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Read more… - World Pneumonia Day

The Small Grants forWorld Pneumonia DayAdvocacy Program 2010:Highlights and Key Outcomes


IntroductionPneumonia remains the leading killer of children under fiveyears of age, with over 1.5 million young children dyingfrom the disease annually. Research has shown that youngchildren living in the developing world, where there islimited access to prevention and treatment measures,account for 98% of all pneumonia deaths worldwide.These deaths are especially tragic because pneumonia isboth preventable and treatable. The reality is that manypeople are simply not aware of the immense tollpneumonia takes on the world’s children. Getting the wordout about the illness and what can be done to fight it iscritical if we want to change these frightening statistics.On November 12, 2010, the second annual WorldPneumonia Day (WPD) helped to bring this crisis to theforefront, mobilizing concerned citizens, child healthadvocates, donors, and policymakers around the world totake action against pneumonia. To help make advocacyactivities commemorating WPD 2010 possible, theInternational Vaccine Access Center (IVAC) at the JohnsHopkins Bloomberg School of Public Health, along withseveral partners, continued the Small Grants for WorldPneumonia Day Advocacy program, which builds on asimilar program implemented in 2009 for the first-ever WPD.Grants awarded by IVAC and its partners provide anopportunity for advocates in countries most affected by childpneumonia to take the lead in pushing for policies toimprove the prevention and treatment of the disease in theirhome and in neighboring countries. The return oninvestment of the small grants program has been significant.Providing training and a small amount of financial support tothese dedicated advocates and professionals allows themto, in many cases, continue and expand upon work theyhave undertaken on behalf of child health issues over theyears. Through the empowerment of these in-countryadvocates, WPD has become a truly global event.We congratulate all of the small grants recipients for theirtireless efforts in making a difference in the fight againstpneumonia.COVER PHOTOS (clockwise from the top): A baby at a clinic up-to-date on her vaccinations; The PediatricAssociation of Cameroon organized an art contest for students in primary schools to learn about pneumonia;The First Lady of Bayelsa State, Nigeria, Mrs. Alanyingi Sylva educates mothers about pneumonia prevention.The organizers gratefully acknowledge Crucell, which provided essential funding to underwrite the small grants program.


Table of Contents2010 Small Grants Program Awardees ............................................................................................................................2The Small Grants Programs ..................................................................................................................................................3Advocacy Activities Supported by the Small Grants Program ..................................................................................8Spotlight: Nepal..........................................................................................................................................................................9Targeted Advocacy: Scientific Seminars, Medical Programs, and Educational Workshops..........................10Spotlight: Egypt ........................................................................................................................................................................12Working with the Media: Media Campaigns, Press Conferences, and Trainings............................................13Spotlight: The Philippines ....................................................................................................................................................15Innovative Advocacy Strategies..........................................................................................................................................16Spotlight: The Leadership of Women in Nigeria..........................................................................................................18Conclusions and Key Outcomes ......................................................................................................................................201 1T h e S m a l l G r a n t s f o r W o r l d P n e u m o n i a D a y A d v o c a c y P r o g r a m 2 0 1 0


2010 Small Grants Program AwardeesLola Dosunmu Adeyemi (Making Change through Medical Initiatives (MCTMAI))Dr. Ola Adeyemi (Crystal Specialist Hospital Lagos, Nigeria)Dr. Mesbah Uddin Ahmed (Bangladesh Paediatric Association)RoseMary Archibong (So-Healthi Cross River State, Nigeria)Dr. D.R. Aryal (Nepal Paediatric Society)Dr. Abdul Bari (Save the Children – Pakistan)Hajiya Bikisu (Federation of Muslim Women Associations in Nigeria (FOMWAN))Dr. Adane Abrea Bogale (Ethiopian Pediatric Association)Dr. Lulu Bravo (PACE member, Philippines)Dr. Jaydeep Choudhury (Institute of Child Health— Kolkata, India)Dr. Ekanem Ekure (Paediatric Association of Nigeria)Dr. Walyeldin Elfakey (Sudanese Association of Paediatrics)Helen Ese Emore (Master Care Foundation – Delta State, Nigeria)Dorothy Esangbedo (Pediatric Association of Nigeria)Onyebuchi Ezigbo (This Day Newspaper, Nigeria)Dr. A.G. Falade (University College Hospital— Ibadan, Nigeria)Tayo Fariogun (Health and Sustainable Development Association of Nigeria (HESDAN) – Lagos, Nigeria)Dr. Josiane Housansou (Societe Beninoise de Pediatrie)Valentine Igoniwari (Center for Gender Values and Culture)Integrated Rural Health Development Training Center, NepalInternational Emerging Infections Program, Egypt (IEIP)Dr. Rita Issac (CMC-Vellore, India)Dr. Norman Lufesi (Malawi Ministry of Health, ARI Programme)Dr. Desire Mbassi (Cameroon Pediatric Association)Dr. Namala P. Mkopi (Paediatric Association of Tanzania)Dr. Nanthalile Mugala (Zambia Pediatric Association)Dr. Stephenson Muslime (Rwanda Pediatric Association)Nepal Paediatric SocietyDr. Odiraa C. Nwankwor (Mexzen-Care for Life Foundation (MCLF) – Lagos, Nigeria)Celestina Okanya (Partnership Opportunities for Women Empowerment Realization (POWER) – Cross River State, Nigeria)Public Health Development and Research Center, NepalDr. Lorna Renner (Paediatric Society of Ghana)Rotary Club of Kathmandu-North, NepalCaroline Bolanle Sarumi (Childhood Bridge International Initiative (CBII) – Abuja, Nigeria)Dr. Samba Sow (PACE member, Mali)Dr. Wembonyama O. Stanis (Congolese Society of Pediatrics)Dr. Leon Tshilolo (CECFOR/CEFA-MONKOLE, DRC)2T h e S m a l l G r a n t s f o r W o r l d P n e u m o n i a D a y A d v o c a c y P r o g r a m 2 0 1 0


The Small Grants ProgramsSupporting advocates and health care professionals who havefirst-hand experience with the perceptions of and approachesto pneumonia within their communities is essential to makingprogress against the disease. Their expertise andunderstanding of local issues gives weight to advocacymessages as they seek support for the cause. Moreover, localadvocacy is especially vital to influencing key policymakers indeveloping countries, and small grants allow for thesegrassroots campaigns to take place. In 2010, many WPDadvocacy efforts were made possible by the availability ofsmall grants, which provided the necessary funding to driveefforts that targeted the public and policymakers.Three separate grant windows were available to select groupsof advocates:Targeting Potential AdvocatesThe goal of the small grant programs is to empower dedicatedproponents of child health to speak out for children and linktheir efforts with the global movement to shine a light onpneumonia, the orphan of global health. Grant-fundedactivities designed by successful applicants in 2010 wouldcommunicate a simple, multi-faceted solution for pneumonia:Protection, Prevention and Treatment. This concept was putforth in the WHO/UNICEF Global Action Plan for thePrevention and Control of Pneumonia (GAPP), launched in2009, which outlines known, feasible interventions. Theseinterventions, if implemented to 90% coverage, could savemore than a million young lives per year from pneumonia.■■■IVAC coordinated small grant programs in Nigeria andIndia to fund promising advocacy activities. These weremade possible in part thanks to the GAVI Alliance.IVAC coordinated a small grant funding windowthrough the International Pediatric Association(IPA)/GAVI Alliance/UNICEF Pediatric Championsprogram to provide small grants to National PediatricAssociations in 23 countries. This program wasmade possible by the generous support of theCrucell company.The Sabin Vaccine Institute and the PneumococcalAwareness Council of Experts (PACE) partneredwith IVAC to offer small grants to PACE membersand signatories of the PACE Call to Action. Thisprogram made WPD events possible in Nepal,Egypt, Mali, and the Philippines.Pneumonia advocate from the Pediatric Association of Nigeria.3T h e S m a l l G r a n t s f o r W o r l d P n e u m o n i a D a y A d v o c a c y P r o g r a m 2 0 1 0


In reaching out to potential advocates, we sought motivatedand knowledgeable individuals with the power to influenceand persuade the public and policymakers in their homecountries. Applicants to the small grants program were notlimited to those in the health field and included men andwomen from diverse backgrounds united by theirunderstanding of the urgent need to give the problem ofchildhood pneumonia the attention it deserves.In the months before World Pneumonia Day (WPD) 2010,IVAC issued an announcement about the availability ofcompetitively awarded small grants for WPD advocacy. Thisletter was sent to a variety of advocates eligible for any of thethree small grants programs.All small grants awardees were based in a low-income country(defined as GNI per capita


The IPA had previously called on National PediatricAssociations in 23 low-income countries to identify andnominate two pediatricians they felt were committed toimmunization, child health, and the attainment of theMillennium Development Goals (MDGs) in their countries.These advocates were trained at an intensive workshop at theIPA annual meeting in August 2010. Information about thesmall grants program was sent to these 46 IPA champions.(See highlight on Page 4 of this report.)The small grants provided by the Sabin Vaccine Institute wereonly open to members of the Pneumococcal AwarenessCouncil of Experts (PACE) and signatoryorganizations of PACE’s Call to Action. PACEis a council of the world’s leading experts ininfectious diseases and vaccines focusedon tackling the issue of pneumococcaldisease. The Council’s mission is to raiseawareness of pneumococcal disease andadvocate for its prevention throughvaccination. The group issued a call toaction in 2008 and shared the messageabout the availability of funding for WPDadvocacy through the small grantsprogram with its members.The Selection ProcessApplications were received from advocacy groups in dozensof countries, and 38 grants were awarded. Each grantapplication was reviewed in a competitive process by at leastthree reviewers with expertise in advocacy, communications,and health policy. Proposals were assessed based on threeprimary criteria: 1) how likely proposed activities were to havean impact on key constituencies that influence pneumoniacontrol programs; 2) the quality of the proposal; and 3) abilityof the applicant to implement the plan as outlined.5T h e S m a l l G r a n t s f o r W o r l d P n e u m o n i a D a y A d v o c a c y P r o g r a m 2 0 1 0


Advocacy Support and TrainingIn addition to providing funding, organizers of the small grantsprogram also offered training and on-going support torecipients. In October 2010, IVAC organized a day-long mediaand advocacy training in Lagos, Nigeria for representatives ofNGOs, hospitals, pediatric associations, and the media. At thistraining, participants were briefed on issues related topneumonia and were encouraged to discuss ways in whichthe media could more effectively increase awareness of theproblems related to the illness. Advocates were also given arange of useful materials, including fact sheets, press releases,and messages about WPD. In the weeks that followed thisevent, attendees joined other advocates and organized anumber of events, utilizing a wide variety of strategies. Thepool of applications from the IPA Champions project weretrained at a workshop in August of 2010.In October 2010, 16 representativesfrom NGOs, private hospitals, pediatricassociations, and the media attended aday-long workshop organized by IVACin Lagos, Nigeria.6Pediatrician advocates were trained at a workshop co-hosted by the International Pediatric Association, UNICEF and theGAVI Alliance in August 2010, made possible by a grant from Crucell. Advocates in 15 of the 23 Champion programnations went on to become WPD Small Grants recipients.T h e S m a l l G r a n t s f o r W o r l d P n e u m o n i a D a y A d v o c a c y P r o g r a m 2 0 1 0


A Summary of ResultsWith funding from the small grants program, advocates in 19developing countries held dozens of events on WPD 2010. Thegrants allowed for advocates to put many of their ideas into action;thus, the 38 grants awarded actually made over 75 anti-pneumoniaactivities possible. Messages conveyed by advocates included theimportance of good nutrition, including breastfeeding, reducing airpollution which makes children vulnerable to pneumonia,prioritizing immunization against Hib and pneumococcal bacteriaand improving access to pneumonia treatment.The small grants program made anti-pneumonia advocacyevents possible in: Bangladesh (1), Benin (1), Cameroon (1),DRC (2), Egypt (1), Ethiopia (1), Ghana (1), India (2), Malawi(1), Mali (1), Nepal (2), Nigeria (13), Pakistan (1), Philippines(1), Rwanda (1), Sudan (1), Tanzania (1), Uganda (1), andZambia (1).**The numbers in parentheses represent the number of grantsawarded in each country.Activities funded by the small grants program included(but were not limited to):■ press conferences■ scientific seminars■ information sessions and workshops■ briefings with government leaders■ media visits to health facilities■ public rallies and marches■ the making of a documentary film■■■■■■■■■TV and radio broadcastsa walkathonan SMS messaging campaigna balloon launchan art contesttheater workshopsan athletic competitiona journalist traininga public debate7T h e S m a l l G r a n t s f o r W o r l d P n e u m o n i a D a y A d v o c a c y P r o g r a m 2 0 1 0


Sudanese citizens carry their message to Parliament.Advocacy Activities Supportedby the Small Grants Program:A Selection of HighlightsGiving Citizens a Chance to Speak Out: Marches, Rallies, and DialoguesAdvocates in a number of countries organized public marchesand rallies to raise the profile of childhood pneumonia. Thesemarches mobilized doctors, nurses, educators, children,parents, and various health organizations. The crowds thatgathered increased the visibility of pneumonia among keydecision makers. In several countries, the voices calling forgovernment action and commitment to fight pneumonia wereanswered.The Zambian Pediatric Association organized a public rally withhundreds of doctors, nurses, advocates, and members of thegeneral public. The rally included a brass band and featuredspeeches from public health leaders. Advocates thenproduced a documentary film about the rally, which was airedon Zambian television. Reaching out to the country’spolicymakers, advocates also organized a parliamentarybriefing with members of the Sub-Committee on Health toinform them about available strategies that can prevent andtreat childhood pneumonia.The Sudanese Association of Pediatrics organized a public rallywhere advocates, pediatricians, medical students, and childrenmarched from a children’s hospital in Khartoum to Sudan’sParliament. At Parliament, the group was met by seniorgovernment officials, including the President of the Health andPopulation Committee. The advocates also held a pressconference and circulated a declaration calling on thegovernment to make pneumonia a priority.In Cross River State, Nigeria, a woman’s advocacy group calledPartnership Opportunities for Women EmpowermentRealization (POWER) organized a march that included morethan 4,000 people. Cross River State Governor Liyel-Imokeand his wife participated.8Zambians rally against pneumonia.T h e S m a l l G r a n t s f o r W o r l d P n e u m o n i a D a y A d v o c a c y P r o g r a m 2 0 1 0


Spotlight: NepalAdvocates in Nepal organized a rally in Kathmandu wheremore than 1,000 people carried banners and handed out flyersto the public about the need to prioritize the prevention andtreatment of childhood pneumonia. The rally was inauguratedby Nepal’s Minister of Health, who affirmed the government’scommitment to fight pneumonia. Advocates also made anofficial request to the Department of Health Services for theintroduction of pneumococcal vaccine.In a separate Nepalese event, the Rotary Club of Kathmandu-North organized a walkathon with approximately 350participants from different institutions, clubs, associations,societies, foundations, and industries. WHO and UNICEFrepresentatives attended the event, which began with aspeech by the district governor.Nepal’s Minister of Health addresses the public at the WPD rally.9T h e S m a l l G r a n t s f o r W o r l d P n e u m o n i a D a y A d v o c a c y P r o g r a m 2 0 1 0


Targeted Advocacy: ScientificSeminars, Medical Programs, andEducational WorkshopsSome of the small grants allowed countries to plan seminars andeducational events that highlight strategies to prevent and treatchildhood pneumonia. These information sessions andworkshops did not just target the general public. Advocacy effortsalso strived to inform medical and public health professionals.In Bangladesh, advocates arranged educational seminars atDhaka Medical College and ten other colleges throughout thecountry to inform students about pneumonia prevention andtreatment and enlist volunteers to participate in ongoing antipneumoniaadvocacy efforts.By directing advocacy training and tools towards those on thefrontline – men and women who work within the field andinteract daily with children and families most affected bypneumonia – we more effectively increase the reach of ourmessage. It is undoubtedly important that professionals withinfluence are well-informed about the possible viable andevidence-based solutions that exist to eradicate pneumonia.These trusted experts are in a position to share these solutionsto a listening public. Moreover, these events may pique theinterest of future advocates, thus further building the supportnetwork for the cause.Advocates from Christian Medical College (CMC) in Vellore,India organized continuing medical education workshops onpneumonia for nurses in the tribal areas where access tomedical care is very low. Advocates also held a series ofcommunity meetings discussing ways to prevent and treatpneumonia. Members of the media were invited to theseinformation sessions.In Bayelsa State, Nigeria, advocates facilitated a series ofeducational workshops on pneumonia prevention. A forum formidwives organized by the Center for Gender Values & Culture10Pneumonia awareness advocates gather in Vellore, India.T h e S m a l l GT hr ae nGt sl ofbo ar l WC oral dl i tPi on ne uA mg oa ni ni as t DC ah yi lAd dPv no ec ua mc yo nP ir ao g r a m 2 0 1 0


and led by First Lady of Bayelsa State, Mrs. Alanyingi Sylva,attracted more than 400 participants, who learned factsand myths about pneumonia and other illnesses thatdisproportionately affect children.During WPD 2010, Pakistan and Mali both looked forward tothe April 2011 introduction of the pneumococcal conjugatevaccine (PCV) in their countries. Anticipating the questionsthat would surround the use of the new vaccine, these twonations took advantage of WPD to conduct public outreachand professional seminars.An IPA Champion speaks at a WPD symposium inLahore, Pakistan.Pediatricians in Pakistan organized a well-attended symposiumon the causes of pneumonia and the ways to protect, preventand treat children against the illness. The symposium was heldat the Children’s Hospital in Lahore. Speakers discussed thebenefits of the vaccines such as Hib, measles andpneumococcal vaccines and presented available pneumoniacontrol measures, like exclusive breastfeeding and improvednutrition, which are mentioned in the GAPP Report issued byWHO and UNICEF. GAPP estimates that implementingpreventive, protective and treatment measures againstpneumonia could save the lives of 1 million young childreneach year.In Mali, PACE Member Dr. Samba Sow organized several WPDactivities in an effort to prepare the public for the introduction ofthe new vaccine. In addition to public communication activities,the Center for Vaccine Development (CVD) partnered with thepediatric service of Hospital Gabriel Toure, the only pediatricservice in the country, to host a conference on the epidemiologyof pneumonia, pneumococcus isolation techniques, andmorbidity and mortality due to the disease. Attendees includedcommunity representatives, religious leaders, health and politicalauthorities, staff members at various health centers of Bamako,and representatives of international organizations such as WHO,UNICEF, and Save the Children.11T h e S m a l l G r a n t s f o r W o r l d P n e u m o n i a D a y A d v o c a c y P r o g r a m 2 0 1 0


Spotlight: EgyptThe Egyptian International Emerging Infections Program (IEIP)organized a series of meetings to raise awareness aboutpneumonia among policymakers and health workers.Meetings were held with government leaders at the Ministry ofHealth, primary health care physicians, hospital teams, andhealth managers. In addition to the meetings, the IEIPdeveloped and distributed scientific and promotional materials.12In Egypt, advocates at the International Emerging Infections Program (IEIP) made policymakers andphysicians more aware of what can be done to combat pneumonia.T h e S m a l l G r a n t s f o r W o r l d P n e u m o n i a D a y A d v o c a c y P r o g r a m 2 0 1 0


Working with the Media: MediaCampaigns, Press Conferences,and TrainingsAdvocates amplified their messages about the urgent need tocombat childhood pneumonia by recording public servicemessages for radio and television and by actively engaging localmedia through press conferences and tours of public hospitalsand medical facilities. Realizing that media can be a powerfulpartner in the effort to curb pneumonia, some advocates utilizedfunding from the small grants program to conduct journalisttrainings and expand on conversations taking place between themedia and proponents of the cause.The Bangladesh Pediatric Association partnered with Save theChildren and five other child-related organizations to hold a“Media Dialogue” at the National Press Club in Dhaka. Dozensof journalists were informed about the enormous burden ofpneumonia on the children and families of Bangladesh – acountry that ranks 12th in the world for numbers of childhoodpneumonia deaths.The Indian Academy of Pediatrics’ “Blow Away Pneumonia”campaign included professional seminars, community meetings,a poster campaign, and other events calling attention to the factthat pneumonia is the biggest killer of children in India. Morethan 40 branches of the Academy distributed information tolocal newspapers and participated in TV and radio interviews.Throughout Africa, advocates made strides in strengtheningthe media’s awareness of pneumonia and the impactprevention measures can have on child health. In Nigeria, theVaccine Network for Disease Control, a local NGO working toaddress the systemic causes of low vaccine coverage in thecountry, organized a training for journalists in Abuja, Nigeria.During a televised panel discussion of pneumonia featuringthe Pediatric Association of Nigeria, it was announced that thegovernment was planning to introduce Hib and pneumococcalvaccines into national immunization programs.In Bangladesh, efforts to better inform journalists about pneumonia culminated in a“Media Dialogue” event at the National Press Club in Dhaka.13T h e S m a l l G r a n t s f o r W o r l d P n e u m o n i a D a y A d v o c a c y P r o g r a m 2 0 1 0


In Malawi, advocates working with the Ministry of Healthorganized a TV and radio campaign to broadcast public servicemessages about the critical importance of pneumoniaprevention and treatment. The advocates also arranged a tourof a district hospital for journalists, thus allowing members ofthe media to see first-hand the severe toll pneumonia cantake. During the tour, the recent acquisition of 115 life-savingoxygen concentrators, devices used to treat children sufferingfrom pneumonia, was highlighted. The Malawian Minister ofHealth and the country director of USAID, which providedfunding for the equipment, participated in a special ceremonyto commemorate the delivery of these much-neededmachines. At the ceremony, both leaders also pledged to domore to further the fight against childhood pneumonia.In Mali, Information, Education, and Communication (IEC)activities targeted mothers and caretakers through newsprograms on national television discussing the signs andsymptoms of pneumonia and elaborating on availabletreatments against the illness.14PACE member Dr. Samba Sow looks on as community members greet headliners at a WPD event in Mali.T h e S m a l l G r a n t s f o r W o r l d P n e u m o n i a D a y A d v o c a c y P r o g r a m 2 0 1 0


Spotlight:The PhilippinesPACE member Dr. Lulu Bravo speaks to a mother at a pneumoniaawareness event in the Philippines.In Manila, PACE member Dr.Lulu Bravo organized aconference and journalisttraining to increase thevisibility of pneumonia as amajor problem in the eyes ofpolicymakers, health officials,the media, governments,donors, and the generalpublic.One of the immediateoutcomes of these activities was the filing of a billasking Congress to expand the National Immunization Program tobetter address the health of Filipino children. As a result ofadvocacy activities, local governments have also indicated interestin providing the pneumococcal conjugate vaccine to theirconstituents. Additionally, continued research on pneumonia andchild survival has been included in the Priority Research Agenda ofthe University of the Philippines-Manila, National Institute of Healthand will be featured in an upcoming research seminar.15T h e S m a l l G r a n t s f o r W o r l d P n e u m o n i a D a y A d v o c a c y P r o g r a m 2 0 1 0


Innovative AdvocacyStrategiesFor WPD 2010, anti-pneumonia advocates explored fun,creative ways in which to focus the public’s attention on thechallenge posed by childhood pneumonia. Whether throughart, sports, or roller skating in the streets, advocates around theworld were determined to get their message across.Advocates in India utilized theater to bring pneumoniarelatedmessages to their communities. A team ofvolunteers in Vellore worked with children in grades 6 to 12to stage a play about pneumonia that was developed by asenior health educator. Between 800-900 childrenattended this production. In the rural villages of Bihar, Savethe Children India conducted a pneumonia preventiondrive. Advocates attended 40 meetings and met with atotal of 8,000 participants to raise awareness aboutchildhood pneumonia.Children in Vellore, India participate in the productionof a play about pneumonia.Advocates in Uganda donned roller skates to distribute morethan 1,000 flyers to people across Kampala. A publicdialogue was also organized, attracting more than 300people. The highlight of the event was a release ofhundreds of large helium balloons bearing the message“Know Pneumonia. No Pneumonia.” The Uganda PediatricAssociation also created 30 roadside billboards callingattention to pneumonia as a child health problem.The Pediatric Association of Cameroon organized an artcontest for 180 primary schools. Students learned aboutpneumonia and were asked to create drawings. A panel ofartists and pediatricians selected five winners whose work willbe featured in brochures that will be distributed throughout thecountry. The Association also partnered with the country’slargest mobile phone company to send the following SMSmessage in both French and English to more than 1 millionmobile phone customers on World Pneumonia Day:“Pneumonia kills thousands of our children every year.Vaccination can protect them against this deadly disease.Please tell your neighbors on November 12th.”Balloons released in Uganda spread the anti-pneumonia message.16Primary school students in Cameroon display their artworkabout pneumonia.T h e S m a l l G r a n t s f o r W o r l d P n e u m o n i a D a y A d v o c a c y P r o g r a m 2 0 1 0


Ethiopian pediatricians celebrate WPD by advocating forchild health in the Ethiopian Great Run.Members of the Ethiopian Pediatric Association(EPA) executive committee participated in the 10KEthiopian Great Run to highlight the importance ofpneumonia prevention and child health. The EPAhad a group of known athletes roam around themain square in Addis Ababa dressed in red shirts toshow that pneumonia is the number one killer ofEthiopian children and to represent those who havefallen to the disease.The Pediatric Association of Nigeria organized anathletic competition at the Victoria Garden Cityplayground for 200 children from three nurseryand primary schools. Both before and after theevents, students were taught about the science ofpneumonia and the urgent need to take measurespreventing and treating the illness. Studentrepresentatives were given trophies to take backto their schools.Left: Nigerian students display trophies won by their schools at an athleticcompetition organized by the Pediatric Association of Nigeria. Right: Advocatesfrom the Crystal Specialist Hospital in Lagos, Nigeria explained pneumoniathrough plays performed throughout the city.The Crystal Specialist Hospital in Lagos, Nigeriashowcased a play and documentary coveringpneumonia-related issues at five health centers inthe city. This event was followed by the distributionof informational pamphlets and a Q&A session,where healthcare providers and experts were ableto interact with patients and members of thecommunity.A local NGO explains the risk that generators can bring andalternative solutions for power.SoHealthi, an NGO in Cross Rivers State, Nigeria,led by Mrs. Rosemary Archibong, conducted aninnovative campaign addressing the negative effectof using generators, which create smoke, incrowded marketplaces. Research has shown thatexposure to indoor air pollution increases a child’svulnerability to pneumonia. Advocates aimed tobegin a dialogue with market leaders to findalternative solutions for power generation,including solar-powered generators, or locatinggenerators further away from crowded spaces.17I n c r e a s i n g A w a r e n e s s G l o b a l l y


Spotlight:The Leadership ofWomen in NigeriaProminent Nigerian women’s rights advocates played a key rolein mobilizing political will for the Nigerian government to domore in the fight against pneumonia.18T h e S m a l l G r a n t s f o r W o r l d P n e u m o n i a D a y A d v o c a c y P r o g r a m 2 0 1 0


The First Lady of Nigeria, Dame Patience Jonathan, marked WPDat the State House in Abuja with UNICEF and other partners. Thefirst ladies of a number of Nigerian states also played a key rolein WPD activities. First Lady of Bayelsa State, Mrs. Alanyingi Sylva,delivered key anti-pneumonia messages to the top levels of theNigerian government. In Edo state, the first lady, Mrs. Sheila RoliUduaghan, led other members of Mastercare Foundation on anadvocacy and support visit to the Governor of Delta State. InCross River state, First Lady Mrs. Obioma Liyel-Imoke workedwith Partnership Opportunities for Women EmpowermentRealization (POWER) to mobilize the government and thepeople of the state using marches, seminars and TV campaigns.These advocacy events complemented the long runningefforts of the National Primary Health Care DevelopmentAgency, which has pushed for the introduction of Hib andpneumococcal vaccines against pneumonia. It culminated inan announcement by the Minister of Health declaring thegovernment of Nigeria’s commitment to prioritize childhoodpneumonia and to introduce vaccines against Haemophilusinfluenzae type b (Hib) in 2011.The First Lady of Bayelsa State, Nigeria, Mrs. Alanyingi Sylva, educates mothers aboutpneumonia prevention.19T h e S m a l l G r a n t s f o r W o r l d P n e u m o n i a D a y A d v o c a c y P r o g r a m 2 0 1 0


Conclusions and Key OutcomesThe small grants program was designed to empower childhealth experts in countries most affected by child pneumoniaand encourage them to take advantage of the opportunityprovided by WPD to not only draw public attention to the factthat pneumonia is a critically important and solvable globalhealth challenge, but also to call on governments to supportpneumonia prevention and treatment policies. Furthermore,November 12, 2010, marked a turning point in globalpneumonia advocacy. For the first time, a majority of globalmedia coverage—and public attention—focused on events inthe developing world. The availability of small grants helpedfacilitate this transformation.A Recap of Key Points:■ 38 grants awarded■ $1,000-$5,000 each■ 19 developing countries took action through the program■ Over 75 events produced■ Significant increase in media coverage over 2010■ Over 1 million people were reached■ Several countries made concrete commitments to combatpneumoniaBeyond providing funding, the sponsors of WPD 2010 smalladvocacy grants—IVAC, GAVI, UNICEF, PACE, IPA, Crucell andthe Sabin Vaccine Institute—also provided training and ongoingsupport to many of the grantees. This crucial transfer ofknowledge ensures that our advocates use enhancedcommunications strategies and effective advocacy efforts nowand in the future.The contributions of $5,000 or less allowed small grantsadvocates to organize and run a multitude of exciting andimpactful events in 2010 that ensured the objectives of WPDwere met with great results. Small grants allowed advocates toincrease public awareness of pneumonia and educatecommunities most affected by the illness. Most significantly,awardees were able to rally for public support and contribute toincreasing political will to fight pneumonia through protection,prevention and treatment measures.Making a Lasting ImpactA look at some significant outcomes made possible by thesmall grants program:■■■■■■■Ethiopia: Ethiopian advocates convened a one-hoursummit with the Ministry of Health to discuss the urgentneed to address the burden of child pneumonia in thecountry.Nepal: The Nepalese Minister of Health affirmed thegovernment’s commitment to fighting pneumonia andinaugurated a rally on WPD in Kathmandu. A workshopfocused on pneumonia prevention and control as outlined inthe GAPP Report was organized by the Nepal Pediatric Society.It was attended by pediatricians, public health personnel,policymakers, and the Secretary of the Ministry of Health andPopulation. Advocates also made an official request to theDepartment of Health Services calling on the government tointroduce the pneumococcal conjugate vaccine in the country.Nigeria: Influential First Ladies throughout Nigeria standup for child health and rally for support against pneumoniatogether with the Pediatric Association of Nigeria. In OyoState, Professor Adegoke G. Falade, a pediatric infectiousdisease expert and a passionate advocate for child health,briefed parliamentarians on the unaddressed burden ofpneumonia and the need to allocate more funding formeasures to control pneumonia. The governmentannounces plans to introduce Hib vaccine in 2011.Malawi: The Malawi Minister of Health and the USAIDcountry director attended a WPD ceremony and pledged todo more in the fight against pneumonia.Philippines: A bill was brought before the PhilippineCongress to consider expanding the National ImmunizationProgram to better address child health. Local governmentsreport increased interest in providing the pneumococcalvaccine to their constituents. Research on pneumonia andchild survival has been included in the Priority ResearchAgenda of the Philippine National Institute of Health.Sudan: Proponents of the anti-pneumonia messagemarched to Parliament and were met by seniorgovernment officials, including the President of the Healthand Population Committee.Zambia: Advocates in Zambia organized a parliamentarybriefing with members of the Sub-Committee on Healthto inform them about available strategies that prevent andtreat pneumonia.20T h e S m a l l G r a n t s f o r W o r l d P n e u m o n i a D a y A d v o c a c y P r o g r a m 2 0 1 0


We can savea million children’s lives a year from pneumonia.


www.worldpneumoniaday.orgThis report was produced by the International Vaccine Access Center (IVAC) at Johns Hopkins Bloomberg School of PublicHealth in June 2011and gratefully acknowledges the contributions of advocates around the world who are working to stoppneumonia and save millions of young lives.©2011 International Vaccine Access Center (IVAC) at Johns Hopkins Bloomberg School of Public Health. All rights reserved.Johns Hopkins School of Public HealthInternational Vaccine Access Center (IVAC)855 North Wolfe Street • Suite 600 • Baltimore, MD 21205Email: ivac@jhsph.edu • www.jhsph.edu/IVAC

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