from choice, a world of possibilities behavior change programme, condom promotion & distribution...
TRANSCRIPT
From choice, a world of possibilities
Behavior change programme, condom promotion & distribution & VMMC
Dr Martin MIGOMBA
NOmmigombano@ippfa
ro.org
from the onset to when the situation allows
Emergency
Post-emergency
Loss of essentia
l services
Restoration of
essential services
Relative
stability
Return to
normality
Destabilizing event
Comprehensive HIV & STI services
Durablesolutions
MISP
-Blood Transfusions-Standard
Precautions-Condoms
-ARVs (cont. use)-PMTCT
-Meet STI needs
Implementing & integrating
comprehensiveHIV services
Prevention programme Behavioural interventions Condoms, Promotion and distribution VCT Prevention of mother-to-child transmission (PMTCT), Management of sexually transmitted infections
(STIs), Strengthen health service delivery (Safe blood
transfusion programme, Standard precaution programme (use of PEP)
Voluntary medical male circumcision (VMMC) for HIV
Behavior Change
Process of behavior Change
Unaware Knownledgeable Sustained behavour change
BCC Steps 1 Establishprogramgoals
2 Involvestakeholders 3 Identify t
argetpopulation
4 ConductFormative assessment
5 Segmenttargetaudience
6 Define desiredbehaviour
7 DesignBCC Strategy and M&E plan
8. Develop a communication product
9. Pre test10. Implement and Monitor
11. Evaluate
12. Analyze, feedback and revise
Conducting a formative assessment
Questions Risk situations including what influences
the decisions and settings for risk Which target groups are most vulnerable; What persons or groups constitute their
social networks and key influencers? What factors influences their behavior? What are the insights of opinion leaders …..
Conducting a formative assessment
Methodology Focus groups discussion (cote d’Ivoire crisis) Key Informant interview In Depth interview Discussion with PLWA/Key population Observation Inventory health facility and community based
programme already in place (services, quality Check your Logistic, conduct the assessment then
analyze result than proceed the next BC step
Condom Promotion and distribution
Condom Promotion and distribution Condoms male and female should be made
available and free of charge during a crisis situation Programme should include supply chain
management including lubricant Programme should targeted any person regardless
of sex, age or marital status Programme can be effective when it includes
community and with tailored messages Promotion messages should include dual protection
approach (HIV-unplanned pregancy) Condom needs to be visible
Steps for condom integration
Coordination and strategies Information materials (involve leaders …) Train staff and community (especially for Female
condom) Supply system in place (at the beginning you can use
IAWG RH Kit (Kit 1 A & B), IPPF MAs, UNAIDS… Provision (through health system or none health
system) Awareness campaign especially for female condoms)
Voluntary Medical Male Circumcision
VMMC Effective intervention which can be
perform during a crisis Require trained staff and medical
supplies Require a task shifting approach Require an improved infrastructure Use of BCC strategy to create demand It has to be integrated with other
services such condom distribution, STI, BCC…
There is project implemented by UNHCR in Ethiopia and Uganda
Needs to be done in protracted setting
Guidelines and other tools IASC : Guideline for addressing
HIV in Humanitarian setting SPRINT Facilitator manual for
MISP (IPPF-UNFPA) Field experience from UNHCR Reproductive health in emergency,
Field manual
www.aiwg.net, www.ippf.org
,www.unhcr.org, www.unfpa.org
Thanks, Merci beaucoup, Obrigado