Pulse Polio Program 19th January 2020

Project Report
Pulse Polio Program
National Immunisation Day
19th January 2020
brigadesnxtgn.org

ONE ROTARY CENTER 1560 SHERMAN AVENUE EVANSTON, ILLINOIS 60201-3698 USA • T +1-847-866-3000 F +1-847-328-4101 • WWW.ROTARY.ORG
Mark Daniel Maloney
President, 2019-20
Rotary International
T +1-847-866-3025
F +1-847-328-4101
mark.maloney@rotary.org
5 August 2019
Rotaract Club of Bangalore Brigades NxtGn
Karnataka, INDIA
Dear Rotaractors:
It is my pleasure to send greetings to you as you begin your 2019-20 year of service.
Rotaractors are not just future leaders, they demonstrate vital leadership skills currently
every day! You are young leaders who solve problems hands on, doing so with great
energy and passion. In Rotary and in Rotaract, we not only expand our horizons across
the globe, we help strengthen the connections that change it for the better. Rotaract
helps bring generations together in our communities and makes this world in which we
live a better place, while having a little fun too.
Thank you for being a part of the Rotary family. I look forward to you joining me as
Rotary Connects the World.
Kindest Regards,
Mark Daniel Maloney
Rotary International President, 2019-20

Mark Daniel Maloney, of the Rotary Club of
Decatur, Alabama, USA, is the selection of the
Nominating Committee for President of Rotary
International for 2019-20. He will be declared
the president-nominee on 1 October if no chal-
lenging candidates have been suggested.
“With the eradication of polio, recognition for
Rotary will be great and the opportunities will
be many,” he says. “We have the potential to
become the global powerhouse for doing good.”
Maloney is a principal in the law firm of
Blackburn, Maloney, and Schuppert LLC, with
a focus on taxation, estate planning, and agri-
cultural law. He represents large farming op-
erations in the Southeastern and Midwestern
United States, and has chaired the American
Bar Association’s Committee on Agriculture in
the section of taxation. He is a member of the
American Bar Association, Alabama State Bar
Association, and the Alabama Law Institute.
A Rotarian since 1980, Maloney has served as
an RI director; Foundation trustee and vice
chair; and aide to 2003-04 RI President Jon-
athan Majiyagbe. He also has participated in
the Council on Legislation as chair, vice chair,
parliamentarian, and trainer. He was an advis-
er to the 2004 Osaka Convention Committee
and chaired the 2014 Sydney Convention Com-
mittee.
Prior to serving as a district governor, Malo-
ney led a Group Study Exchange to Nigeria.
Maloney’s wife, Gay, is an attorney in the same
law firm, and a member and past president of
the Rotary Club of Decatur Daybreak, Ala-
bama, USA. Both Mark and Gay are Paul Harris
Fellows, Major Donors, and Bequest Society
members.

From the
desk of
the president
Dear Reader,
The organisation I proudly represent is one that is involved
in selfless service towards the betterment of society. Every-
day we choose to find new ways to give back to our world a
fraction of the blessings we have recieved from her. We live
a life that is true to the statement we stand by - “One Profits
Most Who Serves Best”.
Rotary International is a platform that has given the chance
to many young men and women to become trailblazers in
their communities by rendering outstanding service. Our
club is sponsored and mentored by Rotary Bangalore Bri-
gades, RI District 3190. For decades, Rotarians and partners
in Rotary have planted seeds of love in every corner of Ban-
galore city. Lakhs of children are fed everyday through the
“Akshaya Patra” mid day meal scheme, thousands of patients
receive high quality health care at a minimal cost and more
projects like these, are the result of the countless hours of
service invested in the betterment of society by dedicated
and compassionate members of Rotary International.
Hand in hand with the Rotarians who have shaped the terrain

of prosperity in Bangalore city, us Rotaractors
of Bangalore Brigades NxtGn proudly stand tall
as the youth that wishes to carry on the legacy
of Rotary into a bright and sterling future!
We are grateful for your support towards our
mission to “Keep India Polio Free!” Your con-
tribution of time and energy helps us reach
more children in areas that are not previously
mapped for immunisation coverage. Administer-
ing the Polio Vaccine to children below the age
of 5 ensures that the community is well protect-
ed from the diseases that could otherwise crip-
ple them and stunt their potential to grow as
healthy citizens for our country.
Since the inception of our organisation in 2016,
it has trained over 1000 polio warriors to ac-
tively participate in the immunisation efforts.
This dedicated workforce has covered areas
in North East Bangalore religiously, resulting
in over 8500 children immunised against the
dreaded polio disease.
For your unshakable determination to stand for
the truth and for the countless hours you have
invested to protect and to serve our city and
country, you have my respect and admiration.
I wish for all the a healthy, happy and prosper-
ous 2020.
Yours in service,
Rtr. David Royce
President
Rotaract Bangalore Brigades
Sponsored by Rotary Bangalore Brigade
RI Dist. 3190
“Service Above Self”
- Official Motto of Rotary International

Introduction
Overview
Poliomyelitis (polio) is a highly infectious viral
disease, which mainly affects young children.
The virus is transmitted by person-to-person
spread mainly through the faecal-oral route or,
less frequently, by a common vehicle (e.g. con-
taminated water or food) and multiplies in the
intestine, from where it can invade the nervous
system and can cause paralysis.
Initial symptoms of polio include fever, fatigue,
headache, vomiting, stiffness in the neck, and
pain in the limbs. In a small proportion of cas-
es, the disease causes paralysis, which is often
permanent. There is no cure for polio, it can
only be prevented by immunization.
While there is no cure for polio, it can be pre-
vented by vaccination.
Prevalence
Wild poliovirus cases have decreased by over
99% since 1988, from an estimated 350 000 cas-
es in more than 125 endemic countries then, to
33 reported cases in 2018.
Of the 3 strains of wild poliovirus (type 1, type
2, and type 3), wild poliovirus type 2 was eradi-
cated in 1999 and no case of wild poliovirus
type 3 has been found since the last reported
case in Nigeria in November 2012.
The strategies for polio eradication work when
they are fully implemented. This is clearly
demonstrated by India’s success in stopping po-
lio in January 2011, in arguably the most tech-
nically-challenging place, and polio-free certi-
fication of the entire South-East Asia Region of
WHO occurred in March 2014.
Failure to implement strategic approaches,
however, leads to ongoing transmission of the
virus. Endemic transmission of wild poliovirus
is continuing to cause cases in border areas of
Afghanistan and Pakistan. Failure to stop polio
in these last remaining areas could result in as
many as 200 000 new cases every year, within
10 years, all over the world. That is why it is
critical to ensure polio is eradicated completely,
once and for all.

Elimination
In 1988, the Forty-first World Health Assembly
adopted a resolution for the worldwide eradication
of polio. It marked the launch of the Global Po-
lio Eradication Initiative (GPEI), spearheaded by
national governments, WHO, Rotary International,
the US Centers for Disease Control and Prevention
(CDC), UNICEF, and later joined by additional key
partners including the Bill & Melinda Gates Foun-
dation and Gavi, the Vaccine Alliance. This fol-
lowed the certification of the eradication of small-
pox in 1980, progress during the 1980s towards
elimination of the poliovirus in the Americas, and
Rotary International’s commitment to raise funds
to protect all children from the disease.
Overall, since the Global Polio Eradication Initia-
tive was launched, the number of cases has fallen
by over 99%.
More than 18 million people are able to walk to-
day, who would otherwise have been paralysed. An
estimated 1.5 million childhood deaths have been
prevented, through the systematic administration
of vitamin A during polio immunization activities.

Commissioner of Police
Sri bhasker Rao
pledges his allegience to
the
Global polio
eradication initiative

To ensure the safety of the volunteers and to
preclude any mishaps on the day of the “Na-
tional Immunisation Day” due to the recent
protests regarding the CAA and NRC, Rtr.
Vighnesh and Rtr. David went an additional
step to meet the “Commissioner of Police” of
Bengaluru city, Shri Bhaskar Rao on January
13th 2020. He gladly welcomed us to his office.
He perceives the Rotaractors to be individuals
with the highest quality of character with a role
to shape the future of the country. He has faith
in the “Global Polio Eradication Initiative” and
promised his support and allegiance towards
our mission to “Keep Bangalore Polio Free”.
To garner support from the police forces in
the areas of Kothanur, Sampigehalli, Hennur
and other areas of North East Bangalore, he
connected us to the “Deputy Commissioner of
Police” for North East Bangalore- Dr. Sharanap-
pa S D. He too welcomed us courteously and
praised the efforts taken by the youth towards
this international service project.
We were then connected to Mr. Ravi Prasad -
“Assistant Commissioner of Police” for North
East Bangalore. He personally consulted us on
the high risk areas that have not been previous-
ly covered for immunisation. He also helped us
identify areas in North East Bangalore with a
high concentration of migrant labourers.
Each member of the Police Departments we
had the privilege of meeting left us astonished!
They were highly respectful to us and honour-
able in their approach towards our cause. Each
step of the way, they embodied the spirit of
service. Rotary International admires the “Ban-
galore Police Forces” and their will to protect
and to serve on first call.
“As a passionate Rotaractor
during my younger days, I
strongly encourage the youth
to participate in the Global
Polio Eradication Initiative
with Rotary International”
- Sri Bhasker Rao,
Commissioner of
Police

Polio Immunisation
Training Program
St. Francis college
Koramangala
17th January 2020

Over 500 students attended our “Polio Eradication
Training Program” hosted at St. Francis College,
Koramangala. The institutions that participated
were Vydehi Medical College, Faculty of Hospitali-
ty Management and Catering Technology, Ramaiah
University of Applied Sciences, Ramaiah Institute
of Technology, Ramaiah Medical College, Faculty of
Dental Science, Ramaiah University of Applied Sci-
ence, St. Francis College, Koramangala, St. Joseph’s
College of Commerce, PES Institute of Technology,
South Campus. Rotaract Club of Baldwins Womens
Methodist College, Rotaract Club of Bangalore Or-
chards, Rotaract club of Golden Rock.
We are grateful to Mrs. Sameera Fernandes of St.
Francis Degree college for hosting our program at
their prestigious institution. We had various special
guests join us, including the “Former Home Minister
of Karnataka” - Mr. Ramalinga Reddy.
Our mentor, Rtn. Prasad Sundaram, conducted the
“Polio Eradicatioon Training Program” to enable the
attendees to effectively inoculate children by par-
ticipating in the “Pulse Polio Program” on “National
Immunisation Day”- January 19th 2020.
The main points covered were:
1. How do we decrease wastage of vaccine due to
improper storage and administration?
2. How do we increase coverage for polio immuni-
sation in India?
3. The skill required to read the Vaccine Vial Mon-
itor (VVM)
4. The difference between an Outreach Centre
(ORC) and Public Health Centre (PHC)
5. The tool required to open the vials safely with-
out damaging or contaminating it.
6. Proper placement of the vials inside the ice box.
7. How to avoid contamination of the vials while
administering it to inoculate the children.
8. How to answer frequently asked questions
(FAQ’s) by the parents of the children.
Rtn. Prasad Sundaram is a champion in his efforts
to rid India of Polio. For the past 30 years, he has
been strategically mobilising various stakeholders
from Kashmir to Kanyakumari to join the mission to
protect our children from the dreaded polio disease.
Many of the topics covered were explained with ref-
erence to the years of experience Rtn. Prasad has by
working at a grass root level!
“o u r w o r k t o wa r d s p o l i o e r a d i c at i o n d o e s
n o t e n d j u s t b e c au s e In d i a r e c i e v e d t h e Po -
l i o Fr e e s tat u s . We m u s t c o n t i n u e t o va c -
c i nat e c h i l d r e n i n In d i a u n t i l e v e r y c o u n -
t r y i n t h e w o r l d i s f r e e o f p o l i o . Th i s w i l l
e n s u r e t h at t h e d i s e a s e d o e s n o t r e t u r n t o
c r i p p l e t h e f u t u r e g e n e r at i o n s o f o u r b e -
l o v e d m o t h e r l a n d - In d i a .”
- Rtn. Prasad Sundaram
Charter President
Rotary Bangalore Brigades
RI Dist. 3190

P u l s e P o l i o P r o g r a m
N a t i o n a l I m m u n i s a t i o n D a y
1 9 t h J a n u a r y 2 0 2 0

Through the years, we have tried and tested
different strategies to execute the program with
high efficiency. We make informed decisions on
the number of communities we can adopt using
past year’s immunisation data and the current
statistical data of the children in the area. The
success of a “Pulse Polio Program” depends on
the involvement and assurance from the com-
munity of people we’re working to protect.
North East Bangalore is a highly diverse area
with people from various religions such as Hin-
duism, Jainism, Christianity and Islamism to
name a few. What makes our country beautiful
is how these communities with vaious religious
beliefs live in harmony sharing common walls.
In a 2 sq.km area,as shown below, one can see
that there is a Muslim mosque, Hindu Temple
and a Christian Church operating in good will,
sharing the common faith that we all belong
to one family. We witnessed a strong bond
between each religion and it was a truly re-
markable sight that filled our hearts with faith.
These is the kind of positivity that ensures us
that we, as a nation, are moving forward in the
right direction!

Bu i l d i n g t ru s t w i t h i n t h e c o m m u n i t y i s t h e
k e y t o t h e s u c c e s s o f t h e p u l s e p o l i o p r o g r a m
The preperation for this mega “Pulse Polio Pro-
gram” started months prior to the date of the
event.
The primary goal is to gain the trust of the
heads of all the communities of various back-
grounds to participate in the “Pulse Polio Pro-
gram”. Through the years, we have witnessed
many people ask us questions out of fear of the
unknown about the program. To serve the peo-
ple, you have to create a trustworthy relation-
ship with them. The parents of the children are
trusting the polio workers to protect their be-
loved children from any possible diseases that
may affect them. We must uphold their trust
by effectively engaging in building friendships
among the poeple of the community and admin-
istering the vaccine with 100% assurance that
their child is protected ie. the child recieves 2
drops of the polio vaccine each year, until the
age of 5.
To move in the right direction and receive the
blessings from the authorities of the area, we
approached the heads of all the religious entiti-
ties and explained to them the purpose of the
global polio eradication initiative and the ben-
efit of progressing it for the future generations.
Every religious head we spoke to pledged their
allegiance to the mission to protect their chil-
dren from polio, after we invested time to
discuss the mission with them and answer their
questions regarding the program.
In a similar fashion, we personally visited
numerous houses in slums and temporary resi-
dences of migrant labourers and informed them
about the upcoming pulse polio program. We
also helped the parents of hundreds of children
understand why it’s important for the child
to receive routine immunisation for a healthy
adulthood.
The time invested in building relationships
within the community to help solve their anxi-
ety about the “Pulse Polio Program” goes a long
way in the success of the program. Without the
approval of majority of the people in the areas
we cover, we cannot confidently proceed to ad-
minister the vaccine. They may reject the polio
workers and dismiss them due to lack of knowl-
edge about the program and lack of trust with
the organization.
Each year, weeks prior to the “National Immu-
nisation Day”, we visit the churches, mosques,
temples, grocery shops, utility shops and all
market areas and inform them about the up-
coming polio program and answer their queries

Ma p p i n g a n d s t r at e g y
An extensive and detailed mapping system was created to ensure that all 400 volunteers
use their 9 hours of service to maximise their immunisation coverage.
• Total area covered - 45 sq.km
• Total number of teams - 55
• Number of stationary teams - 12
• Number of mobile teams - 43
• Number of booths that supply goods - 8
The dotted blue line indicates the boundary of areas covered and the light blue pins
indicate the locations where the teams were deployed.

Each team consisted of 4-7 members. Each member would be responsible for a certain
equipment and would have a specific role to play that would determine the quality of the
immunisation work of the team. During the “Polio Eradication Training Program”, the
volunteers were trained to not waste the polio vaccine due to improper handling and ad-
ministration, this led to a significant increase in the efficiency of their operations.
Every team was allocated a certain block for immunisation coverage. They were also giv-
en a layout of the number of houses to cover as well as a backup strategy of other areas
to cover. This would be especially useful in the scenario where they complete the houses
they were initially allotted prior to the closing time of the event allowing them to cover
more areas that were not previously covered for immunisation.

Im pa c t An a ly s i s
Impact Analysis can be measured through the following key performance
indicators.
1. Number of Volunteers: 400
2. Number of volunteer hours =3600 (400*9)
3. Number of children immunized = 2574
4. Total number of children immunised from 2016 to 2020 = 8535
5. Area covered: 45 sq.km in North East Bangalore -
Hedge Nagar, Kothanur, Vaddarapalya, Hennur, Narayanapura, Thanisandra,
Rachenahalli, Hannumantha Nagar, Dasarahalli, Noor Nagar
0
10
20
30
40
50
2016-2017 2017-2018 2018-2019 2019-2020
5
10
25
45
Years
Increase in Area of Immunisation Coverage from
2016 to 2020
Area covered (Sq.Km)
0
1000
2000
3000
4000
2016 to 2017 2017 to 2018 2018 to 2019 2019 to 2020
50
2300
3611
2574
Years
Number of children immunised
from 2016 to 2020
No of Children immunised

Bo t t l e n e c k a n a ly s i s
During the course of the program, we encountered a number of roadblocks, big and small. Al-
though experiencing these challenging problems ensured that we’d learn from it, none were
enough to deter our strong pursuits for the goal that we, as one, wished to achieve on “National
Immunization Day”. It gave us an opportunity to work as a team, support and motivate each other
and apply our strengths as one force to solve these issues. Some of the problems we faced are as
follows:
Procurement of Vials:
As a club, this was our fourth year conducting the “Pulse Polio Program” on “National Immunisa-
tion Days”. It was the first time that we were challenged and faced with the problem of procure-
ment of vials. Vials the most important item in the whole process, without which, it would be
impossible to immunise children. Hence, to cover the large area as per our strategy, we planned on
the arrangement of 600 vials, which in turn would be used to inoculate upto 10,000 kids. Unfor-
tunately, the public health adminstration systems changed and the distribution of vials by “Public
Health Centers” were no longer possible.
We had a shortage of upto 450 vials and so our schedule for the day had been postponed by 2-3
hours.
Logistics:
Since the 150 vials that were alloted to us arrived in batches of 20 through the course of the
day - only a small number of vials were provided to each team at the start of the program, hard-
ly enough to allow them to work in the populated areas for 2 hours. This resulted in the logis-
tics team needing to continually replenish the vials for their respective teams at an interval of 2
hours. This required high level of communication between the logistics partner, their respective
supply station and the team of polio warriors conducting the vaccination work.

Coordination and co-operation with govern-
mental health departments:
Members of our board went the extra mile to get in touch with the Police, BBMP health inspec-
tors and officers of the Public Health Centers, and yet, somehow, the local health centres relevant
to our area of service were unaware of our strategy, plan, and prospective outcome. Having the
relevant health centers, who are also the regulators of such activity, on board, would smoothen
out the flow of activities for us and a number of other non governmental organisations conduct-
ing such a service. This resulted in a lack of effective coordination and cooperation between the
two parties, who were in fact working towards the same end goal.
0
100
200
300
400
2016-2017 2017-2018 2018-2019 2019-2020
3
55
200
400
Years
Increase in number of trained
"Polio Warriors" from 2016 to 2020
Number of "Polio Warriors"
0
1000
2000
3000
4000
2016 to 2017 2017 to 2018 2018 to 2019 2019 to 2020
27
495
1800
3600
Years
Number of volunteer hours
from 2016 to 2020
Volunteer Hours

Th e d r e a m t e a m
These are the young men and women who have taken it upon their shoulders to protect “North East Banga-
lore” from the dreaded Polio Disease. Their efforts have led to the empowerment of over 1000 youngsters
to become “Polio Warriors”. They conducted their first “Pulse Polio Program” in the summer of 2016. Since
then, over 8,500 children have been immunised against the dreaded polio disease up till date.
From the left (Standing) - Rtr. Aashritha Raju, Rtr. David Royce, Rtr. Nandit Sai, Rtr. Sanjana, Rtr. Nihal
Mohammed, Rtr. Ganti Rajesh, Rtr. Dahanavi Sundaram, Rtr. Ranveer Singh, Rtr. Rahul Nandakumar. From
the left (Kneeling) - Rtr. Brendan Fernandes and Rtr. Vighnesh Balaji.

Sp o n s o r s
We are immensly grateful to our food sponsor - “The Jewel in the Lotus Trust” and the “School
of Ancient Wisdom” and our Refreshments sponsor - “Monster Energy”. Your loyalty towards the
Global Polio Eradication Initiative is remarkable to Rotary District 3190 and the Rotary family
around the world! Thank you for your service to the world.
Food and Water Sponsor
Beverage Sponsor

Raising Awareness about Skin Donation in India
Rtr. David Royce visited the National Burns Center in Airoli, Navi Mumbai, to learn more about
the current statistics of “Skin Donation” in India. The dedicated team of burns treatment profes-
sionals led by Dr. Sunil Keswani, are motivated to ensure that the highest quality of treatment
will be provided to all burn victims acrss all states in India.
Under the guidance of Dr. Sunil Keswani, The day is near where every Indian can proudly pro-
claim that they were a part of the movement to solved the supply - demand imbalance of skin
donation in India.
We honour and admire the efforts taken by “National Burns Center” in Airoli as well as the Rota-
ry Ashirwad Skin Bank in Victoria Hospital in Bangalore. We Rotaractors promise to work hand
in hand with you, to help provide better treatement to burns victims around India! Thank you for
your service

Pulse Polio Program 19th January 2020

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