Using the same equipment, reagents, and supplies for testing multiple VPDs

Integrating trainings on laboratory techniques applicable to multiple VPDs (e.g., bacterial VPD confirmation)

Using multiplex tests or multiple tests of the same syndromic sample

Preservice and on-the-job competency-based training programs to strengthen surveillance data capacity at all levels of the surveillance workforce

Adequate number of trained and experienced staff to conduct case detection, notification, investigation, reporting, and response

Engagement of national EPI in the process of development and implementation of integrated surveillance

Government leadership in fostering collaborative partnerships between the public and private sectors

National funding for integrated surveillance operations

Quality operational guidelines for surveillance of multiple VPDs

Integrated/interoperable information systems, including different VPDs based on EPI user requirements and local context

Linkage between epidemiological and laboratory surveillance data for individual cases

Joint epidemiological and laboratory surveillance data review meetings

Triangulation of coverage and VPD surveillance data to better identify immunity gaps in the population

Surveillance data use for EPI planning

Integrated VPD serosurveys and data use for EPI planning

Using the same shipment mechanisms for specimen transport for multiple VPDs

Using information and communication technology tools for clinician sensitization and notification of suspect cases to strengthen the representativeness and timeliness of reporting

Linking surveillance to EPI program units for data review, dissemination, and use

Emergency Operations Center’s coordination of surveillance, outbreak investigation, and response

VPD surveillance reviews, including multiple VPDs

VPD surveillance workforce needs are addressed at all levels as part of the national human resource planning

Regular supportive supervisory visits provided to surveillance staff of all administrative levels