Pakistan

A unified and whole-of-system approach necessary to make sure every child in Pakistan is vaccinated – WHO and UNICEF

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Friday 12 June, Islamabad – WHO and UNICEF have applauded the Government of Pakistan’s continued efforts to eradicate polio. The United Nations agencies commended the concerted efforts made to make sure that vaccination programmes continued even during COVID-19 surges in the country.

Both agencies urged greater solidarity and investment to sustain the momentum and reach every child with life-saving vaccines. These reflections were made by UNICEF South Asia Regional Director George Laryea-Adjei and WHO Eastern Mediterranean Regional Director Dr Ahmed Al-Mandhari as they concluded a week-long joint visit to Pakistan.

The visit coincides with the first Polio Oversight Board's visit to the country, and the launch of the Global Polio Eradication Initiative (GPEI)'s new 2022–2026 strategy.

“We know that the most important relationship in polio eradication is between the vaccinator and the child’s family. Without communication and trust, there is no vaccination. This week, I have seen a renewed focus on bolstering that relationship in the most high-risk areas of Pakistan. I appreciate the huge role played by frontline works in building that trust, and the support provided by the Government and partners to these workers. I leave Pakistan filled with hope that 'all hands are on deck' to finish the last mile in the journey to eradicate polio in the country,” said UNICEF South Asia Regional Director George Laryea-Adjei.

Commenting on this mission, WHO Regional Director Dr Ahmed Al-Mandhari said, “I have witnessed a back-to-basics approach to raise campaign quality and most importantly the need for laser focus on repeatedly missed children by provincial health ministers and chief secretaries – this is the only way we will slash the number of missed children down to zero. The GPEI leadership, including WHO and UNICEF, all have a role to play in turning the tide in Pakistan, but the real leader must be the Government of Pakistan on its emergency footing and best practices from its COVID-19 response, and this mission has showcased the diligence and accountability that Prime Minister Imran Khan and his government are applying to eradication.”

The visit highlighted the impact of COVID-19 and the changes made in Pakistan’s national polio programme. The regional directors also noted the opportunity for Pakistan to capitalize on the very few polio cases in the country and for GPEI partners to optimize support to intensified efforts by national and provincial governments to end polio.

The two regional directors met with top-level leadership, including the Chief of Army Staff Qamar Javed Bajwa, and attended the National Task Force meeting chaired by the Prime Minister Imran Khan and participated in by provincial chief ministers.

They visited Peshawar and Karachi and participated in field activities, including the ongoing polio vaccination campaign in areas that have persistently challenged the polio programme. In order to stamp out polio for good, every child living in these high-risk areas must be reached with the oral polio vaccine multiple times.

The regional directors visited routine immunization centres, where there is a growing synergy between polio campaigns and routine immunization and attended health facilities designed to help high-risk populations access health care and boost vulnerable children’s immunity.

Pakistan and Afghanistan are the only countries where wild poliovirus is endemic, and together constitute one epidemiological block. After losing traction during the COVID-19 pandemic, during which the polio programmes in each country were retooled as pandemic support, there are now promising results. The cases of wild poliovirus are down once again to just one to date in 2021 in both Afghanistan and Pakistan.

During their mission, Dr Al-Mandhari and Mr Laryea-Adjei commended the successes yet warned against complacency and urged that the hard work be continued until every last child is reached with vaccination.