Box 1: Interventions to improve governance, leadership and accountability

§ Establish and strengthen governance platforms from provincial to lowest administrative (union) levels

§ Develop unified and robust management structure at all levels

§ Build capacity of management staff to optimally perform management functions

§ Strengthen functional linkages and coordination between the stakeholders (Sindh EPI, Karachi municipal authority, NGOs, Private sector, Civil Society etc)

§ Conduct oversight and program monitoring of immunization services for accountability

§ Improve synergies between polio eradication initiatives (PEI) and routine immunization (RI)