Both country are sharing data and cross notification of AF

1
Cross Border communication on Polio Eradication,
Eastern Region

• Kabul
• 25-27 September 2007

2
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

3
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

4
Cross Border Movements Challenge to PEI
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-Mar
awar 5-Dangam 6-Narri
5 Points in SER 1-Babrak Tana 2-Nawi
Ada 3-Ghulam Khan 4-City One 5-Tana Sukhta
6
Cross Border Team OPV Coverage
High movements
7
Border Villages SIAs- OPV Coverage Total
Target10190
2007
2006
Formal crossing point
Repatriation centre
8
March 2002 - July 2007 Eastern Region Returnees
Nangarhar
Kunar
Region
Laghman
9
2007 Cross Border and IDPs OPV Coverage
10
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

11
Cross Border Meeting Agreed Points
12
Border Districts Reporting AFP Cases in 2004
13
Border Districts Reporting AFP Cases in 2005
14
Border Districts Reporting AFP Cases in 2006
15
Border Districts Reporting AFP Cases in 2007
16
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

17
Manana