Pathfinder International

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Pathfinder International India Country Program

• Prachar Project
• Tigris Project
• Safe Abortion and
• post abortion care program

Community Based
School Based
Urban
Rural
Funded by Bill Melinda Gates Foundation David
Lucile Packard Foundation The Flora Foundation
an anonymous donor
Pathfinder International, Prachar Project, Bihar
Pathfinder International, Prachar Project, Bihar
Pathfinder International, Prachar Project, Bihar
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The Prachar Project
Promoting Change in Reproductive Behavior Bihar,
India
Supported by the David and Lucile Packard
Foundation

• Prachar Project
• 189, Ground Floor,
• Patliputra Colony, Patna- 800 013
• Tel. [phone]
• e-mail pracharproject_at_sify.com,
  sam_pathfinder_at_yahoo.com

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Project Goals

• Improve Reproductive Health of Youth
• Reduce Early Fertility

Pathfinder International, Prachar Project, Bihar
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Prachar Project Objectives

• Change social attitudes and norms that hinder
  change in reproductive behavior
• Change reproductive behavior of adolescents and
  young couples
• Build capacity of partner NGOs in adolescent and
  youth focused RH/FP programming

Pathfinder International, Prachar Project, Bihar
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Project Area NGO Partners 30Districts 3
Blocks 17Villages 552 Population 636,80
3 (22)Adolescents Young couples 96,241
(15.1)

Timeframe (Phased Implementation) Nalanda June
02- June 05 36 months Nawada Sept. 02-
June 05 33 months Patna Mar. 03- June
05 27 months
Pathfinder International, Prachar Project, Bihar
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Project Geography
Operations in 5 districts in Phase-II
Welcome to Prachar Project, Pathfinder
International
Pathfinder International, Prachar Project, Bihar
7
Project Partners

• 19 Partners involved in implementing community
  based interventions
• Build rapport with community reach subgroups
  with behavior change communication using group
  meetings, home visits, and street theatre
  mobilize adolescents and newly weds to attend
  specialized training sessions
• 10 Partners providing specialized training to
  specific sub-groups at the community level in
  these intervention areas
• 12 to 14 year old girls 15 to 19 year old boys
  and girls newly wed couples cultural teams and
  traditional birth attendants
• 1 Partner providing technical training and
  assistance to staff of NGO Intervention and
  Training Partners

Pathfinder International, Prachar Project, Bihar
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Project Geography
Phase-I 552 villages
6,36,803 people
Phase-II additional 4 NGO intervention Partners
12 NGO Training Partners (NTPs)
Prachar Project Dissemination, 19th Sept 05
Welcome to Prachar Project, Pathfinder
International
Pathfinder International, Prachar Project, Bihar
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Intervention Approaches

• Change behavior through communication
• Achieve Impact and effect sustainable change
• Implement in phases
• Structure the Implementation process
• Build capacity to implement
• Improve access to RH services
• Monitor vigorously
• Provide technical support

Welcome to Prachar Project, Pathfinder
International
Pathfinder International, Prachar Project, Bihar
10
Communication for Behavior Change
Audience Segmentation
LIFE STAGE SPECIFIC COMMUNICATION
Pathfinder International, Prachar Project, Bihar
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Communication for Behavior Change
Segment Specific Communication

• Address men and women concurrently, though
  separately
• Provide each segment with life stage specific
  information, skills, messages
• Using multiple media to reinforce messages
• Emphasize informed and conscious decision
  making on child bearing

Welcome to Prachar Project, Pathfinder
International
Pathfinder International, Prachar Project, Bihar
12
Communicators

• Change Agents and members of cultural teams
• members of the community
• believe in program messages
• seen as credible communicators
• communicate with comfort and confidence on RH
  sexual issues
• knowledgeable about contraception, RTI/STI

• Trainers
• travel in to the village from outside
• high levels of education thoroughly trained
• specialized communicators on technical issues

Welcome to Prachar Project, Pathfinder
International
Pathfinder International, Prachar Project, Bihar
13
Structured Implementation
A Typical Intervention Area
30 Villages 3-5 km radius 30,000 population
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International
Pathfinder International, Prachar Project, Bihar
14
Structured Implementation
Organization of field
One Cluster level team for
10 villages 10K pop
Cluster 1
Cluster 2
Cluster 3
Accountability Effective planning and
implementation Effective supervision and
monitoring Systematic and extensive coverage
Welcome to Prachar Project, Pathfinder
International
Pathfinder International, Prachar Project, Bihar
15
Structured Implementation
Organization of team
Project Manager
Cluster Supervisor 1
Cluster Supervisor 1
Cluster Supervisor 3
Project Accountant
4 Female Change Agents
2 Male Change Agents
A team of 23 per intervention area
Welcome to Prachar Project, Pathfinder
International
Pathfinder International, Prachar Project, Bihar
16
Capacity Building of Partner NGOs
The Approach
Multi stage training to ensure progressively
greater competence
Clarify values and beliefs and build conviction
in program messages
Develop comfort in communicating on sexual heath
issues
Emphasize development of technical skills and
competence
Facilitate transfer of learning from classroom to
field through technical support visits in field
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International
Pathfinder International, Prachar Project, Bihar
17
Capacity Building of Partner NGOs
Key Areas
Reproductive and Sexual Heath technical
knowledge
Effective communication on contraception,
reproductive and sexual heath matters
Conducting effective group meetings and home
visits
Management Information Systems record keeping
and reporting
Work planning, monitoring supervision
Accounting Administrative systems
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International
Pathfinder International, Prachar Project, Bihar
18
Improving Access to Services
NGO partner
PHC / Sub-Center
Outside Providers
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International
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19

Conclusions

• Performance, Coverage as planned and as per the
  norm
• Enabling Supportive environment established
• Strengthened the capacity skills
• 4. Improved Knowledge Attitude which has
  resulted in behavior change
• 5. Community based resources developed for
  sustainability

Welcome to Prachar-Ethiopia Team (5th - 9th
December 2005)
Welcome to Prachar Project, Pathfinder
International
Pathfinder International, Prachar Project, Bihar
20

Conclusions

• Performance, Coverage as planned and as per the
  norm
• Enabling Supportive environment established
• Strengthened the capacity skills
• 4. Improved Knowledge Attitude which has
  resulted in behavior change
• 5. Community based resources developed for
  sustainability

Welcome to Prachar-Ethiopia Team (5th - 9th
December 2005)
Welcome to Prachar Project, Pathfinder
International
Pathfinder International, Prachar Project, Bihar
21
Capacity Building on RH/FP/HIV

• Training NGOs
• In project Intervention process
• Programmatic, Management financial and
  Technical
• Training to service providers
• formal (e.g. Doctors, Nurses etc) Informal
  (e.g. Dais, RMPs etc.)
• Areas of Specialization
• Contraception
• Safe abortion
• Post Abortion Care
• STI Syndromic Management