C-CHANGE DRC         Yaya DraboWashington DC, 3rd , JANUARY 2012
Speakers• Neil McKee (Introduction)   • Yaya Drabo (Presenter)
Here is the DRCLocated in inCentral Africa
• Size: 2,345,410 sq km    – 80 times Belgium    – 4 times France    – 10 times my native country: BF• 11 Provinces includ...
A DIFFICULT COUNTRY…• Mainly because of its size DRC is a very  difficult country to work in• Transportation is frustratin...
…But a Fascinating One!• DRC is like a God’s gift.The second largest rainforest in the worldThe second largest river in ...
C-Change assigment in DRCGOAL :Increase positive behaviors and norms relatedto family planning (FP), HIV andAIDS, malaria,...
C-Change assigment in DRC (2)• OBJECTIF 1: Support National Level Coordination:  increase coordination, participation, and...
C-Change assigment in DRC (3)• OBJECTIF 3: Develop Evidence-Based Interventions  and Materials: Improve the quality and ef...
EXISTING PROGRAMSFamily planningMalariaHIV/AIDS
EXISTING PROGRAMSWater and SanitationMaternal and Child HealthGBV/SchoolTubercolis ( TB)
NEW PROGRAMSSexual and Gender-basedviolence/HIV/AIDSNutrition/HIV/AIDSPrevention Mother-To-Child Transmission
C-CHANGE PARTNERSNational Partners ( MOH)   Sub-Contractors              USAID’s Project PartnersPNSR (Reproductive       ...
BUDGET [Field support] 2009-2011                        Malaria HIV            MCH       WATSAN    GBV       TB        TOT...
OBJECTIVE 1:            SUPPORT NATIONAL LEVEL                COORDINATION• We work mainly at the national level in suppor...
OBJECTIVE 2 :              BUILD SBCC SKILLS• National Programs staff• USAID’s project’s staff• NGO  – SBCC Training ( 70 ...
What is SBCC? Social and Behavior Change Communication (SBCC)…• Systematic and  evidenced-based
What is SBCC?• Addresses social   context, not just   individual   behavior  - Use in analysis   and design
What is SBCC?• Employs various  strategies for  levels of  intervention
PNLP staffSBCC Trainingin Katanga
Pretesttraining inKinshasa
Pretest Briefing in the fields        Mbuji-Mayi
PNLP staffSBCC trainingin South Kivu
PNLP STAFFSBCC trainingin Katanga
Some ProductsKatangaProvince’s SBCCStrategy
Some ProductsSouth KivuProvince’sSBCC Strategy
OBJECTIVE 3:  DEVELOP EVIDENCE-BASED INTERVENTIONS AND                  MATERIALS• The 2nd year we focused on developing n...
PRINT MATERIALS DEVELOPED BY C-CHANGE DRCPrograms   Flipcharts   Counse   Job aids   Brochures   Leaflets   Comic    Messa...
AUDIOVISUAL MATERIALS DEVELOPPED BY C-CHANGE                    DRC                            AUDIO                      ...
Pretesting is key before producing the materials
PRETESTS OF MATERIALSGBV/School                                     MalariaLubumbashi ( Katanga) comics books in school   ...
SPECIAL EVENTS• Given our responsiveness USAID/DRC asked us to  organize 3 big events. We did it successfully.• PEPFAR tec...
PMI Launch in Mbuji-MayiAmiral Zimmer, US Ambassador in DRC and theDRC MOH Secretary general
PMI LAUNCHAmiral Zimmer aftergiving a bednet to ahousehold member
Amiral Zimmer, USAmbassador in DRCand the DRC MOHSecretary generaldistributing bednetat a Health Center
OTHER SPECIAL ACTIVITIES FOR USAID• Facilitation of the communication component of the  Malaria course held by the Univers...
HOW DID WE MAKE ALL THIS HAPPEN?• Focus on quality SBCC• More technical staff recruited in a competitive  environment (6 n...
WHERE DID WE COME FROM?• C-Change has started in March 2009 with only• Two technical persons ( one permanent and one  cons...
CHALLENGING THE CHALLENGES!• Working in DRC is a matter of challenging the  challenges!• In fact, our program is growing a...
Discussion
THANK YOU!!!
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Challenges of Health Behavior Change in the Democratic Republic of Congo (DRC)

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Democratic Republic of Congo (DRC) is both one of the poorest nations in the world (with the second lowest GDP) and one of the richest (with mineral deposits worth $24 trillion). Its population of 70 million live in an area about four times the size of France. DRC has the world's second largest rainforest, second longest river, savannas, glaciated mountains, and few good roads. DRC is also remembered for "Africa's World War," which involved nine countries and killed 5.4 million people.

Yaya Drabo is Chief of Party for the C-CHANGE project in the DRC. He invites you to learn why this country is so challenging to a social and behavior change program, and why it is so exciting.

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Challenges of Health Behavior Change in the Democratic Republic of Congo (DRC)

  1. 1. C-CHANGE DRC Yaya DraboWashington DC, 3rd , JANUARY 2012
  2. 2. Speakers• Neil McKee (Introduction) • Yaya Drabo (Presenter)
  3. 3. Here is the DRCLocated in inCentral Africa
  4. 4. • Size: 2,345,410 sq km – 80 times Belgium – 4 times France – 10 times my native country: BF• 11 Provinces including Kinshasa the capitol that is the 1/3 of the country: equivalent of Mali or BF population!• Shares borders with 9 countries Angola, Congo, Central African Republic, Uganda, Rwanda, Buru ndi, Tanzania, Zambia and Sudan)
  5. 5. A DIFFICULT COUNTRY…• Mainly because of its size DRC is a very difficult country to work in• Transportation is frustrating• Terrible roads: flying is the best way to reach any town; no safety regulations• Everything is expensive: e.g., housing as well as air plane tickets
  6. 6. …But a Fascinating One!• DRC is like a God’s gift.The second largest rainforest in the worldThe second largest river in the worldEach of the 10 Provinces has an unique richness (cobalt, diamond, copper)Creatures found nowhere else in the worldDRC is Africa’s most biologically rich country
  7. 7. C-Change assigment in DRCGOAL :Increase positive behaviors and norms relatedto family planning (FP), HIV andAIDS, malaria, maternal and childhealth(MCH) tuberculosis(TB) and water andsanitation (WATSAN) through evidence-basedSBCC programs.
  8. 8. C-Change assigment in DRC (2)• OBJECTIF 1: Support National Level Coordination: increase coordination, participation, and ownership by the MOH, NGOs, and other stakeholders in national health programs• OBJECTIF 2: Build SBCC Skills: Develop SBCC skills and competencies of the MOH, NGOs and partners to design, implement and evaluate SBCC programs with the aim of changing a range of health behaviors that will improve health status.
  9. 9. C-Change assigment in DRC (3)• OBJECTIF 3: Develop Evidence-Based Interventions and Materials: Improve the quality and effectiveness of SBCC programs and materials by employing evidence-based process that addresses individual factors, community and gender norms , environmental influences in their design, and implementation.
  10. 10. EXISTING PROGRAMSFamily planningMalariaHIV/AIDS
  11. 11. EXISTING PROGRAMSWater and SanitationMaternal and Child HealthGBV/SchoolTubercolis ( TB)
  12. 12. NEW PROGRAMSSexual and Gender-basedviolence/HIV/AIDSNutrition/HIV/AIDSPrevention Mother-To-Child Transmission
  13. 13. C-CHANGE PARTNERSNational Partners ( MOH) Sub-Contractors USAID’s Project PartnersPNSR (Reproductive CARE/DRC PROVIChealth)PNLP ( Malaria) SFCG (Search for Common PROSANI (USAID Bilateral Ground) project in the country)Direction de l’Hygiene IDI ( Initiatives pour lepublique ( Villages et Developpement Integral)Assainis)[WATSAN]PNLS (HIV/AIDS) Kinshasa’ School of Public HealthNo formal agreement Contract Memorandum ofsigned Understanding
  14. 14. BUDGET [Field support] 2009-2011 Malaria HIV MCH WATSAN GBV TB TOTALFiscal FP/RH AIDS HIVyearsFY 09 250,000 250,000 - 250,000 450,000 100,000 1,300,00FY 10 600,000 1,847,000 500,000 250,000 500,000 - 3,697,000FY 11 600,000 135,000 500,000 150,000 - 250,000 1,664,320Total (1) 1,450,000 2,232,00 1,000,00 650,000 950,000 350,000 6,632,000FY 12 340,900 314,650 113,400 130,900 46.970 717,500 -FundingTotal (2) 8,296,320
  15. 15. OBJECTIVE 1: SUPPORT NATIONAL LEVEL COORDINATION• We work mainly at the national level in supporting 3 national programs: – PNLP ( National Malaria Control Program) – PNSR( National Reproductive Health Program ) – PNLS ( National HIV/AIDS Program) • Advocacy (PNSR and PNLP) • Coordination (support national and provincial working group PNLP) • Support the development and implementation of SBCC programs supported by USAID related to FP, Malaria, HIV and AIDS, MCH and Water and Sanitation
  16. 16. OBJECTIVE 2 : BUILD SBCC SKILLS• National Programs staff• USAID’s project’s staff• NGO – SBCC Training ( 70 people trained from the 4 main national supported, NGO and USAID partners ) – SBCC Strategy development • National Malaria SBCC Strategy developed • National FP SBCC Strategy • 2 Provincial SBCC Strategy developed
  17. 17. What is SBCC? Social and Behavior Change Communication (SBCC)…• Systematic and evidenced-based
  18. 18. What is SBCC?• Addresses social context, not just individual behavior - Use in analysis and design
  19. 19. What is SBCC?• Employs various strategies for levels of intervention
  20. 20. PNLP staffSBCC Trainingin Katanga
  21. 21. Pretesttraining inKinshasa
  22. 22. Pretest Briefing in the fields Mbuji-Mayi
  23. 23. PNLP staffSBCC trainingin South Kivu
  24. 24. PNLP STAFFSBCC trainingin Katanga
  25. 25. Some ProductsKatangaProvince’s SBCCStrategy
  26. 26. Some ProductsSouth KivuProvince’sSBCC Strategy
  27. 27. OBJECTIVE 3: DEVELOP EVIDENCE-BASED INTERVENTIONS AND MATERIALS• The 2nd year we focused on developing new materials related to each key programs we are working on• Here are the materials we developed during the second year of the project ( See Table)• Each of the materials were pretested through our subcontractor, CARE
  28. 28. PRINT MATERIALS DEVELOPED BY C-CHANGE DRCPrograms Flipcharts Counse Job aids Brochures Leaflets Comic Message Posters ling books guide cards FP x Malaria X X ( 8) Watsan X X X X (10) (3) MCH X HIV X (10) GBV X School (2)
  29. 29. AUDIOVISUAL MATERIALS DEVELOPPED BY C-CHANGE DRC AUDIO TV Radio spots Interactive Radio drama TV show TV series programs X X X X X*HIV/AIDS (8) (8) ( 4 episodes) (2) (1) 5 languages FrenchGBV/School X (3) SwahiliTotal 43 8 4 2 1*
  30. 30. Pretesting is key before producing the materials
  31. 31. PRETESTS OF MATERIALSGBV/School MalariaLubumbashi ( Katanga) comics books in school Radio spots in Mbuji-Mayi (Eastern Kasai)
  32. 32. SPECIAL EVENTS• Given our responsiveness USAID/DRC asked us to organize 3 big events. We did it successfully.• PEPFAR technical meeting and stakeholder meeting• PMI launch in DRC in a province far from Kinshasa where we have no presence• C-Change presence at the Kinshasa International Fair (USAID 50th Anniversary)
  33. 33. PMI Launch in Mbuji-MayiAmiral Zimmer, US Ambassador in DRC and theDRC MOH Secretary general
  34. 34. PMI LAUNCHAmiral Zimmer aftergiving a bednet to ahousehold member
  35. 35. Amiral Zimmer, USAmbassador in DRCand the DRC MOHSecretary generaldistributing bednetat a Health Center
  36. 36. OTHER SPECIAL ACTIVITIES FOR USAID• Facilitation of the communication component of the Malaria course held by the University of Kinshasa (Medical Faculty)• Facilitation of the communication component of the MPH program of Kinshasa School of Public Health
  37. 37. HOW DID WE MAKE ALL THIS HAPPEN?• Focus on quality SBCC• More technical staff recruited in a competitive environment (6 new staff)• Personal factors based on confidence and professionalism (I was fortunate to know the country and to have trained MOH staff in DRC and outside)• Responsiveness to USAID requests• Committed staff
  38. 38. WHERE DID WE COME FROM?• C-Change has started in March 2009 with only• Two technical persons ( one permanent and one consultant)• The former COP resigned after one year• 2 days after my arrival he left• C-Change visibility as a SBCC project was low• Staff were not as much motivated ( no technical feed back no staff meeting )• Difficult relationships with the Mission
  39. 39. CHALLENGING THE CHALLENGES!• Working in DRC is a matter of challenging the challenges!• In fact, our program is growing and we will need: – More space (Our Office that was seen as to big at the beginning of the project is now too small!) – More staff – Effective ways to scale up. That is the next “episode” with the upcoming Associated Award: 10 programs to run!
  40. 40. Discussion
  41. 41. THANK YOU!!!

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