The National Chair Aziz Memon called upon the Chief Minister Khyber Pakhtunkhwa Pervaiz Khattak. The meeting was attended by the KPK Health Minister Sharam Khan Tarakai, Akbar Khan EOC Coordinator (Emergency Operation Center), KPK, Technical Consultant EOC, Dr Shahzad Khan, Principal Secretary to Chief Minister KPK and Asher Ali, Project Manager PNPPC.
DISCUSSION ON AGENDA POINTS
1) Out of 29 polio cases in Pakistan – 13 are from KPK.
It was discussed that Peshawar/Bunnu and Tank are the only reservoirs in Pakistan, and emphasis to stop polio transmission must be given special attention, as we have succeeded in bringing the National count down by almost 80% from last year.
2) 60,000 missed children reported in Peshawar, KPK.
Vigilant surveillance and strict planning during the September NIDs will be done to ensure no child is missed, and all refusals are covered. Special attention to monitor transit points will be made during the National Campaign said Chief Minister Pervaiz Khattak.
3) Provincial Polio Task Force Meeting should be held once a quarter: Chief Minister assured that this will be done.
The National Chair said a ‘dire need to focus on high risk areas and migratory population in Peshawar is needed to control the viral transmission. He said, as per NEAPs recommendations, Provincial Task Force Meeting should be held in all provinces on quarterly basis. The Chief Minister conceded and issued instructions to the EOC Coordinator to arrange the Provincial Task Force Meetings quarterly. He also added that District Polio Control Rooms (DPCR) are very important especially at this stage when we are ready to eradicate polio.
In Peshawar the DPCR is still not operative. EOC Coordinator Akbar Khan said that “the building in which DPCR is located needs a lot of repair to revamp this big building.” The Chief Minister instructed to hire new premises on rent for DPCR Peshawar for the time this building is repaired. DPRC Peshawar work is being done with financial assistance of BMGF. As far as other DPCRs at Bannu, Tank, Lakki Marwat, and D.I Khan are concerned, Chief Minister requested Rotary to provide some equipment to increase their efficiency. A proposal will be sent to us for consideration.
4) Health Minister should designate Focal Person for polio.
National Chair said ‘a need to designate a Focal Person on Polio’ to which the Health Minister Shahram Khan remarked on the Focal Person saying ‘it would be duplication of officials. He suggested that EOC will work as coordinating body between Ministry and Health department.’
5) Peshawar, Tank, Bannu need special attention as they are Super High Risk districts.
The Chief Minister said the KPK Government is closely working with the Pakistan Army and get support where needed to cover security compromised areas and high risk areas such as Peshawar, Bannu and Tank. He said that the biggest challenge is ‘migration of population’ from Khyber agency and Afghanistan. He said there are no set routes therefore it is harder to cover transit population coming in areas. NPPC Chair said we will have to check the migrating population and without this we will not be able to stop transmission.
6) Best Deputy Commissioners be given Super High Risk Districts.
The National Chair pointed out posting of best Deputy Commissioners in high risk districts of Bannu, Tank and Peshawar. The Chief Minister said competent Deputy Commissioners have been assigned to these high risk districts. He said their performance will be monitored and if needed they will told to give special importance to polio eradication.
7) Re-launching of “Sehat Ka Ittehad” campaign.
Chief Minister agreed that Sehat Ka Ittehad will be replicated after three months but with different name.
8) NIDs should be for 3 days and 4th day for “Catch up” round and not for 5 days.
The KPK Chief Minister agreed and said they have reverted to a three day campaign and leave the 4th day for catch up round, as compared to a 5 days campaign.
9) Focus should be on covering ‘Missed Children’ in KPK instead of concentrating on importation from FATA and Afghanistan.
NPPC Chair said that missed children and transient population should be the main concern of the Government of KPK, and they should be concentrating mainly in these two areas rather than highlighting “importation” from FATA”. Chief Minister agreed and EOC Coordinator made a note of this.
The National Chair said to improve the immunity in children we must increase level of Routine Immunization. This is the only way out. He said that Rotary is providing 04 refurbished containers to KPK to cover transit population. He added that 1200 vaccine carriers have been provided last month to the KPK EOC on urgent basis.
10) Polio Vaccinators rate be agreed and outstanding payments to polio teams must be paid.
The Health Minister said that Lady Health Workers are a vital part of anti polio campaign. They are paid partially by Federal Government. As Federal Govt funds take time to be released Provincial Government is making Arrangement Bridge financing to take care of their salaries of LHWs. Government of KPK has agreed to pay Rs.500/ day to polio workers. As far as security situation is concerned he said, ‘there are some areas where security conditions are alarming, but these areas are being tackled through local influential through jirga and community meetings.’
11) Focus on Transit Population between Khyber Agency and Peshawar.
The Government is making special effort to target migrant population and transient families between Khyber Agency and Peshawar.
12) Additional security needed for polio teams in high risk areas during Sept. 14-17 NIDS.
The army is on board for security measures in all high risk areas and for security compromised areas during the September campaigns. Chief Minister assured proper security will be provided during NIDs of September 2105. On request of NPPC Chair Chief Minister agreed to inaugurate these NIDs..
The meeting continued for more than an hour. At the end of the day the Chief Minister appreciated the efforts of Rotary and showed his confidence to eradicate polio from the country with the active collaboration of polio partners. Chief Minister said they will do everything possible and help polio eradication from KPK.
Pakistan National Polio Plus Committee