MICRO PLANNING FOR RED AND COMMUNICATION TO REDUCE DROP OUTS

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MICRO PLANNING FOR RED AND COMMUNICATION TO
REDUCE DROP OUTS

• (Experience from Senegal)

CVP/PATH, UNICEF, WHO, USAID, BASICS, MOH
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Recommendations of the TFI in 2002 (communication)

• Establish monitoring and evaluation indicators
  for communication activities
• Increase resources for communication
• Build capacity on communication among health
  personnel and service providers
• Use data to improve the performance and impact of
  communication activities

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Partners response at regional level

• Briefing of SRWG and ICCs
• Regional training in communication monitoring and
  use of indicators (Johannesburg)
• Joint TA to countries
• Communication component included in RED trainings
  and planning
• Revision of MLM Communication Module to include
  communication monitoring

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Application of recommendations by Senegal

• Briefing of ICCs including MOH at different
  levels
• NGOs and community involvement
• Training of Health providers

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(No Transcript)
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Intervention Districts in Senegal
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Micro-planning process in the target districts

• Rapid assesment of communication needs
• Development of training modules
• Choice of CHWs
• Development of tools for CHWs

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Micro-planning process in the target districts
(contd)

• Organisation of training workshops
• Development of work plans for the CHWs in each
  health zone
• Implementation of plans

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Communication results

• of districts involved 5
• of health agents trained 285
• of CHWs trained
  480
• of health committees trained 222
• of mayors oriented 56
• of community radios involved 7
• of communication plans developed at health zone
  level 156

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Strengthening links between the community and the
health centers

• Refresher training of district CHWs
• Community participation in outreach and mobile
  vaccination activities
• Tracking strategy for missed children and
  non-vaccinated children
• Improved interpersonal communication (MERCI)
• Materials developed and deployed

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DTP3 coverage by district assessment 2002 and
Jan-Aug 2003
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Drop-out rate DTP1-DTP3 by district assessment
2002 and Jan-Aug 2003
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How these elements were implemented

• Tracking system for missed appointments put in
  place
• Information given to mothers
• during neighbourhood vaccination sessions
• through women's groups and community health
  agents
• Religious and traditional leaders involved
• Refresher training for community health agents
  and traditional midwives organized
• Outreach in untouched communities initiated

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Lessons Learned

• Communities are more engaged in immunisation when
  they participate in microplanning and
  implementation of activities
• When monitoring results are shared and analysed
  with the community, communities participate more
  actively in the identification and resolution of
  problems

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Recommendations from the Communication
Consultative Group

• WHO, UNICEF, and international donors should
  increase funding for health promotion/social
  mobilization officer positions at global,
  regional, and national levels to support national
  and district-level immunization communication
  activities.
• GAVI, and particularly WHO and UNICEF partners,
  are requested to provide communication
  specialists for short-term technical support to
  countries in training of national and district
  health workers on GAVI protocols, including
  application of RED (notably communication
  activities within RED).
• Governments and partners are called to increase
  funding and technical support for communication
  activities in accelerated EPI disease control
  (e.g. for polio SNIDs, measles SIAs, and
  intensified routine immunization/health days).

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Next steps

• Implement and evaluate pilot projects (e.g.
  Senegal, Kenya, Ethiopia)
• Document and disseminate results
• Expand to other districts and countries
• Expand training in communication monitoring for
  countries (including Senegal and other country
  experiences)
• Integrate communication indicators into
  monitoring activities of EPI

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THANK YOU VERY MUCH