WEBVTT

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MALABIKA SARKER: The
specific pros and cons

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associated with vertical
and integrated approach

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are well known, the
vertical approach

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being a disease-specific,
top-down approach that

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makes it easier to opt in
funding and measure results,

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and the horizontal approach
being a more comprehensive

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approach that seeks to treat all
the underlying issues related

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to health system.

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Let's return to the
Nigeria example.

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To what extent
are the challenges

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we reviewed a few slides ago
related to the vertical nature

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of the program?

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What about in the
Pakistan example?

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To what extent
are the challenges

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related to the vertical
nature of the program?

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The problem with the
vertical approach

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is this is often
disease-specific,

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hospital-based, medically
driven program focusing

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on single problem, and
often undermine community

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engagement and not sustainable.

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The integrated approach
includes community engagement

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and participation, focusing
multiple intervention.

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Out of this conviction grew
India's Social Mobilization

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Network or SMNet.

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In [INAUDIBLE],, thousands
of mostly young women

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from the communities
they worked in who

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met with parents and
caregivers individually

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to understand their
concerns and explain

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the purpose of the polio drops.

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Social mobilizers enlisted local
influencers, religious leaders,

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teachers, and doctors to
support vaccine campaign

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and help them talk to parents.

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They hosted mothers groups
that addressed health issues

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beyond polio, including hygiene
and health, breastfeeding,

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and nutrition.

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Groups running the SMNet,
UNICEF, and the core group

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Polio Project
developed indicators

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to measure the performance
of social mobilization

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so they could prove to the
data-driven epidemiologist

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and physician running the polio
program that the approach was

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working.

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Let's take a look at this
butterfly diagram developed

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by the SMNet, our
Social Mobilization

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Network in India, India's
polio communication program.

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The program incorporated
several messages.

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Breast feeding, [INAUDIBLE]
with the polio messages.

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Most polio staff embraced this
because, after years of polio

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messaging, they could do more.

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The answer of this question
I'm asking you to think,

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can engaging communities be as
simple as providing service?

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After finishing this
lecture, I would also

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like you to think and try to
answer the following questions.

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Given your experience
and the information

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provided in the lecture
and the case study,

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how would you apply
what you have learned

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about community engagement
during polio eradication

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efforts to the non-polio
situation described?

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Also to identify potential
communities or community groups

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in the case study
that might have

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different views about Ebola
and how it is controlled.

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Finally a few more
questions to think about.

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Describe what you see as
the critical problem related

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to community engagement
in this situation,

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but also describe in detail
at least one strategy

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you would recommend--

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to clarify the key
actors in your strategy

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and what those actors should do,
describe the expected results,

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and describe at least one
potential negative response

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to your strategy and how you
might prevent that response.

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Thank you.

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