COMMUNITY-BASED POLIO SURVEILLANCE TOOLKIT

WELCOME! The Community-based Polio Surveillance (CBS) Toolkit is a platform for surveillance professionals who are interested in implementing or strengthening community-based surveillance in their countries. Discover resources and learn best practices to help you implement a CBS program that is effective, efficient, gender-responsive, and sustainable.

The toolkit is organized chronologically by the steps of planning for, implementing, and monitoring a CBS program. Discover practical guidance and insights from the field by browsing the pages in order or by exploring the pages that interest you most.

Not sure if CBS is right for your program? See the Global Polio Surveillance Action Plan 2022-2024 (GPSAP) recommendations below. 

Community-based surveillance (CBS) is a surveillance approach in which trained community members – both women and men – are engaged to report suspected acute flaccid paralysis (AFP) based on a simple case definition to a designated focal person. CBS is recommended on a case-by-case basis where health facility-based surveillance cannot be performed or is not functioning optimally, particularly in high-risk populations or areas with an elevated risk of undetected poliovirus transmission.

CBS can be resource intensive. Before embarking on establishing CBS, country programs should conduct a CBS needs assessment to determine if CBS will be an effective strategy to improve AFP surveillance sensitivity. CBS may not be the most efficient option to address surveillance gaps which could be better addressed by sensitization activities and adjustments to the active surveillance network. Programs are advised to look first at more sustainable, cost-effective solutions. Visit the “Getting Started” page to discover tools to help you assess if CBS is right for your program.

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The recommendations contained in this toolkit were gathered from global guidance documents and were reviewed by a panel of subject matter and gender experts. The resources provided are examples and external documents, and are not intended to reflect an endorsement of their contents.