AFP and poliomyelitis: The certification achievement presented by the country can be summarized as follow: (i) the last WPV case was detected in Madagascar in 1997; (ii) For more than the past 3 consecutive years (2015, 2016, 2017), the country achieved the certification standard surveillance performance with a Non-Polio AFP rate above 1/100 000 children below 15 years and a stool adequacy rate above 80%; (iii) The administrative OVP3 coverage has been above 80% (with WHO/Unicef estimate 78% average; (iv) The country has a robust polio outbreak and preparedness plan.