Meeting of the Technical Advisory Group on Poliomyelitis Eradication in Pakistan on 28-29 January 2016 at Marriott Hotel-Islamabad

Annexure 2-Rotary Support

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Day One

World Health Organization (WHO) convened the Technical Advisory Group (TAG) for January 28 & 29 2015 in Islamabad. The objectives of the meeting are as under;

  • Assess progress made since the last meeting
  • Identify and develop consensus on remaining gaps and challenges 
  • Advise on measures the program can take to keep the country on track to interrupt transmission by May 2016                  

Ref to the above, TAG discussed polio eradication strategy in the light of the current situation in Super High risk areas of FATA, Khyberpakhtunkhawa (Peshawar corridor), Karachi and Quetta Block and review functions of Polio Emergency Operation Centers (EOCs) in all provinces and channel resources for vaccine and operational activities.

National Chair Aziz Memon and four Zonal Coordinators; CDG Rauf Rohaila, PDG Saeed shamsi, PP Masood Bhalli ,PP Dr Hanif Khilji and Asher Ali Project Manager attended the meeting representing Rotary.

The meeting was chaired by Dr. Jean Marc Olive. Senator Ayesha Raza Farooq, Prime Minister Focal Person on Polio facilitated the meeting. The Chair opened the session with his appreciation for joint working of PEOCs/ NEOC and moving towards right direction. He said improved coordination increased the strength of the polio eradication initiatives.

Senetor Ayesha Raza Farooq facilitated the meeting sessions and expressed confident about major progress being achieved in 2016. She elaborated the efforts being made by the Government and said polio eradication is “top of the agenda.” She briefed on the current situation and progress towards “Zero Polio”. (details attached as annexure 1)

Secretary Health Muhammad Ayub Sheikh hoped that the findings from the two-day meeting would help with the “final push” to interrupt polio virus transmission. He expressed the belief that Pakistan will defeat the virus this year.

Adien Oleary Polio Chief, UNICEF said in his opening remarks that during 2015 focus was given to shift paradigm from quantity to quality. He stressed to strengthen Front Line Workers (FLW) and consistent development of PEOCs. The joint efforts at all levels and monitoring system gave encouraging results in 2015.

After the tea break, representatives of FATA, Khyberpakhtunkhawa, Balochistan, Sindh and Punjab updated provincial status of polio in their respective provinces.

During the interactive session questions were asked to PEOCs and were answered. PP Masood Bhalli expressed his concern on the coverage of missed children after catch-up days. The chair seconded his opinion and said more focus should be given to cover missed children after each NID. The difference should be visible in subsequent NIDs.

The session ended with a vote of thanks by Senator Ayesha Raza Farooq.

 

Day Two

An internal meeting was held on the second day of TAG in the first half of the morning. The TAG prepared their conclusion and recommendations in the light of the progress made by the provinces.

Federal Minister Health Saira Afzal Tarar chaired the second day meeting. Dr. Azra Pechehu Chairperson Oversight Committee Sindh also attended the session.

PP Masood Bhalli gave briefed about Rotary support for global and specifically Pakistan polio eradication initiative.  (detail attached as an ​annexure 2)

The final conclusions and recommendation of the TAG were shared with the participants as follows; (detail attached as annexure 3)

Conclusion

  • TAG commends country for the overall improved quality of SIAs across all provinces and districts, and the full shift towards finding and vaccinating missed children
  • Significant progress made by the program since the last meeting especially on leadership, management, oversight and accountability across all levels
  • TAG commends commitment and determination of the security forces in ensuring campaigns are conducted in a safe and secure environment
  • TAG commends the front-line workers for their dedication and commitment

Recommendations

  • Maintain and further improve political commitment at all levels
  • Continue to implement accountability framework with associated                   measurement for sustained performance improvement
  • Fully implement the supplementary action plan developed during the quarterly NEAP review in November 2015
  • Engage local government in the monitoring and supervision of UC level staff (AICs, UCMOs, etc)

At the end of the day Senator Ayesha Raza Farooq thanked all TAG members, polio partners and EOCs for their active participation in the meeting.  

The Chair Dr. Jean Marc Olive concluded the meeting with;

Wir schaffen das!
(We can do this!)

 

Asher Ali

Project Manager

Pakistan National Polio Plus Committee

Rotary International

Cell: 03002178435

Project Review Meeting Mother and Child Care Project- II (MCCP-II)

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TVI Project


A Project Review Meeting of Polio Demonstration Project Phase II was organized by The Department of Pediatrics and Child Health, Agha Khan University in collaboration with Trust for Vaccines and Immunization on 25 January 2016 at Marriott Hotel, Karachi.

The Review Meeting was chaired by Dr. Azra Pechehu, Chairperson Oversight Committee. Prof. Zulfiqar.A.Bhutta, Team Leader TVI Program facilitated the meeting. The meeting attended by Syed Haider Shah Commissioner Karachi and  Chairperson Karachi Task Force on Polio Eradication, Abdul Aleem, Additional Secretary Health, Dr. Tom Grien WHO, Edda Salvadora WHO, Dr. Agha Ashfaq EPI, Dr Temesgen WHO, Dr. Shoukat Ali UNICEF, Dr. Ahmed Ali, BMGF, Dr.Zameer  Hussain AKUH (Aga Khan University Hospital), Dr. Naushad Ali AKUH. National Chair Aziz Memon and Project Manager Asher Ali represented Rotary International.

Prof. Zulfiqar Bhutta opened the session and gave back ground of the project and highlighted the importance of routine immunization in SHRUCs of Karachi, Khyberpakhtunkhawa & FATA. He said this is a collaborative project of Government of Sindh, AKUH TVI, BMGF and EPI.

The Health Camp data was shared, the participants gave comments on issues and that were answered. It was decided that more emphasis would be given to 8 Super High Risk UCs in Karachi and 24 SHRUCs of KPK. The time lines of Health Camps were also discussed. Dr. Usman Raza represented TVI Khyberpakhtunkhawa and FATA . He said the design of the project is same as in Karachi and they are working in D.I Khan, Tank, Lakki Marwat and South Waziristan.

Prof. Zulfiqar Bhutta concluded the meeting with emphasis on strengthening of routine immunization  and its integration between EPI and polio vaccination programs for sustainability of the project.

The meeting ended with vote of thanks by Prof. Zulfiqar Bhutta, Team Leader TVI Program.

A power point presentation of the project is attached for more detail.

 

 

Asher Ali                    

Project Manager

Pakistan National Polio Plus Committee

Rotary International

Cell: 03002178435

2nd Karachi Task Force for Polio Eradication

A 2nd t Karachi Task Force meeting was held at Commissioner Office on 01 January 2016 (3.30 pm- 8.30pm). The meeting was chaired by the Chairman Task Force Shoaib Siddiqui, Commissioner Karachi. The meeting was attended by Shahnaz Wazir Ali, Coordinator Oversight Committee, Dr. Usman Chachar, Coordinator EOC Sindh, Dr Ahmed Ali Shaikh EOC Sindh, representatives of Pakistan Army, Pakistan Rangers, Additional Inspector General Police, Deputy Commissioners of all districts of Karachi, Town Health Officers and National Chair Aziz Memon and Asher Ali from Rotary International.

The objective of the meeting was to review December 2015 NIDs and preparation of January 2016 NIDs.

The Chairman Karachi Task Force opened the session. He greeted all participants on the first day of the year 2016. He expressed his commitment to make this year polio free for Pakistan.

A brief presentation was given by Dr. Usman Chachar regarding polio status in Karachi. All Deputy Commissioners (DCs) discussed their issues which were instantly resolved by the chairman. The chairman clear cut issued instructions to all concerned officers to make campaigns effective and LAQs must be 80%. As far as security issues are concerned, the chair said that the security was provided to all polio teams and now the time comes to prove results. However if there is any issue will be resolved.

Following are the significant points discussed/ action taken by the Chairman Karachi Task Force;

1)      NID from 11-16 January should be a model anti polio campaign in which no gaps will exist. Police Force will be available on time to all polio teams

2)      All Micro plans including security plans should be completed before time.

3)      Monitoring of campaigns by partner agencies.

4)      COM Net staff will be provided where CCPV are not working and social mobilization is need in Super High risk areas.

5)      Town Health Officers (THO ) have large areas to monitor therefore Shahnaz Wazir Ali suggested to introduce second tier of THO. For this, new medical graduates may appoint. Chairman endorsed her suggestion and requested Secretary Health to look into the matter.

6)      EDO was directed to involve KMC Health Officers in polio initiatives, for this secretary Health will issue notification

7) Nursing staff will be involved in polio eradication campaigns. Secretary Health will issue notification and ensure availability of all nurses.

8) Special Secretary Health will provide nursing staff detail to Madam Shananz Wazil Ali.

9) All vacant position of THOs should be filled up by next week.

10) All DCs may provide vehicles in case of shortage to Town Health Offices.

11) Missed and Refusals must be given focus during current NID. In posh areas polio certificates may be check and remove these children from refusals list as they already got vaccination.

12) Markers should be given to those hospitals where polio drops giving during campaign.

13) Polio desk should establish in hospitals.  Rotary was asked to provide kiosks.

14) List of NAs should be given by THOs to respective DCs for coverage of NAs and refusals by using Revenue staff.

15) DPCRs should be strengthen and avoid gaps in reporting flow from town level to national level.

16) Categorize missed children, and remove those NAs who are continuously absent from their homes for more than six months.

The Chairman thanked all participants at the end of the meeting.

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Asher Ali

Project Manager

Pakistan National Polio Plus Committee

Rotary International

Cell: 03002178435

E Monitoring Training for Community Mid wives- Peshawar


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An e monitoring training through Cellphone Project was conducted to build capacity of 30 Community Midwives (CMWs) of Mother & Neonatal Child Health (MNCH), Government of Khyberpakhtunkhawa on 14 January 2016.

CDG Rauf Rohaila arranged the training at Nishter Hall, Peshawar. The meeting was started with the opening remarks of  Dr.Saib Gul, Provincial Coordinator, MNCH, KPK. CDG Rauf Rohaila gave back ground of the e monitoring project.

Asher Ali elaborated objectives of the training and said this is for CMWs to collate data through SMS based e monitoring through Cell phone. He showed examples of the data gathered through a SMS based server for more comprehension to the trainees.

The training was conducted by Mobin Ahmed from Eycon Pvt Ltd, technological partner of Cellphone project and Asher Ali, Project Manager PNPPC. The training sessions were co facilitated by CDG Rauf Rohaila, Aga Mansoor, MNCH and Amjad Shahzad, MNCH Peshawar.

Project Manager Asher Ali along with Mobin Ahmed from Eycon Ltd (Technological Partner) conducted the training sessions. The back ground and objectives of the project were elaborated by Asher Ali whereas Mobin Ahmed gave detail of Cellphone project and its architecture and working. He practically demonstrated the process of registration with the server and Reporting Formats to provide data. A Training Guide was also distributed to each trainee to refer codes for each indicator. Mobin showed web based access to information and gave detail of benefits that could be derived by using cell phones for the MNCH program. Following the instructions, CMWs got their cell phone registered with the server and practiced to use codes for information to the system. Later they were showed their data on web page. The training developed capacity of CMWs to use cell phone appropriately.

The training ended with the vote of thanks by CDG Rauf Rohaila to all participants.


Asher Ali

Project Manager

Pakistan National Polio Plus Committee

Rotary International

Cell: 03002178435

Quarterly Review Meeting- Turbat Resource Center Balochistan Rotary’s Participation in NID Turbat, Balochistan January 10-11, 2016

1 Review Meeting (3)2 Meeting with the staff (3)3 Social mobilizers (3)4 Meeting with EPI  WHO (3)5 Community meeting (3)6 OPV during NID (3)7  OPV during NID-1 (3)8 NID (3)9 NID (2)

Quarterly Review Meeting- Turbat Resource Center Balochistan

Rotary’s Participation in NID Turbat, Balochistan

January 10-11, 2016


The Resource Centers at Turbat and Buleda are situated in southern Balochistan where population is scattered. The Resource Center in Turbat is located inside the main bus terminal in the heart of the town whereas Resource Center at Buleda located near Pak-Iran border.

A Quarterly Review meeting was arranged by Turbat Resource Center.  The staff of both the centers attended the meeting. Reviewed the performance of the staff and identified gaps.  The LHV informed that during the quarter 374 children were given OPV.  The team informed that they are participating in NIDs and covering travelling children from different bus terminals in the town and supporting polio teams by social mobilization in difficult areas.

The progress of the quarter was discussed. Following gaps were identified;

1)      Coverage of missed children need to improve

2)      Increase coordination with district EPI.

3)      Extend outreach to other UCs

4)      Cover children in transit at other points in Buleda

5)      Timely reporting

Visited EPI office Turbat and had a meeting with Dr. Abdul Khaliq, Deputy District Health Officer, Dr Shabbir Ahmed WHO and Abdul Lateef Focal person EPI , discussed December NID and coverage of missed children. It was informed that 2700 children were reported missed during last NID, however 1600 were covered after the campaign. Also planned to participate in NID begins from today January 11, 2016with the district Government.

Along with EPI team and Rtn Dr Saleem Baloch visited two sites where polio teams administrating polio drops. Met with polio workers and motivated them to cover missed children in their areas.

At the end again had a meeting with WHO, EPI. They requested Rotary to provide shelter for polio workers to protect them from harsh summer winds. They were informed to send their request through EOC Balochistan.

Asher Ali

Project Manager

Pakistan National Polio Plus Committee

Rotary International

Cell: 03002178435