Evaluating the successes and challenges of working in partnership to achieve sustainable impact: Pneumonia vaccine and community case management – Bangladesh

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When the first World Pneumonia Day was announced in 2009, Save the Children set up a coalition with a range of civil society actors in Bangladesh to advocate for the provision of the pneumococcal vaccine. These included national professional bodies, microbiology researchers, large INGOs, national service delivery NGOs and government partners. These actors worked in unison to coordinate pneumonia advocacy work with the government and the Ministry of Health and Family Welfare. Their advocacy efforts also encompassed supporting a sustainable approach to case management at the community level. Save the Children test a Community Case Management (CCM) approach in 2012 which included training for front line health care providers such as Community Health Care Providers (CHCP) and informal providers. The approached piloted in 2012 and produced favourable results after an extensive evaluation.

Over the past 6 years the coalition members worked directly with policy makers through national committees and working groups advocating for the pneumonia vaccine and the Community Case Management approach. It was announced in early 2015 that the pneumococcal vaccine is to be integrated in routine EPI and that the Community Case Management approach will be included into the next national Child Health Strategy. As these two commitments were made by the government, the work of the coalition has been seen as successful through their insider strategies of working with the government and public mobilisation efforts. The coalition partners had a catalytic role in successfully ensuring the pneumococcal vaccine and CCM approach was committed by the government.




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