Development action with informed and engaged societies
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Integrated Child Health Campaign

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In November 2006, Ghana's Ministry of Health and the Ghana Health Service, in collaboration with other key government Ministries and District Assemblies, launched a weeklong campaign to provide 2.1 million long-lasting bednets to all children under 2 years (free of charge) as well as immunisation against measles and polio, and Vitamin A supplementation and de-worming. As part of this nationwide effort to reduce child mortality, communication strategies were developed and carried out in "a massive effort" to spread the word to every family, hopefully raising awareness and mobilising participation in the initiative.
Communication Strategies

In addition to the simple, but key, action to alert parents to the weeklong campaign - which involved 1.5 million printed leaflets being distributed to all primary schools - this campaign drew on the engagement and participation of many individuals and groups in an effort to foster long-term community change. Teams of health workers and volunteers provided campaign services at 9,500 immunisation posts across the country; to support this process, over 28,000 volunteers were trained in the run-up to the campaign. Members of the media got involved in the education campaign, as well: Local journalists attended workshops on their role in averting malaria deaths.

Prominent personnel also lent their voices of support through various mobilisation and advocacy activities. As part of the inter-ministerial response, during the first 2 days of the campaign, the Minister of Health and Minister of Women and Children's Affairs visited the Upper West Region of Ghana to help ensure its successful implementation; other dignitaries also undertook efforts to support other regions. Every District Assembly developed mobilisation plans of action. In addition, development partners and ambassadors carried out campaign visits and other initiatives. Faith-based organisations (FBOs) and churches were also called upon to help spur community participation.

Development Issues

Children, Health, Immunisation.

Key Points

According to organisers, some 80,000 children under the age of 5 die every year in Ghana, most of them from preventable or treatable diseases. Malaria is hyper-endemic, and claims one-quarter of all under-5 deaths every year (20,000 lives). Malnutrition is the underlying cause of death in half of all under-5 deaths; acute respiratory infection is responsible for 18% of under-five deaths, and diarrhoea for another 18%. The consistent use of treated bed nets could reduce all-cause child mortality in Ghana by 20%, but usage by children under 5 and pregnant women remains low. National infant and child mortality rates that have failed to improve over the last 5 years.

The weeklong campaign is part of series of recent efforts by the Government of Ghana to prevent the deaths of young children, such as High Impact Rapid Delivery (HIRD) - a nationwide strategy to boost Ghana's chances of achieving Millennium Development Goals (MDGs) 4 and 5, the reduction of child and maternal mortality. HIRD delivers a series of proven, low-cost health interventions in communities where families lack access to healthcare facilities and knowledge on how to manage common childhood diseases. The Community-based Health Planning and Services (CHPS) initiative complements the HIRD approach, in part by motivating community members to become more active participants in the provision of their own healthcare.

Partners

The campaign is led by the Ministry of Health and the Ghana Health Service, in collaboration with other key government Ministries and District Assemblies. The campaign is supported by the Government of Japan, the UK Department for International Development (DFID), United Nations Children's Fund - UNICEF, World Health Organization (WHO), World Bank, Micronutrient Initiative (Canadian International Development Agency, or CIDA), United States Agency for International Development (USAID), United Nations (UN) Foundation (Measles Partnership), Rotary Club, Ghana Red Cross Society, private sector, and other development partners.

Sources

Global Immunization News [PDF], forwarded by Hemanthi Dassanayake on November 28 2006; November 1 2006 WHO Press Release [PDF]; and email from Dan Dzide to The Communication Initiative on December 18 2006.