Editorial
Pakistan’s renewed polio vaccination campaign, targeting 45 million children under five, underscores the country’s determination to eliminate one of the last remaining reservoirs of the virus globally. Despite decades of effort, Pakistan has struggled to achieve complete eradication, and understanding the reasons behind this gap is crucial if the country hopes to cross the finish line.
One major challenge has been persistent insecurity and resistance in certain regions. In areas affected by conflict, frontline health workers face threats, violence, and social suspicion, making house-to-house campaigns dangerous and often incomplete. Misinformation and distrust of vaccines, sometimes fueled by political, social, or religious misconceptions, have also left pockets of unvaccinated children. Logistical difficulties, from reaching remote rural settlements to ensuring cold chain storage of vaccines, further complicate efforts.
Yet, the path to success is clear. Pakistan’s polio programme has already demonstrated what works: sustained campaigns, strong government commitment, and the tireless dedication of over 400,000 health workers. To succeed, the country must combine these operational strengths with a robust strategy to build public trust. Community leaders, religious scholars, educators, and media must actively engage in promoting vaccination, addressing fears and misinformation, and creating a culture of health awareness.
Security for vaccinators must remain a priority, alongside ensuring access to even the most remote and conflict-affected regions. Integrating polio vaccination with broader health services, including routine immunisations, can reinforce community confidence and provide long-term protection.
Pakistan stands at a historic juncture: the virus is within reach of eradication, but only if every child is reached and every community engaged. Success demands unity, resilience, and a whole-of-society commitment. The global and regional threat of polio will end only when Pakistan achieves the final mile. Every drop counts, and every child vaccinated brings the nation closer to a polio-free future.
