Your SlideShare is downloading. ×
0
Health partners elluminate ppt_final_9.13.10
Health partners elluminate ppt_final_9.13.10
Health partners elluminate ppt_final_9.13.10
Health partners elluminate ppt_final_9.13.10
Health partners elluminate ppt_final_9.13.10
Health partners elluminate ppt_final_9.13.10
Health partners elluminate ppt_final_9.13.10
Health partners elluminate ppt_final_9.13.10
Health partners elluminate ppt_final_9.13.10
Health partners elluminate ppt_final_9.13.10
Health partners elluminate ppt_final_9.13.10
Health partners elluminate ppt_final_9.13.10
Health partners elluminate ppt_final_9.13.10
Health partners elluminate ppt_final_9.13.10
Health partners elluminate ppt_final_9.13.10
Health partners elluminate ppt_final_9.13.10
Health partners elluminate ppt_final_9.13.10
Upcoming SlideShare
Loading in...5
×

Thanks for flagging this SlideShare!

Oops! An error has occurred.

×
Saving this for later? Get the SlideShare app to save on your phone or tablet. Read anywhere, anytime – even offline.
Text the download link to your phone
Standard text messaging rates apply

Health partners elluminate ppt_final_9.13.10

1,804

Published on

C-Change (Communication for Change) is a USAID-fundd program to improve the effectiveness and sustainability of social and behavior change communication (SBCC) as an integral part of development …

C-Change (Communication for Change) is a USAID-fundd program to improve the effectiveness and sustainability of social and behavior change communication (SBCC) as an integral part of development efforts in 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/

0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total Views
1,804
On Slideshare
0
From Embeds
0
Number of Embeds
0
Actions
Shares
0
Downloads
28
Comments
0
Likes
0
Embeds 0
No embeds

Report content
Flagged as inappropriate Flag as inappropriate
Flag as inappropriate

Select your reason for flagging this presentation as inappropriate.

Cancel
No notes for slide

Transcript

  • 1. Dr. Owembabazi, Director Uganda Health Cooperative Malaria Communities Program September 13, 2010 Applying Behavior Change Communication to Prevent and Treat Malaria in Uganda
  • 2. HealthPartners <ul><li>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. </li></ul><ul><li>Helped Ugandans develop the Uganda Health Cooperative based on the same model </li></ul><ul><li>UHC/MCP builds on this model to increase the sustainable impact of malaria prevention and treatment interventions </li></ul>2
  • 3. Objectives <ul><li>% of pregnant women and children under 5 that sleep under a long lasting insecticide treated bednet (LLIN) every night from 42% to 90%; </li></ul><ul><li>% 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%; </li></ul><ul><li>Build sustainable, local organizational capacity to reduce malaria and to manage health schemes protecting at least 14,000 members. </li></ul>3
  • 4. Strategies <ul><li>Follow MOH Directives </li></ul><ul><li>Implement cascade of sensitization and training </li></ul><ul><li>Address national, district, sub-district and community levels </li></ul><ul><li>Build capacity using existing systems and resources </li></ul><ul><li>Sustainability Framework </li></ul><ul><li>Train trainers </li></ul><ul><li>Develop partnerships </li></ul><ul><li>Local stakeholders drive change </li></ul><ul><li>Active engagement of religious and political leaders, employer groups, schools.... </li></ul>4
  • 5. National BCC Strategies* <ul><li>Improve treatment-seeking behavior so caretakers recognize signs and symptoms, know what action to take, and where treatment is available </li></ul><ul><li>Promote correct use of LLINS and maintenance of their effectiveness </li></ul><ul><li>Improve access to facilities, drugs, and trained providers </li></ul><ul><li>Provide subsidized or free LLINS to vulnerable groups </li></ul><ul><li>Ensure adequate supply of effective drugs, LLINS and other supplies </li></ul><ul><li>Strengthen the referral system </li></ul>* National Communication Strategy for Malaria Control in Uganda 2005-2010; Ministry of Health National Malaria Control Programme 4
  • 6. Behavior Change Communication (BCC) <ul><li>Research and identify </li></ul><ul><ul><li>local barriers to change </li></ul></ul><ul><ul><li>key target groups </li></ul></ul><ul><li>Develop a plan that directly addresses barriers for each target group with a range of interventions and support </li></ul><ul><li>Build local capacity to lead and support change </li></ul><ul><li>Monitor results and adapt accordingly </li></ul>5
  • 7. Children and adults with malaria are not getting proper and early treatment* <ul><li>Communication challenges at household level </li></ul><ul><li>Poor knowledge about signs and symptoms of malaria and importance of early treatment </li></ul><ul><li>Common use of traditional medicines and self-treatment with inappropriate drugs </li></ul><ul><li>Inadequate knowledge about appropriate treatment drugs and dosages for children and adults </li></ul><ul><li>Poor compliance with proper treatment regimens </li></ul><ul><li>Lack of access to health services and information </li></ul><ul><li>* National Communication Strategy for Malaria Control in Uganda 2005-2010; </li></ul><ul><li> Ministry of Health National Malaria Control Programme </li></ul>6
  • 8. Children and adults with malaria are not getting proper and early treatment* <ul><li>Communication challenges at service delivery level </li></ul><ul><li>Many staff not knowledgeable about appropriate treatment drugs and dosages </li></ul><ul><li>Lack of access to up-to-date policies and treatment guidelines </li></ul><ul><li>Stock-outs and inadequate supplies of appropriate drugs </li></ul><ul><li>Lack of community drug distributors in many locations </li></ul><ul><li>* National Communication Strategy for Malaria Control in Uganda 2005-2010: Ministry of Health National Malaria Control Programme </li></ul>6
  • 9. Pregnant women are not preventing and treating malaria correctly* <ul><li>Communication challenges at household level </li></ul><ul><li>Poor knowledge about the dangers of malaria in pregnancy </li></ul><ul><li>Lack of knowledge about IPT for malaria in pregnancy </li></ul><ul><li>Fears about the effects of taking drugs during pregnancy </li></ul><ul><li>Poor ANC attendance practices (too few, too late) </li></ul><ul><li>Communication challenges at service delivery level </li></ul><ul><li>Many service providers not knowledgeable about IPT and appropriate treatment of malaria in pregnancy </li></ul><ul><li>Lack of access to up-to-date policies and treatment guidelines </li></ul><ul><li>Stock-outs and inadequate supplies of appropriate drugs </li></ul><ul><li>New drug policy change to A/L </li></ul><ul><li>Providers at understaffed facilities have little time for IEC and counseling about IPT </li></ul><ul><li>* National Communication Strategy for Malaria Control in Uganda 2005-2010 by the Ministry of Health National Malaria Control Programme </li></ul>7
  • 10. Low use of ITNS/LLINS* <ul><li>Communication challenges at household level </li></ul><ul><li>Lack of information and knowledge ● Inappropriate use </li></ul><ul><li>about benefits of ITNs/LLINs and ● Inconvenient </li></ul><ul><li>importance of preventing malaria ● High cost </li></ul><ul><li>Lack of access and re-treatment services </li></ul><ul><li>Concerns about safety and effects of chemicals </li></ul><ul><li>Communication challenges at service delivery level </li></ul><ul><li>Providers lack information and knowledge about ITNs/LLINs </li></ul><ul><li>Providers at understaffed facilities have little time for promotion and IEC on benefits and appropriate use </li></ul><ul><li>Low demand discourages private sector and community vendors from stocking ITNs/LLINs and re-treatment supplies </li></ul><ul><li>* National Communication Strategy for Malaria Control in Uganda 2005-2010 by the Ministry of Health National Malaria Control Programme </li></ul>
  • 11. Community-Owned Cooperative Health Financing <ul><li>Built local stakeholder capacity to sustainably manage a member-owned, prepaid health cooperative to reduce barrier of cost when seeking care </li></ul><ul><li>Developed training resources to apply behavior change communication principles to helping people join health cooperatives </li></ul><ul><li>Membership provided to volunteers at a discount </li></ul>8
  • 12. Responding to Feedback and Opportunities <ul><li>Piloting Village Savings and Loan projects to enable VHT to learn to work collaboratively together and to help increase their income </li></ul><ul><li>Implemented data centers in health facilities for improved communication and coordination of resources </li></ul><ul><li>Participating in LLIN distribution campaign </li></ul>9
  • 13. Behavior Change Interventions <ul><li>Provided resources to support VHT BCC efforts including </li></ul><ul><ul><li>flip charts, brochures and posters </li></ul></ul><ul><ul><li>data registers </li></ul></ul><ul><ul><li>small incentives like certificates, pens and bags </li></ul></ul><ul><li>Trained village health teams (VHT) </li></ul>10
  • 14. Health Facility Resources <ul><ul><li>Provided: </li></ul></ul><ul><ul><li>LLIN demonstration kits for VHT to borrow </li></ul></ul><ul><ul><li>posters on best care practices and healthy treatment seeking </li></ul></ul><ul><ul><li>Cups and safe water for observed IPT </li></ul></ul>11
  • 15. Channels of Communication <ul><li>Embraced local channels of communication </li></ul><ul><ul><li>Aired radio announcements </li></ul></ul><ul><ul><li>Commissioned drama shows </li></ul></ul><ul><ul><li>Incorporated dancing </li></ul></ul>12
  • 16. Support Systems for Change <ul><li>Linked VHT to HW for quarterly support supervision meetings </li></ul><ul><li>Invited local leaders to HW-led quarterly meetings </li></ul><ul><li>Engaged religious leaders to lead by example and promote VHT services </li></ul><ul><li>Initiated quarterly District Health Team-led stakeholder meetings and supplied a toolkit to support adoption of this practice </li></ul>13
  • 17. Thank You! 14

×