Measles Training for LCIF Coordinators

1. LIONS CLUBS INTERNATIONAL FOUNDATION Measles Training for LCIF Coordinators 2012

2. Introduction: One Shot, One Life Problem: Why Target Measles Current Activity: Global Measles Strategies Success to Date Lions Growing Commitment One Shot, One Life – Lions Measles Initiative Review Quiz Coordinator Role and Tools Questions Today’s Agenda

3. One Shot, One Life: Lions Measles Initiative LCIF Coordinators Measles Training

4. Goal: Vaccinate 157 million children in 2012 together with our Measles Initiative partners. • How will this be achieved? • Raise and provide US$10 Million for the Measles Initiative • Combine with US$5 Million matching challenge grant from Gates Foundation • Mobilize and educate community members in measles priority countries about the importance of vaccinations • Advocate for investment in routine immunization programs at the highest levels One Shot, One Life

5. Why Target Measles

6. VIDEO What is Measles? Dr. Samuel Katz, the developer of the measles vaccine, talks about measles.

7. Why Target Measles?

8. Why Target Measles? • In 2000, about 45.5% of vaccine preventable deaths among children were caused by measles • 450 children still die each day from measles complications We Care. We Serve. We Accomplish.

9. Why Target Measles? • The measles vaccine is safe, effective and provides immunity for a lifetime • Serious side effects potentially cause life-long adverse health conditions for children We Care. We Serve. We Accomplish.

10. Why Target Measles? • Measles infection has a significant impact on families, e.g. childcare, hospitalization, loss of work, etc. • Measles is extremely infectious – 90% of those without immunity will quickly contract measles when exposed to the virus We Care. We Serve. We Accomplish.

11. Primary health care and routine immunization strengthened by investment in measles vaccination campaigns. Eradication is within reach High quality of life improvement for families Why Target Measles? International organizations have been working to eradicate measles since early 1980s because it affects populations in every region of the world.

12. VIDEO Measles Initiative Promotional video made by the Measles Initiative in 2009.

13. Leading experts predict that if support for mass vaccination campaigns decreases, a resurgence of measles is likely. Why Target Measles? * *SIA – supplemental immunization activities

14. Measles is still the most contagious vaccine preventable disease: www.cfr.org/vaccinemap Why Target Measles? 2011 Outbreaks

15. Recent headlines illustrate how measles can be imported and spread even in areas where indigenous measles has been eliminated. • In addition, infection can spread from unvaccinated people in developed countries who travel to areas where the impact of an outbreak creates dire consequences for the neediest in those communities. • Unvaccinated behind largest U.S. measles outbreak in years (USA Today, Oct. 21, 2011) • Quebec battling major measles outbreak (CBC News, Oct. 27, 2011) Why Target Measles?

16. VIDEO CBS news clip Measles Outbreaks Increase August 21, 2008

17. Global Measles Strategies

18. Global Measles Strategies Measles Initiative Since 2001, a partnership of international organizations committed to reducing measles deaths worldwide through mass vaccination campaigns and by strengthening routine immunization. US$750 million has been invested to date. We Care. We Serve. We Accomplish.

19. Anne Ray Charitable Trust Global Measles Strategies * * LCIF is the only service club organization among the partners

20. Measles elimination: Pan American Health Organization (PAHO) model Global Measles Strategies

21. Mass Vaccination Campaigns • The process of vaccinating all children in a defined age range in a short period of time, often just a few days or weeks: • Usually countrywide • Successful campaigns reach 90% of the children targeted • Local Ministries of Health must plan and conduct campaigns with technical and financial support from Measles Initiative partners • Campaigns are excellent for achieving mass immunity in places where routine immunization systems are not yet in place Global Measles Strategies

22. Global Measles Strategies Common challenges in marginalized communities: Low literacy rates (25 – 50%) Rural areas lack electricity (no TV, radio) No access to healthcare services Limited government resources No transportation

23. Global Measles Strategies Anatomy of a measles vaccination campaign Starting at least 6 months before the campaign, a committee is formed to map resources and fill gaps: Distances for transporting vaccine Numbers of children and current vaccination rates Buildings e.g. clinics, schools, churches for storage and administration of vaccines Health professionals already in the area vs. training needs “Cold chain” storage resources, e.g. refrigerators Waste disposal, e.g. waste collection and transport or incinerators

24. Global Measles Strategies Anatomy of a measles vaccination campaign Training plans: Community health and outreach workers Transport, storage, and administration of vaccine Safe disposal of waste

25. Global Measles Strategies Anatomy of a measles vaccination campaign Social mobilization: Outreach and PR plans TV and radio ads Fliers and mobile PA announcements Outreach through schools, churches and civil society groups Campaign launch event

26. Global Measles Strategies Integrated campaigns-providing children with other necessary health interventions that improve overall health: Vitamin A distribution, de-worming tablets, bednets, etc. Integrated measles/rubella surveillance Use of MR vaccine (measles + rubella) e.g. Nepal

27. Global Measles Strategies Average Cost of a Vaccination Campaign for every US$1: 0.35 = Vaccines and devices 0.08 = Micro-planning and training 0.06 = Cold chain and waste management 0.10 = Social mobilization 0.30 = Personnel 0.08 = Fuel and transportation 0.03 = Monitoring and evaluation

28. Success to Date

29. VIDEO The Last Measle A short, animated video explaining the measles from a child’s perspective.

30. Since 2001 and the establishment of the Measles Initiative: Success to Date

31. Measles global annual reported cases and measles vaccine coverage, 1980 to 2010 Success to Date

32. Success to Date

33. Success to Date 2015 Target Source: WHO/UNICEF coverage estimates, 2011 revision. Date of slide: 29 July 2011

34. Success to Date Reported measles cases down by two-thirds Reported number of measles cases by WHO Region, 2000-2010 Source: Cases from annual Joint Reporting Form 193 WHO Member States, Data as of August 2011

35. Success to Date The Measles Initiative is one of the greatest success stories in public health – a child’s life can be saved for less than US$1! Among most cost-effective public health interventions Measles immunization carries the highest health return for the money spent, saving more lives per unit cost Vaccination provides lifelong immunity

36. Success to Date Additional benefits of Measles campaigns: an improved health infrastructure Health services delivery a major goal of Lions Supporting the basic immunization delivery system ensures: sustainability eventual measles eradication

37. Sustaining the gains in months and years ahead: • Maintain and augment routine immunization programs • Follow-up campaigns • Maintain funding levels from both local governments and international funders • Improve care of infected children to reduce morbidity • Integrate other child health care measures • Keep coverage rates high to avoid importing new cases Success to Date

38. Lions Growing Commitment

39. Lions Growing Commitment Lions in Madagascar, Ethiopia, Nigeria and Mali supported measles immunization campaigns in Lions year 2010-2011.

40. Lions Growing Commitment • This funding was used for several key areas of activity in each country: • Advocacy • Planning • Promotion and social mobilization 2010-2011 Gates Foundation grant of US$400,000 + Lions matched with US$300,000 = US$700,000 A portion of these funds were awarded to Lions in four pilot countries: Ethiopia, Madagascar, Mali and Nigeria

41. Lions Growing Commitment • Lions in each country participated in local, regional and national level planning and implementation • Formed a committee and opened an office dedicated to Measles Initiative activities • Met with WHO and local public health representatives to determine gaps in campaign plan • Strategized solutions to fill gaps and ensure that the most vulnerable areas were reached

42. Lions Growing Commitment • One critical component of any mass vaccination campaign is ensuring that families participate and have their children vaccinated. Lions played a key role in getting the word out and bringing families in during the days of the campaigns through: • TV and radio ads • Posting and distribution of fliers • Mobile PA messages in targeted neighborhoods • Creating and distributing promotional items (e.g. T-shirts)

43. Lions Growing Commitment • As a result, more than 41 million children were vaccinated in the four pilot countries! • Also, healthcare infrastructure improvements included: • Health workers trained • Vaccine storage improved • Safe injection practices promoted • Surveillance systems implemented

44. Lions Growing Commitment • Madagascar • Hired 15,000 community health workers • Paid for radio and TV ads to announce the vaccination campaigns • Announced campaigns via rented truck with speakers that drove through communities • Printed and disseminated posters and brochures • Involved Leos in outreach • Created and publicized a song • Government- WHO liaison • Extended campaign

45. VIDEO Lions Measles Initiative Celebrating our Pilot Year:

46. Measles Initiative Feasibility Study • Nearly 150 Personal Interviews with Lions Leaders, as well as 1,500 survey respondents • 88% approved of expanding Lions’ involvement with the Measles Initiative • 82% were confident that Lions could mobilize $10 - $15 million in support of measles control • 90% said that they would support a measles campaign with a personal gift Lions Growing Commitment

47. LCIF Board of Trustees Meeting in October 2011 in Hong Kong: • After careful consideration of the Feasibility Study, success of pilot projects, and goals of Measles Initiative, LCIF Board of Trustees accepts Gates Challenge and approves plan seeking to raise US$ 10 million by June 2012. Lions Growing Commitment

48. One Shot, One Life - Lions Measles Initiative

49. US$5 million Challenge Grant awarded to LCIF in October 2011 • -for every US$2 raised by Lions, Gates will match with US$1 • Deepening the relationship with Gates started last year (more on Measles pilot projects above) • Lions chosen because of: • global reach • commitment to improving health in their communities • serving the underserved • proven track record to change lives for those in greatest need One Shot, One Life

50. One Shot, One Life