Introduction

This step-by-step guide describes how to conduct the Global Elimination or Eradication Acceleration Review (or “GEAR”) process to assess a global disease elimination and eradication program.

The GEAR process may be adapted as an independent review for any disease-specific elimination or eradication program. It provides a framework to support teams in soliciting and analyzing feedback across the broad community of stakeholders involved in a disease elimination or eradication program, identifying the strengths of and risks to the program, and proposing areas for strategic improvement to increase impact. It builds on existing tools such as the WHO’s new Gap Assessment Tool and also provides useful feedback to partners providing technical support to national disease programs around the world. Ultimately, the purpose of the GEAR process is to improve and increase the efficiency and effectiveness of disease elimination and eradication efforts through applying an independent review and evaluation framework.

The Global Elimination and Eradication Acceleration Review (GEAR) was a collaboration between Bridges to Development and The Global Institute for Disease Elimination (GLIDE)