1. Cross Border communication on Polio Eradication, Eastern Region
Kabul
25-27 September 2007

2. Synchronized SIAs activities
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
Management
1-Daily Movement through formal Cross border Points.
(10-12,000/ day –UNHCR Estimate)
a-Vaccinators at all formal crossing points
b-Cross border coordination meetings
2-Movement at the tribal bordering villages
a-Border villages enlisting & separate coverage
b-Active search for AFP cases at the remote
tribal border villages
c-Cross border meetings
3-Cyclic returnee repatriation
(As of 2002)
a-Vaccinators teams at repatriation camps
and active search for AFP cases
b-Cross border meetings
4-New Returnee (IDPs) Camps
IDPs camp-addressed vaccination teams
5-Crossborder AFP cases
a-Early notification& sharing data

5. Cross Border Districts and Points
Established team (n=14)
Planed to be established (n=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-Marawar
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
Month
Coverage
2006 Jan
22090
Feb
3861
Mar
7236
Apr
29806
May
22571
Jun
23676
Jul
27243
Aug
34829
Sep
17655
Oct
24839
Nov
42660
Dec
30942
2007 Jan
45424
35545
March
51596
April
53666
50812
June
26158
July
51674
August
48324
High movements

7. Border Villages SIAs- OPV Coverage Total Target=10190
AFG
PAK 3 6 9 7 1 4 8 5 C H I T R A D P E L O W B J U M N K
Under
Mahmand Y
Border Villages SIAs- OPV Coverage Total Target=10190
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
Update
1-Formal permission for Cross Border monitoring
To be discussed with authority
2-Vaccinating leaving and checking entering targets.
-Done and on going.
-2 teams were added for checking entering targets
3-Mark the thumb (not little finger) after vaccination
Done and on going
4-One team to be recruited at Kama Daka during SIAs from Afghanistan side
5-One new team to be assigned in lower Dir at Benshahie crossing point from Pakistan side
Update is needed
6-Shared coverage compilation and supervision checklist formats
Not finalized yet
7-All Lalpoora border villages (Palusai, Much megai, Mengawer, Renaw, Parchaw, Shaheebagh, Senda kaney) to be covered by Afghan side (Lalpour district team) as in the previous SIAs
8-Border village lists, maps and separate coverage to be presented
9-Next meeting will be conducted on the first week of April 2007 in Jalalabad city of Nangarhar province Afghanistan
Held in Jalalabad on May 15th 2007

12. Border Districts Reporting AFP Cases in 2004#
EPID
Lab Results
Kamdish 1
302
NVI
Narri
272
Dangam
271 EV
Marawra
314
Serkani
304
Khas Kunar
305
Gushta
Lalpour
Momandara
318
Door Baba
319
Achin 3
282,297,309
NVI,NVI,EV
Deh Bala
292
Agam
291
Khogiani 6
263,286,287,298,299,311
NVI,NVI,EV,
NVI,NVI,NVI
Sherzad
Total
19 (30%)

13. Border Districts Reporting AFP Cases in 2005#
EPID
Lab Results
Narri 1
372
NVI
Dangam
Marawra 3
326, 328,347
NVI,SLP3,EV
Serkani 2
381,386
EV,SL1
KhasKunar
377,413
EV,NVI
Gushta
323,378,399
NVI,NVI,NVI
Lalpour
367,407, 428
EV,NVI, No sp
Momandara
333,ES,
400,411
NVI,NSL1,
NVI,EV
Door Baba
Achin
325,329,373
EV,EV,EV
Khogiani
379,404
NVI,NVI
Sherzad
Total
22 ( 23% )

14. Border Districts Reporting AFP Cases in 2006#
EPID
Lab Results
Narri 4
439,466,
469,509
NVI ,NVI,
NVI, NVI
Dangam 2
462, 489
Marawra 1
505 EV
Serkani
458
NVI
Gushta
442
Lalpour
429, 586
SL1, EV
Momandara
422, 474,
490, 507
NVI, NVI,
EV, NVI.
Door Baba
443, 455
Achin 3
436, 441,
503
SL1,NVI, NVI
Khogiani
431, 468,
453
Sherzad
424
Total
24(26%)

15. Border Districts Reporting AFP Cases in 2007#
EPID
Lab Results
Bar Kunar 4
530,534,
551,554
NVI,NVI, NVI,NVI
Marawra 2
524,555
NVI,EV
Serkani 3
522,536,
547
NVI,NVI, NVI
Durbaba 1
06/07/552
NVI
Achin
525,528
NVI,NVI
Total
12(29%)

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