measles training for lcif coordinators
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LIONS CLUBS INTERNATIONAL FOUNDATION. Measles Training for LCIF Coordinators. 2012. 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 - PowerPoint PPT PresentationTRANSCRIPT
Measles Training for LCIF Coordinators
LIONS CLUBS INTERNATIONAL FOUNDATION
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
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Why Target Measles
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VIDEOWhat is Measles?
Dr. Samuel Katz, the developer of the measles vaccine, talks about measles.
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Why Target Measles?
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We Care. We Serve. We Accomplish.
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
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We Care. We Serve. We Accomplish.
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
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We Care. We Serve. We Accomplish.
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
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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.
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VIDEOMeasles Initiative
Promotional video made by the Measles Initiative in 2009.
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Why Target Measles?
*
*SIA – supplemental immunization activities
Leading experts predict that if support for mass vaccination campaigns decreases, a resurgence of measles is likely.
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Why Target Measles?
Measles is still the most contagious vaccine preventable disease: www.cfr.org/vaccinemap
2011 Outbreaks14
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
VIDEOCBS news clip
Measles Outbreaks Increase August 21, 2008
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Global Measles Strategies
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We Care. We Serve. We Accomplish.
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.
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Anne Ray Charitable Trust
Global Measles Strategies
*
* LCIF is the only service club organization among the partners 19
Global Measles Strategies
Measles elimination: Pan American Health Organization (PAHO) model
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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
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Global Measles Strategies
Common challenges in marginalized communities:
Low literacy rates (25 – 50%)Rural areas lack electricity (no TV, radio)No access to healthcare servicesLimited government resourcesNo transportation
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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 vaccineNumbers of children and current vaccination ratesBuildings e.g. clinics, schools, churches for storage and administration of vaccinesHealth professionals already in the area vs. training needs“Cold chain” storage resources, e.g. refrigeratorsWaste disposal, e.g. waste collection and transport or incinerators 23
Global Measles Strategies
Anatomy of a measles vaccination campaign
Training plans:
Community health and outreach workers Transport, storage, and administration of vaccineSafe disposal of waste
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Global Measles Strategies
Anatomy of a measles vaccination campaign
Social mobilization: Outreach and PR plans
TV and radio ads Fliers and mobile PA announcementsOutreach through schools, churches and civil society groupsCampaign launch event
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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
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Global Measles Strategies
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Success to Date
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VIDEOThe Last Measle
A short, animated video explaining the measles from a child’s perspective.
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Success to Date
Since 2001 and the establishment of the Measles Initiative:
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Success to Date
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
3,000,000
3,500,000
4,000,000
4,500,000
5,000,000
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80
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num
ber
of c
ases
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10
20
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100
imm
uniz
atio
n co
vera
ge (
%)
Number of cases WHO/UNICEF estimates
Measles global annual reported cases and measles vaccine coverage, 1980 to 2010
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Success to Date
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Source: WHO/UNICEF coverage estimates, 2011 revision. Date of slide: 29 July 2011
16 19 20
3741
47 4753
6268
7369 69 7071 73 73 71 7171 72 73 73 74 76 78 81 82 83 84 85
0
20
40
60
80
100
1201
98
01
98
11
98
21
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31
98
41
98
51
98
61
98
71
98
81
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91
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99
11
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21
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31
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41
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51
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71
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81
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92
00
02
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12
00
22
00
32
00
42
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52
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62
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72
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82
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92
01
0
MC
V c
overa
ge (
%)
Global AFR AMR EMR
EUR SEAR WPR
2015 Target
Success to Date
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Reported measles cases down by two-thirds
0
100000
200000
300000
400000
500000
600000
700000
800000
900000
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
Nu
mb
er
of
rep
ort
ed
cases
AFR AMR EMR EUR SEAR WPR
Source: Cases from annual Joint Reporting Form193 WHO Member States, Data as of August 2011
Reported number of measles cases by WHO Region, 2000-2010
Success to Date
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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 interventionso Measles immunization carries the highest health return for the
money spent, saving more lives per unit cost
• Vaccination provides lifelong immunity
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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
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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
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Lions Growing Commitment
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Lions Growing Commitment
Lions in Madagascar, Ethiopia, Nigeria and Mali supported measles immunization campaigns in Lions year 2010-2011.
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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
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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
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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:
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TV and radio ads Posting and distribution of fliers Mobile PA messages in targeted
neighborhoods Creating and distributing
promotional items (e.g. T-shirts)
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
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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
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VIDEOLions Measles InitiativeCelebrating our Pilot Year:
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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 - $15 million in support of measles control
• 90% said that they would support a measles campaign with a personal gift
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Lions Growing Commitment
LCIF Board of Trustees Meeting in October 2011 in Hong Kong:
After careful consideration of the Feasibility Study, success of pilot projects, and goals of Measles Initiative, LCIF Board of Trustees accepts Gates Challenge and approves plan seeking to raise US$ 10 million by June 2012.
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One Shot, One Life - Lions Measles Initiative
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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
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One Shot, One Life
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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
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VIDEO
Bill Gates, Sr., Co-chair of the Bill & Melinda Gates Foundation, speaks to Lions at LCI International Convention in Seattle, WA, July 2011.
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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
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Review Quiz
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We Care. We Serve. We Accomplish.
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. 90% B. 75%C. 45%D. 25%
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We Care. We Serve. We Accomplish.
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. Blindness from corneal scarringB. EncephalitisC. PneumoniaD. Severe DiarrheaE. All of the above
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We Care. We Serve. We Accomplish.
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.
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We Care. We Serve. We Accomplish.
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.
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We Care. We Serve. We Accomplish.
Why target Measles?
How much does it cost to vaccinate a child against measles, on average?
A. US$1B. US$3C. US$5D. US$7
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We Care. We Serve. We Accomplish.
The Measles Initiative
How many children have been vaccinated by Measles Initiative partners to date?
A. 100 MillionB. 750 MillionC. 1 BillionD. 3 Billion
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We Care. We Serve. We Accomplish.
The Measles Initiative
How many deaths have been prevented by measles vaccination efforts since 2001?
A. 2 MillionB. 3 MillionC. 4 MillionD. 5 Million
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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
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Coordinator Role and Tools
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Success To Date: Thank You!
65As of January 15, 2012
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.
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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
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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
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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
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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
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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
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One Shot, One Life Elevator Speech
Breakout Activity
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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”
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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.
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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
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Club Analysis Activity
Breakout Activity
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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
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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.
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One Shot, One Life Promotion To Date
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One Shot, One Life Promotion:Looking Ahead
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Measles Panel Activity
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Questions?
LCIF Coordinators Measles Training
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