Concern universal elluminate ppt_final_9.13.10

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

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.

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

Primary Target Population
60,000 Care takers of under five children
15,000 Pregnant women
60,000 Adult men
2,000 PLWA

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)

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

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

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)
F ansidar 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 w hen you do not see or hear the mosquitoes, you do not need to use the ITNs
pared Communities

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

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

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

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

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)

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

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

Mainstreaming for Scale Examples 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.

Capacity Building
Build 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

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

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

Coordination

Concern universal elluminate ppt_final_9.13.10

by CChangeProgram on Sep 17, 2010

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Concern universal elluminate ppt_final_9.13.10 — Presentation Transcript