Health partners elluminate ppt_final_9.13.10

Dr. Owembabazi, Director Uganda Health Cooperative Malaria Communities Program September 13, 2010 Applying Behavior Change Communication to Prevent and Treat Malaria in Uganda

HealthPartners
Is an independent, member-owned and democratically-governed health insurance organization created with equity financed by members who invest in order to benefit through their patronage.
Helped Ugandans develop the Uganda Health Cooperative based on the same model
UHC/MCP builds on this model to increase the sustainable impact of malaria prevention and treatment interventions
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Objectives
% of pregnant women and children under 5 that sleep under a long lasting insecticide treated bednet (LLIN) every night from 42% to 90%;
% of pregnant women receiving 2 or more doses of Sulfadoxine-pyrimethamine (SP) for intermittent preventive treatment of malaria (IPTp) during their pregnancy from 27% to 85%;
Build sustainable, local organizational capacity to reduce malaria and to manage health schemes protecting at least 14,000 members.
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Strategies
Follow MOH Directives
Implement cascade of sensitization and training
Address national, district, sub-district and community levels
Build capacity using existing systems and resources
Sustainability Framework
Train trainers
Develop partnerships
Local stakeholders drive change
Active engagement of religious and political leaders, employer groups, schools....
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National BCC Strategies*
Improve treatment-seeking behavior so caretakers recognize signs and symptoms, know what action to take, and where treatment is available
Promote correct use of LLINS and maintenance of their effectiveness
Improve access to facilities, drugs, and trained providers
Provide subsidized or free LLINS to vulnerable groups
Ensure adequate supply of effective drugs, LLINS and other supplies
Strengthen the referral system
* National Communication Strategy for Malaria Control in Uganda 2005-2010; Ministry of Health National Malaria Control Programme 4

Behavior Change Communication (BCC)
Research and identify
local barriers to change
key target groups
Develop a plan that directly addresses barriers for each target group with a range of interventions and support
Build local capacity to lead and support change
Monitor results and adapt accordingly
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Children and adults with malaria are not getting proper and early treatment*
Communication challenges at household level
Poor knowledge about signs and symptoms of malaria and importance of early treatment
Common use of traditional medicines and self-treatment with inappropriate drugs
Inadequate knowledge about appropriate treatment drugs and dosages for children and adults
Poor compliance with proper treatment regimens
Lack of access to health services and information
* National Communication Strategy for Malaria Control in Uganda 2005-2010;
Ministry of Health National Malaria Control Programme
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Children and adults with malaria are not getting proper and early treatment*
Communication challenges at service delivery level
Many staff not knowledgeable about appropriate treatment drugs and dosages
Lack of access to up-to-date policies and treatment guidelines
Stock-outs and inadequate supplies of appropriate drugs
Lack of community drug distributors in many locations
* National Communication Strategy for Malaria Control in Uganda 2005-2010: Ministry of Health National Malaria Control Programme
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Pregnant women are not preventing and treating malaria correctly*
Poor knowledge about the dangers of malaria in pregnancy
Lack of knowledge about IPT for malaria in pregnancy
Fears about the effects of taking drugs during pregnancy
Poor ANC attendance practices (too few, too late)
Many service providers not knowledgeable about IPT and appropriate treatment of malaria in pregnancy
Lack of access to up-to-date policies and treatment guidelines
Stock-outs and inadequate supplies of appropriate drugs
New drug policy change to A/L
Providers at understaffed facilities have little time for IEC and counseling about IPT
* National Communication Strategy for Malaria Control in Uganda 2005-2010 by the Ministry of Health National Malaria Control Programme
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Low use of ITNS/LLINS*
Lack of information and knowledge ● Inappropriate use
about benefits of ITNs/LLINs and ● Inconvenient
importance of preventing malaria ● High cost
Lack of access and re-treatment services
Concerns about safety and effects of chemicals
Providers lack information and knowledge about ITNs/LLINs
Providers at understaffed facilities have little time for promotion and IEC on benefits and appropriate use
Low demand discourages private sector and community vendors from stocking ITNs/LLINs and re-treatment supplies
* National Communication Strategy for Malaria Control in Uganda 2005-2010 by the Ministry of Health National Malaria Control Programme

Community-Owned Cooperative Health Financing
Built local stakeholder capacity to sustainably manage a member-owned, prepaid health cooperative to reduce barrier of cost when seeking care
Developed training resources to apply behavior change communication principles to helping people join health cooperatives
Membership provided to volunteers at a discount
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Responding to Feedback and Opportunities
Piloting Village Savings and Loan projects to enable VHT to learn to work collaboratively together and to help increase their income
Implemented data centers in health facilities for improved communication and coordination of resources
Participating in LLIN distribution campaign
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Behavior Change Interventions
Provided resources to support VHT BCC efforts including
flip charts, brochures and posters
data registers
small incentives like certificates, pens and bags
Trained village health teams (VHT)
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Health Facility Resources
Provided:
LLIN demonstration kits for VHT to borrow
posters on best care practices and healthy treatment seeking
Cups and safe water for observed IPT
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Channels of Communication
Embraced local channels of communication
Aired radio announcements
Commissioned drama shows
Incorporated dancing
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Support Systems for Change
Linked VHT to HW for quarterly support supervision meetings
Invited local leaders to HW-led quarterly meetings
Engaged religious leaders to lead by example and promote VHT services
Initiated quarterly District Health Team-led stakeholder meetings and supplied a toolkit to support adoption of this practice
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Thank You! 14

Health partners elluminate ppt_final_9.13.10

by CChangeProgram on Sep 17, 2010

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Health partners elluminate ppt_final_9.13.10 — Presentation Transcript