Operational Steps

GTFCC has envisioned that National Cholera Plan (NCP) development will require five key steps:

1. Expression of commitment : Cholera should be recognized as a national priority by the affected countries and countries should demonstrate their political will and engagement in the Roadmap.
2. Situational analysis: following the expression of interest, the county should conduct a comprehensive situational analysis that includes an overview of cholera epidemiology, identification of hotspots, contextual factors        (infrastructure, movement of population, social determinants, etc.) that can affect the spread of the disease, policy and regulatory frameworks, stakeholders analysis, and its capacity and existing resources to implement activities across the six pillars.
3. Establishment of national cholera coordination mechanism: Countries should establish a multi-sectoral cholera program with the goal of elimination / control that is inclusive of all relevant ministries (e.g. of health, of water, of infrastructure, of finance, etc.), stakeholders, and partners and reporting at highest level of government.
4. Develop the national cholera plan for control or elimination: Using the situational analysis, countries will set their NCPs goals related to the Roadmap as well as develop a plan, including budget, for interventions targeted at hotspots to achieve their goals. As part of this, countries will define country-specific indicators to monitor implementation progress. Each NCP drafted will be reviewed and endorsed by the GTFCC’s Technical Review Panel (TRP), which is composed of independent experts that will review the technical merit and alignment with Roadmap objectives.
5. Implementation and monitoring & evaluation of the NCP at country level: Countries will be required to report on GTFCC defined standardized indicators to monitor progress towards achievement of Roadmap goals. Further, each country should develop a standard Monitoring & Evaluation (M&E) logframe specifying inputs, activities, outputs, outcomes, and impact of the NCP. Implementation should be accompanied by comprehensive monitoring and evaluation and regular reporting (minimum annually).