This report presents the findings of the Communication Review panel, conducted for UNICEF Pakistan on behalf of the national polio eradication programme. In general terms the review found that the significant increase in polio communication capacity over the past several months and the momentum this is creating within the programme are positive and provide the strongest and most comprehensive communication platform the programme has ever had. Foundations have been built for: focused community mobilization through COMNet; a mass media campaign capable of reaching high risk populations; training to strengthen inter-personal communication (IPC) skills for frontline workers; strategy to identify and reach high risk and mobile populations more effectively; a significant new capacity to collect and analyse social data to pinpoint contextual factors at the local level obstructing or supporting better programme performance; & a stronger emphasis on monitoring and evaluation communications and social mobilization initiatives with regard to their contribution to the programme as a whole. However, much of this capacity remains new and it is too early to see the impact of many of the strategies and initiatives that are guiding implementation. Equally, there is still considerable room for improvement, some critical gaps and areas where urgent action is required.