pathfinder international india country program

Prachar Project Dissemination, 19th Sept’ 05

Pathfinder International

India Country Program

Funded by: Bill & Melinda Gates FoundationDavid & Lucile Packard Foundation The Flora Foundation & an anonymous donor

Urban Rural Community Based School Based

•Prachar Project•Tigris Project•Safe Abortion and

post abortion care program

Pathfinder International, Prachar Project, BiharPathfinder International, Prachar Project, BiharPathfinder International, Prachar Project, Bihar

Promoting Change in Reproductive Behavior Promoting Change in Reproductive Behavior Bihar, IndiaBihar, India

The Prachar The Prachar

ProjectProjectSupported by the David and Lucile Packard Foundation

Prachar Project

189, Ground Floor,

Patliputra Colony, Patna- 800 013

Tel. 0612-2275290/1, 2276870/1

e-mail: [email protected], [email protected]

mailto:[email protected]


Prachar Project ObjectivesPrachar Project Objectives• Change social attitudes and norms that

hinder change in reproductive behavior

• Change reproductive behavior of adolescents and young couples

• Build capacity of partner NGOs in adolescent and youth focused RH/FP programming

Pathfinder International, Prachar Project, Bihar


Project Area Project Area

NGO Partners:NGO Partners: 3030

Districts:Districts: 3 3

Blocks:Blocks: 1717

Villages:Villages: 552 552

Population:Population: 636,803 (22%)636,803 (22%)

Adolescents &Adolescents &

Young couplesYoung couples: : 96,241 (15.1%)96,241 (15.1%)

Timeframe (Phased Implementation)

Nalanda June 02- June 05 36 monthsNawada Sept. 02- June 05 33 months Patna Mar. 03- June 05 27 months



Project GeographyProject Geography

Operations in 5 districts in Phase-II

Welcome to Prachar Project, Pathfinder InternationalPathfinder International, Prachar Project, Bihar


ProjectProject PartnersPartners

• 19 Partners involved in implementing community based interventions:

Build rapport with community; reach subgroups with behavior change communication using group meetings, home visits, and street theatre; mobilize adolescents and newly weds to attend specialized training sessions

• 10 Partners providing specialized training to specific sub-groups at the community level in these intervention areas:

12 to 14 year old girls; 15 to 19 year old boys and girls; newly wed couples; cultural teams; and traditional birth attendants

• 1 Partner providing technical training and assistance to staff of NGO Intervention and Training Partners



Patna

Nalanda

Nawada


Project Project GeographyGeography

6,36,803 people

Phase-I

552 villages

Welcome to Prachar Project, Pathfinder International

Phase-II additional 4 NGO intervention Partners & 12 NGO Training Partners (NTPs)



Intervention ApproachesIntervention Approaches

1.1. Change behavior through communicationChange behavior through communication

2.2. Achieve Impact and effect sustainable changeAchieve Impact and effect sustainable change

3.3. Implement in phasesImplement in phases

4.4. Structure the Implementation processStructure the Implementation process

5.5. Build capacity to implementBuild capacity to implement

6.6. Improve access to RH servicesImprove access to RH services

7.7. Monitor vigorouslyMonitor vigorously

8.8. Provide technical supportProvide technical support



LIFE STAGE SPECIFIC

COMMUNICATION

Audience SegmentationAudience SegmentationCommunication for Behavior ChangeCommunication for Behavior Change



Address men and women concurrently, though separately

Provide each segment with life stage specific information, skills, messages Using multiple media to reinforce messages

Emphasize informed and conscious decision making on child bearing

Segment Specific CommunicationSegment Specific Communication

Communication for Behavior ChangeCommunication for Behavior Change



CommunicatorsCommunicators

Change Agents and members of cultural teams:

members of the community

believe in program messages

seen as credible communicators

communicate with comfort and confidence on RH & sexual issues

knowledgeable about contraception, RTI/STI

Trainers

travel in to the village from outside

high levels of education & thoroughly trained

specialized communicators on technical issues



30 Villages

3-5 km radius

30,000 population

Structured ImplementationStructured ImplementationA Typical Intervention AreaA Typical Intervention Area



Cluster 1 Cluster 2 Cluster 3

10 villages

10K pop

AccountabilityEffective planning and implementationEffective supervision and monitoringSystematic and extensive coverage

One Cluster level team for

Structured ImplementationStructured ImplementationOrganization of fieldOrganization of field



Project Manager

Cluster Supervisor 1



4 Female Change Agents

2 Male Change Agents

A team of 23 per intervention area

Structured ImplementationStructured ImplementationOrganization of teamOrganization of team

ProjectAccountant



Capacity Building of Partner NGOsCapacity Building of Partner NGOs

Multi stage training to ensure progressively greater competence

The ApproachThe Approach

Clarify values and beliefs and build conviction in program messages

Emphasize development of technical skills and competence

Develop comfort in communicating on sexual heath issues

Facilitate transfer of learning from classroom to field through technical

support visits in field



Capacity Building of Partner NGOsCapacity Building of Partner NGOs

Reproductive and Sexual Heath – technical knowledge

Key AreasKey Areas

Effective communication on contraception, reproductive and sexual

heath matters

Management Information Systems – record keeping and reporting

Conducting effective group meetings and home visits

Work planning, monitoring & supervision

Accounting & Administrative systems



Improving Access to ServicesImproving Access to Services

Village Retail Outlets

Depot holders

HLL/Janani

MCH clinic

PHC /Sub-Center

Civil Surgeon

Outside Providers

Dais

RMPs

Infertility Clinics

Training Institutions NGO partner



ConclusionsConclusions

1. Performance, Coverage as planned and as per the norm

2. Enabling & Supportive environment established

3. Strengthened the capacity & skills

4. Improved Knowledge & Attitude which has resulted in behavior change

5. Community based resources developed for sustainability

Welcome to Prachar-Ethiopia Team (5th - 9th December 2005)Welcome to Prachar Project, Pathfinder InternationalPathfinder International, Prachar Project, Bihar


• Training NGOs In project Intervention processProgrammatic, Management & financial and Technical

• Training to service providersformal (e.g. Doctors, Nurses etc) Informal (e.g. Dais, RMPs etc.)

• Areas of SpecializationContraception Safe abortion Post Abortion CareSTI & Syndromic Management

Capacity Building on RH/FP/HIV

pathfinder international india country program

Documents