niger Nigeria Rwanda Sao Tome and Principe Senegal Seychelles Sierra Leone South Africa Swaziland Togo Uganda United Republic of Tanzania Zambia Zimbabwe Regional surveillance and laboratory Subtotal 2012 $0.03 $1.85 $0.18 $0.09 $0.26 $0.09 $0.39 $0.04 $0.46 $0.88 $0.04 $0.13 $0.28 $2.19 $0.04 $0.13 $2.98 $0.09 $0.05 $0.35 $0.18 $0.06 $0.43 $0.04 $0.22 $0.39 $0.18 $0.25 $0.18 $0.02 $0.26 $0.13 $0.57 $12.50 $0.11 $0.01 $0.31 $0.01 $0.22 $0.26 $0.07 $0.13 $0.39 $0.39 $0.35 $0.24 $5.29 $33.72 WHO Region of the Americas Regional surveillance and laboratory 2012 $0.60 WHO Eastern Mediterranean Region Afghanistan Djibouti Egypt Iraq Pakistan Somalia Sudan South Sudan Yemen Regional surveillance and laboratory Subtotal 2012 $2.35 $0.05 $0.37 $0.06 $3.23 $0.62 $0.52 $1.24 $0.19 $1.50 $10.13 WHO South-East Asia Region Bangladesh India Indonesia Myanmar Nepal Regional surveillance and laboratory Subtotal 2012 $1.03 $6.72 $0.76 $0.40 $0.45 $5.01 $14.39 WHO European Region Armenia Azerbaijan Bosnia and Herzegovina Georgia Kazakhstan Kyrgyzstan Moldova Tajikistan Turkey Turkmenistan Ukraine Uzbekistan Regional surveillance and laboratory Subtotal 2012 $0.01 $0.03 $0.08 $0.04 $0.01 $0.01 $0.01 $0.12 $0.01 $0.04 $0.04 $0.04 $1.48 $1.89 WHO Western Pacific Region Regional surveillance and laboratory 2012 $0.82 WHO/HQ WHO/HQ Global Total Financial Resource Requirements 2012–2013 | As of October 2012 2012 $11.31 2012 $72.85 global polio eradication initiative Annex C (continued) WHO African Region Algeria Angola Benin Botswana Burkina Faso Burundi Cameroon Cape Verde Central African Republic Chad Comoros Congo Côte d'Ivoire DR Congo Equatorial Guinea Eritrea Ethiopia Gabon Gambia Ghana Guinea Guinea-Bissau Kenya Lesotho Liberia Madagascar Malawi Mali Mauritania Mauritius Mozambique Namibia Niger Nigeria Rwanda Sao Tome and Principe Senegal Seychelles Sierra Leone South Africa Swaziland Togo Uganda United Republic of Tanzania Zambia Zimbabwe Regional surveillance and laboratory Subtotal 2013 $0.03 $1.91 $0.18 $0.09 $0.27 $0.09 $0.41 $0.05 $0.47 $0.90 $0.05 $0.14 $0.29 $2.25 $0.05 $0.14 $3.07 $0.09 $0.05 $0.36 $0.18 $0.06 $0.44 $0.05 $0.23 $0.40 $0.18 $0.25 $0.18 $0.02 $0.27 $0.14 $0.59 $12.88 $0.11 $0.01 $0.32 $0.01 $0.23 $0.27 $0.07 $0.14 $0.40 $0.41 $0.36 $0.25 $5.45 $34.73 WHO Region of the Americas Regional surveillance and laboratory 2013 $0.62 WHO Eastern Mediterranean Region Afghanistan Djibouti Egypt Iraq Pakistan Somalia Sudan South Sudan Yemen Regional surveillance and laboratory Subtotal 2013 $2.42 $0.05 $0.38 $0.06 $3.33 $0.64 $0.53 $1.27 $0.19 $1.55 $10.42 WHO South-East Asia Region Bangladesh India Indonesia Myanmar Nepal Regional surveillance and laboratory Subtotal 2013 $1.06 $6.80 $0.79 $0.42 $0.49 $5.17 $14.72 WHO European Region Armenia Azerbaijan Bosnia and Herzegovina Georgia Kazakhstan Kyrgyzstan Moldova Tajikistan Turkey Turkmenistan Ukraine Uzbekistan Regional surveillance and laboratory Subtotal 2013 $0.01 $0.03 $0.08 $0.04 $0.01 $0.01 $0.01 $0.13 $0.01 $0.04 $0.04 $0.04 $1.39 $1.82 WHO Western Pacific Region Regional surveillance and laboratory 2013 $0.84 WHO/HQ WHO/HQ 2013 $11.65 Global Total 2013 $74.79 Financial Resource Requirements 2012–2013 | As of October 2012 23 24 global polio eradication initiative Annex D | Technical assistance, country-level details 2012-2013, excluding programme support costs (all figures in US$ millions) WHO African Region Angola Benin Botswana Burkina Faso Burundi Cameroon Central African Republic Chad Congo Côte d'Ivoire DR Congo Equatorial Guinea Eritrea Ethiopia Gabon Gambia Ghana Guinea Guinea-Bissau Kenya Lesotho Liberia Madagascar Malawi Mali Mauritania Mozambique Namibia Niger Nigeria Rwanda Senegal Sierra Leone South Africa Swaziland Togo Uganda United Republic of Tanzania Zambia Zimbabwe IST (Central block) IST (South/East block) IST (West block) Regional Office Subtotal WHO Western Pacific Region Regional Office Subtotal 2012 $7.22 $0.25 $0.15 $0.23 $0.04 $0.55 $0.60 $2.84 $0.33 $1.06 $6.29 $0.13 $0.18 $1.51 $0.27 $0.06 $0.12 $0.08 $0.13 $0.85 $0.09 $0.48 $0.07 $0.10 $0.15 $0.06 $0.41 $0.24 $1.16 $23.83 $0.19 $0.14 $0.43 $0.69 $0.15 $0.19 $0.41 $0.40 $0.65 $0.18 $1.12 $1.60 $1.21 $1.29 $58.11 WHO Eastern Mediterranean Region Afghanistan Djibouti Egypt Iran Pakistan Somalia Sudan South Sudan Yemen Regional Office Subtotal 2012 $4.73 $0.01 $0.07 $0.01 $8.15 $1.44 $1.10 $3.66 $0.24 $1.78 $21.20 WHO South-East Asia Region 2012 Bangladesh $1.45 India $16.59 Indonesia $0.80 Myanmar $0.39 Nepal $1.63 Regional Office $1.56 Subtotal $22.41 WHO European Region Regional Office/Countries Subtotal 2012 $1.60 $1.60 WHO WHO/HQ Short Term Tech Assistance Subtotal 2012 $13.03 $11.46 $24.49 Surge Capacity Afghanistan Angola Chad DR Congo Nigeria Pakistan Kenya United Republic of Tanzania Uganda Regional Office Subtotal 2012 $1.06 $1.69 $3.13 $2.52 $22.45 $7.97 $0.04 $0.03 $0.03 $0.31 $39.22 2012 $0.66 $0.66 * IST= Inter-country Support Team Financial Resource Requirements 2012–2013 | As of October 2012 UNICEF UNICEF HQ/RO Afghanistan India Pakistan Nigeria Chad Angola DR Congo Sudan South Sudan Niger Côte d'Ivoire Mali Guinea Burkina Faso Liberia Sierra Leone Ghana Mauritania Senegal Benin Gambia Guinea Bissau Togo Cape Verde Kenya Ethiopia Uganda Somalia Congo Cameroon Central African Republic Nepal Subtotal Global WHO-Unicef Total 2012 $4.78 $3.45 $2.22 $3.57 $6.24 $1.93 $0.54 $1.68 $0.06 $0.82 $0.33 $0.25 $0.04 $0.25 $0.12 $0.06 $0.04 $0.07 $0.10 $0.03 $0.19 $0.01 $0.01 $0.00 $0.01 $0.23 $0.35 $0.17 $0.73 $0.21 $0.08 $0.20 $0.02 $28.75 2012 $196.44 global polio eradication initiative Annex D (continued) WHO African Region Angola Benin Botswana Burkina Faso Burundi Cameroon Central African Republic Chad Congo Côte d'Ivoire DR Congo Equatorial Guinea Eritrea Ethiopia Gabon Gambia Ghana Guinea Guinea-Bissau Kenya Lesotho Liberia Madagascar Malawi Mali Mauritania Mozambique Namibia Niger Nigeria Rwanda Senegal Sierra Leone South Africa Swaziland Togo Uganda United Republic of Tanzania Zambia Zimbabwe IST (Central block) IST (South/East block) IST (West block) Regional Office Subtotal WHO Western Pacific Region Regional Office Subtotal 2013 $7.22 $0.25 $0.15 $0.23 $0.04 $0.55 $0.60 $2.84 $0.33 $1.06 $6.29 $0.13 $0.18 $1.51 $0.27 $0.06 $0.12 $0.08 $0.13 $0.85 $0.09 $0.48 $0.07 $0.10 $0.15 $0.06 $0.41 $0.24 $1.16 $23.83 $0.19 $0.14 $0.43 $0.69 $0.15 $0.19 $0.41 $0.40 $0.65 $0.18 $1.12 $1.60 $1.21 $1.29 $58.11 WHO Eastern Mediterranean Region Afghanistan Djibouti Egypt Iraq Pakistan Somalia Sudan South Sudan Yemen Regional Office Subtotal 2013 $4.97 $0.01 $0.07 $0.01 $7.32 $1.51 $1.15 $3.84 $0.26 $1.87 $21.02 WHO South-East Asia Region 2013 Bangladesh $1.21 India $16.35 Indonesia $0.52 Myanmar $0.39 Nepal $1.63 Regional Office $1.56 Subtotal $21.66 WHO European Region Regional Office/Countries Subtotal 2013 $1.65 $1.65 WHO WHO/HQ Short Term Tech Assistance Subtotal 2013 $13.42 $11.81 $25.23 Surge Capacity Afghanistan Angola Chad DR Congo Nigeria Pakistan Kenya United Republic of Tanzania Uganda Regional Office Subtotal 2013 $1.11 $1.69 $3.13 $2.52 $16.52 $7.85 $0.04 $0.03 $0.03 $0.31 $33.23 UNICEF UNICEF HQ/RO Afghanistan India Pakistan Nigeria Chad Angola DR Congo Sudan South Sudan Niger Benin Burkina Faso Côte d'Ivoire Sierra Leone Guinea Liberia Mauritania Senegal Guinea Bissau Cape Verde Togo Ghana Ethiopia Somalia Uganda Cameroon Congo Nepal Subtotal Global WHO-Unicef Total 2013 $6.23 $3.08 $1.90 $2.45 $9.23 $2.13 $0.54 $3.86 $0.09 $1.17 $0.25 $0.19 $0.12 $0.25 $0.04 $0.25 $0.06 $0.06 $0.03 $0.01 $0.01 $0.00 $0.07 $0.17 $0.73 $0.17 $0.08 $0.22 $0.02 $33.39 2013 $194.97 2013 $0.68 $0.68 * IST= Inter-country Support Team Financial Resource Requirements 2012–2013 | As of October 2012 25 26 global polio eradication initiative Annex E | Confirmed/Tentative* funding and funding gaps for polio-endemic, recently-endemic and re-established transmission countries (all amounts in US$ millions, excluding indirect (overhead) costs) AFGHANISTAN 2012 4 ORAL POLIO VACCINE Requirements Confirmed funding CIDA AusAID Japan National Committee for UNICEF (Saudi Arabia) Tentative funding World Bank Grant Japan Funding Gap (exclusive of tentative funding) Funding Gap (inclusive of tentative funding) OPERATIONAL COSTS Requirements Operational Costs (WHO) Operational Costs (UNICEF) Confirmed funding CIDA (UNICEF) Rotary International (UNICEF) Japan ( UNICEF) UNICEF RR USAID (UNICEF) BMGF (WHO) CIDA (WHO) Rotary International (WHO) Tentative funding Saudi Arabia (WHO) Rotary International (UNICEF) Japan (UNICEF) Funding Gap (exclusive of tentative funding) WHO UNICEF Funding Gap (inclusive of tentative funding) WHO UNICEF WHO SURVEILLANCE Requirements Confirmed funding CIDA USAID AusAID Funding Gap (exclusive of tentative funding) TECHNICAL ASSISTANCE Requirements Technical assistance (WHO) Technical assistance (UNICEF) Surge Capacity Confirmed funding CIDA (WHO) AusAID (WHO) CDC (WHO) Japan (UNICEF) BMGF (UNICEF) CIDA (UNICEF) Tentative funding Rotary International (UNICEF) Funding Gap (exclusive of tentative funding) WHO UNICEF Funding Gap (inclusive of tentative funding) WHO UNICEF UNICEF SOCIAL MOBILIZATION Requirements Confirmed funding BMGF Japan Rotary Funding Gap (exclusive of tentative funding) Total Total Total Total SUMMARY Total requirements WHO UNICEF Funding Gap (exclusive of tentative funding) WHO UNICEF $3.53 $0.62 $3.79 $0.48 $8.42 $0.00 $0.00 $0.00 $0.00 $0.00 $3.53 $0.62 $3.79 $0.48 $8.42 $0.00 $0.00 $0.00 $0.00 $0.00 $7.82 $0.80 $8.62 $8.62 $0.00 $7.82 $0.80 $8.62 $8.62 $0.00 $13.12 $3.28 $9.84 $27.95 $8.40 $19.55 $5.40 $1.01 $0.10 $2.00 $0.02 $0.86 $4.00 $0.26 $13.65 $4.23 $0.00 $0.00 $0.00 $0.00 $0.00 $1.66 $0.00 $5.89 $9.63 $1.01 $0.10 $2.00 $0.02 $0.86 $5.66 $0.26 $19.54 $0.00 $0.00 $0.00 $0.00 $1.18 $0.00 $1.18 $1.18 $0.00 $1.18 $0.18 $1.40 $3.03 $4.61 $7.23 $1.62 $5.61 $2.62 $1.44 $1.18 $0.18 $1.40 $3.03 $4.61 $8.41 $1.62 $6.79 $3.80 $1.44 $2.36 $2.42 $4.77 $0.00 $2.17 $0.18 $2.35 $0.00 $1.25 $0.00 $0.00 $1.25 $1.17 $1.25 $2.17 $0.18 $3.60 $1.17 $9.15 $4.97 $3.07 $1.11 $18.39 $9.70 $6.52 $2.17 $4.59 $0.02 $0.38 $0.00 $1.00 $1.47 $7.46 $3.18 $0.00 $0.00 $0.37 $0.00 $0.90 $4.45 $7.77 $0.02 $0.38 $0.37 $1.00 $2.37 $11.91 $0.00 $0.00 $1.78 $0.80 $0.98 $1.78 $0.80 $0.98 $0.08 $0.08 $4.70 $2.90 $1.80 $4.62 $2.90 $1.72 $0.08 $0.08 $6.48 $3.70 $2.78 $6.40 $3.70 $2.70 $2.56 Total $17.04 $9.24 $4.73 $3.45 $1.06 Total $8.62 $2.35 Total 2012–2013 8 $14.83 $5.12 $9.71 Total 2013 4 $8.42 National Immunization Days (NIDs) Sub-national Immunization Days (SNIDs) $4.19 $6.75 $1.81 $0.00 $0.75 $2.56 $0.00 $0.00 $1.05 $0.00 $1.05 $3.14 $1.81 $1.05 $0.75 $3.61 $3.14 $37.40 $13.26 $24.14 $2.96 $0.80 $2.16 $37.50 $11.78 $25.72 $24.86 $5.69 $19.17 $74.90 $25.04 $49.86 $27.82 $6.49 $21.33 *Tentative funding is indicative and subject to change pending final negotiations and formal agreements Financial Resource Requirements 2012–2013 | As of October 2012 global polio eradication initiative ANGOLA 2012 ORAL POLIO VACCINE Requirements Confirmed funding Japan CDC Funding Gap (exclusive of tentative funding) OPERATIONAL COSTS Requirements Operational Costs (WHO) Operational Costs (UNICEF) Operational Costs (Govt of Angola) Confirmed funding Total E&P Angola (UNICEF) BMGF (WHO Govt of Angola Tentative funding Govt of Angola Funding Gap (exclusive of tentative funding) WHO UNICEF Govt of Angola Funding Gap (inclusive of tentative funding) WHO UNICEF Govt of Angola WHO Surveillance Requirements Confirmed funding BMGF USAID Funding Gap (exclusive of tentative funding) TECHNICAL ASSISTANCE Requirements Technical assistance (WHO) Technical assistance (UNICEF) Surge Capacity Confirmed funding Australia (WHO) BMGF (WHO) CDC (WHO) DFID(WHO) Rotary International (WHO) Russia (WHO) BMGF (UNICEF) Funding Gap (exclusive of tentative funding) WHO UNICEF UNICEF SOCIAL MOBILIZATION Requirements Confirmed funding BMGF Rotary International Japan Funding Gap (exclusive of tentative funding) SUMMARY Total requirements WHO UNICEF Govt of Angola Funding Gap (exclusive of tentative funding) WHO UNICEF Govt of Angola Funding Gap (inclusive of tentative funding) WHO UNICEF Govt of Angola Total Total $1.03 $2.77 $3.79 $0.00 $0.48 $0.00 $0.48 $2.91 $1.51 $2.77 $4.27 $2.91 $10.61 $8.06 $2.55 $0.00 $19.65 $9.26 $2.64 $7.75 $0.09 $1.20 $4.52 $5.81 $0.00 $0.00 $0.00 $0.00 $0.09 $1.20 $4.52 $5.81 $3.23 $3.23 $3.23 $0.00 $0.00 $3.23 $0.00 $0.00 $0.00 $0.00 $8.49 $8.49 $10.61 $8.06 $2.55 $0.00 $2.12 $1.18 $0.94 $0.00 $11.72 $11.72 $13.84 $8.06 $2.55 $3.23 $2.12 $1.18 $0.94 $0.00 $1.91 $3.76 $0.93 $0.78 $1.71 $0.14 $1.02 $0.00 $1.02 $0.89 $1.95 $0.78 $2.73 $1.03 $9.45 $7.22 $0.54 $1.69 $18.89 $14.44 $1.07 $3.38 $1.24 $1.03 $0.09 $1.88 $1.49 $0.93 $0.53 $7.19 $2.25 $2.25 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.41 $0.41 $9.04 $8.91 $0.13 $1.24 $1.03 $0.09 $1.88 $1.49 $0.93 $0.94 $7.60 $11.29 $11.16 $0.13 $2.55 Total $7.18 $9.44 $7.22 $0.53 $1.69 Total $3.39 $1.85 Total 2012–2013 $9.04 $1.20 $0.09 $7.75 Total 2013 2 $3.79 National Immunization Days (NIDs) Sub-national Immunization Days (SNIDs) $2.18 $4.73 $1.59 $0.76 $0.20 $2.55 $0.00 $0.00 $0.00 $0.00 $0.00 $2.18 $1.59 $0.76 $0.20 $2.55 $2.18 $26.67 $11.96 $6.96 $7.75 $5.62 $2.39 $0.00 $3.23 $2.39 $2.39 $0.00 $0.00 $27.54 $18.88 $8.66 $0.00 $25.63 $17.86 $7.77 $0.00 $17.14 $10.98 $6.16 $0.00 $54.21 $30.84 $15.62 $7.75 $31.25 $20.25 $7.77 $3.23 $19.53 $13.37 $6.16 $0.00 Financial Resource Requirements 2012–2013 | As of October 2012 27 28 global polio eradication initiative CHAD 2012 Oral Polio Vaccine Requirements Confirmed funding CDC BMGF Japan Saudi Arabia Funding Gap (exclusive of tentative funding) Operational Costs Requirements Confirmed funding BMGF Rotary International Funding Gap (exclusive of tentative funding) WHO Surveillance Requirements Confirmed funding BMGF CIDA Funding Gap (exclusive of tentative funding) technical assistance Requirements Technical assistance (WHO) Technical assistance (UNICEF) Surge Capacity Confirmed funding Australia (WHO) BMGF(WHO) Rotary International (WHO) CDC (WHO) CDC (UNICEF) BMGF (UNICEF) Rotary International (UNICEF) Tentative funding Rotary International (UNICEF) Funding Gap (exclusive of tentative funding) WHO UNICEF Funding Gap (inclusive of tentative funding) WHO UNICEF UNICEF Social Mobilization Requirements Confirmed funding BMGF Rotary Japan Funding Gap (exclusive of tentative funding) Total Total SUMMARY Total requirements WHO UNICEF Funding Gap (exclusive of tentative funding) WHO UNICEF Funding Gap (inclusive of tentative funding) WHO UNICEF Financial Resource Requirements 2012–2013 | As of October 2012 $2.30 $1.36 $0.35 $0.21 $4.22 $0.00 $0.00 $2.57 $0.00 $0.00 $2.57 $0.00 $2.30 $3.93 $0.35 $0.21 $6.79 $0.00 $3.36 $10.08 $4.76 $0.89 $5.65 $1.07 $0.00 $0.00 $0.00 $3.36 $4.76 $0.89 $5.65 $4.43 $0.90 $1.78 $0.66 $0.22 $0.88 $0.00 $0.00 $0.00 $0.00 $0.90 $0.66 $0.22 $0.88 $0.90 $8.10 $2.84 $2.13 $3.13 $16.00 $5.68 $4.06 $6.26 $1.28 $2.42 $1.45 $0.06 $0.28 $1.05 $0.60 $7.14 $0.00 $0.00 $0.00 $0.00 $0.00 $0.75 $0.00 $0.75 $1.28 $2.42 $1.45 $0.06 $0.28 $1.80 $0.60 $7.89 $0.00 $0.00 $0.76 $0.76 $0.00 $0.76 $0.76 $0.00 $0.58 $0.58 $7.35 $5.97 $1.38 $6.77 $5.97 $0.80 $0.58 $0.58 $8.11 $6.73 $1.38 $7.53 $6.73 $0.80 $5.67 Total $6.79 $7.90 $2.84 $1.93 $3.13 Total $2.57 $0.88 Total 2012–2013 $6.72 Total 2013 $4.22 National Immunization Days (NIDs) Sub-national Immunization Days (SNIDs) $6.56 $12.23 $1.59 $2.15 $1.93 $5.67 $0.00 $0.00 $0.00 $0.00 $0.00 $6.56 $1.59 $2.15 $1.93 $5.67 $6.56 $25.39 $13.57 $11.82 $1.84 $1.84 $0.00 $1.84 $1.84 $0.00 $21.49 $10.23 $11.26 $18.17 $10.23 $7.94 $17.59 $10.23 $7.36 $46.88 $23.80 $23.08 $20.01 $12.07 $7.94 $19.43 $12.07 $7.36 global polio eradication initiative DR CONGO 2012 Oral Polio Vaccine Requirements Confirmed funding JICA UNICEF CDC BMGF Tentative Funding JICA Funding Gap (exclusive of tentative funding) Funding Gap (inclusive of tentative funding) Operational Costs Requirements Operational costs (UNICEF) Operational costs (WHO) Confirmed funding JICA (UNICEF) USAID (UNICEF) Rotary International (UNICEF) BMGF (WHO) Rotary International (WHO) Tentative Funding World Bank (WHO) USAID (UNICEF) Rotary International (UNICEF) Funding Gap (exclusive of tentative funding) WHO UNICEF Funding Gap (inclusive of tentative funding) WHO UNICEF WHO Surveillance Requirements Confirmed funding BMGF CIDA USAID Funding Gap (exclusive of tentative funding) Funding Gap (inclusive of tentative funding) technical assistance Requirements Technical assistance (WHO) Technical assistance (UNICEF) Surge Capacity Confirmed funding Australia(WHO) BMGF (WHO) CIDA(WHO) Rotary International (WHO) Rotary International (UNICEF) BMGF (UNICEF) AusAID (UNICEF) Tentative Funding Rotary International (UNICEF) Funding Gap (exclusive of tentative funding) WHO UNICEF Funding Gap (exclusive of tentative funding) WHO UNICEF UNICEF Social Mobilization Requirements Social mobilization costs Confirmed funding BMGF USAID Rotary International CDC Tentative funding USAID Funding Gap (exclusive of tentative funding) Funding Gap (inclusive of tentative funding) SUMMARY Total requirements WHO UNICEF Funding Gap (exclusive of tentative funding) WHO UNICEF Funding Gap (inclusive of tentative funding) WHO UNICEF Total Total Total Total Total $0.50 $0.85 $5.83 $4.77 $11.95 $0.00 $0.00 $0.00 $0.00 $0.80 $0.80 $7.92 $7.12 $0.80 $0.80 $7.92 $7.12 $18.07 $2.05 $16.02 $38.41 $4.15 $34.26 $0.20 $1.17 $0.73 $12.68 $2.56 $17.34 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.20 $1.17 $0.73 $12.68 $2.56 $17.34 $3.00 $0.00 $0.00 $3.00 $3.00 $3.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1.26 $0.00 $1.26 $18.07 $16.02 $2.05 $16.81 $16.02 $0.79 $3.00 $1.26 $0.00 $4.26 $21.07 $19.02 $2.05 $16.81 $16.02 $0.79 $2.25 $4.44 $1.64 $0.30 $0.25 $2.19 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $2.25 $2.25 $1.64 $0.30 $0.25 $2.19 $2.25 $2.25 $12.67 $6.29 $3.86 $2.52 $23.16 $12.58 $5.54 $5.04 $1.97 $2.43 $1.18 $3.23 $1.07 $0.61 $0.00 $10.49 $0.00 $0.00 $0.00 $0.00 $0.00 $0.79 $0.65 $1.44 $1.97 $2.43 $1.18 $3.23 $1.07 $1.40 $0.65 $11.93 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.40 $0.40 $11.23 $8.81 $2.42 $10.83 $8.81 $2.02 $0.40 $0.40 $11.23 $8.81 $2.42 $10.83 $8.81 $2.02 $5.14 $5.14 Total $19.87 $0.00 $0.00 $0.00 $1.50 $1.50 $10.49 $6.29 $1.68 $2.52 Total $9.42 $0.50 $0.85 $5.83 $3.27 $10.45 $2.19 Total 2012–2013 $20.34 $2.10 $18.24 Total 2013 2 $10.45 National Immunization Days (NIDs) Sub-national Immunization Days (SNIDs) Child Health Day (CHD) $4.42 $4.42 $9.56 $9.56 $3.81 $0.20 $1.03 $0.10 $5.14 $0.00 $0.00 $0.84 $0.00 $0.84 $3.81 $0.20 $1.87 $0.10 $5.98 $0.00 $0.00 $0.00 $0.00 $0.55 $0.55 $3.58 $3.03 $0.55 $0.55 $3.58 $3.03 $48.61 $29.24 $19.37 $3.00 $3.00 $0.00 $0.00 $0.00 $0.00 $46.83 $27.08 $19.75 $43.05 $27.08 $15.97 $40.44 $27.08 $12.96 $95.44 $56.32 $39.12 $46.05 $30.08 $15.97 $40.44 $27.08 $12.96 Financial Resource Requirements 2012–2013 | As of October 2012 29 30 global polio eradication initiative INDIA 2012 National Immunization Days (NIDs) Sub-national Immunization Days (SNIDs) Oral Polio Vaccine Requirements Projected and Confirmed Funding Government of India (GoI) Japan Tentative funding Japan Funding Gap (exclusive of tentative funding) Funding Gap (inclusive of tentative funding) Tentative funding BMGF Funding Gap (exclusive of tentative funding) Funding Gap (inclusive of tentative funding) UNICEF Social Mobilization Costs (non-GoI budget) Requirements Confirmed funding BMGF Rotary International UNICEF Regular Resources Japan USAID Tentative funding Rotary International UNICEF Regular Resources Japan Funding Gap (exclusive of tentative funding) Funding Gap (inclusive of tentative funding) Surveillance & Technical Assistance Requirements Surveillance Costs Technical assistance (WHO) Technical assistance (UNICEF) Confirmed funding BMGF (UNICEF) CDC (UNICEF) Rotary International (UNICEF) BMGF (WHO) DFID(WHO) Rotary International (WHO) CDC (WHO) USAID (WHO) Tentative funding CDC (UNICEF) Rotary International (UNICEF) Funding Gap (exclusive of tentative funding) WHO UNICEF Funding Gap (inclusive of tentative funding) WHO UNICEF 2012–2013 $128.52 Total Total Total Total SUMMARY Total requirements WHO UNICEF Govt of India Funding Gap (exclusive of tentative funding) WHO UNICEF Govt of India Funding Gap (inclusive of tentative funding) WHO UNICEF Govt of India Financial Resource Requirements 2012–2013 | As of October 2012 $0.00 $0.00 $0.00 $0.00 $1.23 $1.23 $1.23 $0.00 $1.23 $1.23 $1.23 $0.00 $73.51 $73.51 $0.00 $187.20 $187.20 $0.00 $8.15 $18.66 $9.68 $9.68 $0.00 $0.00 $9.68 $9.68 $0.00 $0.00 $0.83 $0.83 $2.04 $2.04 $8.15 $6.11 $2.04 $2.04 $8.98 $6.94 $16.53 $32.54 $9.08 $5.30 $0.00 $0.18 $1.45 $16.01 $1.92 $0.00 $0.00 $0.00 $1.24 $3.16 $11.00 $5.30 $0.00 $0.18 $2.69 $19.17 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $2.58 $0.50 $0.29 $3.37 $13.37 $10.00 $2.58 $0.50 $0.29 $3.37 $13.37 $10.00 $25.53 $6.72 $16.59 $2.22 Total $259.38 $1.39 $260.77 $16.01 Total $262.00 $132.25 $0.00 $132.25 $10.51 Total $133.48 $127.13 $1.39 $128.52 $113.69 $113.69 $0.00 Total Operational Costs Requirements Government of India (GoI) Funding Gap (exclusive of tentative funding) WHO Operational Costs (non-GoI budget) Requirements Confirmed Funding BMGF 2013 $25.05 $6.80 $16.35 $1.90 $50.58 $13.52 $32.94 $4.12 $1.96 $0.26 $0.00 $1.20 $16.19 $2.10 $1.05 $2.77 $25.53 $1.20 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1.20 $3.16 $0.26 $0.00 $1.20 $16.19 $2.10 $1.05 $2.77 $26.73 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.20 $0.50 $0.70 $23.85 $23.15 $0.70 $23.15 $23.15 $0.00 $0.20 $0.50 $0.70 $23.85 $23.15 $0.70 $23.15 $23.15 $0.00 $294.25 $33.82 $146.75 $113.69 $0.83 $0.83 $0.00 $0.00 $0.83 $0.83 $0.00 $0.00 $256.72 $31.30 $151.91 $73.51 $46.60 $31.30 $14.07 $1.23 $39.26 $29.26 $10.00 $0.00 $550.97 $65.12 $298.66 $187.20 $47.43 $32.13 $14.07 $1.23 $40.09 $30.09 $10.00 $0.00 global polio eradication initiative NIGERIA 2012 Oral Polio Vaccine Requirements Confirmed funding World Bank Buy-down UNICEF Regular Resources BMGF Germany Japan Tentative funding World Bank (Buy-down) Funding Gap (exclusive of tentative funding) Funding Gap (inclusive of tentative funding) Operational Costs Requirements Operational Costs (WHO)* Operational Costs (UNICEF) Confirmed funding BMGF (WHO) European Commission (WHO) Government of Nigeria, 2011 carry-over (WHO) Government of Nigeria, 2012 (WHO) Rotary International (WHO) USAID (WHO) GAVI (WHO) Rotary International (UNICEF) UNICEF Regular Resources Tentative funding Government of Nigeria, 2013 (WHO) BMGF(WHO) Germany(WHO) Canada(WHO) Rotary International (UNICEF) Germany (UNICEF) Funding Gap (exclusive of tentative funding) WHO UNICEF Funding Gap (inclusive of tentative funding) WHO1 UNICEF WHO Surveillance Requirements Confirmed funding BMGF CIDA Tentative funding Canada (WHO) Funding Gap (exclusive of tentative funding) Funding Gap (inclusive of tentative funding) technical assistance Requirements Technical assistance (WHO) Technical assistance (UNICEF) Surge Capacity Confirmed funding Australia (WHO) BMGF (WHO) CDC (WHO) CIDA (WHO) DFID (WHO) Spain (WHO) Rotary International (WHO) BMGF (UNICEF) Rotary International (UNICEF) CDC (UNICEF) UNICEF Regular Resources Tentative funding Rotary Internationa (UNICEF) Funding Gap (exclusive of tentative funding) WHO UNICEF Funding Gap (inclusive of tentative funding) WHO UNICEF UNICEF Social Mobilization Requirements Confirmed funding BMGF CDC Rotary International Tentative funding Germany Rotary International Funding Gap (exclusive of tentative funding) Funding Gap (inclusive of tentative funding) SUMMARY Total requirements WHO UNICEF Funding Gap (exclusive of tentative funding) WHO UNICEF Funding Gap (inclusive of tentative funding) WHO UNICEF * Operational cost under WHO includes traditional leaders engagement Total Total Total Total Total Total $1.72 $1.72 $1.72 $0.00 $35.16 $35.16 $35.16 $0.00 $36.88 $36.88 $36.88 $0.00 $68.59 $59.12 $9.47 $132.00 $117.14 $14.86 $6.78 $6.83 $4.68 $24.70 $9.44 $1.38 $0.95 $2.91 $0.11 $57.78 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $6.78 $6.83 $4.68 $24.70 $9.44 $1.38 $0.95 $2.91 $0.11 $57.78 $0.00 $0.00 $0.00 $3.26 $2.37 $0.00 $5.63 $5.63 $3.26 $2.37 $0.00 $0.00 $0.00 $30.00 $15.05 $6.82 $7.25 $0.00 $2.75 $61.87 $68.56 $59.12 $9.47 $6.72 $0.00 $6.72 $30.00 $15.05 $6.82 $10.51 $2.37 $2.75 $67.50 $74.22 $62.38 $11.84 $6.72 $0.00 $6.72 $12.88 $25.38 $5.15 $3.75 $8.90 $0.00 $0.00 $0.00 $5.15 $3.75 $8.90 $0.00 $0.00 $3.61 $3.61 $2.50 $2.50 $12.88 $10.38 $2.50 $2.50 $16.49 $13.99 $49.58 $23.83 $9.23 $16.52 $102.10 $47.66 $15.47 $38.97 $0.22 $16.50 $2.13 $3.75 $17.70 $0.25 $0.44 $2.25 $1.49 $0.15 $2.35 $47.23 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $2.04 $0.00 $0.00 $0.00 $2.04 $0.22 $16.50 $2.13 $3.75 $17.70 $0.25 $0.44 $4.29 $1.49 $0.15 $2.35 $49.27 $0.00 $0.00 $5.29 $5.29 $0.00 $5.29 $5.29 $0.00 $0.43 $0.43 $47.54 $40.35 $7.19 $47.11 $40.35 $6.76 $0.43 $0.43 $52.83 $45.64 $7.19 $52.40 $45.64 $6.76 $4.22 Total $24.23 $6.22 $0.00 $0.98 $6.55 $37.98 $52.52 $23.83 $6.24 $22.45 Total $74.86 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12.50 Total $35.16 $24.23 $6.22 $0.00 $0.98 $6.55 $37.98 $63.41 $58.02 $5.39 Total 2013 $39.70 National Immunization Days (NIDs) Sub-national Immunization Days (SNIDs) 2012–2013 11 $3.92 $8.14 $3.22 $0.23 $0.53 $3.98 $0.00 $0.00 $0.00 $0.00 $3.22 $0.23 $0.53 $3.98 $0.00 $0.24 $0.24 $0.24 $0.00 $1.39 $2.43 $3.82 $3.92 $0.10 $1.39 $2.67 $4.06 $4.16 $0.10 $172.35 $116.80 $55.55 $16.49 $12.16 $4.34 $8.89 $8.90 $0.00 $170.13 $112.35 $57.78 $168.09 $112.35 $55.74 $64.31 $50.73 $13.58 $342.48 $229.15 $113.33 $184.58 $124.51 $60.08 $73.20 $59.63 $13.58 Financial Resource Requirements 2012–2013 | As of October 2012 31 32 global polio eradication initiative PAKISTAN 2012 4 Oral Polio Vaccine Requirements Confirmed funding World Bank Buy-down (Supplement) Japan JICA Loan Conversion Tentative funding World Bank Buy-down (Supplement) Islamic Development Bank (IDB) Funding Gap (exclusive of tentative funding) Funding Gap (inclusive of tentative funding) Operational Costs Requirements Confirmed funding BMGF JICA Loan Conversion Tentative funding Saudi Arabia Islamic Development Bank (IDB) Japan* Funding Gap (exclusive of tentative funding) Funding Gap (inclusive of tentative funding) WHO Surveillance Requirements Confirmed funding BMGF CDC USAID Tentative funding Funding Gap (exclusive of tentative funding) Funding Gap (inclusive of tentative funding) technical assistance Requirements Technical assistance (WHO) Technical assistance (UNICEF) Surge Capacity Confirmed funding BMGF (WHO) DFID (WHO) Rotary International (WHO) CDC (WHO) USAID (WHO) BMGF (UNICEF) Rotary International (UNICEF) CDC (UNICEF) USAID (UNICEF) Tentative funding Rotary International (UNICEF) Funding Gap (exclusive of tentative funding) WHO UNICEF Funding Gap (inclusive of tentative funding) WHO UNICEF UNICEF Social Mobilization Requirements Confirmed funding BMGF USAID Japan Rotary International Tentative funding Rotary International Islamic Development Bank (IDB) Funding Gap (exclusive of tentative funding) Funding Gap (inclusive of tentative funding) Total Total Total Total Total Total SUMMARY Total requirements WHO UNICEF Funding Gap (exclusive of tentative funding) WHO UNICEF Funding Gap (inclusive of tentative funding) WHO UNICEF $25.60 $1.84 $23.64 $51.08 $0.00 $0.00 $6.38 $6.38 $25.60 $1.84 $30.02 $57.46 $0.00 $0.00 $0.00 $0.00 $0.00 $23.00 $17.85 $40.85 $40.85 $0.00 $23.00 $17.85 $40.85 $40.85 $0.00 $27.44 $58.61 $0.94 $27.23 $28.17 $0.00 $0.00 $0.00 $0.94 $27.23 $28.17 $0.00 $0.00 $8.30 $8.30 $3.00 -$5.30 $0.94 $26.50 $0.00 $27.44 $27.44 $0.00 $0.94 $26.50 $8.30 $35.74 $30.44 -$5.30 $3.33 $6.56 $2.01 $0.10 $0.50 $2.61 $0.00 $0.00 $0.00 $0.00 $2.01 $0.10 $0.50 $2.61 $0.00 $0.00 $0.62 $0.62 $0.00 $0.00 $3.33 $3.33 $0.00 $0.00 $3.95 $3.95 $17.61 $7.31 $2.45 $7.85 $37.30 $15.46 $6.02 $15.82 $2.60 $7.36 $1.86 $1.11 $1.87 $1.30 $0.72 $0.16 $1.39 $18.37 $0.00 $0.00 $0.00 $0.00 $0.00 $2.07 $0.00 $0.00 $0.00 $2.07 $2.60 $7.36 $1.86 $1.11 $1.87 $3.37 $0.72 $0.16 $1.39 $20.44 $0.00 $0.00 $1.32 $1.32 $0.00 $1.32 $1.32 $0.00 $0.38 $0.38 $15.54 $15.16 $0.38 $15.16 $15.16 $0.00 $0.38 $0.38 $16.86 $16.48 $0.38 $16.48 $16.48 $0.00 $22.42 Total $98.31 $19.69 $8.15 $3.57 $7.97 Total $47.23 $3.23 Total 2012–2013 8 $31.17 Total 2013 4 $51.08 National Immunization Days (NIDs) Sub-national Immunization Days (SNIDs) $23.34 $45.76 $9.78 $10.11 $0.40 $2.13 $22.42 $0.00 $0.00 $0.00 $0.00 $0.00 $9.78 $10.11 $0.40 $2.13 $22.42 $0.00 $0.00 $0.00 $0.00 $0.00 $3.41 $19.93 $23.34 $23.34 $0.00 $3.41 $19.93 $23.34 $23.34 $0.00 $127.59 $50.52 $77.07 $4.94 $4.94 $0.00 -$3.36 -$3.36 $0.00 $118.95 $45.93 $73.02 $110.50 $45.93 $64.57 $18.49 $18.49 $0.00 $246.54 $96.45 $150.09 $115.44 $50.87 $64.57 $15.13 $15.13 $0.00 * The operational cost surplus is tentative pending the finalization of Japan’s funding commitment and any future adjustments to campaign activities Financial Resource Requirements 2012–2013 | As of October 2012 global polio eradication initiative SOUTH SUDAN 2012 Oral Polio Vaccine Requirements Confirmed funding Common Humanitarian Funds Japan CERF OFDA BMGF Tentative funding Funding Gap (exclusive of tentative funding) Funding Gap (inclusive of tentative funding) Operational Costs Requirements Operational costs(WHO) Operational costs(UNICEF) Confirmed funding Rotary International (UNICEF) UNICEF Regular Resources CHF (UNICEF) CERF (UNICEF) BMGF (WHO) Tentative funding Rotary International (UNICEF) Funding Gap (exclusive of tentative funding) WHO UNICEF Funding Gap (inclusive of tentative funding) WHO UNICEF WHO Surveillance Requirements Confirmed funding BMGF USAID Funding Gap (exclusive of tentative funding) Technical Assistance Requirements Technical assistance (WHO) Technical assistance (UNICEF) Confirmed funding DFID (WHO) Rotary International (WHO) CDC (WHO) BMGF (UNICEF) Rotary International (UNICEF) Tentative funding Rotary International (UNICEF) Funding Gap (exclusive of tentative funding) WHO UNICEF Funding Gap (inclusive of tentative funding) WHO UNICEF UNICEF Social Mobilization Requirements Confirmed funding BMGF AusAID Funding Gap (exclusive of tentative funding) SUMMARY Total requirements WHO UNICEF Funding Gap (exclusive of tentative funding) WHO UNICEF Funding Gap (inclusive of tentative funding) WHO UNICEF Total Total Total Total $0.52 $1.10 $0.40 $0.26 $0.00 $2.29 $0.00 $0.00 $0.00 $0.00 $1.24 $1.24 $0.52 $1.10 $0.40 $0.26 $1.24 $3.53 $0.00 $0.00 $0.00 $0.00 $1.24 $1.24 $0.00 $1.24 $1.24 $7.40 $3.03 $4.37 $14.73 $6.35 $8.38 $2.08 $1.70 $0.08 $0.15 $3.32 $7.33 $1.07 $0.00 $0.00 $0.00 $0.00 $1.07 $3.15 $1.70 $0.08 $0.15 $3.32 $8.40 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1.87 $1.87 $6.33 $3.03 $3.30 $4.46 $3.03 $1.43 $1.87 $1.87 $6.33 $3.03 $3.30 $4.46 $3.03 $1.43 $1.27 $2.51 $0.30 $0.33 $0.63 $0.61 $0.00 $0.00 $0.00 $1.27 $0.30 $0.33 $0.63 $1.88 $5.01 $3.84 $1.17 $9.49 $7.50 $1.99 $2.23 $0.45 $0.12 $0.57 $0.25 $3.62 $0.00 $0.00 $0.00 $0.37 $0.31 $0.68 $2.23 $0.45 $0.12 $0.94 $0.56 $4.30 $0.00 $0.00 $0.86 $0.86 $0.00 $0.86 $0.86 $0.00 $0.31 $0.31 $4.33 $3.84 $0.49 $4.02 $3.84 $0.18 $0.31 $0.31 $5.19 $4.70 $0.49 $4.88 $4.70 $0.18 $1.46 Total $4.77 $4.48 $3.66 $0.82 Total $2.48 $1.24 Total 2012–2013 $7.33 $3.32 $4.01 Total 2013 $2.29 National Immunization Days (NIDs) Sub-national Immunization Days (SNIDs) $1.88 $3.34 $1.46 $0.00 $1.46 $0.00 $0.00 $0.25 $0.25 $1.63 $1.46 $0.25 $1.71 $1.63 $16.80 $8.22 $8.58 $1.46 $1.47 $0.00 $1.46 $1.47 $0.00 $18.04 $8.14 $9.90 $14.80 $8.14 $6.66 $12.62 $8.14 $4.48 $34.84 $16.36 $18.48 $16.26 $9.61 $6.66 $14.08 $9.61 $4.48 Financial Resource Requirements 2012–2013 | As of October 2012 33 34 global polio eradication initiative SUDAN 2012 Oral Polio Vaccine Requirements Confirmed funding CDC Saudi Arabia 2011 Funding Gap (exclusive of tentative funding) OPERATIONAL COSTS Requirements Confirmed funding Rotary International (WHO) CDC (WHO) DFID (WHO) Tentative funding Saudi Arabia (WHO) Funding Gap (exclusive of tentative funding) Funding Gap (inclusive of tentative funding) WHO Surveillance Requirements Surveillance Confirmed funding Rotary International DFID Funding Gap (exclusive of tentative funding) Technical Assistance Requirements Technical assistance (WHO) Technical assistance (UNICEF) Confirmed funding DFID (WHO) CDC (WHO) CDC (UNICEF) Funding Gap (exclusive of tentative funding) WHO UNICEF UNICEF Social Mobilization Requirements Confirmed funding Rotary International UNICEF Regular Resources Funding Gap (exclusive of tentative funding) Total Total SUMMARY Total requirements WHO UNICEF Funding Gap (exclusive of tentative funding) WHO UNICEF Funding Gap (inclusive of tentative funding) WHO UNICEF Financial Resource Requirements 2012–2013 | As of October 2012 $3.14 $1.05 $4.19 $0.00 $0.00 $0.00 $0.00 $3.88 $3.14 $1.05 $4.19 $3.89 $7.53 $17.65 $3.70 $1.00 $2.86 $7.56 $0.00 $0.00 $0.00 $0.00 $3.70 $1.00 $2.86 $7.56 $0.00 $0.00 $2.56 $2.56 $1.86 $1.86 $7.53 $5.67 $1.86 $1.86 $10.09 $8.23 $0.53 $0.53 $1.05 $1.05 $0.00 $0.52 $0.52 $0.00 $0.00 $0.00 $0.00 $0.53 $0.00 $0.52 $0.52 $0.53 $1.24 $1.15 $0.09 $2.39 $2.24 $0.15 $0.85 $0.24 $0.06 $1.15 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1.24 $1.15 $0.09 $0.85 $0.24 $0.06 $1.15 $1.24 $1.15 $0.09 $0.96 Total $8.07 $1.15 $1.09 $0.06 Total $3.88 $0.52 $0.52 Total 2012–2013 $10.12 Total 2013 2 $4.19 National Immunization Days (NIDs) Sub-national Immunization Days (SNIDs) $0.83 $1.79 $0.15 $0.40 $0.55 $0.41 $0.00 $0.00 $0.00 $0.83 $0.15 $0.40 $0.55 $1.24 $16.94 $11.73 $5.21 $2.98 $2.56 $0.42 $2.98 $2.56 $0.42 $14.01 $9.21 $4.80 $14.01 $9.21 $4.80 $12.15 $7.35 $4.80 $30.95 $20.94 $10.01 $16.99 $11.77 $5.22 $15.13 $9.91 $5.22 ... 10 0 10 0 10 0 10 0 10 0 10 0 10 0 10 0 10 0 10 0 10 0 10 0 10 0 10 0 10 0 10 0 10 0 10 0 10 0 10 0 10 0 10 0 10 0 10 0 10 0 10 0 10 0 10 0 10 0 35 10 0 10 0 35 10 0 10 0 10 0 10 0 10 0 50 10 0 10 0 10 0 35 10 0 10 0 35 10 0 10 0 10 0 10 0... M 10 0 66 10 10 0 40 10 0 10 0 60 10 0 22 10 0 10 0 10 0 10 0 10 0 10 0 48 18 75 10 0 10 0 2 012 J 50 10 0 21 100 10 0 10 0 10 0 10 0 10 0 10 0 10 0 10 0 10 0 10 0 10 0 10 0 J 41 60 10 0 10 0 10 0 90 10 0 10 0 69 10 0 10 0 10 0... 10 0 10 0 10 0 10 0 10 0 10 0 10 0 18 75 10 0 10 0 50 11 30 98 O 10 0 10 0 42 11 10 0 40 36 31 46 91 48 10 0 31 100 69 31 69 10 0 25 10 0 CHD 10 0 N D 51 71 42 42 10 0 10 0 10 0 10 0 10 0 10 0 10 0 10 0 10 0 10 0 10 0 10 0