On Apr. 25, 2013, the Global Polio Eradication Initiative (GPEI) announced a comprehensive six-year plan, the first plan to eradicate all types of polio disease – both wild poliovirus and vaccine-derived cases – simultaneously. Global leaders and individual philanthropists signaled their confidence in the plan by pledging close to three-quarters of the plan’s projected US$5.5 billion cost over six years. They also called upon additional donors to commit up front the additional US$1.5 billion needed to ensure eradication.

The new plan capitalizes on the best opportunity to eradicate polio, with the number of children paralyzed by this disease at the lowest level ever: just 223 cases in 2012 and only 19 so far this year. The urgency is linked to the tremendous advances made in 2012 and the narrow window of opportunity to seize on that progress and stop all poliovirus transmission before polio-free countries become re-infected.

The Polio Eradication & Endgame Strategic Plan 2013-2018 was developed by the GPEI in extensive consultation with a broad range of stakeholders. The plan incorporates the lessons learned from India’s success becoming polio-free in early 2012 and cutting-edge knowledge about the risk of circulating vaccine-derived polioviruses. It also complements the tailored Emergency Action Plans being implemented since last year in the remaining polio-endemic countries – Afghanistan, Pakistan and Nigeria – including approaches in place to vaccinate children in insecure areas.

Gates announced that his foundation would commit one-third of the total cost of the GPEI’s budget over the plan’s six-year implementation, for a total of $1.8 billion. The funds will be allocated with the goal of enabling the GPEI to operate effectively against all of the plan’s objectives. To encourage other donors to commit the remaining funding up front, the Gates funding for 2016-2018 will be released when the GPEI secures funding that ensures the foundation’s contribution does not exceed one-third of the total budget for those years.

The plan’s US$5.5 billion budget over six years requires sustaining current yearly spending to eradicate polio. The new plan’s budget includes the costs of reaching and vaccinating more than 250 million children multiple times every year, monitoring and surveillance in more than 70 countries, and securing the infrastructure that can benefit other health and development programs.