Over 360 children die from pneumonia every day in Nigeria, making it the #1 killer of children in the country. But it doesn’t have to be this way.

PartnershipsICV is pleased to partner with The Clinton Health Access Initiative, Inc. (CHAI), which has been working with government and partners in the public and private sector to ensure no Nigerian child dies from pneumonia unnecessarily. CHAI has already made a positive impact by improving access to life-saving diagnostics and treatments at health facilities across three states, but there is more work to be done to combat the largest killer of children under five.

What is Pneumonia and How is it Treated?

Pneumonia is an infection that causes a patient’s lungs to fill with fluid, making it difficult to breathe. This can result in a complication called hypoxemia – extremely low blood oxygen levels – putting the patient at great risk of death. Oxygen therapy effectively treats hypoxemia, but access to oxygen is a major challenge in countries like Nigeria.

Pneumonia kills more children under five every year than AIDS, malaria, and the measles combined.

There are often simple, effective ways to diagnose and treat pneumonia.

  • Amoxicillin Dispersible Tablets (AMX DT) are the recommended first-line treatment for non-severe pneumonia.
  • Pulse oximetry detects hypoxemia by measuring the percentage of oxygen saturation in the blood. Oximetry detects 20 to 30% more children with hypoxemia than clinical signs.
  • Oxygen therapy is given to hypoxemic patients, reducing their chances of dying by 35%.

Most Nigerian children with pneumonia will reach a health facility, but when they do:




Dr. Hamish Graham, a pediatrician and public health researcher, discusses the difficulties delivering oxygen therapy to children in Nigeria in this TEDx Talk:


About CHAI: Partnering to Make a Difference

CHAI has the right strategy, the right experience, and the right partnerships to make a difference. Our mission is to save lives and reduce the burden of disease in low- and middle-income countries around the world. We aim to strengthen the government and private sector to create and sustain high-quality health systems in the countries where we work.

Over the last three years, CHAI has made substantial gains to improve child health in Nigeria, particularly in managing pneumonia and hypoxemia across 30 hospitals in three states – Kaduna, Kano and Niger – where we have run a successful pilot program. Together with the government of Nigeria, CHAI has:

  • Updated national and state policies, aligning with World Health Organization recommendations for treatment of pneumonia, diarrhea, and hypoxemia.
  • Incentivized state governments to invest in pneumonia, oxygen, and diarrhea treatment commodities as well as training programs that will allow sustained availability and use of these commodities at facilities.

This work helped galvanize transformational impact in the 30 hospitals that participated in the program. Once routine screening with pulse oximetry was introduced, diagnoses of hypoxemia among children admitted with pneumonia increased from 20% to 48%. This means an estimated 8,153 additional children with hypoxemia received life-saving oxygen therapy due to improved screening and treatment rates. Other results include:


What’s Next?

Building on this initial success, ICV and CHAI are seeking partners to help scale up the program nationally, with implementation in seven high-burden states over the next four years and a budget of $27.3 million. With this expanded program, CHAI expects to:

  • Increase the percent of children with severe pneumonia receiving correct treatment from 2% to >40%
  • Increase the percentage of children with hypoxemia receiving oxygen from 10% to at least 50%





We need to act now. Join us in the fight against pneumonia in Nigeria.



Management Team

Challenges that threaten humanity require innovative responses and insights. The power of collaboration can ensure a prosperous future. Our experienced team, with representatives from the cooperating organizations, has the character, courage and commitment to solve the challenges we face today, and to respond to and contain these threats.
Chizoba-FashanuDr. Chizoba Fashanu serves as the Nigeria Deputy Program Director at CHAI. She has more than 12 years of experience leading health projects in Nigeria with government, NGOs and donors. She holds a Bachelor of Medicine & Bachelor of Surgery from the University of Lagos College of Medicine
and she holds a MPH from University of Texas & MSc in Epidemiology from The London School of Hygiene & Tropical Medicine.
Kate-SchroderKate-Schroder serves as Vice President of Essential Medicines at CHAI. She has more than 12 years leading projects at CHAI, including global lead for CHAI’s work in diarrhea and pneumonia. She is the former lead of Pediatric HIV program & CHAI Zambia Country Director. Prior to CHAI, Kate worked at the Advisory Board Company in Washington, DC, leading best practice operations research for a membership of over 2500 hospitals. She received a Bachelor degree in Political Science and a Business Certificate from Indiana University, and an MBA from the Wharton School, University of Pennsylvania.
RobertSmithICVRobert Smith entered Wall Street with lessons passed down from four generations of family members who worked in the investment industry before him. Over the course of his career, he managed sales and trading teams at leading financial institutions, and built capital markets and international equities businesses. In 2014, Robert founded ICV to bring together his networks of family offices and institutional investors to evaluate opportunities that create a social impact beyond a financial return. He serves as Business Strategy Advisor to New Frontier Bio, a multi-asset holding company, which leverages the long-term involvement of the Kennedy family in healthcare to identify, finance and develop novel medical technologies from inception through clinical proof of concept. Robert serves as a member of the President’s Advisory Board of Thomas Jefferson University and Jefferson Health, 16th on U.S. News & World Report’s 2017-2018 Best Hospitals Honor Roll. He serves on the Sustainable Investing Advisory Board of the United Nations Capital Development Fund (UNCDF), which makes public and private finance work for the poor in the world’s 47 Least Developed Countries (LDCs). Robert is Senior Advisor for Fundraising and Partnerships to the Permanent Secretariat of the World Summit of Nobel Peace Laureates. Carrying on the mission of his family to provide “inspirational and tangible help for young people,” he serves as a board member of the Chaeli Foundation, Childhood Cancer Kids, Children’s Village and Tuesday’s Children. He is Senior Advisor to the Africa Rising Foundation founded by Ndaba and Kweku Mandela, grandsons of Nelson Mandela. Robert is also President and a member of the Board of Directors of The Harmon Foundation, a private foundation established in 1922 by his great, great grandfather, William E. Harmon, who operated the largest real estate company in the world at the turn of the 20th century, created the mortgage and college loans, fueled the Harlem Renaissance and donated to thousands of nonprofits over his lifetime “to bring smiles and tender thoughts to the great in heart in high and low places, and to comfort and cheer those who do exceptional things or suffer.” In 2018, Robert was recognized as one of The 100 Visionary Leaders by Real Leaders Magazine, alongside Bill Gates, Muhammad Yunus, President Juan Santos, Mikhail Gorbachev, Leonardo DiCaprio and many others who are leading us towards a better world. He was also inducted as a member of Evolutionary Leaders, a network of people who feel a sense of urgency about the state of our world and are forging a movement for the conscious evolution of humanity.

“As a parent, watching a child die unnecessarily is an image that you never forget. I’ve seen too many. The faces of these children — and their heartbroken parents — are what motivate me. Every day, I am grateful for the opportunity to work on this incredible challenge. Countless children are depending on us.”

 – Kate Schroder, Clinton Health Access Initiative, Inc.