1 FIGHT PNEUMONIA 0 2 IFINNAL R EPNORT I SMGALL ......World Pneumonia Day 2011 — The International...

FIGHT PNEUMONIAFINAL REPORT SMALL GRANTS PROGRAM

IN NIGERIA2011

INTRODUCTION

Pneumonia is the leading cause of death in children under five around the world, taking the lifeof one child every 23 seconds. But until recently, pneumonia has received little of the attentionit deserves.

In 2009, WHO and UNICEF released the Global Action Plan for the Prevention and Control ofPneumonia (GAPP) showing that pneumonia deaths could be reduced by two-thirds if existinginterventions to protect against, prevent, and treat pneumonia could be scaled up to reach 90percent of the world’s children. Targets set by GAPP now provide measures for trackingprogress in pneumonia control.

Motivated by GAPP, a diverse group of organizations formed the Global Coalition Against ChildPneumonia. Working together, the Coalition launched the first World Pneumonia Day (WPD)in 2009, to raise awareness and generate action to reduce child mortality from pneumonia. TheInternational Vaccine Access Center (IVAC) then partnered with the GAVI Alliance, Global Alliance for Clean Cookstoves, and Best Shot Foundation to create the Small Grants Programto fund a wide variety of events around the world for WPD.

This report focuses on the WPD 2011 activities in Nigeria, the country with the second highestburden of childhood mortality from pneumonia, after India. Although Nigeria lags behind inkey GAPP and child mortality indicators, progress in combatting pneumonia has begun underthe leadership of the Nigerian government, and with the support of a host of dedicated partners.Increasing coverage of routine vaccines and introducing new vaccines against the two leadingcauses of fatal pneumonia — Haemophilus influenzae type b (Hib) and pneumococcus — are highpriorities for Nigeria. But vaccination is not the only strategy for pneumonia control‚ interven-tions to increase breastfeeding rates, reduce exposure to indoor smoke, and improve access totreatment must also be implemented to truly succeed in this fight.

For Nigeria’s WPD 2011 celebration, small grants were awarded to six organizations for a totalof 14 events, which reached over 20,000 people. Events targeted a group of diverse stakeholders,including politicians, health care professionals, religious and community leaders, and thousandsof families. Harnessing the power of local organizations is the best way to excite widespread,grassroots support, crucial for the sustained change needed to address pneumonia. Severalother organizations, some of which are previous grantees, also joined in by hosting their ownWPD activities — evidence of the catalytic nature of the Small Grants Program.

With pneumonia as the second leading cause of under 5 deaths in Nigeria, accelerating uptakeof proven interventions for pneumonia control is urgently needed to propel the country’s marchtowards the United Nation’s Millennium Development Goal (MDG) 4: reduce child mortality bytwo-thirds by 2015.

• Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

• Pneumonia: The Forgotten Killer . . . . . . . . . . . . . . . . . . . . . 4

• Uniting Against Pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . 5

• Pneumonia in Nigeria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

• About the Small Grants Program . . . . . . . . . . . . . . . . . . . . 7

• Grantee Spotlights

Nigeria Supreme Council for Islamic Affairs . . . . . . . . . . . 8

So-Healthi . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

University of Ibadan —

Health Promotion and Education Dept. . . . . . . . . . . 10

Paediatric Association of Nigeria . . . . . . . . . . . . . . . . . . . . 11

Vaccine Network for Disease Control . . . . . . . . . . . . . . . . 12

Mexzen Care for Life Foundation . . . . . . . . . . . . . . . . . . . 13

• Non-Grantee Spotlights

Breath of Life . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

Village Health Relief Initiative . . . . . . . . . . . . . . . . . . . . . . 14

National Primary Healthcare Development

Agency and Pfizer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

• Summary of World Pneumonia Day 2011

Events in Nigeria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

• Snapshots of Events Around the World . . . . . . . . . . . . . . 17

• Looking Forward . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

• IVAC’s Efforts in Nigeria . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

• Global Coalition Against Pneumonia. . . . . . . . . . . . . . . . . 20

TOP: Commercial motorcyclists (okada) participating in the pneumonia advocacy and sensitization campaign at the World Pneu-monia Day event in Cross River State, Nigeria. MIDDLE: A participating doctor is interviewed by the press after the pneumonia ad-vocacy event at the Department of Paediatrics, Lagos University Teaching Hospital, Lagos, Nigeria. BOTTOM: Fashion Showparticipant waves as he walks across the stage, Abuja, Nigeria.

TABLE OF CONTENTS

4

PNEUMONIA: THE FORGOTTEN KILLER

Pneumonia is the world’s leading killer of children under five, taking the life of one child every23 seconds — more than HIV/AIDS, malaria, and measles combined. In 2010, nearly 1.4 millionchildren under five died from pneumonia. It is often referred to as the “forgotten killer” becausehistorically it has received little attention despite its importance. In the last decade, global healthleaders have worked to turn the tide on pneumonia, and in doing so created a global movementto save children’s lives through annual recognition of World Pneumonia Day.

In 2009, WHO and UNICEF released the Global Action Plan for the Prevention and Control ofPneumonia (GAPP) showing that pneumonia deaths could be reduced by two-thirds if existinginterventions to protect against, prevent, and treat pneumonia could be scaled up to reach 90percent of the world’s children. These interventions include:

� Ensuring effective case management and treatment at the community level

� Breastfeeding exclusively for the first six months of life and providing zinc supplementation

� Reducing indoor air pollution

� Immunizations with vaccines against Hib, pneumococcus, measles and pertussis

� Preventing mother-to-child transmission of HIV

� Promoting regular hand washing

4 global coal it ion against chi ld pneumonia

INTERVENTIONS TO PREVENT PNEUMONIA EXIST — THE CHALLENGE

IS DELIVERING THEM TO CHILDREN WHO NEED THEM. OVERCOMING

THESE HURDLES WILL SAVE THE LIVES OF MILLIONS OF CHILDREN.

—Orin Levine, Ph.D.Executive Director, International Vaccine Access Center

Global and national statistics on childhood mortality quoted in this report come from Liu L, Johnson HL, Cousens S, et al. Global regional,and national causes of child mortality: an updated systematic analysis for 2010 with time trends since 2000. Lancet 2012; 379: 2151-61.

Recommendations for pneumonia control quoted in this report come from the Global Action Plan for Prevention and Control of Pneumonia(GAPP). WHO/UNICEF 2009.

Fight Pneumonia In Nigeria 5

UNITING AGAINST PNEUMONIA

GAPP emphasized the need for global health partners to better coordinate efforts against child-hood pneumonia. In response, a diverse group of advocacy, academic, and service organizationsjoined forces in 2009 to form the Global Coalition Against Child Pneumonia. Working together,the Coalition launched the first-ever World Pneumonia Day on November 2, 2009 — now ob-served annually on November 12 — to raise awareness about the disease, promote interventionsto protect against, prevent, and treat pneumonia, and generate action to combat the world’sleading killer of young children.

The Coalition remains united in efforts to support the achievement of the United Nations’ Mil-lennium Development Goal (MDG) 4 of reducing child mortality by two-thirds by 2015. In 2010,Coalition member organizations urged their governments to support a World Health AssemblyResolution stating that intensified efforts to address the prevention and treatment of pneumoniaare vital to reducing child mortality and achieving MDG 4, and requiring countries to report an-nually on progress controlling childhood pneumonia. The resolution was adopted by all WorldHealth Organization Member States.

Reducing the burden of the world’s leading child killer will be a major factor in countries’ effortsto achieve the MDGs, and advocates, governments, and the public all have a role to play.

LEFT: Her Excellency, Mrs Obioma Liyel-Imoke with other dignitaries leading in pneumonia advocacy walk. RIGHT: Her Excellency, Mrs Obioma Liyel-Imoke, Wife ofthe Cross River State Governor lending her voice to raise awareness about pneumonia at the event.

PROVISION OF IMMUNIZATIONS AND OTHER HEALTH SERVICES IS A

BASIC HUMAN RIGHT THAT EVERY CHILD DESERVES.

—Dr. Mohammad Pate, Minister of State for Health, Nigeria


PNEUMONIA IN NIGERIA

According to recent WHO estimates, 868,000 children under the age of five years died in Nigeriain 2010. Pneumonia is the second leading cause of death in this age group, killing more than140,000 children each year. As a result of a high child mortality rate and a large population,Nigeria is second only to India in the total number of childhood deaths. Considering Nigeria’swealth of human and natural resources, access to health services are generally low and coveragerates for interventions that protect against, prevent, and treat pneumonia are lower than manyother countries in the region.

Despite the burden of disease, Nigeria has made extraordi-nary progress in improving access to vaccination in recentyears. Coverage for all vaccines increased substantiallyover the 2000-2010 decade. According toWHO/UNICEF estimates, DTP3 coverage more thandoubled from 29% to 69% during this time period.In late 2011, Nigeria conducted an important masscampaign to deliver a new meningitis vaccine. InJune 2012, Nigeria introduced the pentavalentvaccine, which protects against Hib, pneumoniaand meningitis, along with four other childhooddiseases. Efforts to eradicate polio are at an all-time high as the country fights to escape being oneof the three polio endemic countries in the world.

Nigeria has a major opportunity to reduce child mor-tality from pneumonia by rolling out new vaccines,closing gaps in vaccination coverage, and increasing ac-cess to prevention and treatment services. Advocacy throughthe Small Grants Program is one way to kick start these efforts.

OTHERDISORDERS

15%

MALARIA20%

PNEUMONIA14%

DIARRHOEA10%

AIDS 4%MENINGITIS 3%

INJURY 3%

MEASLES 1%

NEONATALCAUSES

30%

MEASLESVACCINE

COVERAGE (2010)

0

10

20

30

40

50

60

70

PE

RC

EN

TA

GE

80

90

100

PERTUSSIS VACCINE (DTP3)

COVERAGE 2010

% CHILDREN WITH SUSPECTED

PNEUMONIA TAKEN TO

HEALTH FACILITY

TARGET INTERVENTION COVERAGE AS RECOMMENDED BY GAPP

% CHILDREN WITH SUSPECTED

PNEUMONIA RECEIVING

ANTIBIOTICS

% CHILDREN EXCLUSIVELY

BREASTFED IN FIRST 6 MONTHS

GAP BETWEEN CURRENT COVERAGE AND RECOMMENDED COVERAGE.

CURRENT INTERVENTION COVERAGE.

Gaps in Coverage of Pneumonia ControlInterventions in Nigeria

Causes of Death in ChildrenUnder 5 Years in Nigeria, 2010

Pneumonia intervention coverage statistics come fromInternational Vaccine AccessCenter. Pneumonia ProgressReport 2011.

National immunization coverage statistics quoted in this report come fromWHO/UNICEF estimates of national immunization coverage.

7

ABOUT THE SMALL GRANTS PROGRAM

World Pneumonia Day 2011 — The International Vaccine Access Center (IVAC), GAVI Alliance, GlobalAlliance for Clean Cookstoves, and Best Shot Foundation funded local advocacy activities in 14 de-veloping countries to advocate for pneumonia control through prevention, protection, and treat-ment. Small grants were awarded to 14 organizations, 6 of which are located in Nigeria.

Objectives:� Amplify the need for a three-pronged approach to protect against, prevent and treat pneu-

monia, as outlined in the GAPP, in order to effectively control the disease and save lives.� Use World Pneumonia Day as a platform for advocates to engage governments and urge

the prioritization and full funding of child survival programs, with a particular emphasis oncountries with the highest pneumonia disease burden.

� Generate and support international grassroots events designed to reach, educate and as-sist communities in need, with a particular emphasis on the developing world.

� Generate media coverage around Coalition members’ studies that shed light on progress,challenges and opportunities in the fight for pneumonia control.

� Prioritize blogs and social media activity to amplify and deepen the conversation aboutpneumonia and to inspire action.

� Engage new voices and faces of pneumonia — from everyday people to well-knowncelebrities — as campaign messengers.

Diverse advocacy activities were undertaken in Nigeria, including petitions to government to in-crease funding and introduce new vaccines, grassroots community education and awarenesscampaigns, and provision of free immunizations and other health services.

Grantees were chosen through a competitive process by a panel of experts. A total of 113 applications were submitted, 21 of which were from Nigeria. Small grants were awarded to 14organizations, including 6 in Nigeria, for their innovation, ability to reach vulnerable populations,targeting of key stakeholders, and leveraging of other funds.

Small Grants Recipients: Nigeria � Danjuma Abdullahi, Nigeria Supreme Council for Islamic Affairs, Abuja� Rosemary Archibong, So-Healthi, Calabar� Ademola Adelekan, University of Ibadan —

Health Promotion and Education Department, Ibadan� Ekanem Ekure, Paediatric Association of Nigeria, Lagos� Chika Offor, Vaccine Network for Disease Control, Lagos � Dr. Odiraa Nwankwor, Mexzen Care for Life Foundation, Abuja


NIGERIAN ADVOCATES ARE BRINGING PNEUMONIA TO THE ATTENTION

OF FAMILIES, HEALTH PROFESSIONALS, AND POLITICIANS – THIS IS FIRST

STEP TOWARDS ENSURING THAT EVERYONE HAS ACCESS TO SERVICES

TO PROTECT AGAINST, PREVENT, AND TREAT THE DISEASE.

—Lois Privor-Dumm, MIBS, Director of Alliances & Information, IVAC

8

SMALL GRANTS PROGRAM — SPOTLIGHTS

Nigeria Supreme Council for Islamic Affairs Abuja, NigeriaCreating Awareness on Childhood Pneumonia

The Nigerian Supreme Council for Islamic Affairs (NSCIA) sought to use WPD 2011 to gain sup-port for pneumonia advocacy from religious leaders and spread pneumonia messages as widelyas possible.

In one of the first major efforts to include religious leaders in pneumonia control, NSCIA organ-ized lectures at mosques throughout Abuja to teach both leaders and community membersabout pneumonia prevention and treatment.

Sermons were delivered at six mosques around Abuja, and worshippers were asked to bring themessages home to their families and communities. Radio jingles about pneumonia were broad-cast to surrounding states on Aso Radio (FM 93.5).

NSCIA also called on the Nigerian Government to provide immunizations against commoncauses of childhood pneumonia. In response, the Federal Capital Territory (FCT) Primary HealthCare Board indicated interest in collaborating with NSCIA in the fight against pneumonia in ruralcommunities of FCT. In addition, the Health Human Services Secretariat promised to make vac-cines more widely available in this area.

Highlights: � Over 18,050 people were reached by NSCIA World Pneumonia Day 2011 messages. � 3,500 information, education, and communication materials were distributed.� Religious leaders at six mosques committed to creating awareness of pneumonia. � Radio jingles with pneumonia information were broadcast to 18 states.� Connections between NSCIA and the government were built for the purpose of raising

awareness of pneumonia and increasing immunization coverage.

LEFT: Worshippers from the six Area Councils listen to a lecture on pneumonia. RIGHT: Dr. Saddiq Abdulrahman of Health and Human Services Secretariat lectureson pneumonia.


9

SPOTLIGHTS — CONTINUED

So-Healthi Calabar, NigeriaDrown Pneumonia, Rescue a Child

The primary goal of So-Healthi’s (Society for Health Enlightenment Initiative) WPD 2011 projectwas to train traditional birth attendants, mothers, and community leaders in pneumonia preven-tion methods.

For their main event, So-Healthi hosted a boat regatta to gain publicity for pneumonia messages.Over 300 people attended, including children, pregnant women, nursing mothers, traditional birthattendants, nurses, pharmacists, doctors, community leaders, and government officials. To reachthose who did not attend the boat regatta, So-Healthi teams visited six nearby villages to deliverinformation on the dangers of indoor smoke and other ways to protect against pneumonia.

Training sessions on pneumonia prevention and treatment were held at the boat regatta for 45traditional birth attendants (TBA) from ten local government wards. A local medical team wasalso present at the regatta to conduct pneumonia screenings for children, and two children werediagnosed and treated for pneumonia.

Visits to the Chairman of the Bakassi Local Government Council also proved fruitful. Governmentofficials announced that free doses of pneumococcal conjugate vaccine were being administeredat local clinics that day. And the wife of the Chairman of the Bakassi Local Government ex-pressed her satisfaction about the rally and requested further collaboration on health care pro-grams with So-Healthi.

Highlights: � 300 people attended the So-Healthi WPD 2011 Boat Regatta. � 45 TBAs from 10 government local wards were trained in pneumonia prevention and treatment.� Sensitization events were held in six rural villages, reaching hundreds of people. � Future collaborations for pneumonia prevention activities were planned between

So-Healthi, government, and the community.

Young men compete in a boat regatta to raise awareness of pneumonia.


10


University of Ibadan - Health Promotion and Education DepartmentIbadan, Nigeria Generating Political Will for Pneumonia Control Project

The University of Ibadan leveraged WPD 2011 to generate political will among Oyo State legis-lators for introduction of the Hib vaccine and provision of free pneumonia treatment for childrenunder five years of age.

The university’s activities began with a workshop to provide key policymakers with evidencedemonstrating the need for pneumonia control, as well as information on the human, material,and financial resources necessary to launch these programs.

Student rallies were also organized to bring attention to pneumonia issues outside the Ministryof Health and State Legislature’s House Committee on Health. Five members of the House Com-mittee joined the rally.

In response to university’s call to action, government officials promised to begin free health pro-grams for children under five. Introduction of Hib vaccine was projected for the coming year.The Chairman of the House Committee on Health also promised to ensure that adequate fundingis set aside for pneumonia control in 2012 Appropriation Bill.

Highlights: � Influential state legislators were reached with key pneumonia messages.� Students and other community members made their voices heard to legislators. � Government officials projected introduction of the Hib vaccine for 2012. � Government officials promised to increase funding for pneumonia control programs for

children under five.

Oyo State House of Assembly Members including the Hon. Speaker of the House during the pneumonia workshop.


11


Paediatric Association of NigeriaLagos, NigeriaPress Conference to Herald the World Pneumonia Day Celebration

The Paediatric Association of Nigeria (PAN) held a press conference on World Pneumonia Day2011 to raise awareness about the severity of childhood pneumonia in the country. More than50 people attended the session, which featured a documentary about the challenges of pneu-monia for a typical Nigerian family. Present were ten different national television and newspapermedia organizations as well as doctors, nurses, and medical students.

The documentary also aired the weekend following World Pneumonia Day on the National Television Authority (NTA), a channel with over 90 million viewers.

During the National Pneumococcal Summit, Dr. Ekarem Ekure, Secretary of PAN, took the op-portunity to call upon the federal government to include the pneumococcal conjugate vaccineinto routine immunization schedules in Nigeria.

Highlights: � Documentary on pneumonia issues was featured on national television. � A press conference delivered pneumonia messages to ten different media outlets.� A petition was made to the federal government during the National Pneumococcal

Summit to introduce the pneumococcal vaccine.

Press conference with Dr. Temiye, Acting Head of Paediatrics, Lagos University Teaching Hospital, Lagos, Nigeria.


12


Vaccine Network for Disease ControlAbuja, NigeriaFashion for Pneumonia

The Vaccine Network for DiseaseControl organized a festival tocelebrate WPD 2011 and raisethe profile of pneumonia anddisseminate information aboutdisease prevention, recognition,and treatment. Events served asa platform to advocate for theintroduction and free provisionof the pneumococcal conjugatevaccine for children under fiveyears of age.

The day’s activities were varied, ranging from educational presentations by experts to "edutainment"performances by children. Pediatricians presented papers on pneumonia and held question and an-swer sessions for adults and children. Complementarily, children from one orphanage and two localAbuja schools performed a pneumonia-themed fashion show, dance competition and play.

Highlights: � A total of 230 parents, children, journalists, policy makers and potential sponsors learned

about pneumonia. � Pneumonia messages were converted into a variety of forms, such as theater and dance.

TOP: Students ask questions about pneumonia after the performance, Abuja, Nigeria. BOTTOM: Children perform a play about pneumonia prevention.


13


Mexzen Care for Life Foundation Lagos, NigeriaOne Last Case of Childhood Pneumonia in Nigeria

For WPD 2011, The Mexzen Care for LifeFoundation reached out to parents,health care workers, and policy makersin Lagos through a public awarenesslecture and theatrical performanceabout how to recognize pneumoniasymptoms and seek health care.

Mothers who attended the events wereadministered a pre- and post-test, as-sessing understanding of important

pneumonic topics. The tests showed the mothers’ knowledge improved as a result of the activities.

Both the lecture and performance emphasized the need for increased political will from policymakers at all levels of government, especially in regards to the availability of vaccines and otheraspects of pneumonia prevention.

Highlights: � Mothers participating in the event had improved understanding of pneumonia. � The event received media coverage from a major national daily newspaper. � The Medical Officer of the Isolo Local Government agreed to prioritize procurement of

vaccines for pneumonia prevention once made available by the state.

TOP: The Flaming Fire Drama Ministry performs skit on recognizing the symptoms of pneumonia. BOTTOM: Mothers and children who gathered for the WPD events.


14

MORE WORLD PNEUMONIA DAY ACTIVITIES(NOT FUNDED BY THE SMALL GRANTS PROGRAM)

Breath of Life Abuochichie, Bekwarra, Cross River State, NigeriaAwareness March

Breath of Life (BOL) cele-brated World Pneumonia Day2011 with an advocacy andsensitization march for pneu-monia in Abuochiche, a ruralcommunity. Led by the FirstLady of Cross River State, Mrs.Obioma Liyel-Imoke, partici-pants took to the streets withsigns and banners to educateparents about pneumonia. Acoalition of partners providedfunding for pneumonia preven-

tion education, free screening, treatment of sick children, and vaccination for 1,000 childrenunder the age of five years. Mrs. Liyel-Imoke, a previous grantee, is one of the best examplesof the catalytic effects of the WPD small grants. She has continued to hold advocacy eventsby leveraging local resources.

Village Health Relief Initiative Lagos, NigeriaAwareness March

Village Health Relief Initiativeled an awareness march downthe streets of Lagos, Nigerianeighborhoods to inform resi-dents about childhood pneu-monia. The public was excitedto learn that there are vaccinesto prevent and drugs to treatpneumonia. After the march,the Director of Village HealthRelief Initiative, Dr. Adeg-boyega Oderinde, led cam-paigners to a school to teachstudents about the disease.


Pneumonia advocacy and sensitization walk in Abuochichie, Cross River State.

World Pneumonia Day parade, Lagos, Nigeria.

15

MORE ACTIVITIES…

National Primary Healthcare Development Agency and PfizerAbuja, NigeriaThe National Pneumococcal Summit

The National Pneumococcal Summit 2011, themed Fight Pneumonia, Save A Child, was organized by the National Primary Healthcare Development Agency and Pfizer as part ofWorld Pneumonia Day commemorations in Nigeria. The Summit aimed to:

� Create awareness about the burden of pneumonia� Develop partnerships among stakeholders to fight pneumonia� Mobilize resources for the fight against pneumonia� Chart a road map to prevent, protect, and manage the disease� Elicit political commitment at all levels of government

Participants included representatives from the Federal Ministry of Health, National PrimaryHealthcare Development Agency, State Ministries of Health, the press, academia, the Paedi-atric Association of Nigeria, and Pfizer pharmaceuticals.

Presentations and discussions covered the need for introduction of PCV, the merits of PCV 10versus PCV 13, and the desire by some states to initiate vaccine procurement for their own needs.

NIGERIA HAS THE POWER TO PROTECT EVERY CHILD FROM PNEUMONIA

AND OTHER INFECTIOUS DISEASES. LET US STAND TOGETHER AND

MAKE THIS HAPPEN.—Mrs. Obioma Liyel-Imoke

Wife of the Governor of Cross River State

LEFT: Interview with Guest Speaker, Dr. Ify Anyaoku. RIGHT: Executive Director of the Village Health Relief Initiative teaches students about pneumonia.


16

SUMMARY OF WORLD PNEUMONIA DAY2011 EVENTS IN NIGERIA

To mark World Pneumonia Day 2011, the six Small Grants Program recipients hosted 14 events, reach-ing over 20,000 people across Nigeria. Events were attended by many stakeholders — children,mothers, health professionals, worshippers, religious leaders, community leaders, and politicians —illustrative of the broad partnerships that are crucial to the success of the pneumonia control effort.

Although World Pneumonia Day is celebrated on November 12, pneumonia control is a yearlongbattle, requiring constant work to deliver messages and services to people all across Nigeria. Or-ganizations taking part in WPD 2011 have demonstrated their commitment to this fight. With en-thusiasm and creativity, grantees and others carried out an impressive collection of events to takeon pneumonia in their communities. Their contributions, whether small or large, have served ascatalysts for change, propelling the country towards a future where Nigerian children are free fromthe burden of pneumonia.

Range of WPD Events Conducted by Grantees in Nigeria

� Boat regatta� Community meetings� Fashion show� Free medical treatment

� Lectures � Parades� Pneumonia screenings� Political meetings

� Press conferences � Radio shows� Religious sermons � Theatrical plays

CALABAR

LAGOS

IBADAN

Map of Nigeria showing locations of WPD events in 2011


17

SNAPSHOT OF EVENTS AROUND THE WORLD

The International Vaccine Access Center (IVAC), GAVI Alliance, Global Alliance for Clean Cook-stoves, and Best Shot Foundation funded local advocacy activities in 14 developing countries toadvocate for pneumonia control through protection, prevention, and treatment. Small grantswere awarded to 24 organizations across these countries.

Inspiring advocates to drive change worldwide� 62 events held in 29 countries across six continents� 24 local organizations in�14 countries awarded small grants� More than a dozen new organizational members of the Global Coalition Against Child

Pneumonia recruited� Governments of at least 11 countries directly targeted by World Pneumonia Day outreach

efforts

Spreading the word far and wide� 494 total media placements — including 240 unique news stories — generated in 52 countries� More than 120 blog posts mentioning World Pneumonia Day in the week before November 12

— many as a result of relationships established with more than 75 influential bloggers covering global health, parenting and general interest topics

� More than 6,000 new Facebook fans and Twitter followers recruited — achieving morethan a 10-fold increase over regular traffic through World Pneumonia Day social mediachannels

� 2,575 mentions of World Pneumonia Day and 2,082 mentions of the #WPD2011 hashtag onTwitter during the week of World Pneumonia Day

Protecting against, preventing and�treating pneumonia� � Thousands of children provided with free medical care through events in at least six countries

— including Malawi, where�the first pneumococcal vaccine was administered thanks to GAVIsupport

� At least four research reports about the status of pneumonia interventions released by Coalition members in coordination with World Pneumonia Day


LOOKING FORWARD

Over 868,000 Nigerian children die each year, about a quarter of which are from vaccine prevent-able diseases such as pneumonia, diarrhea, meningitis and measles. Nigeria stands to make rapidimprovements in child survival by extending vaccine services to children and families currently with-out access.

In 2012, the Nigerian government made several very heartening commitments to expand immunizationservices during the first-ever National Vaccine Summit held in April, 2012. The First Lady, Dame PatienceJonathan, urged the creation of a national fund under a future Nigerian Alliance for Vaccines and Im-munization (NAVI), a public-private partnership, to provide vaccine financing from within the country.She also called for a biannual African Vaccine Summit to measure progress of vaccination initiatives. Ahigh priority in the next few years is Nigeria’s plan to rollout the pentavalent and pneumococcal conju-gate vaccines, which will substantially reduce deaths from pneumonia and other diseases.

A call to action was made to Nigerian leaders from across traditional and religious sectors to committo ensuring excellence at primary health care facilities in their communities.

The goal of these efforts is to achieve universal coverage for all Nigerian children by year 2015. IfNigeria can achieve 90% coverage of 5 key vaccines in the next ten years, it can prevent the deathof more than 600,000 children and avert $17 billion in cost and productivity losses.

THERE WILL SOON COME A DAY WHEN PNEUMONIA IS NO LONGER A

THREAT TO OUR CHILDREN. — Dr. Ado Muhammad, Executive Director

National Primary Health Development Agency

5 key vaccines are Haemophilus Influenzae Type b (Hib), pneumococcal conjugate (PCV), rotavirus, measles and pertussis.

Averted deaths and costs statistics come from Stack ML, Ozawa S, et al. Estimated economic benefits during the 'Decade of Vaccines'include treatment savings, gains in labor productivity. Health Affairs. 2011; 30(6): 1021-1028.



IVAC’S EFFORTS IN NIGERIA

IVAC is dedicated to supporting the Nigerian government and other partners in the effort to ex-pand access to lifesaving vaccines in the country. Below are descriptions of currently ongoingprojects to produce research, create awareness, provide technical support, and build strong part-nerships for immunization efforts in Nigeria.

Current projects � AVI-TAC (The Accelerated Vaccine Initiative — Technical Assistance Consortium)

GAVI’s Accelerated Vaccine Initiative is supported by a technical assistance consortium, including PATH, IVAC, and the Center for Disease Control, who together help developingcountries to accelerate introduction of new vaccines for children. Under the AVI-TAC, theLarge Country Introduction (LCI) effort focuses on Nigeria and India. Major projects un-dertaken by the LCI in Nigeria include the following:

• PAFFIN Project (Parliamentary Advocacy and Financing for Immunization in Nigeria) IVAC works with the Health Reform Foundation of Nigeria (HERFON) and parliamen-tarians to increase knowledge of the value of immunization programs and identify op-portunities and barriers to improving oversight of immunization budget performanceand ways to assure sustainable immunization financing.

• Nigeria Vaccine Summit April 16-17, 2012 — IVAC, along with the Nigerian government, Nigerian Pediatric Asso-ciation, and many other Nigerian and international stakeholders, held the first NationalVaccine Summit to galvanize high-level and grassroots support for vaccines in Nigeria.

� LARI in Nigeria (Landscape Analysis of Routine Immunization)IVAC conducted a systematic landscape analysis in eight representative states to help ad-vise government and partners of the strategies likely to improve service delivery and vac-cine uptake.

NIGERIA’S LEADERS ARE TAKING COURAGEOUS STEPS TO PROTECT

THE HEALTH OF THEIR CHILDREN. THE COMMITMENTS MADE AT THE

COUNTRY’S FIRST-EVER NATIONAL VACCINE SUMMIT ARE IMPRES-

SIVE, AND IF IMPLEMENTED, WILL GREATLY REDUCE THE NUMBER

OF CHILDHOOD DEATHS.

—Chizoba Wonodi, MBBS, MPH, DrPHLead, Nigeria Country Programs, IVAC


GLOBAL COALITION AGAINST PNEUMONIA

Action for Humane Hospitals/Action pour l'Humanisation des Hôpitaux

Africa Fighting Malaria�

Africa Health Research Organization

Alternative Sante�

American Academy of Pediatrics�

American India Foundation�

American Jewish Joint Distribution Committee(JDC)�

American Tamil Medical Association�

Americares�

Antibiotic Consensus Society of Uganda

Arab Pediatric Infectious Disease Society�

Astitva Welfare Society�

Asian Strategic Alliance for Pneumococcal Disease Prevention (ASAP)�

Barcelona Centre for International Health Research (CRESIB, Hospital Clinic-Universitatde Barcelona)�

Best for Babes�

Best Shot Foundation�

Boston University School of Public Health Centerfor International Health and Development(CIHD)�

California Immunization Coalition (CIC)�

CARE�

Center for Vaccine Development - Mali (CVD-Mali)�

Centre National d'Appui a la lutte contre de Maladie (CNAM)�

Centers for Disease Control and Prevention(CDC)

Center for Health, Education, and DevelopmentCommunication�

Children's Hospital No. 1�

Chinese Society of Pediatric Pulmonology�

Christian Medical College - Vellore, India�

Citizen News Service (CNS)�

Columbia University Mailman School of Public Health

Croatian Center for Global Health�

CSI Hospital Bangalore�

Destinee Charity Foundation�

The Earth Institute, Columbia University�

Egyptian Medical Students Association (EMSA)

EmergingMarketsGroup, Ltd. (EMG)�

Epidemiological Laboratory (Epi-Lab)

Episcopal Relief and Development�

ERCON Series�

Every Child By Two (ECBT)�

Fighting Infectious Diseases in Emerging Countries (FIDEC)

La Fundacion del Centro de Estudios

Infectologicos (FUNCEI)

GAVI Alliance

GiveVaccines.org�

Global Action for Children (GAC)�

Global Alliance for Clean Cookstoves�

Global Health Council�

Global Health Strategies�

Global Healthcare Information Network

Global Science Academy (GSA), India�


Haffkine Institute, Mumbai, India�

Hasaan Foundation�

Health and Sustainable Development Association of Nigeria (HESDAN)�

Health N Rights Education Programme (HREP)

Hedge Funds vs. Malaria and Pneumonia�

Hong Kong Pediatric Society�

Immunization Action Coalition�

Indian Academy of Pediatrics, West BengalBranch

Infectious Diseases Association�

Institute of Child Health, India�

International Pediatric Association (IPA)�

International Rescue Committee (IRC)�

International Society for Tropical Pediatrics(ITSP) - Philippines�

International Society of Tropical Pediatrics —Thailand Chapter�

International Union Against Tuberculosis andLung Disease (The Union)�

International Vaccine Access Center (IVAC) atJohns Hopkins Bloomberg School of PublicHealth International Vaccine Institute�

John Snow Inc. (JSI)�

Johns Hopkins Bloomberg School of PublicHealth�

Jordan University Hospital (JUH)

Jordan University Medical School, Division of Pediatric Infectious Disease

Kageno Worldwide, Inc.�

KidBitz�

Kolpin Society of Nigeria

Laboratory for Public Health Research Biotechnology (LAPHER Biotech)

Living Safely

The MacDella Cooper Foundation (MCF)�

MACS Initiative (Monitoring and Accelerate ChildSurvival Initiative)�

March of Washingtons�

Measles Initiative�

Medical Teams International�

Meningitis Research Foundation�

Millennium Villages Project�

Ministry of Health, Malawi - ARI Control Programme

Ministry of Health - Mali�

Ministry of Health - ARI Programme, Mali�

Ministry of Public Health and Population -Yemen�

National Foundation for Infectious Diseases(NFID)

National Institutes of Health (NIH)�

National Media Foundation�

Nepal Paediatric Society�

netSPEAR, Kemri-Wellcome Trust

The Nigerian School Project�

NYU School of Medicine, Department of MedicalParasitology

ONE

Otunba Tunwase National Paediatric Centre

The Paediatric Association of Nigeria�

Pakistan Help

Pan African Thoracic Society


GLOBAL COALITION AGAINST PNEUMONIA — CONTINUED

Parents of Kids with Infectious Diseases (PKIDs)

PATH�

Pediatric Association of Tanzania�

Paediatric Infectious Disease Society, Nigeria

Paediatrics Association of DRC

The Pediatric Infectious Disease Society of Thailand

The Pediatric Infectious Disease Society of thePhilippines�

Pediatric Lung Association�

PGIMER School of Public Health�

Pneumonia Advocacy and Working Group of Uganda

Philippines Foundation for Vaccination (PFV)

Pneumococcal Awareness Council of Experts(PACE)�

Polk County Health Department�

Population Services International (PSI)�

Project HOPE�

The Rollins School of Public Health (RSPH) atEmory University�

Sabin Vaccine Institute�

Save the Children�

SHD Team "Sustainable Health DevelopmentTeam"�

Shifa International Hospital�

SIFAT�

Sociedad de Infectologia de Cordoba�

Southern African Society of Paediatric InfectiousDisease (SASPID)�

Stop TB and HIV/AIDS - The Gambia�

Sustainable Health Development�

Taiwan Pediatric Society of Thorax�

Task Force for Global Health

There Is No Limit Foundation�

Tripoli Medical Center, Tripoli, Libya�

Uganda Pediatric Association�

United Nations Children's Fund (UNICEF)�

United Nations Foundation�

University of Edinburgh�

University of Glasgow�

University of Melbourne, Centre for InternationalChild Health�

US Coalition for Child Survival�

US Fund for UNICEF�

Vaccines for Africa Initiative (VACFA)�

Visiting Nurses Association of SW Florida, Inc.

Voices for Vaccines�

Water for People�

Women for Women of Sierra Leone�

Women's Refugee Commission�

World Consulting Group, Ltd.�

World Vision�

ZGD - Zeus Global Development

www.worldpneumoniaday.org

PHOTO CREDITS: COVER PAGE: Lola Akinmade/Photoshare/2007. Page 3: TOP: Breath of Life/2011,MIDDLE: Mr. Dapo/Paediatric Association of Nigeria/2011, BOTTOM: Studio 24/ Vaccine Network forDisease Control/2011. Page 5: TOP: Breath of Life/2011 BOTTOM: Breath of Life/2011. Page 9: LEFT: Onu Photos/Nigerian Supreme Council for Islamic Affairs/2011, RIGHT: Onu Photos/NigerianSupreme Council for Islamic Affairs/2011. Page 10: Sunny Inah/So-Healthi/2011. Page 11: OgunleyeOladimeji/University of Ibadan/2011. Page 12: Mr. Dapo/Paediatric Association of Nigeria/2011. Page13: TOP: Studio 24/Vaccine Network for Disease Control/2011 BOTTOM: Studio 24/Vaccine Networkfor Disease Control/2011. Page 14: TOP: Bowel Media Consultants/Mexzen Care for Life Foundation/2011. BOTTOM: Bowel Media Consultants/Mexzen Care for Life Foundation/2011. Page 15: TOP: Breathof Life/2011, BOTTOM: Okeowo Olorunju/Village Health Relief Initiative/2011. Page 17: LEFT: BowelMedia Consultants/Mexzen Care for Life Foundation/2011, RIGHT: Okeowo Olorunju/Village HealthRelief Initiative/2011. INSIDE BACK COVER: Anna Helland/Photoshare/2002

Report written by Daniel Erchick, Chizoba Wonodi, and Lois Privor-Dumm.

©2012 International Vaccine Access Center (IVAC) at Johns Hopkins Bloomberg School of Public Health. All rights reserved.

Johns Hopkins Bloomberg School of Public HealthInternational Vaccine Access Center (IVAC)

855 North Wolfe Street • Suite 600 • Baltimore, MD 21205Email: [email protected] • www.jhsph.edu/IVAC

1 FIGHT PNEUMONIA 0 2 IFINNAL R EPNORT I SMGALL ......World Pneumonia Day 2011 — The International...

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