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Cross Border communication on Polio Eradication, Eastern Region. Kabul 25-27 September 2007. Cross Border Coordination His Excellency public health Minister of Afghanistan and PAK had launched NIDs at Turkham border in Dec2006. Synchronized SIAs activities
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Cross Border communication on Polio Eradication, Eastern Region Kabul 25-27 September 2007
Cross Border Coordination His Excellency public health Minister of Afghanistan and PAK had launched NIDs at Turkham border in Dec2006 • Synchronized SIAs activities • Both country are sharing data and cross notification of AFP cases • Conducting regular cross border meeting Provincial and regional teams are participating in the meeting • Constitution of 14 permanent vaccination teams at the borders
Cross border Movements Challenge PEI Through: • Daily Movement through formal Cross border Points. • (10-12,000 per day –UNHCR Estimate) • Movement at the tribal bordering villages. • Returnee influx. • (As of 2002) • New Returnee (IDPs) Camps
Established team (n=14) Planed to be established (n=5) Cross Border Districts and Points 3 Points in SR: 1-Spin Boldak 2-Shamal zai 3-Maruf 6 Points in ER: 1-Torkham 2-Gushta 3-Serkani 4-Marawar 5-Dangam 6-Narri 5 Points in SER: 1-Babrak Tana 2-Nawi Ada 3-Ghulam Khan 4-City One 5-Tana Sukhta
Cross Border Team OPV Coverage High movements
AFG PAK C H I T R A L 3 3 6 D I R Under P P E R 6 D I R L O W E R 6 9 B A J O U R 7 7 M O H M A N Mahmand 1 1 1 1 4 6 6 1 1 1 1 8 5 K H Y B E R K U R R A M Border Villages SIAs- OPV Coverage Total Target=10190 2007 2006 Formal crossing point Repatriation centre
March 2002 - July 2007 Eastern Region Returnees Nangarhar Kunar Region Laghman
PAK / AFG Cross Border Meetings A-National B-Provincial (May 15st week ???) C-Border district focal point • Meeting on first week of each month • Vaccinating leaving & checking entering targets • Marking left thumb (not little finger) • Permission for cross border monitoring • Shared monitoring checklist • Border villages: lists, maps &separate coverage
Recommendations • Sustainability of synchronizing PAK/AFG SIAs • Monitoring of the cross border teams early morning and after noon • Finalizing a standardized cross border team coverage compilation data format and monitoring checklist • Sharing information of inaccessible and uncovered areas • Sharing information of refusing community • Regular sharing of the lists, Maps and OPV Coverage of the border villages • Intensification of the SIAs Communication in the border areas. • Sustainability of the ongoing vaccination strategy by the cross border teams. • Cross border notification of polio compatible cases. • Regular cross border follow-up meetings