GIM meeting Feb |1 | Global Action Plan for Prevention and Control of Pneumonia (GAPP) and progress S. Qazi and T Cherian On behalf of the GAPP Team GIM February 2010

Framework for Pneumonia Control REDUCTION PNEUMONIA MORTALITY PREVENT TREAT PROTECT Exclusive breastfeeding Adequate nutrition Prevent low birth weight Reduce Indoor air pollution Hand washing Vaccination Prevent HIV Cotrimoxazole prophylaxis Zinc for diarrhoea In community, health centres and hospitals

GIM meeting Feb |3 | GAPP's Vision and Goals Vision Every child is protected against pneumonia through provision of healthy environment access to preventive measures access to treatment Specific Goals for 2015 for under 5 children Reduce mortality from pneumonia by 65% Reduce the incidence of severe pneumonia by 25%

GIM meeting Feb |4 | Targets to be reached by the end of % coverage of relevant vaccines 90% coverage of exclusive breastfeeding for 6 months 90% access to appropriate pneumonia treatment

GIM meeting Feb |5 | 5.3 million deaths due to pneumonia can be averted from 2010 – 2015!! 5 by 15! Impact of increasing coverage to 90%

GIM meeting Feb |6 | Per year cost of US $ 3.8 billion in 2010, rising to US $ 8.0 billion by 2015 Over six years, total cost for 68 high-burden countries will be US $ 39 billion For 66 countries (excluding China & India) US $ 19 billion Cost of achieving targets in 68 high burden countries

GIM meeting Feb |7 | Major actions in countries Designation of a national action group for pneumonia control Generating political will Developing a situation analysis for pneumonia Involving other programmes Identifying areas of harmonization and collaboration Increasing coverage for vaccination, access to treatment and promotion of exclusive breastfeeding Tracking progress Engaging the United Nations agencies and donors in countries

GIM meeting Feb |8 | Progress to date World Pneumonia Summit and Day UK government proposed a WHA resolution on pneumonia to WHO Executive Board – accepted to be discussed at WHA BMGF pledging more funds to vaccines Discussion with BMGF to carry out regional workshops in African and Asian regions to kick start GAPP AUSAID through UNICEF to support GAPP activities in EAPRO region

GIM meeting Feb |9 | Proposal to BMGF: Initiate the implementation of GAPP Overall Objective: To initiate the implementation of GAPP in countries through regional workshops in collaboration with the WHO regional offices. Objectives of the regional meeting –To reach a common understanding on the concept/principles of GAPP strategy, its advantages and implications for the health system. –To discuss a management structure to coordinate the implementation of the GAPP strategy. –To obtain commitment to initiating the early implementation phase in order to gain experience with the practical application of the GAPP strategy. –To prepare a country-specific draft plan for practical application of the GAPP strategy. Participants from up to 5 countries –Programme managers and technical staff of programmes (EPI, IMCI, nutrition, Health Systems, WHO and UNICEF staff.

GIM meeting Feb | GAPP activities from an Indonesian perspective Advocacy from several partnerships, PneumoADIP, Australia21 Situation analysis of pneumonia in children and indoor air pollution 3 country initiative funded by Ausaid through Australia 21: –Australia, PNG, Indonesia Creation of a pneumonia task force of partners: action planning within Short Programme Review for Child Survival Country support from Ausaid through UNICEF regional funds Regional intercountry workshops to monitor progress

GIM meeting Feb | Progress on WHA resolution Resource mobilization UNICEF/WHO and other partners roles and responsibilities Next steps for GAPP