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Melting Barriers - Polio Eradication Program, India_Vivekananda Biswas_4.23.13
This document discusses India's polio eradication program from 1995-2013. It outlines how door-to-door vaccination started in 1999 but faced resistance from communities who were suspicious of the program. Key influencers in communities, like religious and local leaders, were identified and their capacity was built through one-on-one and group meetings to gain their support. This resulted in positive messages from leaders and influencers supporting polio vaccination. Efforts of influencers were recognized which further increased support. As a result, wild poliovirus cases declined from over 2,000 in 1988 to just 1 in 2011, showing melting barriers to the program over time.
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Melting Barriers - Polio Eradication Program, India_Vivekananda Biswas_4.23.13
- 1. Melting Barriers PolioEradication Program, India Vivekananda Biswas Sub Regional Coordinator
- 2. 1995 Booth based programlaunched 1999 Door to door vaccination started
- 3. Community became suspicious about the program
- 4.
- 5. Wild poliovirus cases,India 1934 2100 1800 1600 1500 1200 1126 900 874 741 676 600 559 265 268 300 225 134 66 42 1 0 0 0 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013* •Data as on 19 April 2013 P1 wild P2 wild P3 wild Data source WHO
- 6. Detect the barriers •Community/religious leaders/institutions did not believe in the program
- 7. Who are theseinfluencers ? Ration Shop Owners Religious Leaders Local healers Barbers Panchayat Shopkeepers Members Teachers
- 8. Capacity Building ofInfluencers •Knowledge was built more on technical information and how to motivate influencers to support the program.
- 9. Strategic communication Polio partners strategies together approach Answering every doubt, questions with facts & patience • One to one • Group meeting (big & small) This resulted… 1. Positive appeals from religious leaders/Institutions
- 11. Strategic communication Polio partners strategies together approach Answering every doubt, questions with facts & patience • One to one • Group meeting (big & small) This resulted… 1. Positive appeals from religious leaders/Institutions 2. Influencers became positive communicator for polio & routine immunization program 3. Influencers started supporting the mobilizers & vaccination teams during the campaign 4. Mosque announcements initiated at village level 5. Provide support in creating enabling environment for immunization
- 12. Appreciating the efforts •Effortsdone by the influencers are recognized at the block, district and state level. •Evidence based impacts shared with every individual influencers •Certificates, mementos are given to more than 6500 influencers twice in a year.
- 13. Average no. ofremaining resistant houses at the end of SIA campaign in districts covered by CGPP India, Oct.2007-Sep. 2012 1200 1107 CMC Area Non-CMC Area 1000 % children under 5 years received OPV at booths 800 600 554 426 400 384 334 279 257 196 200 242 189 0 Oct'07 - Sep'08 (FY 08) Oct'08 - Sep'09 (FY 09) Oct'09 - Sep'10 (FY 10) Oct'10 - Sep'11 (FY 11) Oct'11 - Sep'12 (FY 12) 11 SIAs 11 SIAs 10 SIAs 10 SIAs 7 SIAs Fiscal year and number of SIA campaigns
- 14. Building strong hopetowards polio free India…………… • Rukshar, the Last Polio case of India • Date of onset Jan 13, 2011
- 15. Barriers are meltingand new demands are popping up
- 16. Learning • Child mobilizationactivity can be replicated in any project • Simple/indigenous participatory tools can be used for capacity building of field staff in any project • Community members can be mobilized for active participation in any program
- 17.
Editor's Notes
- #3 First Dialogue and figures – Animation, recorded dialogues (if possible)
- #4 Why we are going H-t-H
- #5 Examples of resistance
- #7 What was the main reason of resistance – going into the route cause of resistance – big religious institutions – JamaMasjid, JamiaMelia etc. linkages established from National – village (province) level
- #8 Teachers total # of influencers 5 per CMCs x 1300 CMCs= 6500 influencers
- #10 Facts and Patience – Patience was the main essence of this approach – again n again contact
- #12 Facts and Patience – Patience was the main essence of this approach – again n again contact
- #13 Box with animation highlighting the influencers name
- #15 Strategies – Child mobilization, rallies, capacity building, partner’s coordination, …….resulted
- #17 As per situation crisis management are being handed at local level – learning by doing