4 AdvocacyCommunication T Pennas

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Conceptual Framework for GFATM Application: 

Conceptual Framework for GFATM Application How can countries include advocacy, communication and social mobilization activities in their application? Thaddeus Pennas, Stop TB Partnership Secretariat

Why should we consider ACS in GFATM proposals?: 

Why should we consider ACS in GFATM proposals? ACS is integral to everything we do in TB control. DOTS Public Private Mix, community-based care, TB/HIV, etc. But it requires a decentralized approach and strategy with centralized supervision, support and monitoring. ACS is a necessary investment!

ACS is a necessary investment: 

ACS is a necessary investment

ACS It makes sense.: 

ACS It makes sense.

We know a lot but we are not using what we know. (Kenya) Factors contributing to choice Demand for TB services: public-private mix in Kenya: Hanson (et.al 2004): 

We know a lot but we are not using what we know. (Kenya) Factors contributing to choice Demand for TB services: public-private mix in Kenya: Hanson (et.al 2004)

ACS has lots of tools (This is just a short list): 

ACS has lots of tools (This is just a short list) Conventional mass media to reach large audiences Social marketing to audience segmentation and build demand Building social networks to increase outreach Enhancing community empowerment for case detection. Media advocacy to gain support and validate the relevance of TB Popular/folk media to generate dialogue and activate informational networks Interpersonal communication to improve services delivery

So how do we place ACS in the GFATM Proposal?: 

So how do we place ACS in the GFATM Proposal? A How-To-Guide to the Conceptual Framework

What is ACS? Definitions : 

What is ACS? Definitions Advocacy: Activities designed to place TB high on the political and development agenda, foster political will, increase financial and other resources on a sustainable basis. Communication: Increase knowledge among general public about TB and TB control services, improve interpersonal communication between patients and program providers contributing to behavioral change. Social Mobilization: The mobilization of communities for action to fight stigma and eliminate TB as a public health threat. Bottom Up 360 degree loop Top Down

Conceptual Framework for TB in GFATM Application: 

Conceptual Framework for TB in GFATM Application Entry point for GFATM Application  OBJECTIVES (table 4.4b) OBJECTIVE: Advocacy, Social Mobilization, Communication for TB Control, Treatment and Support Four Service Delivery Areas Advocacy Communication Social Mobilization Cross Cutting

Service Delivery Area 1) Advocacy : 

Service Delivery Area 1) Advocacy Definition: Activities designed to place TB high on the political and development agenda, foster political will, increase financial and other resources on a sustainable basis. Examples of Coverage Indicators: 1) Percentage increase of national budget spent on TB control activities over time. 2) Percentage increase of national budget spent on advocacy, communication, and social mobilization for TB control. a) Activity: Mass Media Example: Use of radio, TV, print media Possible indicator: # of TV, radio and print programs produced Possible indicator: # of broadcast time or newspaper spaced purchased

Advocacy: 

Advocacy b) Activity: Information, Education and Communication Example: World TB Day promotional materials Possible indicator: # promotion materials distributed Example: TB advocacy informational kits Possible indicator: # of kits distributed c) Activity: Civil Society Engagement and Outreach Example: Support or expand national and local networks of advocates and champions Possible indicator: # of organizations reached and active

Service Delivery Area 2) Communication : 

Service Delivery Area 2) Communication Definition: Increase knowledge among general public about TB and TB control services, improve interpersonal communication between patients and program providers contributing to behavioral change. Example of Coverage Indicators: 1) % of population who know that a chronic cough could be a sign of TB. 2) % of population who know TB testing and treatment is free. 3) % of the population who know TB is curable. 4) % increase in client satisfaction with TB program services over time. 5) % increase of TB suspects presenting themselves for testing over time.

Communication : 

Communication a) Activity: Mass Media Example: Use of radio, TV, print media as a distance learning tool (Public Service Announcements) Possible indicator: # PSA's produced Example: Point of service promotion Possible indicator: # brochures listing location of DOTS centers distributed b) Activity: Information Education and Communication Example: Patient information cards Possible indicator: # of cards distributed Example: Interpersonal communication skills development Possible indicator: # of service providers trained in IPC Example: Peer educators Possible indicator: # of service providers trained Possible indicators: # of peer educators active

Communication: 

Communication c) Activity: Civil Society Engagement Example: TB in the workplace/community programs Possible indicator: # of organizations reached Possible indicator: # of organizations active Example: Community outreach programs to distribute TB symptoms and treatment information Possible indicator: # community-based organizations distributing information

Service Delivery Area 3) Social Mobilization: 

Service Delivery Area 3) Social Mobilization Definition: The mobilization of communities for action to fight stigma and eliminate TB as a public health threat. Example of a Coverage Indicator: 1) % of people expressing accepting attitudes towards people with TB. 2) % of communities active with social mobilization action plans. 3) % of districts/provinces that have an active de-stigmatization program.

Social Mobilization: 

Social Mobilization a) Activity: Mass Media Example: Use of radio, TV, print media Possible indicator: # Public service announcements produced b) Activity: Information, Education and Communication Example: Information campaign to encourage treatment seeking behavior Possible indicator: # of districts/provinces with an active informational campaign Example: Treatment compliance educational programs Possible indicator: # of districts/provinces with an educational program

Social Mobilization: 

Social Mobilization c) Activity: Civil Society Engagement Example: TB educational program for community leaders Possible indicator: # number of community workshops/forums Example: TB patient activism Possible indicator: # of TB support groups Possible indicator: # of workshops for public/private/professional and NGOs advocating for TB patient-centered care. d) Activity: De-Stigmatization Activities Example: school, church, and/or workplace education programs Possible indicator: # of school, church and/or workplace-based organizations with an educational program.

Service Delivery Area 4) Cross-cutting areas for Advocacy, Communication and Social Mobilization : 

Service Delivery Area 4) Cross-cutting areas for Advocacy, Communication and Social Mobilization Definition: To provide a supportive environment for sustainable growth of advocacy, communication and social mobilization. Example of Coverage Indicators: 1) # of districts/provinces with funded work plans based on local data. 2) # of districts/provinces with a interagency communication coordination/implementation committee/partnership/task force

Cross Cutting: 

Cross Cutting a) Activity: Improved Institutional Capacity Example: Communication staffing and management Possible indicator: % of district/provinces with designated ACS staff/focal with appropriate experience Example: Skills developing and training Possible indicator: # ACS staff/focal points trained b) Activity: Needs Assessment, Operational Research and Planning Example: Behaviors studies and surveys Possible indicator: # knowledge, attitude and behavioral studies commissioned Example: Operational planning Possible indicator: # district/provinces conducting a planning workshop Possible indicator: # district/provinces with a funded work plan

Cross Cutting: 

Cross Cutting c) Activity: Monitoring and Evaluation Example: Client satisfaction surveys (CSS) Possible indicator: # of studies commissioned Possible indicator: # of districts administering and using CSS Example: Knowledge, attitudes, and practices studies (KAP) Possible indicator: # of studies commissioned Possible indicator: # of districts administering and using KAP studies

Cross Cutting: 

Cross Cutting d) Activity: Management Example: Secretariat support for communication inter-institutional coordinating task force/partnership Possible indicator: # of communication focal points Example: District/provincial communication staff Possible indicator: % of district/provinces with qualified ACS officers Example: Technical Assistance Possible indicator: % of ACS budget for technical assistance and support

Consider : 

Consider Shift strategic approaches regarding ACS Use local data to set goals and strategies Segment target audiences Research barriers, benefits and perceptions Integrate top-down and bottom up approaches Combine actions within the CCM's partners Use evidence-based results driven workplans at ALL LEVELS.

Implementation: 

Implementation Use the CCM to create a ACS committee with Communication Partners Conduct participatory an ACS Needs Assessment Develop strategic plan/proposal Replicate at sub-national/district level Secure qualified communication focal point/coordinators Establish baselines and indicators Develop materials, pre-test and implement ACS activities Develop and implement capacity/competency-building plan Monitor, evaluate, learn and re-plan

Summary: Why should we consider ACS in GFATM proposals?: 

Summary: Why should we consider ACS in GFATM proposals? ACS is integral to everything we do in TB control. PPM, DOTS expansion, community care, TB/HIV Requires a decentralized approach and strategy with centralized supervision, support and monitoring. ACS is a necessary investment!

How much will TB spend on ACS to achieve its targets? : 

How much will TB spend on ACS to achieve its targets? How much will we ask for ASC activities to achieve the 2005 process targets of 70% case detection? It is up to you! $100M+/-

Thank You: 

Thank You Questions

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