This document describes how South Afghanistan operationalizes the national polio pull strategy — adopted in April 2025 in response to a shift from house-to-house vaccination to a site-based campaign modality — at the district and cluster level.

The core of the approach is a cluster-based microplanning system across 928 clusters in 24 high-risk districts. After each campaign, low-performing clusters are identified using PCA (Post-Campaign Assessment) data and refusal rates, and targeted with joint WHO/UNICEF/EOC action plans that address both behavioural ("pull") and operational ("push") barriers.

The document covers: the four pillars of the pull strategy (enabling environment, community ownership, campaign quality, and evidence-based decision-making); the design and functioning of vaccination sites; the pre/intra/post campaign microplanning cycle; the action plan process for low-performing clusters; and the staffing structure — from Provincial Communication Officers down to Social Mobilizers, vaccinators, and volunteer enablers.

Key context includes the constraints specific to southern Afghanistan: site-based modality limitations, restrictions on women in the workforce and caregivers' access to sites, ongoing misinformation and refusals, and resource constraints requiring prioritization of highest-risk areas.

Best used for: understanding South Afghanistan's cluster-level implementation model, microplanning tools, staff roles and accountability structures, and the operational logic behind the pull strategy.