Transcript Programme Communication in Nigeria Results to Date and the Way Forward 2008 WCAR Regional Programme Communication Network Meeting 8-11 April, 2008

Programme Communication in Nigeria
Results to Date and the Way Forward
2008 WCAR
Regional Programme Communication
Network Meeting
8-11 April, 2008
Planned Results 2004-2007/8
•
•
•
40% of Caregivers in the 111 focus LGAs
correctly state appropriate child care
information on immunisation, child nutrition,
environmental sanitation and hygiene,
primary education, and HIV/AIDS awareness
by 2007
Key partners at the national, state, and
community levels raise awareness on the
situation of Nigerian children and advocate
for passage of the Child Rights Act
70% of institutions that received capacity
building support use the ACADA model to
develop and implement communication
interventions
M&E Indicators
1. % of caregivers in 111 focus LGAs
can state 3 key benefits of the 5 core
household practices
2. % who report practicing the
behaviours
3. # of States that pass the Child
Rights Act
4. # of institutions using ACADA as a
planning tool
Results
1. MICS 2007 indicate reduction
in mortality rates
2. Behaviour challenges still
abound
3. Child Rights Law passed in
10 States
4. Assessment of institutions
using ACADA set for 2008
Community Dialogues for
participation and ownership
1.
2.
3.
4.
5.
6.
Step by Step guidelines
developed
Training of Trainers ppt in
use
Checklist to ensure
minimum operating
standards
CD Reporting Form to
monitor, number, where,
when held (in use for IPDs)
CD Audit in 2007 to assess
conduct, perception of
participants and impact
CD has been applied to all
behavioural problems.
Community Dialogue Breaks
J
Deadlock and Non-Compliance
Wanfere, Duma Ward, Tureta LGA , Sokoto, 28
February 2008
Results of Community Dialogue Audit
30,000
No. of children immunized
Who moderates
Opening & closing prayers
Participants
Where pre-dialogue meetings held
25,000
16% increase in number of
children immunised in 89
communities with
monitored dialogues
20,000
15,000
10,000
Challenges a dialogue sessions
June
September
Issues raised/discussed
Actions Proposed
Decisions taken
Where IEC materials distributed
Perception of satisfaction
Confidence to counsel neighbours
No. of non-compliant households
900
60% reduction in number
of non-compliant
households in 54
communities with
monitored dialogues
800
700
600
500
400
300
200
100
0
June
September
Peer Group Dialogue
Prevention of Mother-to-Child Transmission (PMTCT)
Dialogue with traditional leaders on
PMTCT-Gombe LGA, 2005
Dialogue with People Living
With HIV & AIDS in Kaduna,
2005
Interactive Forum on PMTCT,
Fed. Medical Centre, Lokoja 2006
Theatre for Development
• Most communities have
community troupes used for
edutainment even on other
community concerns
• 15 functional per Field Office
(CFO has 28)`
• Partnership with 4 universities &
TFD outfits (ABU,UNIMAID, UI,
UNICAL, SPACE 2000)
• Alliances with popular actors –
Gringori, Chief Zebudaya, Baba
Ramota
• Reaching an average of 300
persons x 3 sessions /annum
• Sessions are often
complemented by dialogues and
questions and answers.
TfD on child participation and
child survival, Aro Community,
Ovia North LGA, Edo State,
May 17, 2007
Community VIEWING & LISTENNG
SESSIONS
• 4 viewing sessions/state per annum
reaching about 300/session
• 40 media institutions producing in
local dialects (# of editions vary from
10 to 26 weeks on key household
practices)
• 7 episode video drama serial on
KHHP for viewing centres
Partnerships with Traditional & Religious Leaders
Kekun
Nauche
facilitaiting
dialogue
Moderators of
Dialogues in 6
States Imam, 17,
11%
Health
Worker/
Health
Educator,
28, 19%
Ward Focal
Person, 34,
23%
Ward Head,
70, 47%
Izallah Leader
Addressing knowledge gaps
thru Social networks
FOMWAN H2H MOBILIZATION for JAN
AND FEB ‘08 IPDs across 7 HR states
(Bauchi, Jigawa, Kaduna, Katsina)
Federation of Muslim Women’s
Association (FOAMWAN) and
Traditional Birth Attendants during a
Tafsir Session
No. of ceremonial events
during which public
sensitization was done
76
No. of women reached
during sensitization events
4831
No. of Children in Noncompliance HH
12,493
No. of Children in resolved
Non-compliance HH
9,004
% of Non-compliance cases
resolved
72%
Promoting Social Change
Following dialogue session on 25/4/07at Kawo Poultry Market, Kaduna
poultry sellers agree to establish water points in markets for
handwashing and to clean the market 2x/day
Social Marketing
Highly successful in:
• 98% use of iodised salt
• Strong partnership with
industry for fortification of
foods (flour, oil, sugar)
• Alliance with regulatory
agencies - National Agency for
Food & drug Admin & Control
(NAFDAC) and Standards ON)
Partnership with Children
Child-Child-Community
16.0
ChildrenAdopted
Identified
%%Children
% of Target Population
14.0
Identified
ChildrenImmunized
Immunized
%%Adopted
Children
12.0
10.0
8.0
6.0
4.0
2.0
0.0
June 2006
IPDs
Nov 2006
IPDs
Jan 2007
IPDs
Mar 2007
IPDs
Late Mar
2007 IPDs
IEC MATERIALS
Guidelines for development
Ppt for pre-testing
Checklist for assessing
usefulness
To compliment dialogue
KAP Research to guide planning
1 Dose
13%
Don't know
34%
2 Doses
23%
Age a child should be
vaccinated against measles
Don't know
23%
At birth
31%
More than 3
Doses
8%
3 Doses
22%
Number of doses of DPT
required by child in first year
9 months and
above
19%
6 months
27%
High Risk Programming
Missed
Children in
Kano State
Feb 2006
Social map
Dala LGA in
Kano State
Sources of
Information in
Gobirawa
Kofar Ruwa
Kabuwaye
K/Ruwa
K/Mazugal
Radio/TV
85%
Trad/Religious
Institutions
12%
Gwammaja
Unaware
1%
Gobirawa B
Town Announcer
2%
Gobirawa A
Gobirawa C
0
10
20
30
Percentage
40
50
60
Private Sector Partnership
• Immunisation
messages on V-mobile
and MTN
• HIV/AIDS messages
on MTN
Weaknesses
1. Going to scale has been a challenge in every
programme communication initiative.
2. Monitoring and evaluation has been limited to
immunization and Avian Influenza Prevention & Control.
3. Documentation has been limited, resulting in low
visibility and credit for programme communication.
4. Funding has been insufficient, time bound and donor
driven, focused on vertical approaches.
5. Too much focus on polio communication at the expense
of other areas of the country programme.
6. Short time-frames for programme communication
initiatives mean that results are difficult to demonstrate.
Participatory Social mapping and Microplaning
Niwo Nchereng Community in Barkin Ladi LGA,
Plateau State – April, 2007
Polio Participatory micro
planning session Mashamari
Ward, Jere LGA in Borno State
Key lessons learned
• Social marketing alone cannot do it
• Intensity and consistency are required
for behaviour results and impact
• Data/evidence-based programming
driven is sine-qua-non to behaviour
change
• Documentation is required to fuel
learning and information sharing
• Interactive media programming is to be
strengthened for mass public education
The Way Forward
1.
2.
3.
4.
5.
Strengthen partnerships on CSD issues with religious/traditional
leaders, adolescents and youth & CSOs
Build capacity of institutions, service providers and community
networks for interpersonal communication
 Promote use of community info boards to track wellbeing and
rights of children & women
 Strengthen capacity of community resource persons to
initiate/facilitate discussion on CSD/ core household practices
 Institutionalise community and peer group dialogue to
concretise community participation and ownership
Document significant changes in the situation of children and
women through partnerships with communities
Promote mass public education through community viewing and
listening centres/groups
Invest in research, rolling data collection and analysis
His highness, Alhaji, Dr Muhammadu Kabir Usman, the Emir of
Katsina, making a speech for the people’s gathering for the sallah
holiday on 21 Oct 2006 , estimated at more than 200, 000. He called
on parents to allow their children to be immunized whenever the
exercise begins.
Thank You
For discussion
What is the preferred
balance between
quality and large
scale to
demonstrate
results/ impact?
10 KEY HOUSEHOLD MESSAGES
1.
2.
3.
4.
5.
Register Every Child: Register your baby shortly after birth to
document his identity. This will help the Government to provide
adequate services
Fully Immunize Babies: Every child needs a series of vaccinations
before his/her first birthday to prevent diphtheria, whooping cough,
tetanus, tuberculosis, polio and measles. These diseases prevent
growth, and can cause disability or death.
Breastfeed for 6 months: Breast milk alone is the food and drink a
baby needs for the first 6 months. After 6 months babies need a
variety of other foods in addition to breast milk.
Boil or filter water: Boil or filter water regularly especially for use by
children.
Wash hands regularly: Wash your hands with soap or ash after
using the toilet, cleaning the baby, and before preparing food, to
prevent disease.
10 KEY HOUSEHOLD MESSAGES
Use treated bednets: Make sure children and pregnant
women sleep under an insecticide-treated net to prevent
malaria.
7. Educate Every Child: Register and keep girls and boys
in school until they complete their basic education.
8. Feed sick children regularly: During illness, children
must eat and drink fluids regularly. After an illness,
children need at least an extra meal a day for a week or
two.
9. Learn about HIV/AIDS: There is no cure for HIV/AIDS; it
kills. Learn how to protect yourself and your family
against HIV/AIDS.
10. Protect Children’s Rights: Every child has the right to
survive, to develop, to be protected and to participate in
his community. Parents and leaders have a duty to fulfill
these rights.
6.
COMMUNITY INFORMATION BOARD
Our Children, Our Future
Name of Community…………….…..
Year…………..
Total Population (Adult): Male….… Female…...…
Total number of children less then one year old……….
Total number of children under five years……...…
Number of primary schools………..…
Children (6-12 years) Male……… Female….…...
Children (13-15 years) Male………… Female………..
Total enrolled in primary school at start of the school year Girls….… Boys…..…
No of Community Improved water sources ….…………
Jan-Mar
SN
1
Number of children born
2
Number of children registered at birth
3
Number of children under one year who have received first dose OPV at birth
4
Number of children under five years who have received DPT 3
5
Number of children not gaining weight
6
Number of orphans
7
Number of children attending primary school (boys … ….and girls…...)
8
Number of households with long lasting Insecticide Treated Nets (ITNs)
9
Number of households with latrines
10
Number of functional improved community water sources
11
Number of pregnant women attending antenatal clinic
12
Number of women who died during pregnancy or within 6 weeks of delivery
13
Number of children who died within one month of birth
14
Number of children who died before 5 years of age
15
Number of community dialogue sessions held
16
Number of Village Development Association meetings held
Apr-Jun
Jul- Sep
Oct- Dec