• 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)
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
…But a Fascinating One!• DRC is like a God’s gift.The second largest rainforest in the worldThe second largest river in the worldEach of the 10 Provinces has an unique richness (cobalt, diamond, copper)Creatures found nowhere else in the worldDRC is Africa’s most biologically rich country
C-Change assigment in DRC GOAL :Increase positive behaviors and norms related to family planning ( FP), HIV and AIDS, malaria, maternal and child health( MCH) tuberculosis(TB) and water and sanitation (WATSAN) through evidence-based SBCC programs.
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.
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.
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 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
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
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
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
Some ProductsSouth KivuProvince’sSBCC Strategy
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
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)
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*
Pretesting is key before producing the materials
Pretests of materialsGBV/School MalariaLubumbashi ( Katanga) comics books in school Radio spots in Mbuji-Mayi (Eastern Kasai)
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)
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 University of Kinshasa (Medical Faculty)• Facilitation of the communication component of the MPH program of Kinshasa School of Public Health
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
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
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!