VOL.1.0, 2012

COMBATING RED CRESCET SOCIETY AGAINST SINDH PROVINCIAL BRANCH POLIO & HP

QUARTERLY REPORT – MAY TO JULY 2012 | FAWWAD SHERWANI – FIELD COORDINATOR Pakistan Red Crescent Society Sindh Provincial Branch

May 2012

Polio Awareness and Vaccination Campaign

Gadap Town is located in The population of Out of 8 Union Councils 3 the northwestern part town is about 300,000 are selected for target of with the Hub individuals and activities on the basis of

River on its western limits administratively it is divided previous data of Polio cases also forming the provincial into 8 Union Counsels. and vulnerability of the border between Sindh According to a recent report population. In this view a and Balochistan, while to the published by World Health north and east are Dadu detailed assessment done Organization (WHO) has District and the Kirthar house by house and expressed concerns over Mountains . intervention planned to outfit emergence of Polio cases the population. There are over 400 rural and reportedly Gadap

villages in . Town is considered as one of The three union councils Some of the rural villages of the most affected area for included are UC-3 (Gadap), Gadap Town are: Old Polio in Karachi. Thana Village, Mula Essa UC 4 () and UC 5 Pakistan Red Crescent , Jam Goth, Memon () with a catchment Society Sindh Provincial Goth, Haji Miandad Goth, population of more than branch initiated a campaign Samoon Goth, Haji Murad 121,850 individuals. in collaboration with district Jaffar Goth, Darsano administration/ authorities to Chhano, Kathore, Saleh cater the vulnerable Mohammad Goth, Kohi communities in target areas. Goth, etc.

Target Union Councils

The main reason for selecting activities for awareness and but volunteers did their best these union councils is that polio eradication campaign. in order to get confidence of these areas are less When the activities were community and go on with equipped with health happening volunteers faced activities. facilities, roads, water extremely hard difficulties, This campaign is part of all supply sanitation and other some of the volunteers the activities to eradicate the facilities are inadequate and reported that people used to Polio from Pakistan in people are facing a lot of fling stones and other things, conjoint with WHO/UNICEF.

nuisance in this regard. Most bunged their children in The WHO team in this of the population belongs to rooms and houses, affronted regard trained PRCS staff

the Pashto community and the females and male for creating awareness and they are very much strict in volunteers, and formed many educate the communities. A

the beliefs about Polio other problems and united effort made by all the campaigns and other impediment to carry on partners and stake holders relative initiatives. It was activities. It was tough to to make the intervention very hard to commence such work in such an atmosphere more efficient and result ivities for awareness and eers did their best in order oriented. To make the polio eradication campaign. to get confidence of programme more amicable QuarterlyWhen the Reportactivities were – Maycommunity 2012 toand Julygo on with 2012 and well-organized, it was happening volunteers faced activities. decided to involve the extremely hard difficulties,2 community leaders, resource some of the volunteers able and educated persons reported that people used to and above all locals as fling stones and other things, volunteers to make it a Pakistan Red Crescent Society Sindh Provincial Branch

Activities – Work in Progress

oriented. To make the the community about the c) General team (Door program more amicable and queries related to Polio to Door) well-organized, it was drops. All the activities were decided to involve the Volunteers worked very conducted in three of the community leaders, resource UCs. able and educated persons hard, they faced difficult and above all locals as challenges by the community The volunteers mobilized, volunteers to make it a and penetrated into the awareness created, data success. community. Due to utmost collected from door to door, effort by these volunteers and children vaccinated The activities started on 2nd people got convinced of the house by house. of May with awareness Polio campaign and sessions and screening of cooperated to some extent. Although there was much population for Polio. resistance from the local Three different types of community, especially Data Collected for cases of teams were formed: Polio along with Hepatitis B Pathans, but volunteers and C. managed to make a way a) Fix centre The volunteers got training into the community and from World Health b) Street Team vaccinated at door step. Organization to create the awareness and educate and the most important

Achievements & Challenges

The performance of Pakistan Pakistan Red Crescent Gadap being one of the Red Crescent Society is Society with the support of high risk area PRCS initiated undoubtedly a huge support IFRC, has done remarkable the activity. to the government and work to cover those areas Targeted union councils were against this mammoth risk of which previously were missed visited and educated about wild spreading of polio due to bitter response from the wild polio disease, Pakistan Red the community and Activities performed door to Crescent Society took lead resistance. Even then we door in the villages of union and decided to equip those need to make all-out efforts councils areas which are lacking such to rein this crippling disease. Delivered lecture on “Health facilities. The role of A few success points / Risk Reduction” focusing on Pakistan Red Crescent achievements of the activities the motive that Prevention is Society cannot be ignored are as follows: better than cure! due to achieving the targets Since May, June and July Well informed about Health in most pungent condition are peak months for and hygiene and their and accepting challenges. spreading of poliovirus and importance in life The teams performed their

Quarterly Report – May 2012 to July 2012

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Achievements & Challenges

Assignments with full dedication and reports and information about the Insecurity: As the area was not visited continue to deliver in the toughest area and the local residents that are by any vaccination teams due to situations facing the challenges rigid in their nature and moral values. insecurity, chances are increased for provided by the local community However, constructive measures were the increased infected children. taken timely to make the project a success even in the worst scenario as In acceptance: They are strong Meetings set with the local Community well. believers and religious followers that Leaders for smooth ongoing of Challenges they didn’t accept any awareness in activities and thus got benefited at Some of the major obstacles met and this regard and remain to stick with large that were handled during the activity their false believes Mix Community: Difficult to handle as Locals including the local organizations are as follows: High Risk Area: Gadap Town is one some areas densely populated by were involved, educated, motivated Pathan, some are balochi and some and thus agreed for better of the high risk areas against the wild are sindhi speaking. speaking understanding against the polio polio as reported by the WHO in the recent publication. are also present as well in some Hiring locals advantaged as no Persistent Circulation: The areas. Best way to deal with is hiring language barrier/ cultural barrier/ as environmental surveillance system had of locals as stated above and should the team truly understand the moral clearly proves persistent circulation of be followed in future to avoid such and cultural values of the community wild poliovirus in the area and issues. children in these areas stood Threats for Kidnapping: Pathans by Understanding developed for future vulnerable to the virus force stop the activity in their area program in the rigid area Illiteracy: Majority in the community even the case for threatening the are illiterate teams and kidnapping of 2 female Initiative taken to involve locals as Rigidity: Community is rigid in moral members were also reported but the volunteers make the campaign a values & strict cultural followers teams managed and dedicated at success (from driver to a field Sanitation: The area is facing huge apex level that they continue their coordinator, supervisor and team challenges of water and sanitation work till the end leader), volunteers taken from locals False information: Sometimes false No outsiders: As stated above, made us accessible in the areas that information about the children and the community only allow their locals and are not visited earlier due to insecurity family is reported to avoid any don’t allow outsiders to even visit door or poor quality of campaign. interaction and accessibility to 2 door household as well as children. Inaccessibility: Access to the Vaccinating the children and Misconception: Community is of the household is not allowed even the maintaining cold chain view that such campaigns are related females are discouraged and to family planning & are conducted to Equip the targeted union councils and acceptance in females is strictly reduce the Muslim population & infiltration into the far-flung areas. resisted. specifically (Pakhton) Skin disease: Vastly affected by the Good coordination with MoH and skin diseases

WHO/UNICEF Drinking Water: Purification of water The activity in the far-flung area was is also another challenge hard to commence as mentioned Stagnant Water: Diseases are above that the activity was made a spreading due to sluggish water success by keeping the previous

Quarterly Report – May 2012 to July 2012

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Pakistan Red Crescent Society Sindh Provincial Branch Activity May 2012

S. No Date Village House HP. Polio Sheet B/C Inf. 02-05-2012 1 to Yasrab goth 527 55 2 30 08-05-2012 Muhammadi 2 08-05-2012 508 36 3 27 goth 09-05-2012 3 to Sukhyo goth 1025 90 8 56 10-05-2012 11-05-2012 4 to Ayoub goth 793 66 5 54 17-05-2012 5 17-05-2012 Sefal goth 1095 58 3 58 21-05-2012 6 to Godra society 601 28 1 42 22-05-2012 4549 333 22 267

Polio Eridication Activity by PRCS

Series4 1400 56 58 1200 3 8 54 Series3 1000 90 5 58 800 30 27 42 3 66 Series2 1095 1 600 2 1025 400 36 793 28 52755 508 601 Series1 200 0

Village

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Graph showing the Polio Eradication Activity May 2012

June 2012 Fighting Polio in Gadap Town PRCS Sindh Provincial Branch Languages: Pashtoon, Urdu, Zone: Low and medium is successfully operating in Sindhi, Punjabi, Balochi, earning zone, due to the Health Risk Reduction Bangali different living standards of Campaign against Polio & Political Geography: Major people, different categories hepatitis in Gadap Town UC Political Party MQM and surround the Goath. 4 – Gujro in the month of PPPP June 2012. Economy Geography: Shops, Law and order situation: The Survey Report General items situation of Law and order in Area Profile Literacy Ratio: 2% this area was disturbed short UC -4 Gujro Gadap Town Organization working: while ago by terror activities Distt Malir Karachi WHO, UNICEF, PRCS, Al- but now its smooth Village: Ibrahim Burfat khidmat, UNHCR,Local Prominent Land Mark: NGO,s Entrance in Goath: There are Saindad Goath, Ahmed three entrances to the Jamal, Chutta Gabool UC – Gadap Town: Goath; from , From Super Highway, and Goath, Noor Khan Goath In UC-4 Gujjro Gadap Town from Ayub Goath multi ethnic population Human Geography: settled around the Goath. Races (Ethnic and Linguistic Population 435,000 Multiethnic Population: Due Group) Due to multi ethnic Races (Ethnic & Linguistic to multiethenic population of population around the Group: Pashtoon, Baloch, Goath, the boundaries or Goath, different types of Urdu, Sindhi, Bangali, parameter of location groups are living. Punjabi, distributed in different Secterian Group: Deobandi, Goaths. Sunny, and Shiya The Campaign - Training of Trainers (TOT) & Field Visits

UC-4 was focused for the Performed by 42 registered Field Visits, Sharing of activity in this month for the volunteers of PRCS. information and plan was eradication of Polio from the very helpful in implementing town. Area is densely GRC with their CBHFA the tasks. populated. Main population trainees also visited the said The objective of the trainings constituents of the UC. Special focus was on 2 villages namely Sain Dad were to train the volunteers and the Afghan refugee. This Campaign comprised of Goth, and Ibrahim Burfat. so that the volunteers would 20 days HH Survey and be imparted and to ensure data collected from 11749 During the month special implementation of guidelines House Holds whereas total focus was made on the and procedures to get the population of this UC is training of trainers and Field best desired results of the 345,678. Visits. field surveys and activities PRCS teams went to UC – performed in the area. Cases of Polio inf. were 44 field and met with the local In this connection accelerated and cases of Hepatitis inf. community leaders. During efforts were required in the were 657 to be precise. the meeting, they get Data collection and other field to fight against deadly information about the UC. program tasks were polio in the vicinity.

Quarterly Report – May 2012 to July 2012

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June 2012 Swarming Open holes, Stinking water, Litter corners

During the filed visits and to other areas and also may We recommend suitable surveys, terrible situation of lead to other diseases such provisions for the collection the environs found critical to as skin diseases, diorea, and of garbage on daily basis health. In this connection, plague etc. as well. and necessary arrangement

following recommendations Main population of the area to dump the trash at a were proposed to avoid the comprise of Pashtuns and proper place harmful effects of the litter Afghan refuges and they Arrangement of drinking corners and swarming open are reluctant or have holes with stinking water. water measures so that the refused to permit vaccination diseases proliferated due to Recommendations of their children against Field visit was very useful inhygenic water can be Polio virus. Since Pashtuns controlled. and helpful for a better and are convinced that the polio clearer understanding of the vaccine is being We recommend that PRCS town. During the visit it was administrated on the behest observed that certain should also plan such field of the West and it is to visits periodically like CBHFA measures are required for sterlise their children. upbringing the health and program which is a good initiative for the town in hygine standards of the Field visits are an important town. Due to such wretched fighting against Health and and vital for better Hygiene problems. Through situation dispersal of various understanding of the locals diseases like HP and Polio such program, we can have so that they can understand access to the areas and are obvious. If necessary the purpose and all such actions are not made at the comprehend the problems of ambiguties could be the locals. earliest then this may spread removed from their minds.

Flotsam and Jetsam, Garbage Wastes,  We recommend Also since this area is under give accesssuitable to the pro membersvisions the drone attacks first and the threat of flooding due to in their areasfor the and collection the of then they would allow any of the spillover of the NALA objectiviegarbage of the programon daily such campaign in their areas. floating adjacent to the can be achieved.basis and necessary This is a total loss of town. Due to rainfall and arrangement to damanged position of the Pakistani nations as and we During thedump short the span trash of at time a NALA, area is underthreat. proper place are risking the lives of our We should plan for the we have seen a sharp children. disaster prone area and increase Arrangement in Polio Cases of in should plan for the hazzard Pakistan.drinking Vaccination water In the mean time, it should mapping for the villages on Campaignsmeasures have beenso that the also noted that Shahid Khan top priority through VCA hampereddiseases by self -appointed Afridi has been appointed (Vulnerability Capacity religiousproliferated reformers etc. due to as the Ambassador for Polio Assestment) Process. inhygenic water can eradication by UN in be controlled. As suggested earlier that the It is also stated that around Pakistan. This may lead for 250,000 childred would be success of the field trip is the better result in the tribal left un-vaccined as the tribal due to the inclusion of the areas. leaders have asked to stop local community so that they

Quarterly Report – May 2012 to July 2012

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Pakistan Red Crescent Society Sindh Provincial Branch

June 2012

C B F H A – A Rundown

Field Visit of village Ibrahim Also the infrastructure of the during the field visit and was Burfat and Saindad Goath area is planned properly not capable of providing the with team was well planned. and it seems that no basic first aid facilities to the During the visit it was appropriate planning has villagers. shocking to see that the Main been made while populating holes were not covered that area. During visit Only one mosque is in the properly, dirty and stink Electricity wires were seen area and also there are no water was coming outside open and no suitable pole to means of Public and gathered on the pole wiring arrangements entertainment for the surrounding areas on the found. villagers. road as well. On the corner In short, we can say that side there was a big NALA There was only a private Health and Hygiene that is extremely risky for school Amna Secondary conditions were not up to the health and hygiene of the school in the area. Lifestyle mark. Keeping in view the area as well as for the and living standard of the current situation we can say community & besides that children is far below the that the HP and Polio Virus in NALA, a well for drinking standard living. The basic the area is a big challenge water is also fixed which is necessities are also found and to cope with that we not only hazardous but also lacked in the area. Medical had to work in accordance for the healthy life of the facilities are totally with the stated & suggested villagers. unavailable in the area. One small dispensary was seen recommendations.

PRCS Team with Community Leader at UC & Planning TOT (Planning for the activity)

Quarterly Report – May 2012 to July 2012

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Activity June 2012 Sindh Provincial Branch

S. No Date Name of Village Houses HP Polio

1 01-06-2012 Ayoub Goth society & Ahmad Jamal Para 439 36 3

2 04-06-2012 Ahmad Jamal Para 685 34 3

3 05-06-2012 Ahmed jamal Para 632 32 3

4 06-06-2012 Ahmad Jamal & kamel bad shah Para 780 35 2

5 07-06-2012 Ahmad Jamal Kamel bad shah para 367 31 0

6 11-06-2012 Khuda buksh Goth 352 11 0

7 12-06-2012 Saindad Goth 585 20 2

8 13-06-2012 Saindad Goth & bangali Para 530 18 0

9 14-06-2012 Ibrahim Goth & Allah rakha 562 25 2

10 15-06-2012 Allah rakha Goth 387 16 2

11 18-06-2012 Gareeb abad 419 31 2

12 19-06-2012 Gareebabad 602 42 4

13 20-06-2012 Gareeb abad & jamali Goth 671 38 2

14 21-06-2012 Jamali Goth 720 43 4

15 22-06-2012 Jamali Goth 572 35 2

16 25-06-2012 Jamali Goth 703 37 6

17 26-06-2012 Jamali Goth 726 41 3

18 27-06-2012 Jamali goth 844 54 1

19 28-06-2012 Chota Gabol Goth & Quetta town 553 34 3

20 29-06-2012 Dildar Goth 620 44 0

Total 11749 657 44

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Graphical Representation June 2012

Survey Report UC- 4 Gadap town June 1 - June 29, 2012

1000 900 800 700 Polio 600 500 400 HP 300 200 100 Houses 0 AyoubAhmed GothAhmad society jamalSaindad JamalPara & Ahma...Ibrahim GothKamelGareeb Goth badGareeb abad& ... AllahJamali abad rakhaJamali Goth & jamaliChota Goth Goth Gabol Goth & Quetta...

Total No. of Houses HP Inf. Polio Inf.

11749 657 44

Quarterly Report – May 2012 to July 2012

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June 06 to 08, 2012 Polio Drop Vaccination Campaign

1 day to 6 6 month to S/No Date Village Name month 5 years Total children children

Al-Asif square machar 1 06-06-2012 20 660 680 colony

Al-Asif square machar 2 07-06-2012 19 611 630 colony

Al-Asif square machar 3 08-06-2012 22 528 550 colony

Total 61 1799 1860

800 700 600 500 6 month to 5 years children 400 1 day to 6 month 300 children 200 100 0 1 2 3 Al-Asif Square &

Graph showing the Polio Eradication Activity June 2012

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Avert Polio - No Fear for July 2012 Children being Crippled for Life

Our campaign for averting and eradication of Polio continued in the month of July 2012.

In July our visit to DC of the UC was a success.

Training sessions were also the highlight of the month.

During the month door to door activities along with the filed surveys were helpful in approaching towards our goal.

However the activities can not continue in full swing due to that law and order situation of the area.

Continued Efforts at UC – 4

Since the allocation of the teams in the Besides the hindrances and area, teams are working and difficulties aroused during the persistently doing their job in the campaign, team morale is province. high in order to perform their assigned tasks to win Keeping in view the vulnerability of the fight against the deadly the disease in the locality, continued virus. efforts are made in the vicinity with the help of the co-coordinators, team members and volunteers in order to get the activity a success.

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July 2012 Meeting with the Deputy Commissioner

On July 10, 2012, we visited trucks and other heavy plan of action in the town. the DC office to meet the DC machinery came to collect Our activities also conferred. of the Mr. Kazi Jan the garbage dumped in the The troubles that our teams Muhammad, DC Malir area. faced in the area also welcomed us in his office. We appreciated the efforts highlighted. DC Malir, Kazi During the meeting we of the DC Malir for giving us Jan Muhammad noticed and

talked about the worked prompt response and as he committed for support from done by PRCS in the town encouraged us and also he his side. and highlighted the issues made a commitment to Kazi Jan Muhammad and problems. We also support in our objectives in inspired by our work and shared our previous month’s the future as well. information that we have reports with him. Kazi Jan Here it is also important to regarding the region and Muhammad appreciated the mention that Kazi Jan the dedication that we efforts done by PRCS and Muhammad was one of the delivered. took notice of the issues and nine officials from Pakistan During discussion Kazi Sahib complaints submitted to him. that visited India and had told that he is willing to DC Malir issued on spot been given a Certificate by make a plan for UC 4 instructions to his department. Bill Gates for his efforts and regarding Health and Due to his dedicated efforts work done for Polio Hygiene and also Disaster and interest shown during the Eradication in Pakistan. (Flooding) prone areas meeting, cleanliness work During the meeting we had identification and started in the town and also discussed our future hazardous measures.

Gathering (Khuli Kechari) Organized by DC

We told DC of the Council DC Malir, Kazi Jan from our country. He also that PRCS can help him in this Muhammad organized a appreciated efforts of PRCS. initiative through VCA Khuli Kechari in the town. The (Vulnerability Capacity activity was a good initiative. Some of the important Assessment). It was also told Such activities mobilized the characteristics of the to him that we can help them area and results in the better Gathering were: in assessments of the said awareness of the issues and initiative as well. also the solutions to the 1. Gathering was effective problem identified. We to mobilize the area. In short, we can say that observed that the DC took 2. Good enough meeting with Kazi Jan brisk action on the spot and participants at the Muhammad, DC of the town instructed for the meticulous gathering organized by w as fruitful and we can get compliance. DC Malir also DC better results in the future vaccines to the children with 3. Questions asked by the endeavors as well as a new Polio Drops and briefed them audience and answered relationship with them in that it is necessary that every by DC supporting them in their child of below 5 years of 4. DC Kazi Jan Muhammad intended initiatives for the age get the desired quantity and PRCS Coordinator Health and Hygiene of the of the anti polio drops in immunized children with Town. order to avert this disease Anti Polio

Quarterly Report – May 2012 to July 2012

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Volunteers Trainings

Training Sessions had volunteers and training Also Situation Based and been conducted during had been given to all the Case based exercises the month. Focus had 40 volunteers. In were also drilled. Later been on the practical delivering the trainings, the participants went on demonstrations and we had used the Method to the field and preparing the volunteers of delivering Lectures conducted the activities for the field visits to get first then taken Input as practiced. the desired results. In this from the volunteers and Last two segments had connection, we had later the session ended been conducted by PRCS divided the sessions into with Questions & Manager Mr. Akhter Adil three parts: Answers and special focus also  Capacity Building In order to test the made on handling  Village Mapping volunteers disaster management he  Area Profile understanding, Group conducted one day The sessions were very Exercise were given and session on the subject in useful in delivering found satisfactorily which 32 participants results. took part. information to the

Survey & Field Visits

Survey and the field The misconception about During the field survey of visits are the part of our the Polio vaccine in the UC - 4, Polio patients program. We have been minds of the people, found in the areas of working in the fields for their resistance against Khadim Hussain Solangi getting the insights and in the Anti-polio programs Goth, Faqeera Goth, order to determine the conducted, and the fear Dani Baksh Goth and Gul factors involved in to sterilize them are Goth in UC-4 of Gadap causing hurdles in the brought in the Town. smooth going of our knowledge of the efforts In order to smoothly activities in the areas. of the field staff efforts, conduct the field visits, With the help of our volunteers and Program meeting were conducted field visits and Surveys Co-coordinators. at THO office UC-4. of the locale we have During the Surveys and Dr. Asif trained the

been succeeded in Field Visits we met with volunteers and also met identifying the problems some of the Polio THO officials at Lasi

of the area. Patients and recorded Goth, Gadap Town. their particulars.

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Activity July 2012 Sindh Provincial Branch

Date Village Name Houses HP Polio

Khadim hussain solangi 2-Jul-12 Goth uc-4 Gadap town 826 25 4

Khadim hussain solangi 3-Jul-12 Goth uc-4 Gadap town 642 22 8

Dani buksh Goth UC-4 4-Jul-12 Gadap town 772 41 3

Dani buksh Goth UC-4 5-Jul-12 Gadap town 707 14 3

6-Jul-12 Laelatul barat day of Friday

Faqeera Goth uc-4 9-Jul-12 Gadap town 546 30 2

Faqeera Goth uc-4 10-Jul-12 Gadap town 601 24 5

Faqeera Goth survey & meeting of the lasi 11-Jul-12 Goth THO office Gadap 640 30 1 town

12-Jul-12 Meeting of the polio campaign THO office lasi Goth Gadap town all volunteers

Faqeera Goth uc-4 13-Jul-12 Gadap town 562 30 1

23-Jul-12 Volunteers made map of lasi Goth uc-4 Gadap town

24-Jul-12 Volunteers made map of lasi Goth uc-4 Gadap town

25-Jul-12 Volunteers made map of lasi Goth uc-4 Gadap town

Faqeera Goth uc-4 26-Jul-12 Gadap town 474 27 0

Faqeera Goth uc-4 30-Jul-12 Gadap town 480 0 0

Yousaf Goth uc-4 31-Jul-12 Gadap town 421 28 0

Total 6671 271 27

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Graph showing door to door field Survey, Polio & HP Activity July 2012

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Activity July 2012 Sindh Provincial Branch

1 day to 6 6 month to 5 Total children Village Name month Immunized children Years children

Al-as if Gana mandi Hassan noman colony 8 428 436

UNO Dr. Dewd polio monitoring officer was the gun shot.

Muhmmadi Goth usmania society ayoub Goth society 8 693 701

Ayoub Goth sukhia Goth ahmad Jamal Para al–asif muhmmadi 1 719 720 Goth

Nor khan Goth khuda buksh Goth Ibrahim Goth chota Gabool Goth 4 791 795 jamali Goth nor muhammd Goth

Total 21 2631 2652

Polio Drops Immunization Campaign

1 day to 6 month children 6 month to 5 years children

800

600 July, 2012 400

200

0

Graph showing the Polio Eradication Activity July 2012

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Pictorial View - Polio Eradication Activities July 2012

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Security Situation of the Area:

An unfortunate incidence “A UN vehicle was This incident has resulted of shooting happened in fired upon with in stoppage of polio the Hassan Noman gunshots. One vaccination campaign Colony behind Machar international staff and and due to such Colony near Indus one local driver were horrifying circumstances Medical Centre UC-4 injured in the incident,” best results cannot be Gujro, Gadap Town, spokeswoman for the obtained. Soharb Goth District United Nations’ World Malir neighbourhood of Health Organisation, eastern Karachi on the told. Dr Fasten David second day of a widely (from Ghana) and local publicised polio driver had been vaccination campaign transferred to a private resulting in injury of hospital (Patel Hospital doctor associated with Gulshan-e-Iqbal) then WHO. shifted to Agha Khan Hospital.

This incident has resulted Effects on the Campaignin stoppage – of Our polio Strategy for future vaccination campaign and due to such Mr. Ishaq kakr associated horrifying immunization circumstances campaign in members for the gun shots in best results cannot be with the polio prevention the city. Al Asif Square is the area that made the campaign of the United obtained.mostly populated by Afghan transport unavailable. Nations World Health refugee in Karachi and they Due to the stated Organization (WHO) was have been critical of the circumstances of the locality, shot dead in the city Al Asif polio vaccination of children campaign halted twice and Square on June 21, 2012 terming it. Dr Fosten was we were not able to continue Friday night. Dr Ishaq was attacked when he went on a our programs as per 45, gunned down by two visit to Koochi Camp, one of scheduled. We have to men riding on motorbikes the Afghan refugee invest more time in the area. inside his private clinic settlements in Karachi for a More support would also be located at Junejo Town polio immunization expected as the meetings area On July campaign. Two armed men with DC Malir were very 17, 2012 Dr Fosten Dido, a riding on a motorbike productive and fruitful and foreign doctor Ghanaian intercepted the UN vehicle in we expect that with better national working for the Afghan Basti area and support from the town police WHO and associated with opened fire. and encouragement from the the polio immunization Besides that violence present town respectable, we would campaign in the city shot in the city also caused be in a position to mobilize and wounded along with his immobilized situation and the activity and our driver in the same area i.e. made it difficult for the operational goals. in Hassan Noman Colony UC volunteers to reach the area. 4 Gujro Gadap Twon Several incidences were Distract Malir while polio reported by the team

Quarterly Report – May 2012 to July 2012

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Polio Drops Inoculation Campaign – a quick view of the town

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Different Views of the Training Sessions and Drills Conducted by Akhter Adil and Fawwad Sherwani

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Findings and Recommendations

Health and Hygiene situation of   It seems that garbage collected the area is the most atrocious. from the UC has not been Corner places are packed with picked by the janitorial on grim and filthy, filled with dirty regular basis and masses found and stint water. at numerous locations. Rotten garbage raised germ-   The atmosphere was not infested conditions in the town. suitable for healthy living. Basic  During the field visit, we have needs were not sufficed and observed sluggish and area is the building place for contaminated water at a the diseases and vulnerable to number of places, including the cause various infectious diseases pavements, in front of houses, in the region. medical dispensary and in the  Ghastly situation of cleanliness market area, adjacent to small and sanitation was seen in the shops present in the locality. area and a lot of work has to  Due to this stagnant and tainted be done at regular stints to get water, obnoxious stink spreads the desired results. in the environment and surroundings.

OUR AIM:

WE ARE SKIRMISHING AGAINST THE DEADLY DISEASE TO AVERT PEOPLE FROM ITS EFFECTS AND DREADS.

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