Commissioner Karachi Task Force Meeting

Comm Meeting 18th May Comm Meeting 18th May B

Commissioner  Karachi Task Force Meeting was held in EPI Conference Room today ie; 18 May 2016. The objectives of the meeting were to review IPV Campaign  & Preparatory status of upcoming Polio campaign.

The meeting was chaired by Commissioner Karachi Mr. Asif Hayder Shah and attended by Shahnaz Wazir Ali-Technical Provisional Coordinator, all Deputy Commissioners of Karachi, Dr.Ahmed Ali Shaikh-Provisional Technical Focal Person BMGF, Dr.Jaishri Mehraj-EOC Senior Epidemiologist.National & Provisional Team Leaders – WHO, National & Provisional Team Leaders – UNICEF, Health Department representative,Police and Rangers representatives, Area Coordinators and THO’s. Rotary was represented by National Chair, Aziz Memon, PP Masood Bhalli and Raza ur Rehman.

The chair welcomed the participants.

Commissioner open the session with the praising words for seven police martyrs who sacrificed their life in the line of duty for IPV Campaign in Orangi.

Security situation was discussed. Commissioner stressed for deployment of Police earlier and on time during the campaign. Police representative explained that due to placement of personals from interior Sindh, sometime the deployment get delayed but it is noted down for future campaign and will try to resolve in the future IPV campaign.

Commissioner draw attention and emphasize that due to ongoing and prevailing Heatwave  Vaccinators, Polio Team and security personal should be hydrated to avoid Heat stroke. Various suggestions were made by the participants for the availability of water at the respective sites.

Dr.Shahnaz Wazir Ali propose availability of ORS packs for the Teams and security personal. Commissioner endorsed the suggestion and directed Health department representative to arrange 12000 packs. Commissioner also requested Rotary for support, in return Mr. Aziz Memon pledge for 5000 packs and will be available at EOC at earliest.

Commissioner announced that expansion plan of CCPV is in consideration.89 new UC’s are planned in addition to 51 existing UC’s.Dr.Ahmed Ali Shaikh further explained the proposed expansion. Commissioner stressed for involvement of stakeholders and security personal for the proposed expansion.

Slides on SIA’s: IPV campaign review were presented by Dr.Jaishri.Commissioner inquired several questions in relation to presentation.

Dr.Shaukat and Dr.Tamazgan explained the LQAs of CCPV and the issues associated.

Commissioner stressed that LQAs is not a benchmark instead it’s simply a indicator which have to be taken positively. LQAs indicate where we stand.

THOs explained their respective performances shown in the slides.

Commissioner was again not satisfied with the authentication of reports and urge to include updated data.

In the end Commissioner reiterated that Gaps are still same, proper analysis of DPCR need to be done. Training & monitoring plans and procedure must be done properly. Conducting the campaign with full spirit.

Meeting with WHO Team at Karachi

PP Masood Bhalli and I attended a meeting with WHO representatives today ie; 17 May 2016 at 2.00 pm at WHO Office Karachi. The objectives of the meeting were as follows;

1)      To discuss PTP at Hala Naka Hyderabad

2)      New Shelter at Kashmore

3)      Status of Sassi Toll Plaza PTP

4)      Establishment of Permanent Immunization Centers/ Training venue at Sikandarabad and Bhittai abad.

 

The meeting was attended by Dr. Tamesgen WHO TL, Dr. Nawab WHO, Dr Shabbir WHO, Muhammad Aamir EOC Sindh.

 Following decisions were made;

1)           PTP at Hyderabad is now non functional and in view of its importance Rotary may appoint 6 vaccinators for two shifts  to functionalize the PTP.

2)           WHO Hyderabad will provide monitoring of the vaccinators and and ensure PTP functionalization.

3)      A New PTP Shelter may provide by Rotary  for Kashmore.  The shelter will be placed at junction of Sindh –Punjab boundary.

4)      PTP at Toll Plaza is functioning well. The newly established PTP at Kathore is also functional and Rangers are helping polio vaccinators.

5)      The situation of Sikandarabad and Bhittaiabad was discussed in detail and on recommendation of WHO team PP Masood Bhalli agreed to provide assistance by establishing Permanent Immunization Centers to serve for Routine immunization and Training venue for FCVs.  

 

Asher Ali

Project Manager

Pakistan National Polio Plus Committee

Rotary International

Cell: 03002178435

Minutes of Pakistan Task Team conference call 12 May 2016

A Pakistan Task Team Conference call held today  ie; 12 May 2016. I have attended the tele conference. The tele conference started as per agenda. Tim Peterson welcomed all participants and briefly described agenda items.

An update was given to the partners on preparations and key messages around Pakistan program for World Health Assembly (WHA) which is schedule on next week. Minister for Foreign Affairs will represent Pakistan. It was stated that it would be good opportunity for Pakistan to put Polio on top of agenda and to inform world community about the progress made so far and risks. However it was decided that Minister should be very specific and should keep his key note within three minutes as per given time. Concerned ministry would be requested to prepare a brief for the Minister.

Another CPI partnership meeting will be held in Geneva in the same month. The meeting will be attended by Pakistan Ambassador for UN, BMGF, Rotary, UNICEF, WHO . The Minister of State will also participate and this will be added opportunity to share messages of progress and risks.

Mike concluded the session and said it’s a good review of NEAP and discussion on Minster’s participation in WHA and hope this will exert more pressure on Government to eradicate polio from the country.

The agenda for Joint partnership meeting will be finalized tomorrow. The agenda has three main components; 1) Upcoming high season  2) Critical areas where Government to provide additional support and 3) Planning for 2nd half of the year.

TBD will organize bilateral meeting with Pakistan.

Aiden discussed the NEAP 2016-17 planning. A number of video conferences held to finalize NEAP 2016-17. Focus was given polio reservoir areas more specifically to Karachi.

Dr. Salah Hathami said we are clear about risky areas at national and provincial level.

The last campaign progress was also discussed. It was stressed that more strengthening is required for the program. Expansion on Community Based Vaccination is required. Micro Plans should be UC specific. Low performing UCs must be given priority and focused.

The forum showed deep concerned over change of two key officials (Commissioner Karachi and EOC Coordinator) running Polio Program in the province. This change comes when we are at the verge of our activities to kick off polio. This will really impact on overall performance. There is a need that Government must show commitment in real terms.

At the end travel plans of officials were discussed. Dr. Wiqar Ajmal will visit Pakistan from 19-28 May 2016. He will also visit Quetta and Karachi. Dr. younus CDC will come Pakistan in the 3rd week of June 2016.

 

Asher Ali

Project Manager

Pakistan National Polio Plus Committee

Rotary International

Cell: 03002178435

Progress Report April 2016 for E Monitoring Cellphone Project-Nowshera

Chair PNPPC giving award to LHW Parveen for excellent E-monitoring  ReportingLHWs during Monthly Coordinatio Meeting at PRPRC Nowshera 6LHWs during Monthly Coordinatio Meeting at PRPRC Nowshera

Project Progress

Project Progress of E-monitoring through Cellphone Project can be determined by E-monitoring Daily Log Reports, E-monitoring Indicator Reports and E-monitoring Monthly Log Report. Brief description and graphs are being mentioned to better understand the progress and achievements in the reporting month of April 2016. For further details, the attached MS Excel Reports can be seen as well as the online Rotary E-monitoring database.

E-monitoring Daily Log Reports

In April 2016, 85 Health Workers submitted 1166 daily log reports from the field using their Cell Phones. The progress from February 2016 to April 2016 is depicted in the below chart and the increasing number of reporting LHWs and submitted reports can be well seen while the non-reporting LHWs are being decreased:

Detailed E-monitoring Daily Log Report for April 2016 is attached in MS Excel sheet as ANNEX-1

E-monitoring Indicators Report

For April 2016, reports submitted against different MNCH and EPI related indicators are depicted in the below charts:

Detailed E-monitoring Indicators Report for April 2016 is attached in MS Excel sheet as ANNEX-2

E-monitoring Monthly Log Report

For April, so far 90 registered Health Workers (out of 100) submitted Monthly Log Reports from the field using their Cell Phones. The progress from February 2016 to April 2016 is depicted in the below chart:

Detailed E-monitoring Monthly Log Report for April 2016 is attached in MS Excel sheet as ANNEX-4

Monitoring & Evaluation

Monitoring of E-monitoring project related activities carried out at different levels e.g. Chief Operating Officer YCP, Program Manager , District Coordinator  and M&E Officer Resource Center Nowshera. Based upon observations and feedback, the recommendations for course correction were shared during the weekly and monthly review meetings. Resource Center Team identified gaps and recommended necessary actions to overcome constraints E-monitoring Team faced during the implementation – in a participatory manner. Desk monitoring by coordinator and dedicated LHV for coordination with Lady Health Workers and their supervisors on daily basis was ensured and monitoring field visits were arranged accordingly. Proper documentation and dissemination of all project activities was maintained according to the required standards.

Project Management – Documentation, Reporting and Dissemination

Daily updates through Mobile SMS, Weekly Reflection Sessions, Coordination Meetings, Weekly Progress Reports and Monthly Progress Report for April 2016 have been done successfully by Resource Center Team hence documented and disseminated to all the concerned both at district level (i.e. DPCR, DPEC, UPEC etc.) and YCP Head Office. Various Project Management Tools were applied effectively to keep the project on track and for course correction, when and where felt necessary.

Issues/Recommendations

  • Duplication of efforts while the same Health Workers submit their routine reports to the concerned supervisors and department against some other indicators in hard form;
  • Accuracy of the data being submitted need to be continuously supervised by relevant supervisors and regular support, coordination and networking is needed to help them facilitate in submitting the required data in soft form through SMS.

 

The need is to:

  • Ensure regular support, coordination and networking by YCP Team to successfully implement the said initiative to achieve desired objectives;
  • Redesign some indicators and formats at the backend database level in close coordination with National Program and EPI.

 

 

Asher Ali

Project Manager

Pakistan National Polio Plus Committee

Rotary International

Cell: 03002178435

 

Polio Orientation and Planning Workshop District 3271 April 23, 2016 at MovenPick Hotel, Karachi

1. Group1-A- DGE Saleem Rao2.Aiden O Leary, Poio Chief UNICEF3. Dr.Sbih Malek,WHO4. Dr Saif ur Rehman,EOC Balochistanr5. Dr. Omer Baloch,Sec.,Healthh Balochistan_5-A.Haji Hanif Tayyap, Chair Ulema Committee6. Shahnaz Wazir Ali7. Breakout session Group 18. Breakout session Group 19. Shield Presentation to Haji Hanif Tayyab10. Salman Ahmed, Polio Ambassador11. Asif Ali shah,Commissioner Karachi12.DG Jehangir Mughal13. Participants (2)

Pakistan National Polio Plus Committee chair conducted a Polio Orientation and Planning Workshop on April 23, 2016 at MovenPick Hotel, Karachi. The objective of the workshop was to encourage President Elect and Club Polio Committee chair Elect (2016 – 2017) of District 3271 to play an active role in the polio eradication program.

The workshop was started with the recitation of Quranic Verses.  District Governor Elect (3271) Saleem Rao welcomed all Rotarians and distinguished guests The Governor Elect thanked the National Chair for his relentless effort and commitment toward the cause of eradication of polio.

The formal proceedings of the workshop begin with the presentation of Aiden O’Leary Poilo Chief UNICEF. Aidan emphasized over “Social Mobilization Strategies and Advocacy”, that aimed at 1) Strengthening Emergency Operations Centre structures and systems at all levels; 2) Shift the polio eradication paradigm from “children covered” to “continuously missed children” and  3)Place front line workers at the centre of the polio eradication effort”. He also spoke on an enabling environment of the care givers supporting OPV and the perception of community support. He briefed the audience on the importance of contact made by every vaccinator in the field and concluded the presentation with “Regardless of Scenario, Every Vaccination Campaign Comes down To a Single, Critical Touch Point: A Short Personal Interaction With A Vaccinator: Their Success is Our Success.

Dr. Sbih Malek, WHO highlighted the present scenario of polio cases in the country. He presented a comparison of polio cases with the last year in same time period. He said the polio cases dropped down to 95%. However there is a need to concentrate on mobile population. He briefed participants on High Risk Mobile Population (HRMP) and described the international and inter provincial routes of migratory population from Afghanistan to Pakistan.

DGN Ovais Kohari spoke on Routine Immunization and said that vaccines are the greatest health achievement in the 20th century. However, because of low routine immunization, children are more vulnerable to the polio virus. He briefed the participants on the Operational Components of the Immunization System, elaborating on each one of the component: 1) Vaccine Supply 2) Logistics 3) Surveillance 4) Advocacy & Communication and 5) Service Delivery. He laid emphasis on six key components of the EPI: planning, management, coordination, supervision, training and finance and described it as the ‘Glue’ for success in every campaign. He urged Rotarians to get involved with health facilities and open more Permanent Immunization Centres (PIC) in hospitals and clinics to strengthen routine and make polio eradication their club’s signature project.

DGE Saleem Rao briefed participants of the role and responsibilities of newly elected presidents of Rotary Clubs. He stressed Rotary Clubs to increase their accessibility to polio partners and plan their strategies to end polio in their vicinities. He especially stressed Rotary Clubs that are working in rural areas of interior Sindh to ensure vaccination to all children.

Dr. Saif ur Rehman, Coordinator EOC Balochistan gave a brief on progress made in Balochistan with special focus on Quetta Block. He showed increased coverage of routine vaccination in Killa Abdullah, Pashin and Quetta during last four quarters. He pointed out, district Killa Abdullah has many challenges because of its geographical proximity to Afghan border. He also gave a brief presentation on Rotary interventions in Balochistan. Dr. Saif thanked Rotary for establishing a new two rooms Permanent Transit Post at Friendship Gate Chaman (Pak Afghan border). He said the PTP will facilitate cross border meetings with afghan counterparts.

Dr. Omer Baloch Secretary Health, Balochistan gave the overall scenario of routine immunization in his province. He said that all districts of Balochistan are well covered with routine immunization except Killa Abdullah and Pashin because of their boundaries with Afghanistan and migration through these two districts. He said Government of Balochistan putting all efforts to eradicate polio by extending EPI in these two districts.

Haji Mohammed Hanif Tayyab – Chair, Polio Ulema Committee, PPPC condemned the killing of seven policeman during the recent NID. He said the sacrifice of slain policeman has given us more strength and courage to fight battle against polio.

He highlighted the “Islamabad Declaration” and Fatwas for responsible parenthood. He said Ulemas are instrumental in convincing people of the misconceptions and myths of polio vaccine and bringing down refusals. They mobilize communities through mosques and madrassa. He said, the holy month of Ramzan is near and provide good opportunity to all religious leaders to communicate polio eradication messages to communities of their areas at different interval of times.

DGN 2 Irfan Qureshi spoke on Rotary’s contribution to eradicate polio globally.

A shield was first cited by DGN 2 Irfan Qureshi and Begum Shahnaz Wazir Ali presented it to Haji Hanif Tayyab on behalf of National PolioPlus Committee in recognition of his services for polio eradication.  All the Guest Speakers, PDGs, DG, DGE, and DGN participated in honoring him.

National Chair Aziz Memon introduced Salman Ahmed as polio Ambassador. Salman Ahmed showed his commitment to spread polio eradication messages to all sections of civil society in Pakistan.

National Chair, PNPPC Aziz Memon thanked all participants. He elaborated the role of new presidents of Rotary Clubs of the district in polio eradication. He stressed all Rotary Clubs to hold as many Health Camps to cover missed children.  He informed Rotary Polio High Risk Focus Committees are working closely with EOC and Commissioner’s Task force to support polio eradication initiatives in Sukkur and Larkana as well. He added, we are not only focusing on polio but also to all other diseases like measles etc. He said we now reached to the stage where we shifted from tOPV to bOPV which is a sign of encouragement. We have commitment and dedication. He informed that as polio plus, Rotary is working closely to other partners like Coca Cola Beverages Ltd, who had provided  RO Water Filtration Plant for Malir where 20,000 population getting benefit of clean drinking water and now Coca Cola is providing seven Solar Water Filtration Plants for polio high risk areas.

He highly condemned killing of policeman who were performing duty with polio teams during SNID.

Begum Shahnaz Wazir Ali, Coordinator Oversight committee, Health Government of Sindh seconds Haji Hanif suggestion to utilize the month of Ramzan to disseminate messages at key timings for polio eradication through community level religious leaders.  She appreciated working of EOC Sindh and EOC Balochistan. She said Dr. Saif made tremendous achievements in Balochistan and we are hopeful that all missed children and migratory population will be covered in coming months. She said there are still few challenges like political commitment, geographical accessibility in some areas of Balochistan and reaching to children in posh areas of Karachi etc. She said we can attain our goal once we reach to every child at every household.

National Chair Aziz Memon requested Chair Ulema Committee Haji Hanif Tayyab to offer prayers (Fateha) for slain policeman. All participants followed prayers and paid salute to those who lost their lives in the battle of polio eradication.

After the tea break, Breakout Sessions were started. Following three groups were made to prepare strategies to eradicate polio in their areas.

Group 1 led by PP Masood Bhalli

Group 2 led by PP Pardeep Kumar

Group 3 led by PP Dr. Hanif Khilji

In conclusion of the break out session, lunch was served.

The group participants made following recommendations;

Group 1 – Recommendations – PP Masood Bhali

  1. Role of a Rotary in the challenge of Polio Eradication in Pakistan was underlined.
  2. Contribution of Rotary Clubs in their areas for Polio eradication.
  3. Increase interaction with Health Department
  4. Rotaractors and Interactors can be usefully involved in polio eradication.
  5. Role of Health Camps and procedure for assistance from Polio plus was brought out with clarifications in answer to points raised by participants. It was good to see clear understanding of the matter.
  6. Rotary Clubs may assist in providing female volunteers in deficient areas.
  7. Group recommended that provision of articles of social mobilization to Rotary Clubs and Rotarians should be through and in consultation with the club Presidents.
  8. Areas without electricity such as desert of Tharparkar may be provided with solar refrigerators at vaccine centers.
  9. Strengthening and support of PTPs may be considered.
  10. EPI centers should strengthen at all levels
  11. A Rotarian may be nominated. President may request to DCs and ACs to include a Rotarian in the committees if not done.

Group 2 Recommendations PP Dr. Pardeep Kumar

The President elect will appoint Chairman Club Polio Plus committee and shall report the names of Chairman and members of this committee to Chairman Polio Plus committee:

This committee the will plan different Polio related activities more specifically Health Camps and these will be incorporated in Club Planning guide for the year 2016-17.

  1. Awareness programs regarding Misconceptions about Polio vaccines shall be organized in schools and different communities.
  2. President Elect will ensure to get name of Club Polio chair in DEPEC with DC and DHO.
  3. The Club Polio Plus chair must visit PPTP once in month, irrespective of which club has sponsored it.
  4. More cooperation with other agencies involved in Polio eradication
  5. Different clubs can join to form working groups to work jointly and more efficiently
  6. Some different angle must be now given to articles of social mobilizations

Group 3 Recommendations PP Dr. Hanif Khilji

  1.  Need to create sense of responsibility among communities for Routine Immunization.
  2. More Coordination among Rotary Clubs and National Polio Plus Committee.
  3. More interaction between Rotary Clubs and District Polio team.
  4. Ensure attendance in DPEC.
  5. Government also involve Rotary Clubs in their activities.
  6. Rotary Clubs initiate Polio Awareness campaigns in school and colleges

Speech by the Commissioner Karachi

Syed Asif Ali Shah, Commissioner Karachi, Chair Karachi Task Force was extremely busy visiting the hospitals and measuring the forecast heat waves, and we are extremely thankful that  he took out time to attend this important Polio Orientation Workshop in the afternoon.

He attended the concluding session. He said Rotary Clubs are playing important role in polio eradication at all levels. He appreciated National Chair Aziz Memon for his extra ordinary efforts to make Pakistan a Polio free country. He appreciated the role Rotary Polio High Risk Committee and extended his full cooperation with all Rotary Clubs.

He emphasized on building the trust for successful campaigning of Polio Eradication efforts throughout the country. He asked Rotary to give in their cooperation during the heat waves, literacy camps, and water hand pumps.

Concluding Remarks

District Governor Jehangir Mughal concluded the session and paid thank to all participants especially Secretary Health and EOC Coordinator Balochistan who came from Quetta to show their prosperity and commitment with polio eradication.

Asher Ali

Project Manager

Pakistan National Polio Plus Committee

Rotary International

Cell: 03002178435