Transcript ACSM: Your Ally in TB Prevention and Care Efforts []

Advocacy, Communication and
Social Mobilization (ACSM):
Your Ally in TB
Prevention and Care Efforts
Nicole S. Schiegg
ACSM at Country Level Sub Group Meeting
Cape Town, South Africa
5 November 2007
What is the goal of ACSM?
To support your TB efforts by:
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Improving case detection and treatment
adherence
Combating stigma and discrimination
Empowering people affected by TB
Mobilizing political commitment and resources
for TB
Where do I start?
Key Elements for Implementation
Key Elements for Implementation
Planning
1.
Create a national partnership/ task force
 Charged with planning, implementing and evaluating all activities
2.
Conduct an ACSM Needs Assessment
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 Review epidemiological data
 Identify priority populations
 Determine behavioral goals
3.
Develop a Workplan and Budget
Implementation
 Match behavioural goals and targeted audiences with activities
 Establish benchmarks and process/impact indicators
4.
Implement activities
 Develop, pre-test and produce materials
 Organize advocacy events, social mobilization activities, etc.
5.
Monitor and evaluate results
 National/ district/ provincial levels
Partnerships:
Leverage Skills and Resources
• Identify the stakeholders.
• Establish communication
channels.
• Ensure the free flow of information.
• Draw up and communicate the
strategy clearly.
• Ensure that time frames are
realistic and that deadlines are met.
• Plan and evaluate both partnership
and intended change.
• Establish partnership working as
the “usual way of doing business”.
Needs Assessment
Who are the audiences?
 What are behavioral goals to be
addressed?
 What are the barriers?
 What are your past experiences and
current activities?
 Who are the stakeholders and what are
the assets?
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Establishing Baseline Data
 Available
TB data and analysis:
Epidemiological (new TB cases, people
living with TB, death rate, etc.)
 Available
Data to inform ACSM:
Administration-policy analysis
financial analysis, policy barriers, stakeholders analysis…
Education-Media analysis
literacy rates, circulation/audience stats
Socio-behavioural?
What is a KAP survey?
Knowledge, Attitudes and Practices survey
 Statistically-representative study of a given
population
 Uses a pre-determined questionnaire
 Collects data that can be used for
evidence-based decision-making in
program planning
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Why conduct a KAP survey?
Data helps you set priorities (i.e., to
determine the most common problems).
 Establishes baseline level of knowledge
and baseline practices (to measure
change as a result of interventions).
 Data contributes to advocacy (i.e., to
show the magnitude of a problem).
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Other Ways to Collect Data
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DHS Surveys
Focus group discussions
In-depth individual interviews (i.e.; with TB
patients or medical providers)
Observation of patient-provider interactions
Exit surveys with TB patients
Key informant interviews
Stakeholder meetings
ACSM Process: Activity Indicators
M&E Framework for ASCM
ACSM Impact
Advocacy Outcomes:
• Knowledge of opinion leaders
• Political commitment in policy and reports
• Coverage advocacy activities/campaigns
Communication Outcomes:
• Knowledge of population
• Coverage IEC activities/ campaigns
Social Mobilisation Outcomes:
• Partners/communities joint action (NTP)
• Coverage partners/communities TB plans
Increased
budget
allocations
Increased
Suspect rates
Decreased
Drop-out rates
Increased
capacity
How can I overcome
obstacles?
Resources & Technical
Assistance
Ways you can ask for help…
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The design of formative behavior or demographic research studies
or protocols (ex. KAP surveys, focus groups etc.) to establish
baseline data, to identify target audiences and to determine behavior
change targets;
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Data interpretation to aid message development and to also identify
target audiences;
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Managerial assistance to develop ACSM strategy and to guide rollout activities;
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Project management training around project implementation at all
levels;
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Development of tools or instruments for ACSM monitoring and
evaluation, which is required by the Global Fund;
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Micro-planning training for implementation at sub-levels.
Plans for 2008
 EMRO
ACSM Planning Workshop
 Country Technical Assistance
Missions
 Consultant Training
 Consultant Guide
Contact Information
Ms Young-Ae Chu (Country-Level
ACSM) - [email protected]
ACSM at Country Level Website:
http://www.stoptb.org/wg/advocacy%5Fco
mmunication/acsmcl/