Intensified Polio Eradication Activities in Pakistan

Aziz Memon National Chair Polio Plus Committee

Rotary International

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FATA 60.8%

Sindh 10.0%

Balochistan 6.0%

Punjab 1.0%

Pakistan Rotary Polio Resource center

Permanent Transit Posts (PTP)

Rotary Resource Centers Details on slide no;15

Rotary Permanent Transit Posts Details on slide no; 18

Karachi

Kashmir

Intensified Activities Across Pakistan

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Polio Cases by May 30, 2015

FATA

KhyberAgency

South Waziristan 26%

KPK

Tang, Lucky Marwat,

Nowshera, Peshawar 43.4 %

Balochistan Killa abdullah, Loralai 13%

Sindh Kamber, Dadu , Sukkur 17.3%

Punjab 0%

AJK 0%

Challenges to Eradicate Polio

• Children in inaccessible areas

• Transient Population

• Missed children

• Chronic Refusals

• Nomadic Tribes

• Internally Displaced Persons (IDPs)

• Killing of Polio workers

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Pakistan National Polio Plus Committee

Goal Intensified support to Polio Eradication Initiatives in Pakistan

Objectives Provide targeted support to the on-going polio eradication activities

Aligned activities with Augmented National Emergency Action Plan for intervening in High Risk Union Councils

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Project Strategy

Advocacy

Pakistan Rotary Polio Resource Center

Permanent Immunization Centre

Permanent Transit Posts

Health Camps

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Advocacy Sindh Chief Minister

with Rotary team

Advocacy Rotarians with

Governor of Punjab

Advocacy IPPC Chairman and

Rotarians meeting with President of Pakistan

High Level meeting for Polio eradication in Sindh participated by National

Chair PNPPC

Rotary “End Polio Now” Flame Travelling through Pakistan

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Rotary Flame launched from Chennai, India is a manifestation of Rotary’s

commitment to eradicate polio worldwide.

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Meetings with;

Bill Gates with Aziz Memon, Advisor IPPC, National Chair, PPPC

Dr.Larry Brilliant, President Skoll Foundation with Aziz Memon, Advisor IPPC, National Chair, PPPC

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ADVOCACY through Speaking Books

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Rotary and UNICEF launched Speaking Book “ A Story of Health”. the book convey messages as per story in Urdu and Pashtun languages

Coverage = 37 Schools & Madarsa in High Risk areas . Each school approx 800 Students

Polio Orientation & Planning Workshops for Rotary Districts 3272 at Muzzaffarabad, 01 march 2015

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ADVOCACY

DGE Sajid Pervaiz Bhatti

Polio Orientation & Planning Workshops for Rotary Districts 3271 at Karachi on 21 March 2015

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ADVOCACY

DGE Jehangir Mughul

ADVOCACY Involving Religious Groups of all sects for advocacy

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Reverse Osmosis Water Filtration Plant of 3000 Gallons/ day & 30 KV Power Generator A joint Project Of Rotary and Coke benefitting 20,000 population of polio high risk area of Malir Karachi

ADVOCACY

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ADVOCACY

Objectives • Strengthen Monitoring and Supervision mechanism (tracking) to provide support to the

staff working at public health facilities, community midwives at community level and health facility managers as well as district health management.

• Integration with LHW pro & DHIS. • Find out first hand solution of the issues identified. • Accurate data collection on daily basis. • Computerized analysis of data received.

Through E-Monitoring, Pilot Cellphone Project

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MoU signing ceremony with with Telenor Pakistan- Communication partner for e montoring project

Cellphone Project Launching & Training of Midwives • Sindh 5 Districts

• Punjab 2 Districts

• KhyberPakhtunkhawa 2 Districts

• 552 Community Midwives covered approx 524400 women & children in a year

Training in Sindh

ADVOCACY Through E-Monitoring, Pilot Cellphone Project

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Awareness at Grassroots Level

• Awareness in Schools & Madarsas

• Community Based Organizations

• Community influentials

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Salman Ahmed, a celebrity meeting children for awareness Polio Walk

A Community Meeting with a tribal group in Peshawar

A Women community meeting in Sindh for polio awareness

Chair Ulema Committee in polio awareness session

A polio awareness event. Salman Ahmed and Aziz Memon Singing a song with school children.

Awareness through Bill Boards

Advocacy - Pakistan National Polio Plus Committee through:

• Documentaries/ Jingles/ TVC

• Bill Boards

• Airports/ Railway Stations Kiosks

• Bus Terminals

Airport

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What is a Polio Resource Center ? Strategy 2

A Polio Resource Center:

• Serves as pivotal point to provide intensive

support in high risk union councils.

• Facilitates social mobilization and confidence building among refusals and high risk communities

• Promotes advocacy at grassroots levels

• Ensures access to local religious influentials

• Strengthen Routine Immunization centers

• Provides greater access to inaccessible areas

• Increase collaboration with polio partners ; UNICEF, WHO, EPI

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Pakistan Rotary Polio Resource Centers Strategy 2

08 Pakistan Rotary Polio Resource Centers Balochistan

Killa Abdullah

Pashin

Turbat

Buledi

Khyber Pakhtunkhawa Peshawar City (BES)

Nowshera

Sindh Mirpurkhas

Gulshan Town, Karachi

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Salient Accomplishments during April 2014- March 2015

1 No. of Ucs Covered 22

2 Total population Covered 334,321

3 Community Meeting held 370

4 No. people Community Meetings 9,730

5 No. of Children Vaccinated 38,870

6 No. of Missed Children Covered 12,335

7 No. of refusal Covered 7,222

8 No. of Children provided General Health Care 38,754

9 No. of Children Given polio Vaccination 53,276

10 No. of Children given Routine Immunization 23,656

Permanent Immunization Centers in collaboration with Rotary Clubs Children Covered during April 2014-March 2015- 14,400 (Approx)

Permanent Immunization Centers (Strategy 3)

Permanent Immunization Center, Gulistan e Jauhar Rotary Club Karachi

Murshid Hospital, Hub River Road Rotary Club East Karachi

Gadap Union Council 4 Rotary Club Garden Karachi

Gadap Union Council 7 Rotary Club Garden Karachi

Golimar District Central Karachi PNPPC

Essa Lab in North Nazimabad Rotary Club Creek Karachi

Koohi Goth Hospital, Bin Qasim , Karachi Rotary Club East Karachi

Permanent Immunization Center, Railway Colony, Katchi abadi, Karachi Rotary Club Karachi Kehkashan

Permanent Immunization center, Malir, Karachi Rotary Club Karachi Karsaz

Permanent Imunization Center, New Muslim Town, Lahore Rotary Club Lahore

Burhani Diagnostic Center-Saddar PNPPC

Permanent Immunization Center-Faooqabad Rotary Club Farooqabad

Permanent Immunization Center, Khair un Nas Organization, Peshawar PNPPC

Permanent Immunization Center-Model town, Lahore Rotary Club-Lahore

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A Permanent Transit Post :

• Provides Shelter to Polio Teams

• Provides space to keep vaccine safely for vaccination

• Provides polio vaccination to children in transit

• Covers transit population for polio vaccination at inter provincial and international border areas

• Provide polio vaccination to missed children

• Covers migratory & nomadic population for vaccination

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What is a Permanent Transit Post? Strategy4

Permanent Transit Posts Strategy4

Balochistan 1. Chaman/ Spin Boldak - Pak Afghan Border(Balochistan side) 2. Killa Abdullah

Khyber Pakhtunkhawa 1. Peshawar/ Torkhum - Pak Afghan Border (Khyber Pakhtunkhawa side)

Sindh 1. Karachi Toll Plaza (Entry & Exit points) 02 posts 2. Hyderabad 3. Bin Qasim Town, National Highway, Karachi 4. Zoological Garden, Karachi 5. Jaccobabad, Sindh (Sindh-Balochistan border)

Punjab 1. Chashma, Mianwali 2. Mandi More, Rawalpindi 3. Attock Khurd 4. Rahimyarkhan 5. Lahore (Badami Bagh Bus Terminal) 6. Darra Tang, Mianwali 7. Batawa, DG Khan

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15 PTPs

Total Polio Vaccination April 2014- May 2015

2,625,000

Permanent Transit Posts

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Inauguration of permanent Transit Post at Chasma, Mianwali- Punjab KPK border

Inauguration of permanent Transit Post at Attock- Punjab KPK border

Inauguration of permanent Transit Post at Rahimyarkhan- Punjab Sindh border

Inauguration of permanent Transit Post at Hyderabad- Sindh

Inauguration of permanent Transit Post at Killa Adullah- Balochistan – Afghan border

A polio vaccinator in a bus

Mobile Vaccination Services in Pakistan Railways (Pilot Project) - Attock

Innovative Approach to cover transit Pashtun Children Travelling in Trains

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Installed 23 Kiosks & Proposed 60 Kiosks for Polio Vaccination in Collaboration with

Provincial Government & WHO

New Approach to cover Children living in High Rise Buildings and Coverage inside Pubic Places (253,000 approx. from April 2014-March 2015)

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Health Camps Strategy5

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53 Health Camps. Average 770 patients each Health camp during April 2014-March 2015

Implementation of NEAP 2014

Strengthen Coordination/ Joint Ventures

with Polio partners

Intensified efforts for in

accessible areas

Future Strategy

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Rotary Pays Tribute

• Rotary pays tribute to the slain polio workers

• To date there have been 80 polio workers killed during campaigns in last 20 months

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Celebration of WORLD POLIO DAY 24 October 2014

Illumination Ceremony in Karachi (3271) on 24 October 2014 at Mohatta Palace Museum Illumination Ceremony in Faisalabad (3272) on 15 November 2014 at Clock Tower.

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The Final Punch

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Thank You!

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