Review of SIAs 2016

Killa Abdullah
District Polio Control Room
 Demographic Data of District
Killa Abdullah
• Killa Abdullah Lies to Northwest of Balochistan
• Bordering with Maruf,Arghistan,Shorawak and Spinboldak Districts of Afghanistan
• Has A Border Strip of 220SqKm with Afghanistan
• Total Surface Area 5264 KmSq
• Total Population official figure 744,326
• Killa Abdullah Has 4 Tehsils
• Chaman, Dobandi, Killa Abdullah and Gulistan
• The District Has 35 Union Councils
Confirmed Polio Cases Reported in Killa Abdullah District 2010 - 2016

District 2010 2011 2012 2013 2014 2015 2016

Killa Abdullah 3 22 0 0 13 1 0
Progress of SIAs Killa
Abdulla District
 Major Achievements in Killa Abdullah in 2015 & 2016

• CBV/CHV campaign started in all Ucs of three tehsil (KA, Gulstan and Chaman) from May
2015.
• 2 Afghan Refugee Campaigns included in CBV Campaign: Jungle Camp1&2
• Micro-Census was completed in all UC s of CBV/ CHV areas
• % of missed children due to NT has decreased due to involvement of exclusively female
teams who have easy access to the houses of conservative communities.
• Successful implementation of IPV campaigns in 2015 & 2016.
• No Polio case was reported from Killa Abdullah for the last 22 months (last case reported
in Feb.15).
• % of Positive Environmental Samples decreased from 83% (5/8 samples) in 2014% to
13% (3/24 samples) in 2015 to 19% (4/21 samples) in 2016.
• Increased the target age for OPV from 5 to 10 years children at Friendship Gate to
minimize the risk of polio virus circulation in Kandahar-Quetta Block.
 Plan of Action

• All CBV/CHV teams will revisit their areas in the afternoon to reach and cover
50% of recorded missed children on daily basis.
• Teams will do the post catch up activities for the whole months to cover the
remaining missed children.
• CHV Supervisors and UCSOs must compile the list of NA and Refusal Children on
daily basis and the compiled list should be shared with DPCR.
• Tracking and proper recording of HRMPG in the district
• District Refusal Coverage Committee will cover the refusal whenever and
wherever required
• District administration will support in the coverage of chronic refusals on daily
basis
UC wise LQAS Results of Chaman Tehsil of Killa Abdullah District
Aug.16 to Nov. 16 SIAs
UCs Aug 16 September 16 October 16 November 16
BUGHRA Pass Pass Pass Pass
C. ROAD Pass Pass Pass Fail
D. ASHAZAI-1 Pass Pass Fail Pass
D. ASHAZAI-2 Pass Pass Pass Pass
EIDGAH Pass Pass Pass Fail
MABAD 1 Pass Pass Pass Pass
MABAD 2 Pass Pass Pass
MIRALZAI Pass Pass Pass Fail
MURDA KAREZ Pass Pass Pass Pass
P.CHAMAN Pass Pass Pass Pass
ROGHANI 1 Pass Pass Pass
ROGHANI 2 Pass Pass Fail Pass
ROGHANI 3 Pass Pass Pass Pass
SIRKI THALERI Pass Pass Pass
Total Lots 12 14 14 13

% Lots Passed 100% 100% 87% 77%

UC wise LQAS Results of Killa Abdullah Tehsil of Killa Abdullah District
Aug.16 to Nov. 16 SIAs
UCs Aug 16 September 16 October 16 November 16
GIRDI PINKI-1 Pass Pass Pass Pass
HABIBZAI Pass Pass Pass Pass
JUNGLE CAMP-1 Pass Pass Fail Pass
JUNGLE CAMP-2 Pass Pass Pass Pass
KABDULLAH1 Pass Pass Pass Pass
KABDULLAH2 Pass Pass Pass Pass
MAIZAI Pass Pass Pass Pass
MESSAZAI Pass Pass Fail Pass
PIR ALIZAI-1 Pass fail Pass Pass
PIR ALIZAI-2 Pass Pass Pass
GIRDI PINKI-2 Pass Pass Pass
Total Lots 11 8 9 8

% Lots Passed 100% 88% 78% 100%

UC wise LQAS Results of Gulistan Tehsil of Killa Abdullah District
Aug.16 to Nov. 16 SIAs
UCs Aug 16 September 16 October 16 November 16
A/MANZAI Pass Pass Pass Pass
DAROZAI Pass Pass Fail
GULISTAN 1 Pass Pass Pass Pass
GULISTAN 2 Pass Pass Fail Pass
SAGAI-1 Fail Pass Pass Fail
SAGAI-2 Pass Pass Pass Pass
Total Lots 6 6 5 6

% Lots Passed 83% 100% 80% 67%

AFP Surveillance
Active & Zero Reporting Sites District 2016
Active Surv. Sites Zero reporting Sites
Tehsil
Govt Private Total Govt Private Total
Chaman 1 3 4 5 7 12

Dobandi 0 0 0 1 0 1

Killa 0 0 0 4 2 6
Abdullah
Gulistan 0 0 0 3 1 4

Total 1 3 4 13 10 23
AFP Sites of Killa Abdullah Map

AFP Surveillance Sites

(27)
HP (04)
MP (09)
LP (07)
WZ (07)
AFP Case Profile, Killa AbdullahDistrict 2016*

AFP Cases Pending (1)

Non-Polio AFP Cases (19)

Total AFP Cases Reported = 20

 AFP Surveillance Indicators Killa Abdullah District
2014-16*
Indicators 2014 2015 2016
No of AFP Cases Reported 40 19 20
Confirmed WPV 13 1 0
cVDPV2 0 0 0
Compatible AFP cases 0 0 0
WPV1 Infected Tehsils 2 1 0
cVDPV2 Infected Tehsils 0 0 0
5/6 3/25 2/20
Virus isolation from Environmental Samples
(83%) (12%) (10%)
Non Polio AFP Rate 9.7 6.4 8.7
Adequate Stool % 87 89 80
60 days FUP Done % 100 100 94
Detected within 7 days of onset % 77 61 75
Investigated within 48 hrs of notification % 97 100 100
EV isolation % 15 0 22
SL isolation % 14 3 17
Percentage of Stool Adeq, Detection Within 7 Days of Onset &
Investigation Done within 48 Hrs after Onset- Kabdulah, 2011-16
100
90

AFP Cases with Adequate Specimen (%)

80
70
60
50
40
30
20
10
0
% AFP with Adequate Specimens % Detected Within 7 Days % Investigated within 48Hrs

2011 2012 2013 2014 2015 2016

Target
AFP Cases reported by Month of ONSET, Killa Abdullah District
(2013 – 2016*)
14
13
12
11
10
9
8
7
6
5
4
3
2
1
0
Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
2013 2014 2015 2016
Environmental Sample Sites’
Location and Drainage
Kabdullah District

HADI PICKET

ARMY KAZIBA

LOCATION OF SITE

FLOW OF DRAINAGE

Date UCS DRAINING IN TOTHE

ENV SITENAME TEHSIL LOCATED IN UC
Started SITE OF COLLECTION
ARMY KAZIBA 01-10-14 CHAMAN EIDGAH
COLLEGE ROAD,EID GAH
BOGHRA,
HADI PICKET 15-10-14 CHAMAN MEHMDABAD1
EIDGAH,MEHMDABAD1
 Challenges
• Security
• High cross border movement with Afghanistan
• Literacy of CHVs
• Rigid and conservative society
 THANKS

28 – 29 June 2016 TAG Meeting Pakistan