WEBVTT

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[MUSIC PLAYING]

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MALABIKA SARKER: A wide
spectrum of categories

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considered as special are
vulnerable populations.

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The word simply implies the
subsegment of the population.

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But remember, any of us
can become vulnerable

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if the context changes
for any reason,

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and coronavirus outbreak in
2020 is one of the examples.

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However, reaching special
or vulnerable populations

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is a well-known challenge
in many contexts.

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The polio virus remains in
just a few small pockets

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around the world.

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These final hiding
places are some

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of the most challenging
settings in which

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to eradicate a disease.

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Health workers around the
world are working tirelessly

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to vaccinate every last child
in these hard to reach places.

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Some areas are vast
and sparsely populated,

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such as the broad
plains and riverbeds,

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making up areas of
the Lake Chad region.

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Other are densely
packed residential areas

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of Afghanistan, where
security issues can sometimes

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make immunization difficult.

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In areas of Syria,
civil war continues

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to rage through towns,
communities, and families.

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Polio health workers must deal
with all of these challenges.

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We do not want to
leave anyone behind.

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The effort to vaccinate every
last child, health workers

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traverse mountains,
cross rivers,

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move through the deserts, travel
by boat, travel by motorbike,

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even vaccinate the children
whilst traveling by train.

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Recruiting and retaining skilled
and motivated health workers

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to travel to remote areas and
carry out program activities

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remains a critical challenge.

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Isolated areas often lack
health facilities, health care

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services, basic medical
equipment, and medicine.

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As it is called, sizeable
cadres of health workers

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are deployed to these areas in
an effort to reach every child.

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However, maintaining morale
can be difficult due to having

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to undertake exhausting
journeys for many hours,

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compounded by the lack
of adequate accommodation

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and food.

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These challenges
result in worker

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fatigue and subsequent failure
in reaching program targets.

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The strategies for
enabling health worker

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to reach special
populations include

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recruiting and training
volunteer selected

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from the community, redirecting
the staffs from an existing

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program, identifying
and negotiating

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with local vigilantes
for ensuring the safety

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of the health workers.

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[MUSIC PLAYING]

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