2011
FIGHT PNEUMONIA
FINAL REPORT SMALL GRANTS PROGRAM
IN NIGERIA
INTRODUCTION
Pneumonia is the leading cause of death in children under five around the world, taking the life
of one child every 23 seconds. But until recently, pneumonia has received little of the attention
it deserves.
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. Targets set by GAPP now provide measures for tracking
progress in pneumonia control.
Motivated by GAPP, a diverse group of organizations formed the Global Coalition Against Child
Pneumonia. Working together, the Coalition launched the first World Pneumonia Day (WPD)
in 2009, to raise awareness and generate action to reduce child mortality from pneumonia. The
International Vaccine Access Center (IVAC) then partnered with the GAVI Alliance, Global
Alliance for Clean Cookstoves, and Best Shot Foundation to create the Small Grants Program
to fund a wide variety of events around the world for WPD.
This report focuses on the WPD 2011 activities in Nigeria, the country with the second highest
burden of childhood mortality from pneumonia, after India. Although Nigeria lags behind in
key GAPP and child mortality indicators, progress in combatting pneumonia has begun under
the leadership of the Nigerian government, and with the support of a host of dedicated partners.
Increasing coverage of routine vaccines and introducing new vaccines against the two leading
causes of fatal pneumonia — Haemophilus influenzae type b (Hib) and pneumococcus — are high
priorities for Nigeria. But vaccination is not the only strategy for pneumonia control‚ interventions to increase breastfeeding rates, reduce exposure to indoor smoke, and improve access to
treatment must also be implemented to truly succeed in this fight.
For Nigeria’s WPD 2011 celebration, small grants were awarded to six organizations for a total
of 14 events, which reached over 20,000 people. Events targeted a group of diverse stakeholders,
including politicians, health care professionals, religious and community leaders, and thousands
of families. Harnessing the power of local organizations is the best way to excite widespread,
grassroots support, crucial for the sustained change needed to address pneumonia. Several
other organizations, some of which are previous grantees, also joined in by hosting their own
WPD activities — evidence of the catalytic nature of the Small Grants Program.
With pneumonia as the second leading cause of under 5 deaths in Nigeria, accelerating uptake
of proven interventions for pneumonia control is urgently needed to propel the country’s march
towards the United Nation’s Millennium Development Goal (MDG) 4: reduce child mortality by
two-thirds by 2015.
TABLE OF CONTENTS
•
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
•
Pneumonia: The Forgotten Killer . . . . . . . . . . . . . . . . . . . . . 4
•
Uniting Against Pneumonia . . . . . . . . . . . . . . . . . . . . . . . . . . 5
•
Pneumonia in Nigeria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
•
About the Small Grants Program . . . . . . . . . . . . . . . . . . . . 7
•
Grantee Spotlights
Nigeria Supreme Council for Islamic Affairs . . . . . . . . . . . 8
So-Healthi . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
University of Ibadan —
Health Promotion and Education Dept. . . . . . . . . . . 10
Paediatric Association of Nigeria . . . . . . . . . . . . . . . . . . . . 11
Vaccine Network for Disease Control . . . . . . . . . . . . . . . . 12
Mexzen Care for Life Foundation . . . . . . . . . . . . . . . . . . . 13
•
Non-Grantee Spotlights
Breath of Life . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Village Health Relief Initiative . . . . . . . . . . . . . . . . . . . . . . 14
National Primary Healthcare Development
Agency and Pfizer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
•
Summary of World Pneumonia Day 2011
Events in Nigeria . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
•
Snapshots of Events Around the World . . . . . . . . . . . . . . 17
•
Looking Forward . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
•
IVAC’s Efforts in Nigeria . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
•
Global Coalition Against Pneumonia. . . . . . . . . . . . . . . . . 20
TOP: Commercial motorcyclists (okada) participating in the pneumonia advocacy and sensitization campaign at the World Pneumonia Day event in Cross River State, Nigeria. MIDDLE: A participating doctor is interviewed by the press after the pneumonia advocacy event at the Department of Paediatrics, Lagos University Teaching Hospital, Lagos, Nigeria. BOTTOM: Fashion Show
participant waves as he walks across the stage, Abuja, Nigeria.
PNEUMONIA: THE FORGOTTEN KILLER
Pneumonia is the world’s leading killer of children under five, taking the life of one child every
23 seconds — more than HIV/AIDS, malaria, and measles combined. In 2010, nearly 1.4 million
children under five died from pneumonia. It is often referred to as the “forgotten killer” because
historically it has received little attention despite its importance. In the last decade, global health
leaders have worked to turn the tide on pneumonia, and in doing so created a global movement
to save children’s lives through annual recognition of World Pneumonia Day.
In 2009, WHO and UNICEF released the Global Action Plan for the Prevention and Control 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:
■
Ensuring effective case management and treatment at the
community level
■
Breastfeeding exclusively for the first six months of life and
providing zinc supplementation
■
Reducing indoor air pollution
■
Immunizations with vaccines against Hib, pneumococcus,
measles and pertussis
■
Preventing mother-to-child transmission of HIV
■
Promoting regular hand washing
INTERVENTIONS TO PREVENT PNEUMONIA EXIST — THE CHALLENGE
IS DELIVERING THEM TO CHILDREN WHO NEED THEM. OVERCOMING
THESE HURDLES WILL SAVE THE LIVES OF MILLIONS OF CHILDREN.
—Orin Levine, Ph.D.
Executive Director, International Vaccine Access Center
Global and national statistics on childhood mortality quoted in this report come from Liu L, Johnson HL, Cousens S, et al. Global regional,
and national causes of child mortality: an updated systematic analysis for 2010 with time trends since 2000. Lancet 2012; 379: 2151-61.
Recommendations for pneumonia control quoted in this report come from the Global Action Plan for Prevention and Control of Pneumonia
(GAPP). WHO/UNICEF 2009.
4
globa l coalition against ch ild p n eu mon ia
UNITING AGAINST PNEUMONIA
GAPP emphasized the need for global health partners to better coordinate efforts against childhood pneumonia. In response, 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, 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’ Millennium Development Goal (MDG) 4 of reducing child mortality by two-thirds by 2015. In 2010,
Coalition member organizations urged their governments to support a World Health 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 annually on progress controlling childhood pneumonia. The resolution was adopted by all World
Health Organization Member States.
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.
LEFT: Her Excellency, Mrs Obioma Liyel-Imoke with other dignitaries leading in pneumonia advocacy walk. RIGHT: Her Excellency, Mrs Obioma Liyel-Imoke, Wife of
the Cross River State Governor lending her voice to raise awareness about pneumonia at the event.
PROVISION OF IMMUNIZATIONS AND OTHER HEALTH SERVICES IS A
BASIC HUMAN RIGHT THAT EVERY CHILD DESERVES.
—Dr. Mohammad Pate, Minister of State for Health, Nigeria
F ig h t Pn eum onia I n Nig eria
5
PNEUMONIA IN NIGERIA
According to recent WHO estimates, 868,000 children under the age of five years died in Nigeria
in 2010. Pneumonia is the second leading cause of death in this age group, killing more than
140,000 children each year. As a result of a high child mortality rate and a large population,
Nigeria is second only to India in the total number of childhood deaths. Considering Nigeria’s
wealth of human and natural resources, access to health services are generally low and coverage
rates for interventions that protect against, prevent, and treat pneumonia are lower than many
other countries in the region.
Causes of Death in Children
Under
5 Years in Nigeria, 2010
Despite the burden of disease, Nigeria has made extraordinary progress in improving access to vaccination in recent
years. Coverage for all vaccines increased substantially
over the 2000-2010 decade. According to
WHO/UNICEF estimates, DTP3 coverage more than
doubled from 29% to 69% during this time period.
In late 2011, Nigeria conducted an important mass
campaign to deliver a new meningitis vaccine. In
June 2012, Nigeria introduced the pentavalent
vaccine, which protects against Hib, pneumonia
and meningitis, along with four other childhood
diseases. Efforts to eradicate polio are at an alltime high as the country fights to escape being one
of the three polio endemic countries in the world.
OTHER
DISORDERS
15%
MALARIA
20%
NEONATAL
CAUSES
30%
PNEUMONIA
14%
Nigeria has a major opportunity to reduce child mortality from pneumonia by rolling out new vaccines,
closing gaps in vaccination coverage, and increasing access to prevention and treatment services. Advocacy through
the Small Grants Program is one way to kick start these efforts.
DIARRHOEA
10%
MEASLES 1%
INJURY 3%
MENINGITIS 3%
AIDS 4%
Gaps in Coverage of Pneumonia Control
Interventions in Nigeria
100
TARGET INTERVENTION COVERAGE AS RECOMMENDED BY GAPP
90
GAP BETWEEN CURRENT COVERAGE
AND RECOMMENDED COVERAGE.
80
PERCENTAGE
70
CURRENT INTERVENTION COVERAGE.
60
50
Pneumonia intervention
coverage statistics come from
International Vaccine Access
Center. Pneumonia Progress
Report 2011.
40
30
20
10
0
MEASLES
VACCINE
COVERAGE
(2010)
6
PERTUSSIS
VACCINE
(DTP3)
COVERAGE 2010
globa l coa lition aga in st ch ild pn eu m on ia
% CHILDREN WITH
SUSPECTED
PNEUMONIA
TAKEN TO
HEALTH FACILITY
% CHILDREN WITH
SUSPECTED
PNEUMONIA
RECEIVING
ANTIBIOTICS
% CHILDREN
EXCLUSIVELY
BREASTFED IN
FIRST 6 MONTHS
National immunization
coverage statistics quoted
in this report come from
WHO/UNICEF estimates
of national immunization
coverage. ABOUT THE SMALL GRANTS PROGRAM
World Pneumonia Day 2011 — The International Vaccine Access Center (IVAC), GAVI Alliance, Global
Alliance for Clean Cookstoves, and Best Shot Foundation funded local advocacy activities in 14 developing countries to advocate for pneumonia control through prevention, protection, and treatment. Small grants were awarded to 14 organizations, 6 of which are located in Nigeria.
Objectives:
■
Amplify the need for a three-pronged approach to protect against, prevent and treat pneumonia, as outlined in the GAPP, in order to effectively control the disease and save lives.
■
Use World Pneumonia Day as a platform for advocates to engage governments and urge
the prioritization and full funding of child survival programs, with a particular emphasis on
countries with the highest pneumonia disease burden.
■
Generate and support international grassroots events designed to reach, educate and assist 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 about
pneumonia and to inspire action.
■
Engage new voices and faces of pneumonia — from everyday people to well-known
celebrities — as campaign messengers.
Diverse advocacy activities were undertaken in Nigeria, including petitions to government to increase funding and introduce new vaccines, grassroots community education and awareness
campaigns, and provision of free immunizations and other health services.
Grantees were chosen through a competitive process by a panel of experts. A total of 113
applications were submitted, 21 of which were from Nigeria. Small grants were awarded to 14
organizations, including 6 in Nigeria, for their innovation, ability to reach vulnerable populations,
targeting of key stakeholders, and leveraging of other funds.
Small Grants Recipients: Nigeria
■
Danjuma Abdullahi, Nigeria Supreme Council for Islamic Affairs, Abuja
■
Rosemary Archibong, So-Healthi, Calabar
■
Ademola Adelekan, University of Ibadan —
Health Promotion and Education Department, Ibadan
■
Ekanem Ekure, Paediatric Association of Nigeria, Lagos
■
Chika Offor, Vaccine Network for Disease Control, Lagos
■
Dr. Odiraa Nwankwor, Mexzen Care for Life Foundation, Abuja
NIGERIAN ADVOCATES ARE BRINGING PNEUMONIA TO THE ATTENTION
OF FAMILIES, HEALTH PROFESSIONALS, AND POLITICIANS – THIS IS FIRST
STEP TOWARDS ENSURING THAT EVERYONE HAS ACCESS TO SERVICES
TO PROTECT AGAINST, PREVENT, AND TREAT THE DISEASE.
—Lois Privor-Dumm, MIBS, Director of Alliances & Information, IVAC
F ig h t Pn eu mon ia In Nigeria
7
SMALL GRANTS PROGRAM — SPOTLIGHTS
Nigeria Supreme Council for Islamic Affairs
Abuja, Nigeria
Creating Awareness on Childhood Pneumonia
The Nigerian Supreme Council for Islamic Affairs (NSCIA) sought to use WPD 2011 to gain support for pneumonia advocacy from religious leaders and spread pneumonia messages as widely
as possible.
In one of the first major efforts to include religious leaders in pneumonia control, NSCIA organized lectures at mosques throughout Abuja to teach both leaders and community members
about pneumonia prevention and treatment.
Sermons were delivered at six mosques around Abuja, and worshippers were asked to bring the
messages home to their families and communities. Radio jingles about pneumonia were broadcast to surrounding states on Aso Radio (FM 93.5).
NSCIA also called on the Nigerian Government to provide immunizations against common
causes of childhood pneumonia. In response, the Federal Capital Territory (FCT) Primary Health
Care Board indicated interest in collaborating with NSCIA in the fight against pneumonia in rural
communities of FCT. In addition, the Health Human Services Secretariat promised to make vaccines more widely available in this area.
Highlights:
■
Over 18,050 people were reached by NSCIA World Pneumonia Day 2011 messages.
■
3,500 information, education, and communication materials were distributed.
■
Religious leaders at six mosques committed to creating awareness of pneumonia.
■
Radio jingles with pneumonia information were broadcast to 18 states.
■
Connections between NSCIA and the government were built for the purpose of raising
awareness of pneumonia and increasing immunization coverage.
LEFT: Worshippers from the six Area Councils listen to a lecture on pneumonia. RIGHT: Dr. Saddiq Abdulrahman of Health and Human Services Secretariat lectures
on pneumonia.
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globa l coalition against ch ild p n eu mon ia
SPOTLIGHTS — CONTINUED
So-Healthi
Calabar, Nigeria
Drown Pneumonia, Rescue a Child
The primary goal of So-Healthi’s (Society for Health Enlightenment Initiative) WPD 2011 project
was to train traditional birth attendants, mothers, and community leaders in pneumonia prevention methods.
For their main event, So-Healthi hosted a boat regatta to gain publicity for pneumonia messages.
Over 300 people attended, including children, pregnant women, nursing mothers, traditional birth
attendants, nurses, pharmacists, doctors, community leaders, and government officials. To reach
those who did not attend the boat regatta, So-Healthi teams visited six nearby villages to deliver
information on the dangers of indoor smoke and other ways to protect against pneumonia.
Training sessions on pneumonia prevention and treatment were held at the boat regatta for 45
traditional birth attendants (TBA) from ten local government wards. A local medical team was
also present at the regatta to conduct pneumonia screenings for children, and two children were
diagnosed and treated for pneumonia.
Visits to the Chairman of the Bakassi Local Government Council also proved fruitful. Government
officials announced that free doses of pneumococcal conjugate vaccine were being administered
at local clinics that day. And the wife of the Chairman of the Bakassi Local Government expressed her satisfaction about the rally and requested further collaboration on health care programs with So-Healthi.
Highlights:
■
300 people attended the So-Healthi WPD 2011 Boat Regatta.
■
45 TBAs from 10 government local wards were trained in pneumonia prevention and treatment.
■
Sensitization events were held in six rural villages, reaching hundreds of people.
■
Future collaborations for pneumonia prevention activities were planned between
So-Healthi, government, and the community.
Young men compete in a boat regatta to raise awareness of pneumonia.
F ig h t Pn eum onia In Nig eria
9
SPOTLIGHTS — CONTINUED
University of Ibadan - Health Promotion and Education Department
Ibadan, Nigeria
Generating Political Will for Pneumonia Control Project
The University of Ibadan leveraged WPD 2011 to generate political will among Oyo State legislators for introduction of the Hib vaccine and provision of free pneumonia treatment for children
under five years of age.
The university’s activities began with a workshop to provide key policymakers with evidence
demonstrating the need for pneumonia control, as well as information on the human, material,
and financial resources necessary to launch these programs.
Student rallies were also organized to bring attention to pneumonia issues outside the Ministry
of Health and State Legislature’s House Committee on Health. Five members of the House Committee joined the rally.
In response to university’s call to action, government officials promised to begin free health programs for children under five. Introduction of Hib vaccine was projected for the coming year.
The Chairman of the House Committee on Health also promised to ensure that adequate funding
is set aside for pneumonia control in 2012 Appropriation Bill.
Highlights:
■
Influential state legislators were reached with key pneumonia messages.
■
Students and other community members made their voices heard to legislators.
■
Government officials projected introduction of the Hib vaccine for 2012.
■
Government officials promised to increase funding for pneumonia control programs for
children under five.
Oyo State House of Assembly Members including the Hon. Speaker of the House during the pneumonia workshop.
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global coalition against ch ild p n eu mon ia
SPOTLIGHTS — CONTINUED
Paediatric Association of Nigeria
Lagos, Nigeria
Press Conference to Herald the World Pneumonia Day Celebration
The Paediatric Association of Nigeria (PAN) held a press conference on World Pneumonia Day
2011 to raise awareness about the severity of childhood pneumonia in the country. More than
50 people attended the session, which featured a documentary about the challenges of pneumonia for a typical Nigerian family. Present were ten different national television and newspaper
media organizations as well as doctors, nurses, and medical students.
The documentary also aired the weekend following World Pneumonia Day on the National
Television Authority (NTA), a channel with over 90 million viewers.
During the National Pneumococcal Summit, Dr. Ekarem Ekure, Secretary of PAN, took the opportunity to call upon the federal government to include the pneumococcal conjugate vaccine
into routine immunization schedules in Nigeria.
Highlights:
■
Documentary on pneumonia issues was featured on national television.
■
A press conference delivered pneumonia messages to ten different media outlets.
■
A petition was made to the federal government during the National Pneumococcal
Summit to introduce the pneumococcal vaccine.
Press conference with Dr. Temiye, Acting Head of Paediatrics, Lagos University Teaching Hospital, Lagos, Nigeria.
F ig h t Pn eum onia I n Nig eria
11
SPOTLIGHTS — CONTINUED
Vaccine Network for Disease Control
Abuja, Nigeria
Fashion for Pneumonia
The Vaccine Network for Disease
Control organized a festival to
celebrate WPD 2011 and raise
the profile of pneumonia and
disseminate information about
disease prevention, recognition,
and treatment. Events served as
a platform to advocate for the
introduction and free provision
of the pneumococcal conjugate
vaccine for children under five
years of age.
The day’s activities were varied, ranging from educational presentations by experts to "edutainment"
performances by children. Pediatricians presented papers on pneumonia and held question and answer sessions for adults and children. Complementarily, children from one orphanage and two local
Abuja schools performed a pneumonia-themed fashion show, dance competition and play.
Highlights:
■
A total of 230 parents, children, journalists, policy makers and potential sponsors learned
about pneumonia.
■
Pneumonia messages were converted into a variety of forms, such as theater and dance.
TOP: Students ask questions about pneumonia after the performance, Abuja, Nigeria. BOTTOM: Children perform a play about pneumonia prevention.
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globa l coalition again st ch ild p n eu mon ia
SPOTLIGHTS — CONTINUED
Mexzen Care for Life Foundation
Lagos, Nigeria
One Last Case of Childhood Pneumonia in Nigeria
For WPD 2011, The Mexzen Care for Life
Foundation reached out to parents,
health care workers, and policy makers
in Lagos through a public awareness
lecture and theatrical performance
about how to recognize pneumonia
symptoms and seek health care.
Mothers who attended the events were
administered a pre- and post-test, assessing understanding of important
pneumonic topics. The tests showed the mothers’ knowledge improved as a result of the activities.
Both the lecture and performance emphasized the need for increased political will from policy
makers at all levels of government, especially in regards to the availability of vaccines and other
aspects of pneumonia prevention.
Highlights:
■
Mothers participating in the event had improved understanding of pneumonia.
■
The event received media coverage from a major national daily newspaper.
■
The Medical Officer of the Isolo Local Government agreed to prioritize procurement of
vaccines for pneumonia prevention once made available by the state.
TOP: The Flaming Fire Drama Ministry performs skit on recognizing the symptoms of pneumonia. BOTTOM: Mothers and children who gathered for the WPD events.
F ig h t Pn eum onia In Nig eria
13
MORE WORLD PNEUMONIA DAY ACTIVITIES
(NOT FUNDED BY THE SMALL GRANTS PROGRAM)
Breath of Life
Abuochichie, Bekwarra, Cross River State, Nigeria
Awareness March
Breath of Life (BOL) celebrated World Pneumonia Day
2011 with an advocacy and
sensitization march for pneumonia in Abuochiche, a rural
community. Led by the First
Lady of Cross River State, Mrs.
Obioma Liyel-Imoke, participants took to the streets with
signs and banners to educate
parents about pneumonia. A
coalition of partners provided
Pneumonia advocacy and sensitization walk in Abuochichie, Cross River State.
funding for pneumonia prevention education, free screening, treatment of sick children, and vaccination for 1,000 children
under the age of five years. Mrs. Liyel-Imoke, a previous grantee, is one of the best examples
of the catalytic effects of the WPD small grants. She has continued to hold advocacy events
by leveraging local resources.
Village Health Relief Initiative
Lagos, Nigeria
Awareness March
World Pneumonia Day parade, Lagos, Nigeria.
14
globa l coalition against ch ild p n eu mon ia
Village Health Relief Initiative
led an awareness march down
the streets of Lagos, Nigeria
neighborhoods to inform residents about childhood pneumonia. The public was excited
to learn that there are vaccines
to prevent and drugs to treat
pneumonia. After the march,
the Director of Village Health
Relief Initiative, Dr. Adegboyega Oderinde, led campaigners to a school to teach
students about the disease.
MORE ACTIVITIES…
National Primary Healthcare Development Agency and Pfizer
Abuja, Nigeria
The National Pneumococcal Summit
The National Pneumococcal Summit 2011, themed Fight Pneumonia, Save A Child, was
organized by the National Primary Healthcare Development Agency and Pfizer as part of
World Pneumonia Day commemorations in Nigeria. The Summit aimed to:
■
■
■
■
■
Create awareness about the burden of pneumonia
Develop partnerships among stakeholders to fight pneumonia
Mobilize resources for the fight against pneumonia
Chart a road map to prevent, protect, and manage the disease
Elicit political commitment at all levels of government
Participants included representatives from the Federal Ministry of Health, National Primary
Healthcare Development Agency, State Ministries of Health, the press, academia, the Paediatric Association of Nigeria, and Pfizer pharmaceuticals.
Presentations and discussions covered the need for introduction of PCV, the merits of PCV 10
versus PCV 13, and the desire by some states to initiate vaccine procurement for their own needs.
NIGERIA HAS THE POWER TO PROTECT EVERY CHILD FROM PNEUMONIA
AND OTHER INFECTIOUS DISEASES. LET US STAND TOGETHER AND
MAKE THIS HAPPEN.
—Mrs. Obioma Liyel-Imoke
Wife of the Governor of Cross River State
LEFT: Interview with Guest Speaker, Dr. Ify Anyaoku. RIGHT: Executive Director of the Village Health Relief Initiative teaches students about pneumonia.
F ig h t Pn eum onia I n Nig eria
15
SUMMARY OF WORLD PNEUMONIA DAY
2011 EVENTS IN NIGERIA
To mark World Pneumonia Day 2011, the six Small Grants Program recipients hosted 14 events, reaching over 20,000 people across Nigeria. Events were attended by many stakeholders — children,
mothers, health professionals, worshippers, religious leaders, community leaders, and politicians —
illustrative of the broad partnerships that are crucial to the success of the pneumonia control effort.
Although World Pneumonia Day is celebrated on November 12, pneumonia control is a yearlong
battle, requiring constant work to deliver messages and services to people all across Nigeria. Organizations taking part in WPD 2011 have demonstrated their commitment to this fight. With enthusiasm and creativity, grantees and others carried out an impressive collection of events to take
on pneumonia in their communities. Their contributions, whether small or large, have served as
catalysts for change, propelling the country towards a future where Nigerian children are free from
the burden of pneumonia.
Range of WPD Events Conducted by Grantees in Nigeria
■
■
■
■
Boat regatta
Community meetings
Fashion show
Free medical treatment
■
■
■
■
Lectures
Parades
Pneumonia screenings
Political meetings
Map of Nigeria showing locations of WPD events in 2011
IBADAN
LAGOS
CALABAR
16
globa l coa lition against ch ild p n eu mon ia
■
■
■
■
Press conferences
Radio shows
Religious sermons
Theatrical plays
SNAPSHOT OF EVENTS
AROUND THE WORLD
The International Vaccine Access Center (IVAC), GAVI Alliance, Global Alliance for Clean Cookstoves, and Best Shot Foundation funded local advocacy activities in 14 developing countries to
advocate for pneumonia control through protection, prevention, and treatment. Small grants
were awarded to 24 organizations across these countries.
Inspiring advocates to drive change worldwide
■
62 events held in 29 countries across six continents
■
24 local organizations in 14 countries awarded small grants
■
More than a dozen new organizational members of the Global Coalition Against Child
Pneumonia recruited
■
Governments of at least 11 countries directly targeted by World Pneumonia Day outreach
efforts
Spreading the word far and wide
■
494 total media placements — including 240 unique news stories — generated in 52 countries
■
More than 120 blog posts mentioning World Pneumonia Day in the week before November 12
— many as a result of relationships established with more than 75 influential bloggers
covering global health, parenting and general interest topics
■
More than 6,000 new Facebook fans and Twitter followers recruited — achieving more
than a 10-fold increase over regular traffic through World Pneumonia Day social media
channels
■
2,575 mentions of World Pneumonia Day and 2,082 mentions of the #WPD2011 hashtag on
Twitter during the week of World Pneumonia Day
Protecting against, preventing and treating pneumonia
■
Thousands of children provided with free medical care through events in at least six countries
— including Malawi, where the first pneumococcal vaccine was administered thanks to GAVI
support
■
At least four research reports about the status of pneumonia interventions released by
Coalition members in coordination with World Pneumonia Day
F ig h t Pn eu monia In Nigeria
17
LOOKING FORWARD
Over 868,000 Nigerian children die each year, about a quarter of which are from vaccine preventable diseases such as pneumonia, diarrhea, meningitis and measles. Nigeria stands to make rapid
improvements in child survival by extending vaccine services to children and families currently without access.
In 2012, the Nigerian government made several very heartening commitments to expand immunization
services during the first-ever National Vaccine Summit held in April, 2012. The First Lady, Dame Patience
Jonathan, urged the creation of a national fund under a future Nigerian Alliance for Vaccines and Immunization (NAVI), a public-private partnership, to provide vaccine financing from within the country.
She also called for a biannual African Vaccine Summit to measure progress of vaccination initiatives. A
high priority in the next few years is Nigeria’s plan to rollout the pentavalent and pneumococcal conjugate vaccines, which will substantially reduce deaths from pneumonia and other diseases.
A call to action was made to Nigerian leaders from across traditional and religious sectors to commit
to ensuring excellence at primary health care facilities in their communities.
The goal of these efforts is to achieve universal coverage for all Nigerian children by year 2015. If
Nigeria can achieve 90% coverage of 5 key vaccines in the next ten years, it can prevent the death
of more than 600,000 children and avert $17 billion in cost and productivity losses.
THERE WILL SOON COME A DAY WHEN PNEUMONIA IS NO LONGER A
THREAT TO OUR CHILDREN.
— Dr. Ado Muhammad, Executive Director
National Primary Health Development Agency
5 key vaccines are Haemophilus Influenzae Type b (Hib), pneumococcal conjugate (PCV), rotavirus, measles and pertussis.
Averted deaths and costs statistics come from Stack ML, Ozawa S, et al. Estimated economic benefits during the 'Decade of Vaccines'
include treatment savings, gains in labor productivity. Health Affairs. 2011; 30(6): 1021-1028.
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IVAC’S EFFORTS IN NIGERIA
IVAC is dedicated to supporting the Nigerian government and other partners in the effort to expand access to lifesaving vaccines in the country. Below are descriptions of currently ongoing
projects to produce research, create awareness, provide technical support, and build strong partnerships for immunization efforts in Nigeria.
Current projects
■
AVI-TAC (The Accelerated Vaccine Initiative — Technical Assistance Consortium)
GAVI’s Accelerated Vaccine Initiative is supported by a technical assistance consortium,
including PATH, IVAC, and the Center for Disease Control, who together help developing
countries to accelerate introduction of new vaccines for children. Under the AVI-TAC, the
Large Country Introduction (LCI) effort focuses on Nigeria and India. Major projects undertaken by the LCI in Nigeria include the following:
•
•
■
PAFFIN Project (Parliamentary Advocacy and Financing for Immunization in Nigeria)
IVAC works with the Health Reform Foundation of Nigeria (HERFON) and parliamentarians to increase knowledge of the value of immunization programs and identify opportunities and barriers to improving oversight of immunization budget performance
and ways to assure sustainable immunization financing.
Nigeria Vaccine Summit
April 16-17, 2012 — IVAC, along with the Nigerian government, Nigerian Pediatric Association, and many other Nigerian and international stakeholders, held the first National
Vaccine Summit to galvanize high-level and grassroots support for vaccines in Nigeria.
LARI in Nigeria (Landscape Analysis of Routine Immunization)
IVAC conducted a systematic landscape analysis in eight representative states to help advise government and partners of the strategies likely to improve service delivery and vaccine uptake.
NIGERIA’S LEADERS ARE TAKING COURAGEOUS STEPS TO PROTECT
THE HEALTH OF THEIR CHILDREN. THE COMMITMENTS MADE AT THE
COUNTRY’S FIRST-EVER NATIONAL VACCINE SUMMIT ARE IMPRESSIVE, AND IF IMPLEMENTED, WILL GREATLY REDUCE THE NUMBER
OF CHILDHOOD DEATHS.
—Chizoba Wonodi, MBBS, MPH, DrPH
Lead, Nigeria Country Programs, IVAC
F ig h t Pn eu monia In Nigeria
19
GLOBAL COALITION AGAINST
PNEUMONIA
Action for Humane Hospitals/
Action pour l'Humanisation des Hôpitaux
Center for Health, Education, and Development
Communication
Africa Fighting Malaria
Children's Hospital No. 1
Africa Health Research Organization
Chinese Society of Pediatric Pulmonology
Alternative Sante
Christian Medical College - Vellore, India
American Academy of Pediatrics
Citizen News Service (CNS)
American India Foundation
Columbia University Mailman School of
Public Health
American Jewish Joint Distribution Committee
(JDC)
Croatian Center for Global Health
American Tamil Medical Association
CSI Hospital Bangalore
Americares
Destinee Charity Foundation
Antibiotic Consensus Society of Uganda
The Earth Institute, Columbia University
Arab Pediatric Infectious Disease Society
Egyptian Medical Students Association (EMSA)
Astitva Welfare Society
EmergingMarketsGroup, Ltd. (EMG)
Asian Strategic Alliance for Pneumococcal
Disease Prevention (ASAP)
Epidemiological Laboratory (Epi-Lab)
Barcelona Centre for International Health
Research (CRESIB, Hospital Clinic-Universitat
de Barcelona)
Best for Babes
Episcopal Relief and Development
ERCON Series
Every Child By Two (ECBT)
Fighting Infectious Diseases in Emerging
Countries (FIDEC)
Best Shot Foundation
La Fundacion del Centro de Estudios
Boston University School of Public Health Center
for International Health and Development
(CIHD)
Infectologicos (FUNCEI)
California Immunization Coalition (CIC)
GiveVaccines.org
CARE
Global Action for Children (GAC)
Center for Vaccine Development - Mali
(CVD-Mali)
Global Alliance for Clean Cookstoves
Centre National d'Appui a la lutte contre de
Maladie (CNAM)
Global Health Strategies
Centers for Disease Control and Prevention
(CDC)
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global coa lition ag ain st ch ild pn eu m on ia
GAVI Alliance
Global Health Council
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
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
Infectious Diseases Association
Millennium Villages Project
Institute of Child Health, India
Ministry of Health, Malawi - ARI Control
Programme
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
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
John Snow Inc. (JSI)
The Nigerian School Project
Johns Hopkins Bloomberg School of Public
Health
NYU School of Medicine, Department of Medical
Parasitology
Jordan University Hospital (JUH)
ONE
Jordan University Medical School, Division of
Pediatric Infectious Disease
Otunba Tunwase National Paediatric Centre
Kageno Worldwide, Inc.
The Paediatric Association of Nigeria
KidBitz
Pakistan Help
Kolpin Society of Nigeria
Pan African Thoracic Society
F ig h t Pn eum onia In Nig eria
21
GLOBAL COALITION AGAINST
PNEUMONIA — CONTINUED
Parents of Kids with Infectious Diseases (PKIDs)
Sustainable Health Development
PATH
Taiwan Pediatric Society of Thorax
Pediatric Association of Tanzania
Task Force for Global Health
Paediatric Infectious Disease Society, Nigeria
There Is No Limit Foundation
Paediatrics Association of DRC
Tripoli Medical Center, Tripoli, Libya
The Pediatric Infectious Disease Society
of Thailand
Uganda Pediatric Association
The Pediatric Infectious Disease Society of the
Philippines
United Nations Children's Fund (UNICEF)
United Nations Foundation
University of Edinburgh
Pediatric Lung Association
University of Glasgow
PGIMER School of Public Health
Pneumonia Advocacy and
Working Group of Uganda
University of Melbourne, Centre for International
Child Health
US Coalition for Child Survival
Philippines Foundation for Vaccination (PFV)
US Fund for UNICEF
Pneumococcal Awareness Council of Experts
(PACE)
Vaccines for Africa Initiative (VACFA)
Polk County Health Department
Visiting Nurses Association of SW Florida, Inc.
Population Services International (PSI)
Voices for Vaccines
Project HOPE
Water for People
The Rollins School of Public Health (RSPH) at
Emory University
Women for Women of Sierra Leone
Women's Refugee Commission
Sabin Vaccine Institute
World Consulting Group, Ltd.
Save the Children
World Vision
SHD Team "Sustainable Health Development
Team"
ZGD - Zeus Global Development
Shifa International Hospital
SIFAT
Sociedad de Infectologia de Cordoba
Southern African Society of Paediatric Infectious
Disease (SASPID)
Stop TB and HIV/AIDS - The Gambia
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www.worldpneumoniaday.org
PHOTO CREDITS: COVER PAGE: Lola Akinmade/Photoshare/2007. Page 3: TOP: Breath of Life/2011,
MIDDLE: Mr. Dapo/Paediatric Association of Nigeria/2011, BOTTOM: Studio 24/ Vaccine Network for
Disease Control/2011. Page 5: TOP: Breath of Life/2011 BOTTOM: Breath of Life/2011. Page 9:
LEFT: Onu Photos/Nigerian Supreme Council for Islamic Affairs/2011, RIGHT: Onu Photos/Nigerian
Supreme Council for Islamic Affairs/2011. Page 10: Sunny Inah/So-Healthi/2011. Page 11: Ogunleye
Oladimeji/University of Ibadan/2011. Page 12: Mr. Dapo/Paediatric Association of Nigeria/2011. Page
13: TOP: Studio 24/Vaccine Network for Disease Control/2011 BOTTOM: Studio 24/Vaccine Network
for Disease Control/2011. Page 14: TOP: Bowel Media Consultants/Mexzen Care for Life Foundation/
2011. BOTTOM: Bowel Media Consultants/Mexzen Care for Life Foundation/2011. Page 15: TOP: Breath
of Life/2011, BOTTOM: Okeowo Olorunju/Village Health Relief Initiative/2011. Page 17: LEFT: Bowel
Media Consultants/Mexzen Care for Life Foundation/2011, RIGHT: Okeowo Olorunju/Village Health
Relief Initiative/2011. INSIDE BACK COVER: Anna Helland/Photoshare/2002
Report written by Daniel Erchick, Chizoba Wonodi, and Lois Privor-Dumm.
©2012 International Vaccine Access Center (IVAC) at Johns Hopkins Bloomberg School of Public Health. All rights reserved.
Johns Hopkins Bloomberg School of Public Health
International Vaccine Access Center (IVAC)
855 North Wolfe Street • Suite 600 • Baltimore, MD 21205
Email: [email protected] • www.jhsph.edu/IVAC