December-April 2012
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Outline
 CIPE Project Goals
 Field-Visits
 Objectives
 Outcomes
 Assets
 Challenges
 Next Steps
CIPE Project Goals
PD: Focusing on what already works
1. To identify viable existing local solutions to
eradicate polio in selected UCs in Gadap Town
2. To set the stage for dissemination of discovered
solutions & strategies with stakeholders
3. To build local capacity for using the PD approach to
eradicate polio
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Field Visit Objectives
Karachi: December 2011 and March/April 2012

Meeting with and orienting stakeholders and local
leadership

Establishing partnerships and defining roles and
responsibilities

Conducting environmental scan and assessing
local capacity for applying PD methodology
Key Outcomes: Visit I (Dec.2011)
 Protocol meetings with GPEI Spearheading Partners
 Document and data review
 Field visits - observation of campaign activities &
discussions with managers and vaccinators
 Partnership development – Spearheading Partners,
MOH, Aga Khan University, HANDS, other NGOs (roles,
communications and planning team)
 Selection of high-risk sites: Gadap Town (UC-4 & UC-8)
 Development of draft conceptual framework
 Development of draft training plan
Key Outcomes: Visit II (March 2012)
 Solid partnerships established with Aga Khan
University and HANDs
 37 people from HANDS, vaccinators, supervisors
and community leaders attended 5 day PD training
 Trainees transformed from passive listeners to active
participants
 Participants gained skills resulting in increased
trust when interviewing potential PD’s
 Selection of 8 trainees (4 for UC-4; 4 for UC-8) to
conduct PD inquiries in May/June
Key Outcomes: Visit II (cont.)
 Current situation in neighborhoods reviewed
 Participants gained familiarity with PD
concept
 Participants built skills in using the PD tools
 PD individuals & groups identified
 PD inquiry tools developed (draft)
HANDS Staff
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Assets
 Experienced Urdu speaker as PD facilitator
 Highly motivated, already oriented in PD and well-regarded
NGO partner
 Competent and supportive HANDS staff to support the
project and build local capacity
 Excellent rapport of the HANDS staff and selected trainees
with the identified communities
 Motivated trainees with demonstrated ability to find and
begin interviewing PDs
 Guidance and support from Aga Khan University
 Convenient & efficient training location and services
PD Inquiry Team- Gadap Union Council 4
(UNICEF Community mobilizers 2, WHO Area in charge 2, HANDS staff, LHW 3)
Challenges
 Security and political instability in Karachi
 Communication – conference calls, planning team,
translation/interpretation, documentation
 Coordination with MOH/WHO/UNICEF
 Rapidly changing environment (policies, staffing,
roles, etc.)
 Availability of management-level stakeholders
Challenges (cont.)
 Periodic absence of UNICEF/WHO participants in
the training due their organizational meetings
 Gaining access to data and documents
 Gaining access to one of the identified (highly
sensitive) communities in Gadap
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Next Steps
 Establish routine conference calls with Team
 Conduct orientation meeting with community stakeholders
in Gadab town
 Strengthen relationship with the identified communities in
Gadap (HANDS)
 Conduct 20 PD inquiries
 Refine & finalize the PD inquiry tools
 Continue training on use of PD tools (distance format)
 Begin analysis of PD inquiries
 Plan for training in July
 Engage with evaluators for analysis phase
Contact Information
Lead investigator: Roger Swartz (PDI) at:
roger.swartz@tufts.edu
Mohammad Shafique, Lead PD facilitator at:
shafique06@gmail.com
Monique Sternin, PD advisor at:
monique_sternin@hotmail.com or
monique.sternin@tufts.edu