Transcript JHHESA presentationx - Conference Call :: Your Partner in

Johns Hopkins Health and
Education in South Africa
JHHESA: Our Vision
To improve the health and wellbeing of all South
Africans through using a strategic communication
approach.
JHHESA Our Mission
• Designing and implementing
strategic communication
programmes.
• Enchancing access to
information and the
exchange of knowledge.
• Developing programming
that is evidence informed
through research.
• Providing technical support
to South African Partners
JHHESA: Our Approach
SOCIAL ECOLOGY MODEL & COMMUNICATION FOR SOCIAL AND BEHAVIORAL CHANGE
Types of Communication
Engagement
Mass Media
Dialogue
Counseling
Peer Education
INDIVIDUAL
Communication for
Participatory Development
Dialogue
Community Mobilisation
Peer education
SOCIAL
NETWORKS
COMMUNITY
Advocacy
To strengthen
policy and
systems
SOCIETAL
Partner and family
Leadership;
National leadership;
Behavior and intention;
relationships
level of participation;
per capita income;
knowledge & skills; beliefs &
(communication, trust,
information equity;
income inequality;
Values; emotion; perceived
understanding, agreeaccess to resources;
health policy and
risk; self-efficacy; selfment, & power), peer
shared ownership;
infrastructure;
image; subjective
influence, gender
collective efficacy;
mass media;
norms
equity, bounded
social capital; value
religious and
normative influence
for continual
cultural values;
improvement
gender norms
Physical Environment and Infrastructure
Burden of disease; climate and seasonality; transportation and communication networks,
access to health care facilities, access to water, sanitation, and household technologies; etc.
The P Process – Developing Evidence
Informed Strategies
Key SAG Partners
• SANAC
– Men’s Sector
– Women’s Sector
– Youth Sector
– Religious Sector
• Department of Health – National, Provincial and
District level.
• South African Broadcasting Corporation
• Provincial Departments of Health
Target Audiences
• Primary Audiences:
– Youth 15 – 24
– Women of a sexual and reproductive age
– Men aged 25+
• Secondary Audiences
– Policy and decision makers
– Traditional leaders and structures
– Government Departments
Objectives:
Behavioural Prevention
• Increase the age of sexual debut amongst young people
• Increase people’s perception of risk to HIV infection in
relation to their behaviours (Alcohol, transactional sex
etc) and sexual partnerships and encouraging the
development of risk reduction strategies.
• Reduce the number of men who report having multiple and
concurrent partners
• Increase correct and consistent condom usage with all
partners.
Objectives
Biomedical Prevention
• Promote early antenatal booking amongst pregnant women
• Increase the knowledge benefits of exclusive breast feeding
for PMTCT
• Reduce the number of children born with HIV
• Increase the levels of knowledge of the HIV benefits of
Medical Male circumcision
• Increase the number of men who are circumcised.
Objectives: C&T and C&S
• Counseling and Testing
• Increase the number of people who undergo VCT for HIV
and who receive their test results
• Increase the number of people who test for HIV on a
regular basis
• Care and Support
• Increase awareness of the linkages between HIV/TB
• Increase knowledge and awareness of the signs and
symptoms of TB
• Increase awareness of opportunistic infections and the need
for early treatment
Objectives: Treatment and Strategic
Information
•Treatment
• Increase the number of people who are treatment literate.
Mass Media
Television PSA’s
Radio PSA’s
Television and Radio Drama Series
Radio Drama and Talk shows
Print Media Feature
WEB and Social Networks
Advocacy Activities
Media Advocacy using Television ,
Radio and Print Media
Promoting uptake of services
Social Mobilization
- Community Outreach
- Community Dialogues
- Capacity Building in use of tools
Partnerships and Referrals
Mass Media Partnerships – SABC, e.tv
National and Provincial level Partnerships –
DOH, SANAC
Community Formations CBO’s, FBO’s
Aids and GBV Help lines
Community Based services- FAMSA, SAPS
JHHESA is a Strategic Communication Partnership
for Prevention, Care and Support and Treatment
Strategic Partners:
1. SANAC
2. Department of Health
3. Provincial Governments
4. JHU-CCP
Broadcast Partners
1. ABC Ulwazi (Radio) – Community Radio
2. SABC Education (TV and Radio)
3. E-TV (Television)
4. Mediology (Media Planning)
5. Mindset Health (Public Health Channel)
Research Partners
5. Health and Development Africa
6. Centre for AIDS, Development and Research
(CADRE)
Media Advocacy Partners
7. Marcus Brewster Publicity (Media Advocacy)
8. Health-E (Media Advocacy)
Creative Partners
9. Joe Public (Creative Agency)
10. Matchboxology (Creative Agency)
Capacity building Partners
11. Community Media Trust (Siyayinqoba –
Beat It – Training of Community Health Care
Workers)
12. Sonke Gender Justice - Training for Men’s
Sector on Brothers for Life
13. Wits HIV and the Media Project
14. UKZN – Centre for Cultural and Media
Studies
Community Outreach Partners working with
youth, women, men , traditional structures
15. Footballers for Life - Working in
Correctional services
16. Lesedi Lechabile - Free State,
Lejwelephutswa
17. Mothusimpilo, Gauteng – West
18. Turntable Trust, KZN, Sisonke
19. The Valley Trust (KZN, Ethekwini)
Programme Priorities for FY12
• Youth – focussed on
• Strategic Planning with
tertiary institutions and in
Provinces and Districts for
school and out of school
ACSM
populations using
– 9 Provincial Reports
entertainment education
programmes.
– 7 local response activities
• Adult Men - Brothers for Life • Building the capacity of
community health care
– Sexual prevention and
workers in support of the
Demand creation for HIV
governments PHC
prevention
• Building capacity of
• Women and Girls –
organisations in social
mobilisation for
Developing a new
prevention, HCT and
programme that addresses
maternal and child Health
Accomplishments
• 1st ever national
communication survey
• Planning to local needs using
the local level studies and
tracking progress at the local
level
• Able to expand on initial
PEPFAR investment through
public/private partnerships
• Supporting MMC partners
with materials to support
outreach programmes.
• Supporting the SANAC Men’s
Sector and the
Communications Technical
Task Team
• Developed tools and resources
that work in supporting
community mobilisation.
• Community dialogues –
building community cohesion
and response to key issues.
• Scrutinize – demonstrated
impact on a number of key
outcomes – Multiple partners,
condom usage and HCT.
• Intersexions – 2nd most
popular drama series and over
23 000 people engaging
through social media
(Facebook).
.
Accomplishment FY 09
• 2 661 000 people
reached on Sexual
Prevention.
• 22 000 people trained
on SP.
• 3 085 million condoms
distributed
• 285 000 people reached
through PMTCT.
• 72 000 people reached
on MMC
• 858 000 people reached
on HCT and 28 000
people counselled and
tested.
• 1.3 million people
reached on promoting
treatment adherence
and literacy.
How do we know if we are having an
impact
• Monitoring system –
electronic monitoring
system that tracks
partner data through
monthly reporting
• Monthly and quarterly
reporting and Feedback
• Baseline studies undertaken
in 2008 will be repeated in
2012
• NCS measures the impact of
communication
interventions in South
Africa includes provincial
data.
• Qualitative evaluations –
Focus group discuss and
individual indepth
interviews.
• Evaluating the training
programmes what impact is
this having?
META-THEORY OF HEALTH COMMUNICATION
COMMUNICATION
INSTRUCTION
DIRECTIVE
Dissemination
Promotion
Prescription
NONDIRECTIVE
Advocacy
Coalition Formation
Regulation
COGNITIVE
Attitudes
Attitudes (Beliefs
& Values)
Subjective Norms
Self-Efficacy
Perceived Risk
Self-Image
EMOTIONAL
Fear, Sadness, Affection,
Happy, Trust, Empathy
SOCIAL
Mutual Understanding
Cohesion & Reciprocity
Collective Efficacy
HEALTH
BEHAVIOR
PHYSICAL &
MENTAL STATUS
INDIVIDUAL
Intention &
Behavior
REDUCED
MORBIDITY &
MORTALITY
COLLECTIVE
Leadership
Participation
Goal Setting
Action
from
INFECTIOUS
& CHRONIC
DISEASES
enabling
PUBLIC
IDEATIONAL FACTORS
confirmation
Entertainment
Counseling
Dialogue
Social Networks
SKILLS & KNOWLEDGE
ENVIRONMENTAL CONTEXT: SUPPORTS & CONSTRAINTS
Burden of disease; level of toxic chemicals in air, water, & food;
population density; technology; policy; access to food, safe water &
sanitation; access to health care, socio-economic conditions
Challenges
• Lack of common indicators
means that one half of the
response remains
undocumented and
unreported.
• Lack of funding by provinces
to support the
implementation of
provincial ACSM strategies.
• Weak local structures –
AIDS Councils, district and
sub-district health
structures.
• Health care facilities for
men are weak using B4L to
advocate for improved
health care services for
men.
• Getting biomedical people
to pay attention to the
social and biomedical and
to respect the professional
disciplines that contribute
towards the epidemic.
• Needing to keep track of the
impact of training
programmes – what are the
knock on effects.
Looking beyond USAID/PEPFAR
• Advocating with
government to
incorporate ACSM into
annual planning process –
have been some success
with ACSM units
established but need to
be capacitated.
• Encouraging greater
linkages between
community partners and
local and district
governments.
• Need to advocate for
provinces to budget for
ACSM – beyond
producing just posters
and brochures.
• Looking at additional SAG
and other funding
sources.