GIM meeting Feb 20101 |

Global Action Plan for Prevention and

Control of Pneumonia (GAPP) and progress

Global Action Plan for Prevention and

Control of Pneumonia (GAPP) and progress

S. Qazi and T CherianOn behalf of the GAPP Team

GIM February 2010

Framework for Pneumonia Control

REDUCTION PNEUMONIA MORTALITY

PREVENT

TREAT

PROTECTExclusive breastfeeding

Adequate nutrition

Prevent low birth weight

Reduce Indoor air pollution

Hand washing

Vaccination

Prevent HIV

Cotrimoxazole prophylaxis

Zinc for diarrhoea

In community, health centres and

hospitals

GIM meeting Feb 20103 |

GAPP's Vision and GoalsGAPP's Vision and GoalsVision

Every child is protected against pneumonia through provision of healthy environment access to preventive measures access to treatment

Specific Goals for 2015 for under 5 children

Reduce mortality from pneumonia by 65%

Reduce the incidence of severe pneumonia by 25%

GIM meeting Feb 20104 |

Targets to be reached by the end of 2015Targets to be reached by the end of 2015

90% coverage of relevant vaccines

90% coverage of exclusive breastfeeding for 6 months

90% access to appropriate pneumonia treatment

GIM meeting Feb 20105 |

5.3 million deaths due to pneumonia canbe averted from 2010 – 2015!!

5 by 15!

Impact of increasing coverage to 90%

GIM meeting Feb 20106 |

Per year cost of US $ 3.8 billion in 2010, rising to US $

8.0 billion by 2015

Over six years, total cost for 68 high-burden countries will

be US $ 39 billion

For 66 countries (excluding China & India) US $ 19 billion

Cost of achieving targetsin 68 high burden countriesCost of achieving targets

in 68 high burden countries

GIM meeting Feb 20107 |

Major actions in countriesMajor actions in countries

Designation of a national action group for pneumonia control

Generating political will

Developing a situation analysis for pneumonia

Involving other programmes

Identifying areas of harmonization and collaboration

Increasing coverage for vaccination, access to treatment and promotion of exclusive breastfeeding

Tracking progress

Engaging the United Nations agencies and donors in countries

GIM meeting Feb 20108 |

Progress to dateProgress to date

World Pneumonia Summit and Day

UK government proposed a WHA resolution on pneumonia to WHO Executive Board – accepted to be discussed at WHA

BMGF pledging more funds to vaccines

Discussion with BMGF to carry out regional workshops in African and Asian regions to kick start GAPP

AUSAID through UNICEF to support GAPP activities in EAPRO region

GIM meeting Feb 20109 |

Proposal to BMGF: Initiate the implementation of GAPP

Proposal to BMGF: Initiate the implementation of GAPP

Overall Objective: To initiate the implementation of GAPP in countries through regional workshops in collaboration with the WHO regional offices.

Objectives of the regional meeting– To reach a common understanding on the concept/principles of GAPP

strategy, its advantages and implications for the health system.– To discuss a management structure to coordinate the implementation of the

GAPP strategy.– To obtain commitment to initiating the early implementation phase in order to

gain experience with the practical application of the GAPP strategy.– To prepare a country-specific draft plan for practical application of the GAPP

strategy.

Participants from up to 5 countries– Programme managers and technical staff of programmes (EPI, IMCI,

nutrition, Health Systems, WHO and UNICEF staff.

GIM meeting Feb 201010 |

GAPP activities from an Indonesian perspective

GAPP activities from an Indonesian perspective

Advocacy from several partnerships, PneumoADIP, Australia21

Situation analysis of pneumonia in children and indoor air pollution

3 country initiative funded by Ausaid through Australia 21: – Australia, PNG, Indonesia

Creation of a pneumonia task force of partners: action planning within Short Programme Review for Child Survival

Country support from Ausaid through UNICEF regional funds

Regional intercountry workshops to monitor progress

GIM meeting Feb 201011 |

Progress on WHA resolution

Resource mobilization

UNICEF/WHO and other partners roles and responsibilities

Next steps for GAPP