FIGHT PNEUMONIA. 0 TSHE GALOBVAL COEALIT IOAN AG … · fight pneumonia. save a child. 9 Snapshot of World Pneumonia Day 2011 Inspiring advocates to drive change worldwide 62 events

FIGHT PNEUMONIA.THE GLOBAL COALITION AGAINST CHILD PNEUMONIA

SAVE A CHILD.2011

PNEUMONIAIS THE WORLD’S LEADING KILLEROF

CHILDRENUNDER AGE FIVE.

World Pneumonia Day: A Platform for Action . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

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

Child at Healthy Center, Phalombe, Malawi.

f ight pneumonia. save a chi ld. 5

WORLD PNEUMONIA DAY:A PLATFORM FOR ACTION

Pneumonia takes the life of one child every 20 seconds — more than AIDS, malaria and measlescombined — 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 socreated a global movement to save children’s lives through the annual recognition of WorldPneumonia 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;� Including full vaccinations in national immunization programs;� Preventing mother-to-child transmission of HIV; and � Promoting regular hand washing.

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 pneumonia.

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 asthe leading cause of death among children under age five in developing countries and identifyinglocal 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 AgainstChild Pneumonia. Working together, the Coalition launched the first-ever World Pneumonia Dayon November 2, 2009 — now observed annually on November 12 — to raise awareness about thedisease, promote interventions to protect against, prevent and treat pneumonia as called for inthe GAPP, and generate action to combat the world’s leading killer of young children.

6 global coal it ion against chi ld pneumonia

The Coalition remains united in efforts to support the achievement of the United Nations’ Millen-nium Development Goal (MDG) 4 of reducing maternal, newborn and child mortality by two-thirdsby 2015. In 2010, Coalition member organizations urged their governments to support a WorldHealth Assembly resolution stating that intensified efforts to address the prevention and treatmentof pneumonia are vital to reducing child mortality and achieving MDG 4, and requiring countriesto 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 burdenof 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 andlack of access tohealth services, I lost three ofmy childrenfrom pneumonia.Now that I knowthe danger ofpneumonia, Iwill always bringmy child to theclinic when I seethese 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 achievethe following 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 urgethe 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; and

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

Maganizo Manuelo, a community leader in Salima, Malawi, weighing baby.


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 madein 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� 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 AgainstChild Pneumonia recruited

� Governments of at least 11 countries directly targeted by World PneumoniaDay 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 mentioningWorld Pneumonia Day in the week beforeNovember 12 — many as a result of relationships established with more than 75 influential bloggers coveringglobal health, parenting and general interest topics

� More than 6,000 new Facebook fans and Twitter followers recruited — achieving more than a 10-fold increase in traffic through World Pneumonia Daysocial media channels

� 2,575 mentions of World Pneumonia Dayand 2,082 mentions of the #WPD2011hashtag on Twitter during the week ofWorld Pneumonia Day

Protecting against, preventing and treating pneumonia� Thousands of children provided with free

medical care through events in at least sixcountries — including Malawi, where the first pneumococcal vaccine was administered thanks to GAVI support

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


SUPPORTING TARGETED, LOCAL ADVOCACYEFFORTS 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 receivedin 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.

United Church of Zambia Mumbwa Boys & Girls Brigade display a banner at Nakanjoli Basic School during the commemoration of World Pneumonia Day in Mumbwa district, Zambia.


Small Grants Recipients

Bangladesh� Syed Borhan Kabir, Poriprekkhit� Erica Khetran, Save the Children Bangladesh

Egypt� Salma Hassan, Global Youth Coalition on HIV/AIDS Egypt

Ghana� Chief Austin Obiefuna, Afro Global Alliance Ghana

Haiti� Jessy Adrien, Haitian Health Foundation and Haitian

Pediatric Society

India� Bobby Ramakant, Abhinav Bharat Foundation� Mohuya Chaudhuri, New Delhi Television (NDHT)� Renu Pal, Swaasthya

Kenya� Ambrose Agweyu, KEMRI/Wellcome Trust Research

Programme� Fardhosa Ali Mohamed, Safe Womanhood Organization

Liberia� Dr. Olusola Oladeji, Save the Children Liberia/UK

Malawi� Debra Howe, Save the Children Malawi� Norman Lufesi and Maziko Matemba, Ministry of Health

Malawi

Moldova� Dr. Natalia Cebotarenco, Coalition for Rational and Safe

Use of Medicine (CoRSUM)

Nigeria� Danjuma Abdullahi, Nigeria Supreme Council for Islamic

Affairs (NSCIA)� Rosemary Archibong, So-Healthi (Society for Health

Enlightenment Initiative)� Ademola Adelekan, University of Ibadan — Health

Promotion and Education Department� Ekanem Ekure, Paediatric Association of Nigeria� Dr. Odiraa Nwankwor, Mexzen Care for Life Foundation

(MCLF)� Chika Offor, Vaccine Network for Disease Control

Pakistan� Dr. Rano Mal, Aga Khan Health Service

Philippines � Dr. Lulu Bravo, Philippine Foundation for Vaccination

Rwanda� Ndererimana Eliane, International Rescue Committee

Rwanda

Zambia� Joachim Mumba, World Vision Zambia

"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 TOACHIEVE 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 pneumo-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.

As part of the effort, journalists from the UK’s Press Association and The Times, Australia’s Chan-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.

Minister of Health, Dr. Jean Kalilani (left), is the guest of honor among the crowd of onlookers as two month-oldbaby Bright Masambo Chisale (in the arms of his mother Janet, center) is about to become the first baby vaccinatedat the launch of pneumococcal vaccines in Malawi on World Pneumonia Day.


Bangladesh Serves as an Archetype forInternational InvestmentBetween 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 Par-liament (MPs) and the UK All Party Parliamen-tary Group for Global Action AgainstChildhood Pneumonia joined the GAVI Civil So-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 asa whole.

In addition, the Child Health Research Foun-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.

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 ActionAdvocacy 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 governmentto 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 Promotionand Education Department organized a full-day workshop for state legislators. The workshopgenerated political priority for pneumonia prevention and control, and discussion surroundingfree pneumonia treatment for children under five years of age and the introduction of the Hibvaccine 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 toinclude 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 for32 traditional leaders, chiefs, queen mothers and community leaders, as well as a two-day train-ing seminar on messaging, prevention and care for 40 Community Health Volunteers (CHVs). Inaddition, the small grant awardee Afro Global Alliance hosted a celebration and parade in CapeCoast, where government officials appealed to the private sector and international organizationsto partner with the government to purchase vaccines and to continue raising awareness aboutthe severe toll of pneumonia.

Pneumonia Knowledge Moves Mali ForwardIn Mali, Minister of Health Madeleine Ba Diallodemonstrated support for government actionon 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 than20 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 wasa priority issue in communities around the world.

Advocacy in India Centers on Raising AwarenessA fifth of India’s deaths in children under age five were due to pneumonia in 2008. Yet, the coun-try is plagued by low breastfeeding rates, suboptimal immunization coverage and limited accessto 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 than100 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.

Participants of the Boat Regatta to “Drown Pneumonia, Rescue a Child” in Cross River State, Nigeria, help raiseawareness about pneumonia.


Nigerian Boat Regatta Sets Sail toward Healthier HorizonsIn Nigeria, small grant awardee So-Healthi hosted a boat regatta to raise awareness about pneumo-nia and the fact that it kills nearly 180,000 Nigerian children each year. The event focused on edu-cating families about prevention and treatment of the illness and drew more than 300 participants.During the event, a medical team examined babies and children for pneumonia, and local govern-ment officials announced that pneumococcal vaccine doses donated by Pfizer were being adminis-tered in their state that day. In addition, traditional birth attendants reported that the activities ofSo-Healthi had helped them to adopt practices that will help prevent pneumonia in children.

Kenya’s Education Efforts Reach At-Risk Families In Kenya, small grant awardee Safe WomanhoodOrganization (SWH) held a large-scale pneumo-nia awareness event for Somali and Oromorefugees of Eastleigh residing in Nairobi. Theserefugees, who often do not speak English orSwahili — the languages of their host country —find it hard to decipher publicly-available infor-mation or to engage with neighboring commu-nities. Thus, SWH designed an event toempower them to engage in intervention meth-ods addressing the high rates of infant mortalitywithin the population. Activities included med-ical examinations for more than 350 children,community education sessions and formalworkshops for Somali and Oromo health work-ers and journalists.

Another small grant awardee, the Kenya Med-ical Research Institute (KEMRI)/Wellcome TrustResearch Programme, hosted six awarenessevents at hospitals across Kenya. The event,called “I Faced Pneumonia,” focused on formerand current patients, caregivers and health careworkers. The day’s events culminated in thesigning of a petition targeting the Ministers ofHealth and Finance and requesting increasedgovernment investment in interventions knownto reduce the burden of pneumonia.

In a separate celebration, KEMRI’s Kilifi branch organized an event where the town’s residentsparticipated in song and dance to emphasize the importance of vaccines, good nutrition and aclean environment as essential elements in the fight against pneumonia. Event participants wereencouraged to immunize their children against the leading causes of pneumonia and were alsooffered free, on-site health care services including check-ups, immunization and antibiotic treat-ment. Kenya introduced the pneumococcal conjugate vaccine (PCV) nationwide in early 2011with support from the GAVI Alliance.

Baby Issa clings pensively to her mother’s back as she waits

for her turn during the medical camp on World Pneumonia

Day at Eastleigh Health Center in Nairobi, Kenya.

Children perform song about pneumonia to teach others

about prevention interventions in Kilifi County, Kenya.


Pneumonia Education Encourages Media to Join the Movement in Bangladesh Small grant awardee Poriprekkhit, an NGO committed to creating positive change in Bangladeshthrough communication, hosted a media workshop in Dhaka to encourage journalists to speakout in the fight against pneumonia. Forty experienced journalists from leading news organiza-tions participated in the one-day workshop, of whom 12 were selected for pneumonia journalismfellowships. Each fellow was tasked with collecting data, conducting interviews and publishinga story on several aspects of pneumonia.

Students Teach Lifesaving Lessons in Egypt Members of the Egyptian Medical Students’ Association (EMSA) organized a week-long educa-tion campaign targeting parents waiting in the outpatient clinics of 20 university hospitals na-tionwide. Through the effort, 5,000 families were educated about the disease and receivedinformational materials, including a pneumonia coloring book for children.

The Egyptian Pharmaceutical Students’ Federation (EPSF) distributed fliers, brochures, postersand t-shirts to more than 40,000 people. The Alashanek Ya Balady Association for SustainableDevelopment (AYB-SD) held a festival in Cairo that drew more than 1,000 participants. The fes-tival, aimed at families, included performances from several local bands and activities focusedon teaching children to make healthy choices.

The Ashara Gharby Band performs at the World

Pneumonia Day Festival at the Gezira Youth Center in

Cairo, Egypt.

FIDEC/FUNCEI exhibit booth provides health care profes-

sionals information on pneumonia in Buenos Aires, Argentina.A child in Cairo, Egypt proudly holds his new pneumonia

coloring book.

Community and local leaders learn about the harmful

effects of indoor smoke during Malawi’s “Smoke Out

Pneumonia” event.


Fostering Immunization Uptake in ArgentinaThe pneumococcal vaccine was incorporated into the Argentinian national immunization schemein April 2011, providing a way for infants to receive the vaccine for free beginning in 2012. Tohighlight this, Fighting Infectious Diseases in Emerging Countries (FIDEC), in collaboration withFundación Centro de Estudios Infectológicos (FUNCEI), hosted informative lectures for morethan 200 health care professionals and educated patients about the benefits of pneumococcalvaccination at several public and health vaccination centers in Pilar, Escobar and Ezeiza.

Malawi Smokes Out PneumoniaSmall grant awardee Save the Children Malawi hosted a series of community workshops to teachmothers and local leaders in Rumphi about the risks of indoor smoke, as well as a “Smoke Out Pneu-monia” celebration that drew more than 500 participants with music, dancing, poetry and dramapresentations. Indoor air pollution is a leading contributor to child pneumonia and is designated asone of the top five public health threats in developing countries by the World Health Organization.Women and babies, particularly in rural areas, are exposed to high levels of indoor pollution resultingfrom cooking over open fires and are frequently unaware of the danger. The workshops helped toraise awareness of the links between indoor smoke pollution, pneumonia and infant mortality.

Through these activities in Malawi, 196 women were trained on how to improve indoor air qualityby using the Esparanza "rocket" stove. These stoves are being built and installed in 196 house-holds to benefit 289 children under the age of five who will have significantly less smoke and in-door pollution in their environment.

Reaching Families Far and Wide, Cote d'Ivoire Promotes Pneumonia Awareness in Rural AreasIn Cote d'Ivoire — a country where one in 10 children will die before their fifth birthday — StopTuberculosis Bouake organized an event that drew more than 200 parents, health care workers,counselors and community volunteers with the aim of creating awareness in this rural communityaround the severity of pneumonia, its prevention and its treatment. The importance of nutrition,breastfeeding and proper hygiene were emphasized.

Case by Case, Madagascar Treats Children and Tackles Pneumonia In Madagascar, Population Services Interna-tional (PSI) kicked off its national pneumoniaprogram on World Pneumonia Day, seeking toincrease the appropriate case management ofthe disease. The program promotes care-seek-ing behavior among parents whose childrenexperience pneumonia symptoms and works toimprove the quality of service from providersby training them on integrated managementstrategies.

A puppet show is part of several events organized in

Madagascar to raise awareness about pneumonia.


ISSUING RESEARCH AND GENERATINGMEDIA COVERAGE

Several Coalition partners, including IVAC, Save the Children and the GAVI Alliance, releasednew research to coincide with World Pneumonia Day and to attract the attention of media andopinion elites. Reports highlighted recent cost-effective advancements in the battle againstpneumonia but also underscored the long road ahead to eliminating child pneumonia deaths.

• Pneumonia Progress Report 2011A report released by IVAC showed that while progress is beingmade toward immunization targets in the 15 countries with the mostchild pneumonia deaths, the latest data show that all of these coun-tries have suboptimal levels of protection and treatment interven-tions, including exclusive breastfeeding during the first six months,access to care facilities and treatment with antibiotics.

According to the study, over the course of a year, 10 of the 15 profiledcountries have introduced the newest-generation pneumococcalvaccines, have applied or have been approved for introduction sup-port from the GAVI Alliance. However, all countries in which data are

available show coverage levels for exclusive breastfeeding during the first six months of liferange from only 10 to 60 percent, and for access to care and antibiotic treatment range frommerely 5 to 70 percent — all far lower than the GAPP target level of 90 percent.

Dr. Ojo conducts a media interview at the Paediatric Association of Nigeria's press conference in Lagos, Nigeria.


• Pakistan’s Lady Health Workers Can Treat Pneumonia at HomeIn The Lancet, Save the Children published the findings of a study in Pakistan that showed thatchildren treated at home for severe pneumonia by Pakistan’s Lady Health Workers were morelikely to recover than children referred to health facilities. The study addresses a barrier to ef-fective treatment for millions of children around the world — the difficulty in accessing qualityhealth services. These findings could lead the way to changing pneumonia treatment guide-lines globally.

• Cost Effectiveness of Pneumococcal Vaccines in GAVI Countries A paper commissioned by the GAVI Alliance and published in the journal International Healthestimated that the pneumococcal vaccines now being introduced in the world’s poorestcountries are highly cost-effective for the countries needing vaccination most and have thepotential to save the lives of 3 to 4 million children over the next 10 years. The paper high-lighted the fact that in just over one year, GAVI has helped 16 countries introduce pneumo-coccal vaccines into their national immunization programs, a rate of vaccine introductionthat is unprecedented.

With data to drive coverage, World Pneumonia Day continued to receive widespread attentionfrom media as the topic gained traction among journalists, government leaders and opinionelites. Over half of the unique news stories written around World Pneumonia Day mentionedone or more of the research reports and data.

In addition, and particularly in developing countries where World Pneumonia Day events tookplace, journalists told stories that were in-depth and personal and illustrated the link betweenpreventing pneumonia deaths and reaching the 2015 deadline for achieving the MDGs.

Media coverage of World Pneumonia Day and blog posts echoed the call for action by organi-zations and activists around the world. The urgency to scale up interventions radiated through-out news stories, blogs and op-eds focused on World Pneumonia Day.

“This study adds to the evidence base that frontline health workers can

safely and effectively manage illness and prevent child deaths,

especially in communities where doctors and health facilities are out of

reach for poor families.”

—USAID Administrator Raj Shah


USING DIGITAL MEDIA TO INSPIRE ACTION

World Pneumonia Day 2011 found new ways to expand the conversation about pneumonia andbring attention to the activities taking place around the globe on November 12. A large emphasisof the campaign was about “going viral,” using a variety of online social networking sites anddigital tools that helped introduce conversation threads about World Pneumonia Day and in-spired new supporters to take action. These online vehicles allowed for rich content to be dis-seminated widely and the Coalition’s tools and messages to be shared among diverse audiences.

New tools, such as a compelling infographic, a Prezi presentation illustrating complex research,an animated video conveying the importance of the fight against pneumonia, a “take action”widget making it easy for supporters to send a message to Congress, and a refreshed website,Facebook page and Twitter feed all combined to tell the story in new, visually compelling waysand provided opportunities to share and discuss content and take action.

The Centers for Disease Control and Prevention (CDC) collaborated with ABC News to host aTwitter chat with ABC’s chief health and medical correspondent, Dr. Richard Besser, to discusspneumonia and other health issues. On November 8, the United Nations Foundation (UNF) andits Shot@Life campaign helped support the Million Moms Challenge Global Baby Shower onTwitter. During an hour-long child health discussion, pneumonia, vaccines and clean cookstoveinterventions to mitigate the disease were extensively discussed.

More than 98% of pneumonia deaths in children occur

in developing countries, including Nigeria, Malawi and

Bangladesh, despite pneumonia being among the most

solvable problems in global health. We have the tools to

protect and prevent children from catching pneumonia

and to treat those suffering with this illness.

Impact of Pneumonia on Children

of children with pneumonia

are reportedly taken to a qualified health care provider in developing countries.

Of the 8.8 million child deaths in 2008, 1 in 5 were due to pneumonia.

than any other illness in

every region of the world.

5children under

Pneumonia kills more

49%reduction

54%

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However, in a study of 14 countries, only 27% of children with suspected signs of pneumonia actually received an antibiotic.

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antibiotics.

Protection Against and Prevention of Childhood Pneumonia

Global Action Plan for Prevention and Control of Pneumonia (GAPP). World Health Organization and United Nations Children’s Fund, 2009.Countdown to 2015 Decade Report (2000-2010): Taking Stock of Maternal, Newborn and Child Survival. World Health Organization, 2010.Global Alliance for Clean Cookstoves, 2011.Pneumonia Facts: Nigeria. World Pneumonia Day Coalition, 2010.

SPOTLIGHT ON NIGERIA

Pneumonia in Nigeria Prevention and Treatment

177,000 children under the age of five died of pneumonia in Nigeria in 2008.

Only 20% of babies in Nigeria are exclusively breastfed.

We can protect children from pneumonia and other diseases through exclusive breastfeeding during the first 6 months of life.

56 million estimated episodes of lung infections occur among Nigerian

children every year.

Less than 150 Naira (or $0.95 USD) is the typical cost for antibiotics, an

effective treatment for most types of serious pneumonia.

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Save the Children U.S. also revamped and pro-moted the Mission Pneumonia online quiz toeducate Americans about key issues related topneumonia and how they can make a differ-ence on behalf of children worldwide.

Prominent blogs including Global Pulse, Tree-Hugger, LilSugar, MTV Act and The HuffingtonPost Impact were inspired to join the conversa-tion about World Pneumonia Day. All told,more than 120 English language blog postsabout World Pneumonia Day were publishedthis year.

The results were telling: In the two months leading up to World Pneumonia Day, the campaign’ssocial networks grew nearly tenfold, the geographic diversity of visitors to the World PneumoniaDay website was measurably higher than in 2010 and the average time spent on the site increased50 percent. Due to the widespread interest generated throughout social media channels and thelibrary of tools and resources available for organizers, it is no surprise that most visitors to the web-site visited the “Act” page to learn how to get involved in the campaign. In fact, “Act” was the web-site’s most-visited page in the month leading up to November 12. The increased effort in the digitaland social media space invited a whole new population of pneumonia fighters to join the effort.

On World Pneumonia Day this year, the

Egyptian Medical Students’ Association

(EMSA), an organization comprised of

dedicated Egyptian medical students and

professionals, began a nationwide “Pro-

tect Your Child” awareness and vaccina-

tion campaign, which aimed to vaccinate

high risk children against pneumonia and

inform the Egyptian population about the

dangers of pneumonia and the risk it poses to their children. EMSA also endeavored

to reach out to the larger pneumonia advocacy community in Egypt by establishing

the Egyptian Coalition against Child Pneumonia, now the largest pneumonia coalition

in Africa and the Middle East. Collaborating with members from this coalition, EMSA

conducted a week of successful advocacy activities celebrating World Pneumonia

Day (for more information, see p. 18).

In order to further expand the reach of their campaign, EMSA also drew attention to

the cause through their Facebook and YouTube pages, where they shared informative

videos. In fact, as part of their efforts, EMSA developed an Arabic translation of the

World Pneumonia Day video, highlighting how well visual and digital tools communi-

cate messages and resonate with broad audiences around the world.

Johns Hopkins PneumoniaFighters dance through

campus bringing awareness to their World Pneumonia

Day events in Baltimore, MD.


ENGAGING NEW “FACES OF PNEUMONIA”

Understanding that both celebrities and individuals who have faced pneumonia are incrediblyeffective messengers, Coalition partners sought to engage new spokespeople to help tell thestory in 2011. The spotlight they turned on the issue of childhood pneumonia helped to garnerattention and reach new audiences. The following are highlights:

Community Leaders Reach Mothers in Nigeria In Nigeria, Imams, traditional leaders and members of the community learned about pneumoniathrough a program run by small grant recipient, the Nigerian Supreme Council for Islamic Affairs(NSCIA), and were charged with sharing their knowledge with mothers and children in theircommunities. The NSCIA activities reached more than 5,000 worshippers and called on the gov-ernment to provide immunization against common causes of childhood pneumonia.

Children Persuade Policymakers to Pursue Pneumonia Prevention in Bangladesh Small grant awardee Save the Children Bangladesh and its partner, the Bangladesh Pediatric As-sociation (BPA), organized a coalition of young pneumonia ambassadors who, with great passion,performed plays, marched in rallies and participated in stakeholder dialogues and other activitiesto spread messages of pneumonia prevention and federal action. These children were individuallyselected to be ambassadors because they are survivors of pneumonia or witnessed family memberssuffering from the illness. The children are committed to raising their voices on behalf of the 25,000children who die of the disease each year in their country. On World Pneumonia Day, the childrenimplored policymakers to take action and support a pneumonia campaign similar to the country’srecent polio eradication campaign and to work toward accessible health care for every child.

Children perform at World Pneumonia Day Stakeholders Dialogue at National Press Club in Dhaka, Bangladesh.


Celebrities Increase Issue Visibility to Help Save LivesSave the Children’s Every One campaign ambassador and Bollywoodstar Shabana Azmi called on governments both in the developed anddeveloping worlds to do more to stop 1.5 million children from dyingevery year from pneumonia. She emphasized her support of healthworkers in addressing pneumonia, tweeting messages about the cam-paign to more than 100,000 Twitter followers.

Academy Award-winning actress and Global Ambassador of theGlobal Alliance for Clean Cookstoves, Julia Roberts, issued a state-ment in recognition of World Pneumonia Day to raise awarenessabout the connection between the use of clean cookstoves and fuelsand the prevention of pneumonia in children.

Actress Mandy Moore added her voice to thefight in a blog post on The Huffington Post,supporting World Pneumonia Day and effortsto stop the “forgotten killer.” In her blog post,she urged Congress to continue investing inlifesaving global health solutions.

In Nepal, the nationally acclaimed band Ku-tumba lent their support to the Every Onecampaign, raising awareness about the dan-gers of pneumonia. The group played concertsin three cities, with a total audience of morethan 14,000 people.

Julia Roberts

Academy Award-winning

actress is

Global Ambassador of the

Global Alliance for Clean

Cookstoves.

EVERY ONE campaign in Nepal went musical with popu-

lar Nepali folk instrumental band Kutumba performing

their brand of typical Nepali folk tunes and messages of

newborn and child survival.

“The deployment of clean cookstoves and fuels can significantly reduce

worldwide childhood death from pneumonia. Combined with our part-

ners’ global efforts to encourage vaccinations and increase basic health

and wellness education, the Alliance is playing an important role in re-

ducing pneumonia and other preventable deaths among the world’s

most vulnerable people.”

—Actress Julia Roberts


THE CONTINUED FIGHT AGAINST PNEUMONIA

In just three years, World Pneumonia Day has earned international recognition among healthleaders, medical professionals, journalists, activists and community leaders as the day for theworld to collectively raise its voice and take action on behalf of the millions of children who diefrom pneumonia each year. It is a day when the unified voice against pneumonia is louder,stronger and more powerful.

The recent progress in reducing pneumonia deaths demonstrates that when these proven inter-ventions are utilized to the fullest extent, even more lives will be saved and much suffering willbe averted. These results reinforce the need to reinvigorate political and social action to educate,inspire and create meaningful change in the countries that need it most.

That’s why in 2012 the Global Coalition Against Childhood Pneumonia will continue to focus onmotivating action year round — from opinion leader involvement and social media conversation togovernment commitment and parent education — to advance the global fight against pneumonia.

Child treated for pneumonia at the Embu Provincial General Hospital visitsthe "I Faced Pneumonia!" event.

BY COMBINING

VOICES,RESOURCESAND NETWORKS,WE BELIEVE WE CAN MAKE PNEUMONIA A

PRIORITYFROM THE U.S. TO UGANDA AND INCREASE

GLOBAL ACTIONON IMPROVING CHILD SURVIVAL AND

HEALTH OVERALL.A woman and her infant in Mexico.


� 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-Universitat de Barcelona)

� Best for Babes� Best Shot Foundation� Boston University School of Public Health Center for

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 Development

Communication� 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 Bengal Branch� 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 and Lung

Disease (The Union)� International Vaccine Access Center (IVAC) at Johns

Hopkins Bloomberg School of Public Health� International Vaccine Institute� John Snow Inc. (JSI)� Johns Hopkins Bloomberg School of

Public Health� Jordan University Hospital (JUH)� Jordan University Medical School, Division of Pediatric

Infectious Disease

GLOBAL COALITION AGAINSTCHILD PNEUMONIA


� 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 Child

Survival 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 Medical

Parasitology� ONE� Otunba Tunwase National Paediatric Centre� The Paediatric Association of Nigeria� Pakistan Help� Pan African Thoracic Society� 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 the

Phillippines� 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) at Emory

University� Sabin Vaccine Institute� Save the Children� SHD Team "Sustainable Health

Development Team"� Shifa International Hospital� SIFAT� Sociedad de Infectologia de Cordoba� Southern African Society of Paediatric Infectious

Disease (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 International

Child 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 Pepole� Women for Women of Sierra Leone� Women's Refugee Commission� World Consulting Group, Ltd.� World Vision� ZGD - Zeus Global Development

World Pneumonia Day is led by a committed and diverse group of NGOs, community�based or-ganizations, academic institutions, government agencies and foundations working together asthe Global Coalition Against Child Pneumonia. Now more than 140 organizational membersstrong with representation on five continents, the Coalition uses World Pneumonia Day as theprimary annual rallying point around its mission: to raise awareness about pneumonia and toadvocate for global action to protect against, prevent and treat the disease, which kills moreyoung children than any other illness. For more information on the Coalition and its work, pleasevisit www.worldpneumoniaday.org

“LET'S CONTINUE TO BUILD ON THE

PROGRESSMADE THIS YEARAND REDOUBLE OUR EFFORTS TO ENSURE THAT

EVEN MORE CHILDREN

STAY ALIVETO REACH THE NEXTWORLD PNEUMONIA DAY.”

MELINDA GATES, BILL & MELINDA GATES FOUNDATION

www.worldpneumoniaday.org

This report was produced by the International Vaccine Access Center (IVAC) at Johns HopkinsBloomberg School of Public Health in March 2012 and gratefully acknowledges the contributions of advocates around the world who are working to stop pneumonia and save millions of young lives.

Country statistics on childhood mortality quoted in this document came from Black R, Cousens S, Johnson HL, et al. Global, regional, and national causes of child mortality in 2008: a systematic analysis.Lancet. 2010; 375: 1969–87.

PHOTO CREDITS: COVER PAGE: Akash/UNICEF/2006. PAGE 2: Kiron/UNICEF/2011. PAGE 4: Matthew Feldman/IVAC/2012.PAGE 6: Nadeem Salmani/Abhinav Bharat Foundation/2011. PAGE 7: PATH/2011. PAGE 10: Yotam Mugala/World Vision,Zambia/2011. PAGE 11: Studio 24/Vaccine Network for Disease Control/2011. Vincent A. Isip/MHO-Mariveles/2011. PAGE 12:PATH/2011. PAGE 13: Belal Hossain/CHRF/2011. Belal Hossain/CHRF/2011. PAGE 14: Hermant Patil/Swaasthya/2011. Breathof Life/2011. PAGE 15: EVERY ONE Campaign – Save the Children/2011. Rizwan Khowaja/Aga Khan Health Service/2011.PAGE 16: Sunny Inah/So-Healthi/2011. PAGE 17: Mike Tambo/2011. Anne Ashitiva/KEMRI/Wellcome Trust Research Pro-gramme/2011. PAGE 18: FIDEC/FUNCEI/2011. Michael Mourad and Eman Wafik/EMSA/2011. AYB-SD/2011. AmosGumulira/EVERY ONE Campaign – Save the Children/2011. PAGE 19: PSI/Madagascar/2011. PAGE 20: Mr. Dapo/PaediatricAssociation of Nigeria/2011. PAGE 23: Hector Velasquez/Johns Hopkins Bloomberg School of Public Health/2011. PAGE24: Save the Children, Bangladesh/2011. PAGE 25: The Oprah Winfrey Network/2011. Arun Gurung/Kutumba/2011. PAGE26: Ambrose Agweyu/KEMRI/Wellcome Trust Research Programme/2011. PAGE 27: Rick Maiman/Photoshare/2000. IN-

SIDE BACK COVER: Siddique/UNICEF/2006.

©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

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FIGHT PNEUMONIA. 0 TSHE GALOBVAL COEALIT IOAN AG … · fight pneumonia. save a child. 9 Snapshot of World Pneumonia Day 2011 Inspiring advocates to drive change worldwide 62 events