DRAFT

A Poll Supporting Polio Vaccination

and Other Health Services

Knowledge, Attitudes and Practices in

Research-Accessible High-Risk Districts in Pakistan

PRELIMINARY FINDINGS

HSPH/HORP/UNICEF Collaboration in Polling

Harvard Opinion Research Program
Harvard T.H. Chan School of Public Health

Harvard Opinion Research Program, KAPs Poll to Support Polio Eradication, Pakistan, 2016 1
 Preliminary Findings
DRAFT – Pakistan

This report provides aggregate responses to major substantive questions asked in

the realm of caregivers’ experience with frontline workers (vaccinators) as well as
central demographics. These findings should be considered preliminary and may
be revised with further analyses.

Harvard Opinion Research Program, KAPs Poll to Support Polio Eradication, Pakistan, 2016 2
 DRAFT – Pakistan

Methodology Summary

Harvard Opinion Research Program, KAPs Poll to Support Polio Eradication, Pakistan, 2016 3
 HSPH/HORP/UNICEF Collaboration in Polling:
Polio and Routine Immunization DRAFT – Pakistan

• HORP Researchers

• UNICEF Country Office

• UNICEF Regional Office

• UNICEF Headquarters

• Pakistan Institute of Public Opinion (PIPO)

• InterMedia

• Government of Pakistan

• GPEI Partners

Harvard Opinion Research Program, KAPs Poll to Support Polio Eradication, Pakistan, 2016 4
 Timing and Interview Structure
DRAFT – Pakistan

Timing of interviews: February 23, 2016 to April 5, 2016

Respondents: Adult caregivers of children <5 years old

Interviews:
• In-person interviews using paper and pencil/pen
• Local, specially-trained interviewers and supervisors
• Firm-based and independent quality control
• Fieldwork validation measures – GPS tracker / location photo / letter from community leader

Questionnaire:
• Foundation of the collaborative instrument agreed upon globally
• Customized within Pakistan and for second poll of new high-risk districts

Harvard Opinion Research Program, KAPs Poll to Support Polio Eradication, Pakistan, 2016 5
 Analytic Goals & Sample Design
DRAFT – Pakistan

• Representative of all high-risk UCs within research-accessible high-risk (Tier 1) districts

• Allow for examination of groups of UCs where there are particular programme responses:
o High-risk UCs that have CCPVs within each and across all high-risk districts (as distribution of
CCPVs allow)
o High-risk UCs that have health camps across all high-risk districts

Sample Design
UCs without UCs with
Province District Total
CCPVs CCPVs
Killa Abdulah 200 200 400
Balochistan Pishin -- 400 400
Quetta 200 200 400
FR Bannu 200 200 400
FATA
Khyber 200 200 400
Bannu 200 200 400
Khyber
Peshawar 200 200 400
Pakhtunkhwa
Tank 200 200 400
Karachi Baldia 200 200 400
Sindh
Karachi Gadap 200 200 400
 TOTAL 4000

Harvard Opinion Research Program, KAPs Poll to Support Polio Eradication, Pakistan, 2016 6
 Sampling Process & Security
DRAFT – Pakistan

Sampling Process:
• Sample selected using a multistage stratified design
• Random selection of:
• High-risk UCs within each strata (or inclusion of all if <20)
• Villages/urban circles within high-risk UCs
• Landmarks within selected villages/urban circles
• Household, using “random walk” from random selection of landmarks
• Caregiver, using a Kish grid
• Child (if more than one), using a Kish grid

Security & Logistics Adaptations:

• 3 villages/urban circles had to be replaced due to floods/logistics

Harvard Opinion Research Program, KAPs Poll to Support Polio Eradication, Pakistan, 2016 7
 Analysis
DRAFT – Pakistan

Weighting:
• Data were weighted to account for:
o Analytic design – set sample sizes (population estimates)
o District
o UCs with and without CCPVs
o Possible non-response (age and sex of caregivers)
o Selection within household (number of caregivers)

Analyses:
• Analyses presented here are preliminary; additional analyses are ongoing
• No final statistical tests of differences are presented in this report; future comparative
analyses will focus on targeted differences of at least 10 percentage points

Please note: Numbers may not add to total or 100% due to rounding. The following are not necessarily shown when <5%: those not asked the
question; refusals; responses of “don’t know”, “not applicable,” or “none of the above.” Numbers in this presentation may be refined through
further analyses. Detailed methodology under separate cover.

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 DRAFT – Pakistan

Perceptions of Vaccinators

Harvard Opinion Research Program, KAPs Poll to Support Polio Eradication, Pakistan, 2016 9
 Caregiver Reports of Number of Vaccinators
Q42 DRAFT – Pakistan

% caregivers saying each number of vaccinators came to home

(among those saying they saw vaccinators during last campaign)

One vaccinator
11%

Two vaccinators
81%

Three vaccinators
6%

Four vaccinators
2%

More than four vaccinators

0%

n=2565

Harvard Opinion Research Program, KAPs Poll to Support Polio Eradication, Pakistan, 2016 10
 Caregiver Perceptions of Vaccinator Origins
Q43A and Q43B DRAFT – Pakistan

% caregivers saying…
(among those saying they saw vaccinators during last campaign)

Vaccinator(s) were all from village/neighborhood

51%

Some vaccinators were from village/neighborhood and some from outside

3%

Vaccinator(s) were all from outside village/neighborhood

31%

Don’ t know where vaccinator(s) were from

15%

n=2565

Harvard Opinion Research Program, KAPs Poll to Support Polio Eradication, Pakistan, 2016 11
 Caregiver Reports of Vaccinator Gender and Age
Q44 DRAFT – Pakistan

% caregivers saying vaccinators included…

(among those saying they saw vaccinators during last campaign)

All female adults

41%

Mix of male and female adults

19%

All male adults

18%

Any teens
21%

n=2565

Harvard Opinion Research Program, KAPs Poll to Support Polio Eradication, Pakistan, 2016 12
 Caregiver Views of Acceptable Vaccinator Options
Q58 DRAFT – Pakistan

% caregivers saying most acceptable vaccinator option to send to homes in neighborhood is…

One man
3%

Two men
12%

One woman
4%

Two women
61%

A man and a woman

18%

n=4070

Harvard Opinion Research Program, KAPs Poll to Support Polio Eradication, Pakistan, 2016 13
 Caregiver Trust in Vaccinators
Q45 DRAFT – Pakistan

% caregivers saying they trusted vaccinators…

(among those saying they saw vaccinators during last campaign)

A great deal
68%

Somewhat
30%

Not very much

0%

Not at all
0%

n=2565

Harvard Opinion Research Program, KAPs Poll to Support Polio Eradication, Pakistan, 2016 14
 Caregiver Perceptions of Vaccinator Compassion
Q47 DRAFT – Pakistan

% caregivers saying vaccinators cared…

(among those saying they saw vaccinators during last campaign)

A great deal
67%

Somewhat
28%

Not very much

2%

Not at all
1%

n=2565

Harvard Opinion Research Program, KAPs Poll to Support Polio Eradication, Pakistan, 2016 15
 Caregiver Perceptions of Vaccinator Knowledge
Q48 DRAFT – Pakistan

% caregivers saying vaccinators were…

(among those saying they saw vaccinators during last campaign)

Very knowledgeable
52%

Somewhat knowledgeable
25%

Not very knowledgeable

9%

Not knowledgeable at all

11%

n=2565

Harvard Opinion Research Program, KAPs Poll to Support Polio Eradication, Pakistan, 2016 16
 Caregiver Perceptions of Visit Pleasantness
Q46 DRAFT – Pakistan

% caregivers saying visit from polio vaccinators was…

(among those saying they saw vaccinators during last campaign)

Very pleasant
65%

Somewhat pleasant
32%

Somewhat unpleasant
1%

Very unpleasant
0%

n=2565

Harvard Opinion Research Program, KAPs Poll to Support Polio Eradication, Pakistan, 2016 17
 Caregiver Assessment of Vaccinators
Q49 Compared to Those in Past DRAFT – Pakistan

% caregivers saying, compared to other vaccinators who have visited home in past,
these vaccinators were… (among those saying they saw vaccinators during last campaign)

Better

72%

Same

24%

Worse

1%

n=2565

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 DRAFT – Pakistan

Demographics of
Caregiver and Household

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 Caregiver Gender and Age
D1 (observed) and D2A-B DRAFT – Pakistan

Gender
Female 53%

Male 47%

Age
<25 10%

25-34 41%

35+ 49%

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 Caregiver Relationship to Child
D15 DRAFT – Pakistan

Mother
42%

Father
39%

Paternal grandmother
7%

Paternal grandfather
4%

Maternal grandmother
1%

Sister or brother
1%

Aunt or uncle
1%

Other
5%
Please note each other relationship mentioned was <1%

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 Caregiver Literacy
D5 DRAFT – Pakistan

Cannot read at all

37%

Able to read only parts of sentences

13%

Able to read whole sentences

50%

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 Number of People in Household Over 15
D13 DRAFT – Pakistan

1-2

9%

3-4

26%

5+

64%

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 Number of Children 0-15 Years in Household
D14 DRAFT – Pakistan

1-2

25%

3-4

42%

5+

33%

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 Harvard Opinion Research Program
DRAFT – Pakistan

Gillian K. SteelFisher, Research Scientist and Deputy Director of HORP

Robert J. Blendon, Professor of Health Policy and Political Analysis
and Executive Director of HORP
Hannah Caporello, Research Assistant
William Lodge II, Research Assistant

Harvard Opinion Research Program (HORP)

Harvard T.H. Chan School of Public Health
677 Huntington Avenue
Boston, MA 02115

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