WEBVTT

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DR. ANNA KALBARCZYK:
Hi, everyone,

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and welcome to lecture 1 on
Policy Engagement in the Polio

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Eradication Effort.

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I'm Dr. Anna Kalbarczyk,
a faculty member

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at the Johns Hopkins Bloomberg
School of Public Health.

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And I'll be with you
throughout this lecture.

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High level political
support and engagement

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in the polio eradication
effort is essential to success.

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Consider a few
different scenarios.

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In the remaining
endemic countries,

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policy engagement is needed at
both national and sub-national

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levels to ensure high quality
and ongoing implementation

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of strategies.

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In countries that
are polio free,

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political endorsement serves
to improve routine immunization

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coverage, sustain high
quality surveillance,

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achieve appropriate
stocks of the vaccine,

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and ensure complete
documentation

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for certification.

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Given the length of time the
polio program has been working,

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political leadership is
also crucial in ensuring

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there is sufficient financing
for a disappearing disease.

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In planning, implementing
and monitoring

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a program such as
the GPEI, there

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is a need to engage
diverse stakeholders

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and advocate at every
level of government.

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It is not just about keeping
the federal government engaged,

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but also having the provincial
governments engaged as well.

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And here in this video, we'll
see an example from Pakistan.

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As you watch this
video, think about what

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is meant by policy engagement.

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Who are some of the
key stakeholders

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to include in the
process, and what

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are some successful strategies?

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[VIDEO PLAYBACK]

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[MUSIC PLAYING]

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- Saturday, 11
o'clock in my office.

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- In Pakistan, Rotarian
Aziz Memon has raised money

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and changed minds about
polio eradication.

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The stakes are high,
and the challenges many.

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For example,
provincial governments

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are in charge of
health, but they're

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run by different
political parties.

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- These political parties,
they don't get along

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with each other.

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But for polio, we
need to request them--

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please, sit on one
table, and let's talk.

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- Aziz and his colleagues work
to have all political parties

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agree to make polio eradication
a part of their 2018 agenda.

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For the Rotarian
and industrialist,

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strong personal relationships
and remaining neutral

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have been critical.

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- For example, one
particular party

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was not sending their Chief
Minister to the Prime Minister

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Task Force Meeting.

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So I called the
Chairman of that party,

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and I said, this
meeting is for polio.

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You promised me.

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He came.

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- And the work has
been dangerous as well.

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A few years ago,
Taliban militants

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in one part of the country
banned polio activities

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in exchange for an
end to drone strikes.

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Aziz agreed to meet
with the Taliban alone.

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- And I did not know that it
would be such a risky thing.

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And I had to come there alone
and without my cell phone,

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so it was scary, frightening.

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I did not change their
mind, but you know,

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I at least gave them the
message that these children

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could be your own children.

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I have got just one
agenda, and that

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is to take care of the
children and finish polio.

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- Aziz says he's committed
until polio is gone for good.

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- Those days when my life was
being threatened, at that time,

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it was always in my
prayers that I should

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live until I'm done this.

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I will not stop.

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I will finish the disease.

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[MUSIC PLAYING]

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[END PLAYBACK]

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DR. ANNA KALBARCZYK:
Throughout this lecture,

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we'll cover a few key
topic areas, including

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the importance of health
policymaking and public health

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programs.

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We'll consider policymaking
theories and processes

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and also discuss the process
of identifying and engaging

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stakeholders--

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something that is needed
throughout the continuum

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of a health program.

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We will also describe
power dynamics

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in policymaking and the
importance of considering

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contextual factors.

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Each of these domains can
describe key challenges

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and strategies for policy
engagement, which you'll

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see throughout this lecture.

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As we explore the importance
of policy engagement,

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consider your own
policy setting.

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Who are the stakeholders
at every level

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that should be engaged?

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Why are they important?

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And what might be the best ways
to actively and meaningfully

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engage them?

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[MUSIC PLAYING]

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