Policy Decision Options During the First 5 Years Following Certification of Poli

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Original Article

Policy Decision Options During the First 5 Years Following Certification of

Polio Eradication

Posted 12/18/2003

Nalinee Sangrujee, PhD, MPH; Radboud J. Duintjer Tebbens, MS; Victor M.

Cáceres, MD, MPH; M. , ScD

Abstract and Introduction

Abstract

Policy makers face a number of difficult choices as they develop policies to

ensure maintenance of a polio-free world following global eradication and

certification. These policy decisions include choices about immunization,

outbreak response (including whether to create a vaccine stockpile),

surveillance, containment, management of chronic excretors, and investment

in future research. This paper focuses on identifying the categories of

decisions and characterizing the actual factors that country-level policy

makers must weigh to manage polio risks during the first 5 years after

certification. Building on a comprehensive literature review, we report the

results of the first qualitative analysis to: (1) systematically

characterize each type of decision and the relevant options during the first

5 years after certification, (2) clearly identify critical factors that

influence the choices, and (3) specifically demonstrate the interdependence

among the decisions to produce a reduced set of decision options. This paper

explicitly focuses on the different perspectives of developed and developing

countries in characterizing the options. While the management of polio risk

in the postcertification period presents important challenges, this

comprehensive approach helps simplify the process by focusing on critical

decisions.

Lilian

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