Pakistan: Third Partnership for Polio Eradication Project

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The objective of the Third Partnership for Polio Eradication Project (TPPEP) is to assist Pakistan's efforts to eradicate polio through timely supply and effective use of the Oral Polio Vaccine (OPV) for the country's Supplemental Immunization Activities (SIA) during 2009-11. There are three components to the project, the first component of the project being procurement and timely supply and effective use of OPV. The TPPEP will provide financing for only the first component of Polio Eradication Initiative (PEI) as the previous projects, i.e., procurement and timely supply and effective use of OPV in Supplemental Immunization Activities (SIA) between August 2009 and June 2011 during SIA including several rounds of National Immunization Days (NID) and sub-national immunization days (SNID). The second component of the project is the supplemental immunization activities. This operation consists of: (a) maintaining cold chain; (b) social mobilization; (c) training; and (d) NID, SNID, and mop up operations. All implementation arrangements are in place for these operations. The system functions reasonably well, and during last two years PEI has maintained high coverage of the targeted population. Finally, the third component of the project is the surveillance, including laboratory and epidemiological surveillance. The surveillance system is fully functional and data is regularly reviewed by Technical Advisory Group (TAG) in collaboration with the national program, provincial and district managers and technical partners. All districts in the country regularly report information and many exceed the global standard on key indicators for quality reporting such as the like timely collection of stool samples, their transportation to the laboratory and the 60 day follow-up. Surveillance, assessment of OPV coverage and quality of campaign form the monitoring and evaluation system for PEI.