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Afghanistan Successes & Challenges. Ministers of Health Meeting Geneva Feb 04, 2005. Current Epidemiological Status and the role recent developments on the PEI. NSL1. NSL3 . 1999. P1 & P3 Poliovirus Isolates 1999, 02 -2004. 2002. NSL1 = 5 NSL3= 5. NSL1 = 32 NSL3= 18. 2004. 2003.

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Successes & Challenges

Ministers of Health Meeting

Geneva Feb 04, 2005

p1 p3 poliovirus isolates 1999 02 2004




P1 & P3 Poliovirus Isolates 1999, 02 -2004


NSL1= 5

NSL3= 5

NSL1= 32

NSL3= 18



NSL1= 2

NSL3= 2

NSL1= 5

NSL3= 3

vaccination status of polio compatible non polio afp cases age 6 23 24 59 months 02 04





Vaccination Status Of Polio, Compatible & Non-Polio AFP Cases age 6-23 & 24-59 months, 02-04*

6-23 months

24-59 months

* Data as of JAN,3


SIAs conducted during the year 2004 in Afghanistan and Pakistan







SIAs Planned in the 1st half of year 2005 for Afghanistan and Pakistan






pcm assessment coverage nid average district wise mar apr and aug sep rounds 2004




PCM Assessment Coverage (NID Average) District Wise Mar-Apr and Aug-Sep Rounds 2004

August & September

March & April

Average Percentage

Not included in Post Monitoring

qualitative improvements
Qualitative Improvements
  • Increased female participation from 9% in year 2003 to 25% in 2004
  • Strengthened and structured monitoring and post SIA assessment
  • Increased efforts to revisit district and sub-district micro plans
  • Concerted efforts to get new partners on board
coverage of marginalized groups

Coverage of Marginalized Groups

Vaccination Team for IDPs/Nomads

area of maximum focus special measures taken

Area of Maximum Focus&Special Measures Taken

Southern Region

Area of indigenous endemicity







Areas not included

PCM Assessment Coverage NIDs- Southern Region - 2004

March NID

April NID

August NID

November NID

September NID

specific measures undertaken during 2004
Specific Measures Undertaken During 2004
  • Introduction of District Support Teams in the highest risk districts
  • Daily review meetings at Province & District levels
  • Establishment of Polio Control Room at Kandahar
  • Reaching 50% of clusters in each district for Post NID assessment
programme strengths
Programme Strengths
  • Sustained Political Commitment at the highest level
  • Well-coordinated team effort by MoPH/WHO/UNICEF and other stake holders
  • Innovative strategies to overcome challenges
  • Well-trained and dedicated field staff
  • Strong 3rd party field monitoring of SIAs
  • Cross border consultation with Pakistan
  • Acceptance at the community level
  • Continue being innovative in difficult to reach areas
  • Maintaining high quality SIAs consistency in the coming rounds
  • Maintain highly sensitive AFP surveillance throughout the country
  • Increase and sustain routine EPI coverage
the role of recent developments on polio eradication initiative

The role of recent developments on Polio Eradication Initiative

PEI and the new Afghanistan

the role of recent developments on polio eradication initiative1
Facilitative factors

BPHS program: Improved routine EPI coverage, due to better detection, supervision, and coordination

GAVI input and strategy: improved EPI by targeting hard to reach areas

Reconstruction of clinics: Brought routine EPI to areas previously served with much difficulty by outreach teams.

Greater involvement of women health workers in Polio SIAs


Multiplicity of health providers

Fast expansion of service with few trained heath staff

Inadequate capacity of MoPH to coordinate all of the available inputs and to monitor the quality of outputs

Returning refugees and the annual movement of nomads

The role of recent developments on Polio Eradication Initiative
actions to improve the enabling environment for pei
Actions to improve the enabling environment for PEI
  • Strengthen the MoPH capacity to coordinate effectively the inputs of donors and to monitor the process and outputs of NGOs, especially related to HMIS, Informatics, Transportation, decision making and Policy Formulation.
  • Conduct advocacy workshops with the aim of raising awareness about PEI among NGOs and their supporting donors so that every NGO’s contract will have a clear reference to cooperation with all involved in PEI.
specific measures to reach the goal
Specific Measures to Reach the Goal
  • Message from the President
  • Specific directives to all the Provincial Governors
  • Special programmes and public Service Spots on Radio and TV
  • Spot monitoring of the campaigns by senior MoPH officials
  • Afghanistan remains committed to achieve eradication of polio
  • Polio eradication remains the highest priority for the Ministry and the Government of Afghanistan
  • Would thank donors for their generosity and confidence in Afghanistan and would look forward to their continued support
  • Despite major achievements, the programme remains fragile. Continued external support to the programme will be critical to achieve objectives
  • Building the stewardship capacity of the MoPH is highly needed