Aasim Khan Achint Kumar Girish Mathur Jaidev Khatri Parika Pahwa Wasim

GROUP

Before the discovery of vaccine in 1963, measles claimed the lives of 8 million children every year. In 1990 after the introduction of vaccine- disease accounts for more than half of all vaccine preventable deaths. In 1999 measles caused 873000 deaths compared to polios 719. In 1996, seven countries in Southern Africa began a measles elimination programme.

Measles Initiative started in 2001 In response to Global Polio Eradication success. As a partnership between WHO, UNICEF,CENTER FOR DISEASE CONTROL AND PREVENTION(CDC), American Red Cross(arc),(UNF) UNITED NATION FOUNDATION. Works globally with govt. and international agencies to carry out measles vaccination campaign

Our vision is to bring lives to the children by providing full benefits of immunization to all regardless of where they are born, who they are, or where they live.

Our mission is to have strong partnerships, resources ,political will and must work together to make a positive difference in the lives of children, their families and communities as well as to achieve and maintain the elimination of measles through participatory communication strategies ultimately increasing the impact of development programmes.

To reduce the measles mortality in highly burden countries by providing nation wide vaccine campaign.

To decrease the child mortality due to measles up to 95 percent by 2015 To reduce annual measles incidence to less than five cases per million and maintain that level by the end of 2015. To achieve at least 90% coverage nationally and 80 % coverage in every district with the first routine dose of measles vaccine by 2015. To achieve at least 95% coverage with measles during supplementary immunization activities in every district. To focus on countries with challenging logistic incomplete funding and where there still exists a large population of un immunized children.

STRENGTHS

Collaboration of technical experts. Proper division of work between different partners. Strategy already proven by the polio eradication initiative evidence based. Decision making collective and with consensus. Development of plans and implementation by govt. and local leaders well versed with a given region. Supplementary Immunization activities Provide both preventive and curative services. Proper monitoring & Evaluation. Proper sharing of information without having geographical constraints.

WEAKNESSES

Need of a strong political support. Work initiated only on the request of the government of the recipient country. Delays in conducting SIAs led to outbreaks of the disease. Some communities still resistant to participate and also difficult to gain access into violence ridden areas. Vertical Intervention.

OPPORTUNITIES

High disease burden areas. Regions where outbreaks have occurred. In countries like India where still much focus is not given to measles.

THREATS

Gaps in routine immunization leading to outbreaks Withdrawal of political support from the governments. Reduction in funds Capacity building will enhance routine immunization and need for campaigns will be further reduced. Measles is becoming rare day by day and perceived susceptibility is decreasing. Parents sense of urgency.

SWOT

Internal strengths-9 External opportunities-3

Internal Weaknesses- 5

FUTURE QUADRANT

INTERNAL FIX IT QUADRANT

External Threats-6

EXTERNAL FIX IT QUADRANT

SURVIVAL QUADRANT

Space Graph
5 Financial Strength 4 3 2 1 Aggressive Industry Strength

0 -2 -1 Competitive Advantage 0
-1 -2 -3 Environmental Stability

We have to maximize the internal strengths and minimize external Threats.

Product development - By providing Tetanus Toxoid vaccination, deworming medication, Vitamin A doses and insecticide treated bednets Market development- Vaccination campaign will be conducted in other countries apart from Sub Saharan African region. Related Diversification - Providing Antenatal care services to mother

SUPLEMENTARY IMMUNIZATION ACTIVITIES Catch-up campaigning. FOLLOW-UP campaigning - Monitor disease using effective surveillance and evaluate programmatic efforts to ensure progress MOP UP campaigning - Develop and maintain outbreak preparedness, respond rapidly to outbreaks and manage cases. Case Based Surveillance System To provide treatment support for suspected cases Communicate and engage to build public confidence and demand for immunization. Perform the research and development needed to support cost-effective operations and improve vaccination and diagnostic tools.

 ARC Responsible for promoting public awareness,

provide significant resources and volunteers for the campaigns. UNF Manage the funds for Measles Initiative CDC- Provide funds, lent scientific experts to WHO, UNICEF & govt. WHO Strategy development and Provide Technical Leadership. UNICEF Logistical and procurement capacity to support purchase & delivery of vaccines.

GOALS To provide an organizational framework to recruit, select, classify, compensate, and develop diverse workforce, while ensuring an environment that optimizes productivity, efficiency and effectiveness during immunization program. OBJECTIVES To develop proper training schedule and retention strategies for overall well being of the project

To have periodic inspection and feedback from employees (every month) on quality of supervision and motivation through random feedback forms and personal interviews To establish proper communication network to motivate and reinforce the staff even working at most distant and remote areas to get maximum efficiency and quality work along with the building of strong working culture

STRATEGY Quality Enhancement( Continuous monitoring and training) Development(Adding similar programs like Vitamin A , TT injection, awareness campaigns)

GOAL To allocate the financial resources more appropriately and to attract more sponsors and funding agencies in order gain financial sustainability. OBJECTIVES

To provide timely and accurate financial information, while ensuring the department is operating in the most efficient manner. To maintain the proper flow of transfer of funds from one organization to other. To gain more funding from international agencies from 47 million USD to 75 million USD by 2015. To develop procedures for cash handling, budgeting, accounts payable, grants, fixed assets and payroll. To become a catalyst with a plan for govt and take on an increasingly large role in funding future campaign.

STRATEGY Capital Acquisition through : Fund Raising Philanthropy

GOAL To increase the awareness and judicious use of measles vaccination among the children especially where incidence and prevalence is high. OBJECTIVES To make them aware through radio, television print advertisements, Nukkad Natak & Mahila Mandal groups.

To frame messages in regional and standard languages printed messages on packets of baby products which should be simple and consistent.
Managing and ensuring quality product with maximum community participation.

STRATEGY ASSERTIVE MARKETING - emphasizing sensitivity to the needs of children.

GOAL

To develop economical and feasible standards in order to have qualitative data collection and its analysis. To increase staff, supplies, support measure and appropriate supervision at all level and to develop a very efficient and effective supply chain in order to deliver qualitative and timely product delivery services. To achieve inventory control to balance supply and demand to ensure optimum supply of measles vaccination at healthcare institutions.

OBJECTIVES

To provide proper guide line outline distinct need such as: Waste disposal Transport logistic Mapping of target population Exact site of immunization post Number of staff required Cold chain maintenance Training Social Mobilization Integration of micro level plan with district level plan for proper allocation of resources and execution during the campaign. To incorporate quality control techniques to ensure proper quantity and quality and its distribution to save time and wages of local people

CONTROL PROCESS

Quantitative: 95 % worldwide reduction in measles deaths by 2015 Immunizing all the children between nine month to fourteen years Establishing 1200 new laboratories by 2015 Qualitative: To focus on countries with challenging logistic incomplete funding and where there still exists a large population of unimmunized children Dedication and technical expertise Collaborative efforts

Performance was measured in 2008 in terms of estimating the number of children immunized, reduction in the mortality. Logistics management, Financial management, requirement of HR was also monitored

74% reduction in the Mortality due to Measles in African Countries 72% to 82% Reduction in the Mortality due to Measles in World Wide 600 million children immunized by 2007

Measles still caused 197000 deaths by 2008 74% of deaths taking place in south Asia 23 million one year children still not received first dose of the vaccine (15 million in just 8 countries) India accounted for two-thirds of worldwide measles deaths in 2007

Chances of occurring Interorganizational conflict

Scarce Resources Overlapping Authority Task Interdependencies Status Inconsistencies

Issue importance - The extent to which important priorities, principles or values are involved in the conflict. Relationship importance - How important it is that you maintain a close, mutually supportive relationship with the other party. Relative power - How much power you have compared to how much power other party has. Time pressure -If there were never any time pressures, collaboration might always be the best approach to use.