1. Polio Eradication Initiative Afghanistan Southern Region Challenges, priorities and tactics 2011 TAG Meeting Islamabad March 24-25, 2011

3. 13 High Risk Districts of Southern Afghanistan >90% of the cases in Afghanistan in the last 10 years are from South & almost 90% of these are from 13 HRD Kandahar = 5 Helmand = 5 Urozgan = 3 Region Target <5 Years Southern Region 1298495 High Risk District 699928 (54%)

4. Security situation Started worsening Worsening security leading to increase in number of polio cases in Southern region No. of security incidents Increase in security incidents

5. No: of inaccessible Children No: of inaccessible Children Helmand province Kandahar province NGOs Involvement NGOs Involvement Impact of BPHS NGOs involvement on No: of Children inaccessible in NGOs districts of each Helmand and Kandahar Military operation Panjwai and SW Kot military operation

8. Transit teams coverage in Helmand and Kandahar province by month Southern Region from Feb 10 – Feb 2011 114,097 children vaccinated Feb 10 – Feb 2011 216,407 children vaccinated Feb 10 – Feb 2011 Since establishment 549,241 children vaccinated, out of which 264, 516 are from 10 HRD

10. Campaign quality issue as well FM not allowed by AGE Performance in High risk districts Mar 10 to Mar 2011 SIAs % coverage verified through Finger Marking in accessible areas

11. Adjusted Coverage (FM) in 5 HRD of Kandahar province by round Mar 2010 – Mar 2011

12. Adjusted Coverage (FM) in 5 HRD of Helmand province by round Mar 2010 – Jan 2011

13. Adjusted Coverage (FM) in 3 HRD of Uruzgan province by round Mar 2010 – Mar 2011

14. Covering the target children on the move crossing border from Pakistan and Iran

20. Staff lost in the last few years

21. Thanks CDC Polio Hero Award being given to the widow of Late Mehan Tore Cluster Supervisors Khashrod district of Nimroz province

23. Line bar showing P1 & P3 circulation Southern region Jan 2008- Feb 11 12 months 9 months 11 months

25. Trends of Inaccessibility of children Southern Region High Risk Districts Vs rest of the districts From Jan 09- to Jan 2011 Military Operations Maiwand/SW Kot/Panjwai

26. (10) Nadali/Marja, Bust, Tirinkot, Maywand, Shahid Hasas, Shahwalikot , Kajaki, Chora, Arghandab, (9) Nauzad , Washir, Garamser, Gizab, Baghran Reg (H)Sangin , Nahrisaraj , Shorawak (7) Panjwai , Sangeen, Mosa Qala Nawa, Shanki, Shamalzai, Deshou No of times when > 10% children were missed Insecurity leading to inaccessibility Inaccessibility by District- Southern region Jan - Dec 2010 ≥ Accessible Area Inaccessible 6/ 8 rounds Inaccessible 3- 5/8 rounds Inaccessible 1-2/8 rounds

27. Trends of Zero Dose AFP case age 6-35 months by quarter 09-11; High risk VS rest of the districts in South region Data up to 20 Mar 2011 Other 37 Dist 13 Priority Dist

28. Cross Border vaccination Teams coverage by three CB Posts in Southern Region Jan 10 – Feb 2011 A total of 273,169 children Vaccinated from Jan 10 to Feb 2011

30. Number of Refusal Children Number of Refusal Children Trends of refusal in Boldak and Kandahar after concerted efforts My 09- Jan 2011

31. tOPV bOPV Type of OPV used in 2010 - 2011 SIAs 2010 May Feb Mar Jun June July Oct Sep 2011 Dec Nov Feb Mar

32. Accessibility of districts to PPO Dec 2010 Southern region Accessibility of districts to PPO Jul 2010 Southern region Shahwalikot , Reg , Shorawak Khakriz ,Ghorak Washir , Nawzad Khashrood Khas Urozgan Shahid hasas Gizab Kijran Khas Urozgan Shahid hasas Gizab Kijran Ghorak Shahwalikot Maywand Khakriz 80-100 % 50-79 % 10-49 % 0 - 10 % Accessibility

33. No Restriction Areas restricted for Finger Markers use As in Jul 2010 NIDs - Southern Region Areas restricted for Finger Markers use As in Dec 2010 SNIDs - Southern Region