International Coordinating Group (ICG) on vaccine provision for cholera
The ICG manages the global stockpile of oral cholera vaccine which was created as an additional tool to help control cholera epidemics. Since July 2013, the ICG has released more than 5 million doses of oral cholera vaccines to affected countries.
The ICG also works with partners and stakeholders to place vaccine in the context of an integrated cholera response based around early detection, case management, provision of safe water, sanitation, and raising awareness among the affected communities.
In addition to the four members (MSF, IFRC, UNICEF and WHO), additional expertise and technical advice is provided on a case-by-case basis from a range of partners.
Accessing ICG vaccine stocks
The main objective of the oral cholera vaccine stockpile is to ensure the timely and targeted deployment of vaccine as part of an effective outbreak response. While vaccines provide a short-term effect as an immediate intervention to a potential cholera outbreak, expanding access to improved drinking-water sources and sanitation is a longer term solution for most waterborne diseases, including cholera.
To request access to ICG stocks, national or international health authorities should submit an application form to the ICG Secretariat (WHO Geneva), or to an ICG member agency (IRFC, MSF, UNICEF) present in the country. Requests are evaluated through a rapid consultation process taking into account the epidemiological situation, vaccination strategy, pre-existing stocks in the country and operational aspects of the epidemic response. Countries are informed of an ICG decision within 48 hours.
Application forms and guidance
GAVI budget template for operational cost
Monitoring and evaluation
Minimum M&E information
Knowledge, Attitudes, and Practices (KAP) Surveys during cholera vaccination campaigns: Guidance for Oral Cholera Vaccine stockpile campaigns
Monitoring and Evaluation of AEFI during OVC mass vaccination campaigns
Cholera surveillance to inform OCV vaccination campaigns
Generic protocol for vaccine coverage post implementation of a mass vaccination campaign with oral cholera vaccine
Generic protocol for vaccine effectiveness post implementation of a reactive mass vaccination campaign with oral cholera vaccine