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Stronger health systems. Greater health impact. HIV Prevention CommunicationManagement Sciences for Health                ...
BLC Project Overview:  • BLC supports local and regional institutions to    improve health care and HIV prevention service...
BLC Project: HIV prevention   • BLC supports the SADC HIV Unit to strengthen     its strategic leadership role for HIV Pre...
New evidence – new thinking   • Based on extensive review of literature and existing     materials   • Facilitation proces...
What have we learned about    existing prevention capacity?    • Significant gaps and missed opportunities: HIV care      ...
What have we learned (Cont)    • Direct community prevention interventions are usually      project-based rather than stra...
Foundations of prevention    thinking in the training program   Oriented and focused on:   • Theory of change, combination...
Format    • Participants seated at tables of four people to allow      for small group discussion at key moments in the   ...
Structure    BLOCK 1 – Know your epidemic - Know your response        Module 1: Know your epidemic - Big picture and coun...
BLOCK 1 –                                                            Know your                                            ...
BLOCK 2 –                                      Plan your                                      response                    ...
BLOCK 3: Targeting key drivers                of infection                                      Management Sciences for He...
Challenges    • National strategic frameworks may reflect new advances      in HIV prevention, but may not outline how adv...
Solutions    • Adapt the program in each country, keeping with local      HIV dynamics and implementation conditions or   ...
Stronger health systems. Greater health impact.       Saving lives and improving the health       of the world’s poorest a...
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Kevin Kelly - CADRE, South Africa

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HIV Prevention Communication Training: New evidence, new thinking

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Kevin Kelly - CADRE, South Africa

  1. 1. Stronger health systems. Greater health impact. HIV Prevention CommunicationManagement Sciences for Health Training: New evidence, new thinkingMSH Building Local Capacity Project 1
  2. 2. BLC Project Overview: • BLC supports local and regional institutions to improve health care and HIV prevention services by strengthening both technical leadership and management capacity • Regional and country activities • 6 countries • Regional organizations • Key Program Areas Management Sciences for Health • Capacity Building, • Care & support for OVC • HIV prevention • Community-based careMSH Building Local Capacity Project 2
  3. 3. BLC Project: HIV prevention • BLC supports the SADC HIV Unit to strengthen its strategic leadership role for HIV Prevention and build the HIV prevention capacity of member states. • Partnership with SADC HIV Unit and Centre for AIDS Development Research and Evaluation (CADRE) Management Sciences for Health • Target group: HIV program managers in Government ( Ministry of Health, Education), National AIDS Council, and CSO partnersMSH Building Local Capacity Project 3
  4. 4. New evidence – new thinking • Based on extensive review of literature and existing materials • Facilitation processes and communication materials piloted in five trainings in Tanzania, Zimbabwe, and South Africa • 115 individuals involved representing 50 CSOs, international NGOs, and government departments Management Sciences for Health • Modularized training curriculum with 10 half-day presentations and workshop processes with exercisesMSH Building Local Capacity Project 4
  5. 5. What have we learned about existing prevention capacity? • Significant gaps and missed opportunities: HIV care and support, HBC, OVC programs, family planning, HCT • Widespread difficulty in grasping more abstract concepts: partial protection, targeting general population, sero-discordance Management Sciences for Health • Significant variation by country • Little diffusion of understanding of new thinking to local levels and little evidence of learning from or sharing of experiencesMSH Building Local Capacity Project 5
  6. 6. What have we learned (Cont) • Direct community prevention interventions are usually project-based rather than strategic or continuous • Low dose, opportunistic, event-focused HIV prevention efforts with little consideration of local dynamics of transmission, selection, or targeting • Largely information based; little understanding or use of communication or socialManagement Sciences for Health and behavioural methodologies, multilevel or combination strategies, results-based management, or local level collaboration or long-term strategic thinkingMSH Building Local Capacity Project 6
  7. 7. Foundations of prevention thinking in the training program Oriented and focused on: • Theory of change, combination prevention, social ecology framework, results-based management approaches • Addressing modes and dynamics of transmission • Role of communication in social and behavioral change Management Sciences for Health • Evidence-based thinking at local level (KYE, KYR) • ‘Options’ for prevention and offering combination prevention options • Basic science of HIV/AIDSMSH Building Local Capacity Project 7
  8. 8. Format • Participants seated at tables of four people to allow for small group discussion at key moments in the presentations • Each presentation is followed by a practical exercise conducted in small groups to localize, contextualize, and develop practical understanding of key concepts Management Sciences for Health • Each day begins with a review of overnight questions and ends with a reflection on the day’s learning experiencesMSH Building Local Capacity Project 8
  9. 9. Structure BLOCK 1 – Know your epidemic - Know your response  Module 1: Know your epidemic - Big picture and country picture  Module 2: How HIV works  Module 3: Reviewing prevention options - Know your response BLOCK 2 – Plan your response  Module 4: A social ecology approach to prevention planning  Module 5: Communication for HIV prevention  Module 6: Combination prevention Sciences for Health Management  Module 7: Managing for outcomes BLOCK 3: Targeting key drivers of infection  Module 8: Addressing dynamics of generalized epidemics  Module 9: Addressing the needs of high-risk populations  Module 10: PHDPMSH Building Local Capacity Project 9
  10. 10. BLOCK 1 – Know your epidemic - Know your response Management Sciences for HealthMSH Building Local Capacity Project 10
  11. 11. BLOCK 2 – Plan your response Management Sciences for HealthMSH Building Local Capacity Project 11
  12. 12. BLOCK 3: Targeting key drivers of infection Management Sciences for Health Image: Faraja TrustMSH Building Local Capacity Project 12
  13. 13. Challenges • National strategic frameworks may reflect new advances in HIV prevention, but may not outline how advances may be incorporated in implementation plans at a programme, project and community level. • Need for concerted efforts to translate new evidence about HIV prevention needs and effectiveness into practice • This may require departure from standard approaches; Management Sciences for Health and the need to ‘reboot’ in some areas (paradigm shift) rather than ‘infuse’ new understanding • Approach may require some departure from existing commitments and programmatic approaches and this can prove challenging to secure.MSH Building Local Capacity Project 13
  14. 14. Solutions • Adapt the program in each country, keeping with local HIV dynamics and implementation conditions or opportunities • Allow for considerable lag-time before capacity building efforts to support the approach are adopted by most- relevant country-level agencies • Approach appears to be best supported by existing plans to implement combination prevention and existing Management Sciences for Health communication frameworks which cut across a range of implementing agencies • Social ecology approach allows bridging the gap between developmental and ‘topical’ approaches to prevention in country level prevention approachesMSH Building Local Capacity Project 14
  15. 15. Stronger health systems. Greater health impact. Saving lives and improving the health of the world’s poorest and most vulnerable people Management Sciences for Health by closing the gap between knowledge and action in public health.MSH Building Local Capacity Project 15

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