FIGHT PNEUMONIA THE GLOBAL COALITION AGAINST CHILD PNEUMONIA SAVE A CHILD 2011 doc

WORLD PNEUMONIA DAY:A PLATFORM FOR ACTION Pneumonia takes the life of one child every 20 seconds — more than AIDS, malaria and measles combined — and is responsible for nearly 20 percent

Coordinating Strategies 7

Results at a Glance 8

Supporting Targeted, Local Advocacy Efforts through Small Grants 10

Small Grants Recipients 11

Engaging Governments to Achieve Change 12

Reaching and Educating Communities in Need 16

Issuing Research and Generating Media Coverage 20

Using Digital Media to Inspire Action 22

Engaging New “Faces of Pneumonia” 24

The Continued Fight Against Pneumonia 26

The Global Coalition Against Child Pneumonia 28

WORLD PNEUMONIA DAY:

A PLATFORM FOR ACTION

Pneumonia takes the life of one child every 20 seconds — more than AIDS, malaria and measles

combined — and is responsible for nearly 20 percent of deaths in young children It is often

re-ferred to as the “forgotten killer” because historically it has received little of the attention it

de-serves In the last decade, global health leaders have worked to change that, and in doing so

created a global movement to save children’s lives through the annual recognition of World

Pneumonia Day

In 2009, WHO and UNICEF released the Global Action Plan for the Prevention and Control of

Pneumonia (GAPP) showing that pneumonia deaths could be reduced by two-thirds if existing

interventions to protect against, prevent and treat pneumonia could be scaled up to reach 90

percent of the world’s children These interventions include:

Ultimately, the vision outlined in the GAPP is one in which every child is protected against

pneu-monia through a healthy environment and access to measures that combat pneupneu-monia

As part of this vision, the GAPP emphasized the need for global health partners to better

coor-dinate in order to achieve a number of goals, including increasing awareness of pneumonia as

the leading cause of death among children under age five in developing countries and identifying

local champions to support key child pneumonia messages

Concurrent with the release of the GAPP and in support of its vision, a diverse group of advocacy,

academic and service organizations joined 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 observed annually on November 12 — to raise awareness about the

disease, promote interventions to protect against, prevent and treat pneumonia as called for in

the GAPP, and generate action to combat the world’s leading killer of young children.

The Coalition remains united in efforts to support the achievement of the United Nations’ nium Development Goal (MDG) 4 of reducing maternal, newborn and child mortality by two-thirds

Millen-by 2015 In 2010, Coalition member organizations urged their governments to support a WorldHealth Assembly resolution stating that intensified efforts to address the prevention and treatment

of pneumonia are vital to reducing child mortality and achieving MDG 4, and requiring countries

to report back annually on progress controlling childhood pneumonia The resolution passed andwas adopted by all World Health Organization Member States Building on that important inter-national achievement, in 2011, Coalition members worked to ensure that governments prioritizefunding and urgent action for interventions to protect against, prevent and treat pneumonia byreaching out directly to decision-makers and increasing public awareness Reducing the burden

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

“Because of distance and lack of access to health services,

I lost three of

my children from pneumonia Now that I know the danger of pneumonia, I will always bring

my child to the clinic when I see these signs.”

—Martha Guzee,

a 30-year-old mother, Liberia

Mother holding child with pneumonia in Lucknow, India

COORDINATING STRATEGIES

In 2011, the third year of World Pneumonia Day, advocates worldwide rallied together to achieve

the following objectives:

pneu-monia, as outlined in the GAPP, in order to effectively control the disease and save lives;

the prioritization and full funding of child survival programs, with a particular emphasis on

countries with the highest pneumonia disease burden;

as-sist communities in need, with a particular emphasis on the developing world;

challenges and opportunities in the fight for pneumonia control;

pneumonia and to inspire action; and

celebrities — as campaign messengers

RESULTS AT A GLANCE

On World Pneumonia Day, individuals and organizations around the globecollaborated to raise awareness about childhood pneumonia and its toll, ad-vocate for action at all levels of government and celebrate progress made

in the global fight against the illness

Advocacy Around the World in 2011

The world map highlights (in blue)

countries that held pneumonia

advocacy events in the year 2011

Snapshot of World Pneumonia Day 2011

Inspiring advocates to drive change worldwide

six continents

14 countries awarded small grants

members of the Global Coalition AgainstChild Pneumonia recruited

directly targeted by World Pneumonia

Day outreach efforts

Spreading the word far and wide

240 unique news stories — generated in

52 countries

World Pneumonia Day in the week beforeNovember 12 — many as a result of

relationships established with more

than 75 influential bloggers covering

global health, parenting and general

interest topics

and Twitter followers recruited —

achieving more than a 10-fold increase

in traffic through World Pneumonia Daysocial media channels

and 2,082 mentions of the #WPD2011

hashtag on Twitter during the week of

World Pneumonia Day

Protecting against, preventing and

treating pneumonia

medical care through events in at least sixcountries — including Malawi, where

the first pneumococcal vaccine was

administered thanks to GAVI support

status of pneumonia interventions

released by Coalition members in

coordination with World Pneumonia Day

SUPPORTING TARGETED, LOCAL ADVOCACY EFFORTS THROUGH SMALL GRANTS

The International Vaccine Access Center (IVAC) at Johns Hopkins University partnered with theGAVI Alliance, the Global Alliance for Clean Cookstoves and the Best Shot Foundation to awardsmall grants to organizations in 14 low- to middle-income countries to carry out activities advo-cating for adequate protection, prevention and treatment of childhood pneumonia while com-memorating World Pneumonia Day In the third year of the program, IVAC received anunprecedented 113 grant applications — more than double the number of applications received

in 2010 — and through a rigorous review process, narrowed the field to 24 successful applications

Highlights from many of the activities undertaken by World Pneumonia Day 2011 Small Grantswinners can be found in the following sections of this report The grantees organized a wide va-riety of creative, targeted events and engaged diverse audiences in their own countries to takeaction against pneumonia

the commemoration of World Pneumonia Day in Mumbwa district, Zambia.

Small Grants Recipients

Bangladesh

Malawi

Moldova

Use of Medicine (CoRSUM)

Promotion and Education Department

"Fashion for Pneumonia" participant,

Master Kayima Offor, in Abuja, Nigeria.

The Mariveles Anti-Pneumonia Squad

dancers won 2nd Place overall in the

"Fight Against Pneumonia" Dance

Competition in Manila, Philippines

ENGAGING GOVERNMENTS TO ACHIEVE CHANGE

A major focus of the World Pneumonia Day effort was engaging political leadership to advanceefforts to protect against, prevent and treat child pneumonia, particularly in countries with highdisease burden Event highlights include the following:

Pneumococcal Vaccine Introduction Brings New Hope to Malawian Families

On World Pneumonia Day, Malawi became the 16th GAVI-eligible country to introduce coccal conjugate vaccine (PCV) into its routine immunization program, promising to protect mil-lions of children from pneumococcal pneumonia This was an instrumental step for the country,where 14 percent of under-five child deaths were due to pneumonia in 2008 The first vaccinewas given to a two-month old baby boy at a launch ceremony in Lilongwe, officiated by the Min-ister of Health, Dr Jean Kalilani

pneumo-As part of the effort, journalists from the UK’s Press pneumo-Association and The Times, Australia’s nel Ten television and Germany’s Der Tagesspiegel went on a four-day tour, visiting hospitals,medical centers and remote village clinics to deepen the reporters’ understanding about theneed and opportunity for disease prevention in the developing world

Chan-baby Bright Masambo Chisale (in the arms of his mother Janet, center) is about to become the first Chan-baby vaccinated

at the launch of pneumococcal vaccines in Malawi on World Pneumonia Day.

Bangladesh Serves as an Archetype for International Investment

Between 1990 and 2010, Bangladesh saw a 66percent reduction in its under-five child mor-tality rate, thanks to renewed focus on keychild health interventions Over the next fewyears, this trend will continue with the plannedrollout of new vaccines, including pneumococ-cal conjugate vaccine (PCV) in 2013 Pneumo-nia accounted for 16 percent of all deaths inchildren under age five in Bangladesh in 2008

In Bangladesh, key Members of the British liament (MPs) and the UK All Party Parliamen-

Childhood Pneumonia joined the GAVI Civil ciety Organization (CSO) Constituency and theBangladesh Rehabilitation Assistance Commit-tee (BRAC) for field visits to observe immu-nization in village health centers outside ofDhaka The visits provided the international vis-itors with context to help guide Parliamentarydecision-making on global health issues and asense of how international investments in im-munization and childhood disease preventioncan have an enormous impact in the develop-ing world Specifically, the trip allowed the del-egation to see health interventions at work andexperience the direct impact of the UK’s sup-port of the GAVI Alliance In meeting with theBangladesh Government, Ministry of Healthand NGOs, the UK MPs witnessed the nation’scommitment to improving and expandingBangladesh’s immunization program and tostrengthening the health of the population as

So-a whole

In addition, the Child Health Research dation (CHRF) observed its third World Pneu-monia Day by organizing a rally along withawareness campaigns at Dhaka Shishu Hos-pital and Mirzapur Kumudini Women’s Med-ical College & Hospital The rally drew 400participants and culminated with a speech infront of the National Parliament House wherespeakers expressed appreciation for an in-creased focus on pneumonia in Bangladesh

Foun-A larger-than-life World Pneumonia Day lung traveled

around Dhaka City to raise awareness about child

pneumonia

A rally through the streets of Dhaka, Bangladesh

demonstrates the energy behind the fight against

pneumonia.

Advocacy in India Inspires Government Action

Advocacy efforts around pneumonia are vital inIndia, which has more child pneumonia deathseach year than any other country in the world

In 2008, approximately 370,000 Indian childrenunder the age of five died of pneumonia.For the past five years, the small grant awardeeSwaasthya has been implementing a maternaland newborn health initiative in the slums ofMalegaon, a small city in the state of Maharash-tra, India Swaasthya noticed delays in commu-nity members reporting to a health care providerwhen babies came down with pneumonia Tocombat this problem, the group organized a rallyfeaturing storytelling about children’s struggleswith pneumonia In attendance were 450 people,including parents, teachers, children, medical of-ficers and community leaders In response toSwaasthya’s advocacy efforts, a government of-ficial announced a new initiative that would pro-vide pneumonia care 24 hours a day at localhospitals in Malegaon

Nigeria’s Leaders Prioritize Prevention

The First Lady of Cross River State, Mrs ObiomaLiyel-Imoke, is a public health crusader who isprofoundly dedicated to reducing child pneu-monia deaths in Nigeria — the country with thehighest child pneumonia burden in Africa Shecreated the Breath of Life health initiative thatworks within communities to promote pneumo-nia prevention On World Pneumonia Day,Breath of Life, the First Lady and other digni-taries led an energetic advocacy walk to edu-cate parents about child pneumonia in the localgovernment area (LGA) of Bekwarra The Min-istry of Health, the Ministry of Women's Affairs,Pfizer Pharmaceuticals and NGOs partneredwith Breath of Life to provide free vaccination,screening and treatment for 1,000 children Thesuccess of the effort prompted the government

to announce plans to replicate the event in theother 17 LGAs and helped support a broader ef-fort to urge Nigeria’s federal government to in-clude pneumococcal vaccines in the country’sroutine immunization schedule

Community members join Nigeria’s First Lady of Cross

River State Mrs Obioma Liyel-Imoke (not pictured) in an

advocacy walk to raise awareness about pneumonia

Mr Bharat Wagh, Health Officer, Malegaon Municipal

Corporation, makes announcement of a new government

initiative for treating pneumonia in Malegaon, India

In Nigeria’s Oyo State, a small grant awardee from the University of Ibadan — Health Promotion

and Education Department organized a full-day workshop for state legislators The workshop

generated political priority for pneumonia prevention and control, and discussion surrounding

free pneumonia treatment for children under five years of age and the introduction of the Hib

vaccine as promised in 2010 The Oyo State government answered the call for action by

prom-ising to introduce free health programs within the month and requiring the Ministry of Health to

include pneumonia control in their budget for the following year

Partnerships in Ghana Promote Public-Private Synergy

In Ghana, Afro Global Alliance, Ghana Health Service, Ministry of Women and Children Affairs,

Stop TB Partnership Ghana and key members of the media joined forces to host a workshop for

32 traditional leaders, chiefs, queen mothers and community leaders, as well as a two-day

train-ing seminar on messagtrain-ing, prevention and care for 40 Community Health Volunteers (CHVs) In

addition, the small grant awardee Afro Global Alliance hosted a celebration and parade in Cape

Coast, where government officials appealed to the private sector and international organizations

to partner with the government to purchase vaccines and to continue raising awareness about

the severe toll of pneumonia

Pneumonia Knowledge Moves Mali Forward

In Mali, Minister of Health Madeleine Ba Diallodemonstrated support for government action

on pneumonia by presiding over a public rallyoutside a community health center in Bamakothat drew more than 500 participants and en-gaged youth volunteers from the School ofPublic Health to spread out across the city, dis-seminating information about the causes ofpneumonia Theatrical performances, a balloonrelease and a question and answer sessionhelped draw attention to pneumonia as a pub-lic health priority in a country where more than

20 percent of mortality in children under fiveyears of age is due to pneumonia

Pakistan’s Innovative Strategy Sparks Meaningful Change

In Pakistan, small grant awardee Aga KhanHealth Service worked with civil society organi-zations, hospitals and corporate organizations tohost nine seminars and 116 health awareness ses-sions across the country, reaching nearly 6,000people In addition, 45,000 text (SMS) messagesabout pneumonia were delivered, and religiousleaders addressed pneumonia from 1,100 reli-gious platforms In part as a result of these ef-forts, the Prime Minister announced thatvaccines against pneumonia will soon be avail-able as a part of the routine EPI vaccinationschedule The GAVI Alliance has approved fund-ing for introduction of the pneumococcal conju-gate vaccine (PCV) and Pakistan is expected toroll out the vaccine in 2012

Mali Minister of Health, Mrs Madeleine Ba Diallo,

presides over a public rally to fight pneumonia.

Dr Bhisham Kotak of the Aga Khan Health Service is

interviewed by the media at the "Fight Pneumonia —

Save a Child" seminar in Pakistan.

REACHING AND EDUCATING COMMUNITIES IN NEED

On World Pneumonia Day, advocates came together to encourage donors, policymakers, healthcare professionals and the general public to increase efforts to fight pneumonia From rallies inthe street and house-to-house outreach to media events and panel discussions with politicalleaders, the 2011 effort engaged new audiences and worked to ensure that child pneumonia was

a priority issue in communities around the world

Advocacy in India Centers on Raising Awareness

A fifth of India’s deaths in children under age five were due to pneumonia in 2008 Yet, the try is plagued by low breastfeeding rates, suboptimal immunization coverage and limited access

coun-to antibiotics To remedy these problems, small grant awardee Abhinav Bharat Foundation, anorganization committed to helping isolated communities in India voice opinions on health andhuman rights issues, enlisted young journalists with personal experience or knowledge of pneu-monia in their communities to help raise awareness about the illness These journalists receivedmedia coaching and support to produce multi-lingual materials on pneumonia interventions, in-cluding breastfeeding, nutrition, hand washing, vaccination and quality treatment More than

100 articles were produced in English, Hindi and Urdu through this “Voices From the Field onChildhood Pneumonia” project

Save the Children’s Every One Campaign in India mobilized people across four states — Delhi, Bihar,West Bengal and Rajasthan — by organizing and hosting media orientation sessions, health camps,street plays and fun runs In addition, thousands of woolen caps were distributed to keep newbornswarm in 200 villages spread throughout 13 districts, courtesy of Save the Children Netherlands

awareness about pneumonia.