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Arlington, Virginia, Partnership for Child Health Care, 1995.  p. (BASICS Trip Report; BASICS Technical Directive: 000 HT 51 012; USAID Contract No. HRN-6006-C-00-3031-00)A specialist of vaccine vial monitors (VVMs) assisted in developing the agenda for and participated in a meeting in Geneva designed to develop plans for introducing VVMs on oral polio vaccine (OPV). Representatives of the World Health Organization (WHO) Global Programme on Vaccines and Immunization (GPV), the US Agency for International Development (USAID), UNICEF, and Basic Support for Institutionalizing Child Support Project (BASICS)/ Program for Appropriate Technology in Health (PATH) participated in the discussions. The meeting served to update all agencies involved with OPV delivery about VVMs and to identify what actions are needed as well as the parties responsible for the global introduction of vaccines with VVMs. In the summer of 1995, Tanzania will be hosting a pilot project of introducing VVMs with OPVs. Other potential pilot sites include Swaziland and Vietnam. Discussion of pilot activities focused on their purpose, resources available for establishing and monitoring them, and the appropriate number of pilot countries. There were also discussions of a framework for global introduction of VVMs, potential costs associated with VVMs, the effect on vaccine forecasting, and training materials. There were sessions on the organization of the GPV, vaccine supply and quality, the view from Sudan and Indonesia, and human and financial resources. Meeting participants agreed on follow-up actions: continue to work with international OPV supplies, begin to approach national OPV producers to lay the groundwork for use beginning in 1996, limit pilot activities to 4-5 countries (1-2 countries only receiving a packet of information and no technical assistance), develop a package of introduction materials, and develop a briefing sheet on VVMs.