Transcript Document

LIONS CLUBS INTERNATIONAL FOUNDATION
Measles Training for LCIF
Coordinators
2012
Today’s Agenda
I.
Introduction: One Shot, One Life
II.
Problem: Why Target Measles
III.
Current Activity: Global Measles Strategies
IV.
Success to Date
V.
Lions Growing Commitment
VI.
One Shot, One Life – Lions Measles Initiative
VII. Review Quiz
VIII. Coordinator Role and Tools
IX.
Questions
2
One Shot,
One Life:
Lions Measles
Initiative
LCIF Coordinators
Measles Training
3
One Shot, One Life
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
4
Why Target
Measles
5
VIDEO
What is Measles?
Dr. Samuel Katz, the developer of the
measles vaccine, talks about measles.
6
Why Target Measles?
Agent
Virus
Symptoms
Fever, rash,
cough, runny
nose,
conjunctivitis
Transmission
Potential
complications:
Sneezing,
coughing
Encephalitis,
corneal
scarring and
blindness,
diarrhea,
pneumonia
7
Why Target Measles?
1. In 2000, about 45.5% of
vaccine preventable deaths
among children were caused
by measles
2. 450 children still die each day
from measles complications
We Care. We Serve. We Accomplish.
8
Why Target Measles?
3. The measles vaccine is safe,
effective and provides immunity for
a lifetime
4. Serious side effects potentially
cause life-long adverse health
conditions for children
We Care. We Serve. We Accomplish.
9
Why Target Measles?
5. Measles infection has a significant
impact on families, e.g. childcare,
hospitalization, loss of work, etc.
6. Measles is extremely infectious – 90%
of those without immunity will quickly
contract measles when exposed to
the virus
We Care. We Serve. We Accomplish.
10
Why Target Measles?
7. Primary health care and routine
immunization strengthened by
investment in measles vaccination
campaigns.
8. Eradication is within reach
9. High quality of life improvement for
families
International organizations have been
working to eradicate measles since
early 1980s because it affects
populations in every region of the world.
11
VIDEO
Measles Initiative
Promotional video made by the Measles
Initiative in 2009.
12
Why Target Measles?
Leading experts predict that if support for mass vaccination campaigns decreases, a resurgence
of measles is likely.
*
*SIA – supplemental immunization activities
13
Why Target Measles?
Measles is still the most contagious vaccine
preventable disease: www.cfr.org/vaccinemap
2011 Outbreaks
14
Why Target Measles?
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)
15
VIDEO
CBS news clip
Measles Outbreaks Increase
August 21, 2008
16
Global
Measles
Strategies
17
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.
18
Global Measles Strategies
Anne Ray Charitable Trust
*
19
* LCIF is the only service club organization among the partners
Global Measles Strategies
Measles elimination: Pan American Health Organization (PAHO) model
Catch Up
Keep Up
Follow-up
Case-based
surveillance
Mass
vaccination
campaigns of
9 month +
Invest in and
maintain
routine
coverage
Mass
campaigns
every 3 – 5
years
Investigate
each case of
infection
20
Global Measles Strategies
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
21
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
22
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
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incinerators
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
24
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
25
Global Measles Strategies
• Integrated campaigns-providing
children with other necessary
health interventions that improve
overall health:
o
Vitamin A distribution, de-worming
tablets, bednets, etc.
• Integrated measles/rubella
surveillance
• Use of MR vaccine (measles +
rubella) e.g. Nepal
26
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
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Success to
Date
28
VIDEO
The Last Measle
A short, animated video explaining the
measles from a child’s perspective.
29
Success to Date
Since 2001 and the establishment of the Measles Initiative:
Measles related
deaths have
decreased by 78%!
More than 1 billion
children have been
vaccinated!
More than 5 million
deaths have been
prevented!
Global routine
measles
immunization has
increased from 71%
to 82%!
30
Success to Date
100
4,500,000
90
4,000,000
80
3,500,000
70
3,000,000
60
2,500,000
50
2,000,000
40
1,500,000
30
1,000,000
20
500,000
10
0
immunization coverage (%)
5,000,000
0
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
number of cases
Measles global annual reported cases and measles vaccine coverage, 1980 to 2010
Number of cases
WHO/UNICEF estimates
31
Success to Date
32
Success to Date
2015 Target
100
80
68
60
73
73 73 71 71 71 72 73 73
69 69 70 71
74 76
78
81 82 83 84
85
62
53
47 47
40
37
20
16 19
41
20
0
1980
1981
1982
1983
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
MCV coverage (%)
120
Global
EUR
AFR
SEAR
AMR
WPR
EMR
Source: WHO/UNICEF
coverage estimates, 2011
33
revision. Date of slide: 29
July 2011
Success to Date
Reported measles cases down by two-thirds
Number of reported cases
900000
800000
700000
600000
500000
400000
300000
200000
100000
0
2000
2001
2002
AFR
2003
AMR
2004
2005
EMR
2006
EUR
2007
SEAR
2008
2009
2010
WPR
Reported number of measles cases by WHO Region, 2000-2010
Source: Cases from annual Joint Reporting Form 34
193 WHO Member States, Data as of August 2011
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
o
Measles immunization carries the highest health return for the
money spent, saving more lives per unit cost
• Vaccination provides lifelong immunity
35
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:
o sustainability
o eventual measles eradication
36
Success to Date
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
37
Lions
Growing
Commitment
38
Lions Growing Commitment
Lions in Madagascar, Ethiopia, Nigeria and Mali supported measles immunization
campaigns in Lions year 2010-2011.
39
Lions Growing Commitment
• 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
This funding was used for several key areas
of activity in each country:
o Advocacy
o Planning
o Promotion and social mobilization
40
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
41
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)
42
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
43
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
44
VIDEO
Lions Measles Initiative
Celebrating our Pilot Year:
45
Lions Growing Commitment
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 - $15
million in support of measles control
•
90% said that they would support a measles campaign with a
personal gift
46
Lions Growing Commitment
LCIF Board of Trustees Meeting in October 2011 in
Hong Kong:
After careful consideration of the Feasibility Study,
success of pilot projects, and goals of Measles
Initiative, LCIF Board of Trustees accepts Gates
Challenge and approves plan seeking to raise
US$ 10 million by June 2012.
47
One Shot, One
Life - Lions
Measles Initiative
48
One Shot, One Life
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
49
One Shot, One Life
1
• dedicated to the belief that all lives
have equal value
2
• funds projects that enable all people
to lead healthy and productive lives
3
• targets global HEALTH, especially
infrastructure to deliver health care
4
• since 1994 has awarded US$26
billion in 100 countries
50
One Shot, One Life
“The Gates Foundation is very proud to have been a
partner in your early measles projects, and we’re excited to
continue working together. … If you want to go fast, go
alone. If you want to go far, go together. With Lions in the
lead, there is no telling how far we will go together.”
Bill Gates, Sr., Co-chair of the Bill & Melinda Gates
Foundation
51
VIDEO
Bill Gates, Sr., Co-chair of the Bill &
Melinda Gates Foundation, speaks to
Lions at LCI International Convention in
Seattle, WA, July 2011.
52
One Shot, One Life
2011-2012 Activities
• Nepal: International President Tam advocated at the
highest levels with National President Dr. Yadav. A
measles/rubella campaign is scheduled for early 2012
• Lions are also supporting campaigns in Kenya, Uganda,
Democratic Republic of Congo, and Haiti
• Lions will participate in planning activities in all 25
measles priority countries
• Continue advocating for routine immunization programs in
2010-2011 pilot countries: Madagascar, Ethiopia, Mali,
Nigeria
53
Review
Quiz
54
Why target Measles?
If an person infected with measles is exposed to a
group of people who have not been vaccinated, what
percentage of that group will become infected?
A.
B.
C.
D.
90%
75%
45%
25%
We Care. We Serve. We Accomplish.
55
Why target Measles?
Which of these serious side effects can result from
a measles infection and lead to lifelong health
complications or death in children?
A.
B.
C.
D.
E.
Blindness from corneal scarring
Encephalitis
Pneumonia
Severe Diarrhea
All of the above
We Care. We Serve. We Accomplish.
56
Why target Measles?
True or False?
Historically, measles was responsible for a high
proportion of all deaths among children. Vaccinating
children for measles, and halting the spread of the
disease, reduces childhood mortality.
We Care. We Serve. We Accomplish.
57
Why target Measles?
True!
Successfully controlling the spread of measles leads
to automatic reduction in child mortality.
The 4th Millennium Development Goal established by
the United Nations is to reduce deaths among
children under 5 years of age by two-thirds by 2015.
We Care. We Serve. We Accomplish.
58
Why target Measles?
How much does it cost to vaccinate a child
against measles, on average?
A.
B.
C.
D.
US$1
US$3
US$5
US$7
We Care. We Serve. We Accomplish.
59
The Measles Initiative
How many children have been vaccinated by Measles
Initiative partners to date?
A.
B.
C.
D.
100 Million
750 Million
1 Billion
3 Billion
We Care. We Serve. We Accomplish.
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The Measles Initiative
How many deaths have been prevented by measles
vaccination efforts since 2001?
A.
B.
C.
D.
2 Million
3 Million
4 Million
5 Million
We Care. We Serve. We Accomplish.
61
The Gates Challenge
Why was LCIF awarded a US$5 million Challenge Grant by the Bill
and Melinda Gates Foundation in October 2011?
A) This is a show of support for Lions reach and positive global impact
B) Lions’ capacity to raise significant funding for important global
projects, e.g. after large-scale emergencies and during CSFII
C) Lions’ proven track record of improving community health and
serving the underserved
D) The success of last year’s pilot projects for which we were awarded
$400,000
E) All of the above
62
Measles Pilot Year: Results
Which of these benefits resulted from Lions Measles Pilot
Projects in 2010-2011?
A) Health workers trained
B) Vaccine storage improved
C) Safe injection practices promoted
D) Surveillance systems implemented
E) 41 Million children vaccinated
F) All of the above
63
Coordinator
Role and
Tools
64
Success To Date: Thank You!
As of January 15, 2012
65
Promotion and Fundraising
Tell Lions about:




Our global leadership role in the Measles Initiative
Our deepening relationship with the Gates Foundation
The importance of supporting measles control globally
How many lives are saved and how health care is improved, especially
for children
 How important each Lion’s contribution to One Shot, One Life is
today.
66
Targeted Outreach Strategies
 District Governor Team
 Leading Fundraising Clubs
 Generous Donors
 District and Multiple District Conventions
 Local Lion Newsletter and E-newsletter
 Contacting Club Presidents via Phone and E-mail
67
Step 1 – Educate Yourself
In order to share the Measles Initiative message with others, you
must first educate yourself.
Materials Include:
• One Shot, One Life Brochure and LCIF Website
• The Lions Measles Initiative Video
• Measles Initiative Website
• PowerPoint and Speaking Notes
68
Step 2 – Prioritize Your Time
“Fish Where the Fish Are”
Work with your District Governor to prioritize visits to
areas with the greatest potential
• CSFII Model Clubs
• Clubs and Individuals that Regularly Support LCIF
• Clubs with Successful Fundraisers
• Clubs with Current and Past Lion Leaders
69
Step 3 – Promote, Publicize and Present
“Fundraising is a verb – It requires ACTION”
Nothing will be fully realized until the measles message reaches
the club level. Work to:
 Schedule and Conduct presentations at top donating clubs
 Promote the Measles Initiative at zone and district events, including
District and Multiple District Conventions
 Publicize the Lions efforts through the district newsletter and
website
 E-mail all club officers regularly, providing measles updates and
information
70
Step 4 – Make the Request
Nothing may be accomplished unless you verbally ask for the gift
Do
Ask for each club and member to consider a gift
Remind them each donation is MJF eligible
Follow up on any unanswered questions
Thank the club
Do Not
Pass the information along via e-mail and newsletters ONLY
Present at clubs and NOT ask for their participation
71
One Shot, One
Life Elevator
Speech
Breakout Activity
72
Tell Lions How to Give
 Recognition Programs:
 Melvin Jones Fellowships
 Club Banner Patches
 Major Gifts (pledges accepted)
 Methods of Payment:




Credit card online
Check (US dollars only)
Bank transfer
Local Lions Account Deposits
 Include MJF form
 Check “Measles” under
1. Purpose of Donation”
73
Recognition Programs
LCIF Steering Committee is meeting on January 28 to
determine recognition programs for clubs and major gifts.
This information will be forwarded to LCIF Coordinators as
soon as it is approved.
74
Sample Club Fundraising Ideas
• Share the ideas from homework
• Challenge each club member to make a personal gift
• Special event dedicated to One Shot, One Life
• Personal letter to club presidents
• Collection box at local pharmacies, Lion-friendly stores,
doctor’s offices
75
Club Analysis
Activity
Breakout Activity
76
Promotional Tools
• Power Points – (Coordinator Center @ www.LCIF.org)
• DVD and Video online
• One Shot, One Life Brochure
• Sample Ads
• The Lion article
• Pocket Guide
• Measles Pins
77
Plan
Set a One Shot, One Life Fundraising Goal
Will these funds be in addition to your original district goal?
Do you plan to direct some clubs or donors to make their regular
annual gift to One Shot, One Life?
Or is the goal some combination of the above?
What you decide will determine your One Shot, One Life
outreach strategy.
78
One Shot, One Life Promotion To Date
LCIF Chairperson enewsletter announcing
the Gates Challenge:
October 21, 2011
Full page ad in The Lion
magazine: December
issue
The December LCIF
Coordinator message
focused on Measles
Short one page article in
The Lion magazine:
November issue
The Gates Challenge
Direct Mail Appeal
letters (US only): First
week of December, 2011
Completion (and
translation) of Measles
Initiative brochure:
January 2012
LCIF website updated
with Measles video and
sample ads: November
2011
LCIF Coordinator
WEBINARS - Gates
Challenge and Measles
Initiative: November 8, 9,
15, 16, 2011
Cover and 4-page article
in The Lion magazine:
January issue
79
One Shot, One Life Promotion:
Looking Ahead
Arrival of One Shot, One Life promotional
packets, January and February 2012
One Shot, One Life Webinars for LCIF
Coordinators, several dates in February, March
2012
One Shot, One Life: LCIF District Coordinator
Trainings by Multiple District Coordinators,
March 2012
One Shot, One Life: Targeted Club
visits/outreach, through June 2012
Presentations and outreach during Spring
District and Multiple District Conventions,
through June 2012
80
Measles Panel
Activity
81
Questions?
LCIF Coordinators
Measles Training
82