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India's Triumph Over Polio - Successful Strategies for Stopping Polio in India

India's Triumph Over Polio - Successful Strategies for Stopping Polio in India

Overview of the key strategies: Leadership and Partnerships: Leadership and commitment at the national, state and local government levels with role clarity among core polio partners to avoid duplication and maximize synergies; and strong partnerships built on trust with local religious leaders, community influencers, NGOs and the media. This made it a people’s program. Planning and Strategizing: Using data to identify and map continually missed groups and communities; and ensuring micro-plans reach every household and every child.
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India Polio Program Transition and Legacy in Action

India Polio Program Transition and Legacy in Action

The India Polio Program is an amazing public health achievement that many did not think possible in 2009 with India contributing over half of the global polio cases. With polio free certification in 2014, India is now poised to take on the crucial challenge of applying the legacy of the polio program to other convergent health strategies, and to other locations in India. The state governments are preparing to transition polio assets such as the Social Mobilization Network (SMNet) to a government owned, funded and managed setup. The program is transitioning in scope programmatically, geographically, financially and in its human resources management. We are witnessing legacy in action on the ground, applying these assets in routine immunization (RI) and other convergent activities, and documenting the lessons for India and global learning.
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Social Mobilization Network - an overview

Social Mobilization Network - an overview

On 27 March 2014, after three years without any polio case, India was officially certified polio free. India’s incredible achievement was the result of strong leadership and commitment of the Government of India and core polio partners: UNICEF, WHO, Rotary International and US Center for Disease Control and Prevention (CDC), CORE and donors such as Bill and Melinda Gates Foundation, USAID and Japan. Ultimately, it was the determination by all to reach every single child and community ownership that has kept India polio free. The United Nations Children’s Fund (UNICEF) polio program focuses on reaching the most vulnerable, migrant, mobile, underserved and marginalized children in high risk and hard to reach communities. UNICEF’s Social Mobilization Network (SMNet) with over 7,300 community mobilizers and around 55,000 influencers have worked tirelessly to make India polio free. Every national polio round, the SMNet reaches 2.2 million children in some 3 million households. In 2014, transit vaccination teams vaccinated 100,000 children on trains and over 2.5 million children at festivals. In the post certification era, UNICEF continues to work closely with the Government and other partners to maintain zero polio and boost immunity through routine immunization, polio vaccination and other convergent health initiatives.
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Date Notification Poster 2 - with Amitabh Bachchan

Date Notification Poster 2 - with Amitabh Bachchan

Street poster with Bollywood star Amitabh Bachchan advertising a polio immunization round. The slogan reads ‘polio has no cure, two drops every time is the right protection’. The date of the round is given at the top left corner (in this specific case 26-31 June). Along the bottom it reads ‘first five years, give your child two drops every time’. On top right is the polio campaign logo which reads, “protection from polio, two drops for my child every time”. Primary message: polio vaccination
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Date Notification Poster 1 - with Amitabh Bachchan

Date Notification Poster 1 - with Amitabh Bachchan

Street poster with Bollywood star Amitabh Bachchan advertising a polio immunization round. The slogan reads ‘your love is complete only when your child gets polio drops every time’. The date of the round is at the top left corner. Along the bottom it reads ‘first five years, give your child two drops every time’. On top right is the polio campaign logo which reads, “protection from polio, two drops for my child every time”. Primary message:polio vaccination
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JPEG Poster
Autorickshaw Panel

Autorickshaw Panel

Auto rickshaw panels on polio with the message, ‘first 5 years, polio drops for my child every time’. The message on the second auto reads, ‘wherever you go, wherever you are, get your child polio drops every time’. The polio campaign logo is given at the right side bottom which reads, ‘protection from polio, two drops for my child every time’. Primary message: polio vaccination
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JPEG Panel
Media Fact Sheet - On Polio in India

Media Fact Sheet - On Polio in India

A fact sheet on the 'Polio Situation Update in India' with latest facts, figures, data and strategies adopted and implemented by the India Polio Eradication Programme. This is shared with print and electronic media personnel during the media workshops.
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PDF Document
Workshop Agenda - for Radio Jockeys and Radio Producers

Workshop Agenda - for Radio Jockeys and Radio Producers

A draft workshop agenda for Radio Jockeys and Programmers of All India Radio (Primary Government Radio Channel) and private FM channels - An Interactive, ‘Hands-on skill-building’ & Experience Sharing Initiative.
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Workshop Agenda - for Print Media Journalists

Workshop Agenda - for Print Media Journalists

A draft agenda for a media workshop - an Interactive, ‘Hands-on skill-building’ & Experience Sharing Initiative - with print media journalists.
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PDF Document
Flip Book on 'Polio Plus' for Community Mobilizers - Bihar

Flip Book on 'Polio Plus' for Community Mobilizers - Bihar

A flip book on polio and polio plus issues covering topics such as what is polio, its symptoms, how it spreads, why is it important to give polio drops every time. It talks about routine immunization (seven vaccine preventable diseases, routine immunization schedule for children and pregnant women); early initiation of breastfeeding and exclusive breastfeeding till the first 6 months of a child's life, complementary feeding; diarrhoea management through ORS and Zinc; handwashing and sanitation. The flip book is used by community mobilizers in Bihar during their interactions with families and during mothers meetings.
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PDF Flip Book
Press Advertisement (Bihar Sub-National Immunization Round)

Press Advertisement (Bihar Sub-National Immunization Round)

A press advertisement on the polio Sub-National Immunization round in Bihar. It carries images of the Bihar Chief Minister, Deputy Chief Minister and Health Minister. The main message reads, "Our goal - a polio free Bihar". The graph shows the decline in polio cases in Bihar, and the message beneath reads, "Get every child under 5 years polio drops and contribute in rooting out polio". Names of the districts covered during the polio round are given at the bottom.
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JPEG Print Ad
Date Notification Poster - with Chief Minister of West Bengal

Date Notification Poster - with Chief Minister of West Bengal

A date notification poster showing the Chief Minister of West Bengal giving polio drops to a child. The main caption says, 'Polio Sunday. Keep your child healthy'. The date of the next polio round is given below (here 19 February 2012). The message below reads, "Protect your child from polio. Till 5 years of age, give your child polio drops every time".
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JPEG Poster
Banner on Eid

Banner on Eid

A banner on polio developed in Bihar and put up during Eid-Milad-un-Nabi (birthday of Prophet Mohammad celebrated by Muslims all over). The message reads, "Is your child protected against polio?" The dates of the next polio round are given (here 19-23 February). The same message is given in both Hindi and Urdu. The polio campaign logo has the message, "Protection from polio. Two drops for my child every time".
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JPEG Banner
Folder for RI Card

Folder for RI Card

A plastic folder to safeguard the government issued routine immunization card. Many parents were losing the RI card which resulted in families having no record of a child's immunization status. To fill this gap, the attractive badhai card (greeting card) folder was created to keep all important papers about the child, along with the badhai card. Key messages and the RI schedule are printed on the folder. Since this was distributed, fewer RI cards have been misplaced by parents in CMC areas.
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PDF Other
Greeting Card (Badhai Card)

Greeting Card (Badhai Card)

A badhai card (greeting card) given to parents before a child is born. It provides key information on pre-natal care with a special focus on routine immunization once the child is born. It promotes institutional delivery and lists when routine immunization is due. The card is given by community mobilizers to pregnant mothers in the last trimester of their pregnancy. The information on the card is explained by the CMC to the pregnant mother. The card is visually attractive with a focus on images rather than text to help illiterate parents and those with low-literacy.
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PDF Card
Game on Polio Plus

Game on Polio Plus

A game on polio plus issues for low and non-literate audiences. It aims to facilitate discussion among women on these key health issues so that they can understand, change their perception and adopt and sustain new behaviours. Using red and green strings, participants identify positive and negative behaviours from a set of visual cards. The women match the card with a green string if the behaviour depicted is correct or a red string if the behaviour is negative/incorrect, giving reasons for their choices. It helps the CMC identify problem areas in her group and assess which key behaviour needs to be changed. It is part of a kit which comprises of a flip book on polio plus issues and a pocket chart. The flip book is largely pictorial and is used by the CMC with women from her community during meetings. The pocket chart comprises of a set of visual cards which are held to a chart through clips. A question card is placed by the CMC and women need to match it with relevant key behaviours. The interactive process enables participating women to recall important polio plus messages discussed during the meeting. For example, if the CMC places a card with the question, “When should you give polio drops to your child?” The images to match this will be booth day and a child being given OPV even during diarrhea.
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JPEG Other
Slides on Media Tonality - Uttar Pradesh

Slides on Media Tonality - Uttar Pradesh

These are some sample slides from Uttar Pradesh about the in-depth media analysis done in the polio programme. They reflect the current reporting trends on the polio programme at national/state level – whether the stories were positive, negative or neutral. It helps the evaluate issues, messages, advocates and critics of the polio eradication programme, providing answers to questions such as, how are polio and related issues communicated through the print media, what is working and what is not, who are the civil society spokespersons, what are the issues coming up on the media horizon that can be synchronized with the programme, what are the factors that can affect coverage of the programme, etc. It helps understand trends and shifts in perceptions of journalists and opinion makers. Together these elements give valuable insights in identifying communication opportunities and accordingly formulate strategic interventions for improved media and advocacy interventions on polio and related issues.
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PDF Slide
Additional Form B - Block Level Summary of Convergence Activities

Additional Form B - Block Level Summary of Convergence Activities

This form is filled out each month by the block mobilization coordinators (BMC) working in high risk blocks and submitted to their respective district mobilization coordinator (DMC). It summarizes the results of convergence activities conducted by the community mobilization coordinators (CMCs) under his or her supervision, and reports on the BMC's work. There is one row for each CMC, showing the activities planned and held as per the district communication plan. It also has details of convergence activities such as routine immunization sessions planned, held and missed and reasons thereof, number of RI sessions with adequate availability of vaccines, children immunized against the 6 vaccine preventable diseases, number of families with whom counseling sessions were held on key behaviours, including hygiene & sanitation, breastfeeding, diarrhea management through ORS and zinc, use of iodised salt, etc. The last page of the form has the compiled block level data, hence only one form is filled for the entire block. The DMC assigns one BMC to fill this form on behalf of all BMCs working in the block and supports him in the process.
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PDF Form
Additional Form C - Community Level Summary of Convergence Activities

Additional Form C - Community Level Summary of Convergence Activities

The monthly reporting form filled by community mobilization coordinators (CMCs) working in high risk blocks, summarizing convergence activities organized/conducted by them such as routine immunization sessions planned, held and missed, and reasons thereof, number of RI sessions with adequate availability of vaccines, children immunized against the 6 vaccine preventable diseases, number of families with whom counseling sessions were held on key behaviours, including hygiene & sanitation, breastfeeding, diarrhea management through ORS and zinc, use of iodised salt, etc. The CMCs working in high risk blocks fill this out once a month, and give it to their supervising block mobilization coordinator (BMC) who uses it to monitor her work. Some information is summarized and passed up the hierarchy for analysis.
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PDF Form
Truck Panel

Truck Panel

Truck back panels on polio with 3 different messages on different panels. The message on the 1st panels reads, ‘your love is complete only when your child gets polio drops every time’. The 2nd panel reads, ‘first 5 years, polio drops for my child every time’. The 3rd panel reads, ‘wherever you go, wherever you are, get your child polio drops every time’. The 4th panel has this message in Nepalese too. The polio campaign logo is given on the right side which reads, ‘protection from polio, two drops for my child every time’. Primary message: polio vaccination
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JPEG Panel
Radio PSA (Incomplete Love)

Radio PSA (Incomplete Love)

Radio PSA on polio where the male voice asks, “Do you give your child incomplete love? Like, washing one foot, leaving the other feet unwashed…. Make them wear only one side of the shirt ….. Give food but half cooked ……. Is it right to give such incomplete love? Similarly, is it right not to give polio drops every time to your child?” Popular Bollywood actor Amitabh Bachchan’s voice says, “If you miss the dose even once and polio attacks your child, he may not be able to walk for the rest of his life. Your love is complete only when your child gets polio drops every time, for the first five years.”
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MPG Audio
Radio PSA (Polio Has No Cure)

Radio PSA (Polio Has No Cure)

Radio PSA on polio where a mother says confidently, while kids chatter in the background – “When my son has high fever, he gets well with the doctors medicine…. When he gets hurt, I apply medicine on his wounds… and when he has cough, I give him tulsi (basil) leaves…” Popular Bollywood actor Amitabh Bachchan’s voice says, “Yes. All this is fine, but if your child gets polio, then your home remedies and doctors’ medicines won’t be able to help….and then your child may not be able to walk for the rest of his life. So give your child two drops for the first five years. Remember- Polio has no cure, two drops every time is the right protection”.
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MP3 Audio
Cinema Slide 6 - on Polio and RI (with baby)

Cinema Slide 6 - on Polio and RI (with baby)

Cinema slide on polio with a baby getting polio drops. The slogan reads ‘lay the foundation of a healthy future today’. The polio campaign logo is given at the right side top which reads, ‘protection from polio, two drops for my child every time’. Along the bottom it reads ‘protect your child from the 6 life threatening diseases, get them routinely immunized and get them polio drops in every polio round’. This slide is displayed by cinema halls before or during the interval break, during a polio round. Primary message: polio vaccination, routine immunization
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Cinema Slide 5 - with a couple and their baby

Cinema Slide 5 - with a couple and their baby

Cinema slide on polio with a couple and their baby. The main slogan reads ‘wherever you are, wherever you go, get your child polio drops every time’. The polio campaign logo is given at the right side top which reads, ‘protection from polio, two drops for my child every time’. Along the bottom it reads ‘first 5 years, get your child two drops every time’. This slide is displayed by cinema halls before or during the interval break, during a polio round. Primary message: polio vaccination
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JPEG Slide
Cinema Slide 3 - on Polio and RI (couple and baby)

Cinema Slide 3 - on Polio and RI (couple and baby)

Cinema slide on polio and routine immunization with a couple and their baby. The slogan reads ‘lay the foundation of a healthy future today’. The polio campaign logo is given at the right side top which reads, ‘protection from polio, two drops for my child every time’. Along the bottom it reads ‘protect your child from the 6 life threatening diseases, get them routinely immunized and get them polio drops in every polio round’.This slide is displayed by cinema halls before or during the interval break, during a polio round. Primary message:polio vaccination, routine immunization
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JPEG Slide
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