concern universal elluminate ppt_final_9.13.10

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Phalombe Malaria Communities Project 13 th AUGUST 2010 Themba Phiri Project Director

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C-Change (Communication for Change) is a USAID-funded program to improve the effectiveness and sustainability of social and behavior change communication (SBCC) as an integral part of development efforts. C-Change focuses on malaria, HIV and AIDS, and family planning/reproductive health. C-Change works with USAID and the President's Malaria Initiative (PMI) to prevent and control malaria in several PMI target countries, including Ethiopia, Kenya, Mozambique, Sao Tome and Principe, as well as others. On September 13, 2010, C-Change and MCHIP facilitated a narrated presentation of the work of two PMI grantees, Concern Universal and HealthPartners, via a webinar. Participants included Save the Children, USAID, CDC, IFPH, and others. For more information, please visit: http://www.c-changeprogram.org/

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Page 1: Concern universal elluminate ppt_final_9.13.10

Phalombe Malaria Communities Project

13th AUGUST 2010Themba Phiri

Project Director

Page 2: Concern universal elluminate ppt_final_9.13.10

QUOTE

“Today we have begun to write the final chapter in the history of

malaria. We have raised hopes and expectations of our people-we must

not let them down. We cannot afford to let them down.” HE. Olusegan Obasanjo, former

President of Nigeria, Abuja Summit 2000.

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This slide is not necessary but it would be good if you can please insert a brief description of your organization (it's purpose, structure, and what makes your organization unique.
Page 3: Concern universal elluminate ppt_final_9.13.10

GOAL:

Reduce malaria associated mortality and morbidity by 50% (form 62% at baseline to 31% morbidity and form 900 – 450 mortality) by September 2012

tpennas
Page 4: Concern universal elluminate ppt_final_9.13.10

Primary Target Population

60,000 Care takers of under five children

15,000 Pregnant women 60,000 Adult men 2,000 PLWA

Page 5: Concern universal elluminate ppt_final_9.13.10

Secondary Target Populations

30 Traditional healers 43 Traditional Birth Attendants 460 Village Leaders 300 Health Workers 60 Religious Leaders 5 Traditional Authorities 35 Political Leaders (5 MPs)

Page 6: Concern universal elluminate ppt_final_9.13.10

Linkages to national strategy

Malaria Communication strategy aims to: Empower communities; 23 CBOs, 20 FBOs, 5 ADCs, 46

VDCs Create demand among 85% of community members

for information and malaria control services Increase depth of knowledge about malaria

prevention to 85% Increase coverage of social behaviour change and

communication to 85% of target groups Stimulate community dialogue, discussion and action

on malaria amongst 5 radio listening clubs, 460 community leaders and 4600 volunteers

Page 7: Concern universal elluminate ppt_final_9.13.10

Linkage of project to Malaria communication strategy

Project objective 1 links well with third, fourth and fifth aims of the

communication strategy Project objectives 2 and 3 are directly linked to the second aim of

the communication strategy whilst the fourth project objective is directly linked to the first aim of the communication strategy

The national malaria strategic plan 2005 – 2010 has four strategic areas that are directly linked to the project and these are;  

(i) improve community and family practices for malaria case management; (ii) maximise reduction of malaria in pregnant women through the use of IPT; (iii) maximise reduction of malaria through appropriate use of ITNs and other

vector control measures; and (iii) strengthen IEC for malaria control

Page 8: Concern universal elluminate ppt_final_9.13.10

KEY BARRIERS TO ACHIEVING BEHAVIOURAL CHANGE

Myths and misconceptions about malaria and treatment: (Source; Baseline survey report; Phalombe Malaria Com. Project- 2009)

Malaria is caused by witchcraft therefore only herbalists can cure the disease

Sleeping under a net makes you impotent Insecticides that are used in ITNs are harmful to infants

Other challenges emanate from fears and perceptions of malaria and services provided, such as: (Source; same as above)

Fansidar SP may cause abortion in pregnancy Once the fever and symptoms of malaria cease, one is fine and it is

no longer necessary to continue taking the medication and when you do not see or hear the mosquitoes, you do not need to use the ITNs

pared Communities

Page 9: Concern universal elluminate ppt_final_9.13.10

KEY BARRIERS CONT.. Behaviour challenges emanating from inadequate knowledge

There is poor knowledge on dose regarding the new LA regimen

Some mothers do not know the frequency of taking SP during pregnancy while others do not know the importance

Poor health service delivery system and infrastructure Long distance to nearest health facilities affecting

attendance at ANC and health seeking behaviour Congestion at health facilities Poor health worker attitude Frequent drug and ITNs stock outs

Page 10: Concern universal elluminate ppt_final_9.13.10

Interventions addressing BARRIERS

MASS MEDIA:

Branded campaign and messages, interactive

radio, uniting all malaria initiatives

ADVOCACY:

At national and local level to raise

attention to taking charge of malaria

SOCIAL MOBILIZATION

Empowering communities to take charge of malaria

Marketing Malaria Prevention Communities

Page 11: Concern universal elluminate ppt_final_9.13.10

Mass Media Conduct 736 Malaria community campaigns and road shows and

reach out to 184,000 people per annum Strategic use of community/national radios through dialogue

sessions, news bulleting of malaria events, mass campaigns, malaria songs etc..

Market Malaria Prevention communities: villages showing best practices on malaria prevention i.e. Over 85% of HHs in a village owning ITNs and using correctly. These will be given airtime on the radio to present their experiences and leaders in the villages will conduct tours to other villages for peer education purposes (act as an incentive)

Print 30,000 IEC materials for a low literate audience Wall branding at 14 Health Facilities and 6 trading centres Use of news papers through features and documentaries of best

practices

Page 12: Concern universal elluminate ppt_final_9.13.10

Cycle for malaria campaigns lead by DC and Secretary for Health and road shows reach out to thousands of people with malaria messages

Page 13: Concern universal elluminate ppt_final_9.13.10

Advocacy

Make malaria action part of national ion Work with 35 key political leaders at district and community

levels to advance malaria policy issues to parliament. Hold 10 events and debates with politicians, Traditional

Authorities on issues requiring formation of by-laws that could safeguard abuse of ITNs, malaria drugs and other supplies

Identify 2 Malaria Ambassadors (1 male and 1 female) within the community who are role models for in community to disseminate malaria prevention messages through campaigns, IEC materials, radio, wall brandings, bill boards etc: The project has identified the District Commissioner as the malaria ambassador so far and has printed posters depicting him and his child with a message that encourages men to take part in seeking care for their U/5 children once they show signs of malaria – see poster below)

Page 14: Concern universal elluminate ppt_final_9.13.10

Malaria Ambassador Emanuel Bambe - DC for Phalombe District

Mr Bambe has been depicted on 600 posters in a malaria campaign to encourage men to take part in care seeking practices when their children have fever and encourage their pregnant partners to start attending antenatal clinics.

Mr Bambe has also been instrumental in encouraging the general community to consistently use ITNs and seek care for malaria at health facilities

Page 15: Concern universal elluminate ppt_final_9.13.10

Social Mobilisation

Communities Orientation and Training of community structures i.e. 46

VDCs, 5 ADCs, 460VHCs, 23CBOs Development of a community activities and education tool

kits; Community monitoring and evaluation through quarterly

review meetings with volunteers, health workers and leaders 46 Participatory drama performances per quarter reaching

out to 46000 people quarterly with malaria messages 5000 Home visits per quarter where demonstrations for net

use and education sessions are conducted Interactivity leads to action

Page 16: Concern universal elluminate ppt_final_9.13.10

Mainstreaming for ScaleExamples of the Interface of Programs and Benefits for Integration

HIV & AIDS: Working with CBOs on care of PLWHAs and also information used on targeting; trainings; planning community activities

Environmental Education: Issues of environmental sanitation in communities, environmental management to reduce mosquito breeding

Social Welfare and Community Development: Community Development Assistants (CDA) and Social Welfare Assistants (SWA) can help disseminate the information to communities during social welfare and development endeavors

Gender mainstreaming: Issues of gender roles, power dynamics considered during planning, implementation and M&E.

Page 17: Concern universal elluminate ppt_final_9.13.10

Capacity BuildingBuild capacities to design and

implement social and behavior change communication

Conduct training needs assessments Developed a tailored curriculum for community malaria

prevention education and BCC training curriculum Train 300 front line health workers, 4600 volunteers and 20

extension staff from government departments engaged in malaria control

Train of 40 indigenous organisations in malaria prevention and message dissemination to communities they serve

Page 18: Concern universal elluminate ppt_final_9.13.10

Community campaigns on ITN use using drama and demonstrations is an effective means of message dissemination to illiterate communities which are over 70% of the population

Page 19: Concern universal elluminate ppt_final_9.13.10

Monitoring and Evaluation Standard indicators Community participatory Monitoring

CHANGE IN

BEHAVIOR

- Increased use of ITNs- Increased use of HF for early diagnosis & treatment- Increased attendance at ANC- Increased IRS rates & lowered re-plastering rate after IRS

CHANGE IN CLINICAL

INDICATORS

- Decreased malaria morbidity and mortality

BASIC BEHAVIOR CHANGE EVALUATION FRAMEWORK

EXPOSURE TO INTER-

PROGRAM

- # heard radio spot- # saw drama- # participated in community program- etc.

CHANGE IN BEHAVIORAL

DETERMINANTS

- For example,Increased knowledge about malaria treatment, prevention, and control; attitudes, perceived risk, outcome expectation, norms

PROGRAMACTIVITIES

process indicators

- # of health prof trained in malaria BCC- # of radio shows aired- # of schools reached - etc.

Page 20: Concern universal elluminate ppt_final_9.13.10

Coordination