Presentation on theme: "Advocacy, Communication and Social Mobilization"— Presentation transcript:
1 Advocacy, Communication and Social Mobilization Using ACSM to maximize civil society engagement in GFATM projects
2 Objectives To promote and facilitate engagement of civil society Examine the role of civil society in policy discussions and programme designExamine the role that different civil society actors/audiences can play in implementing ACSM activities and integration of TB control into governance and societal structuresExpand the effectiveness of ACSM approaches to increase TB case detection, service usage and engagement of civil society
3 What is civil society?'A civil society is a public space between the state, the market and the ordinary household, in which people can debate and take action'.any voluntary collective activity in which people combine forces to achieve change on a particular issueBy this definition, civil society includes charities; neighbourhood self-help schemes; international bodies like the UN or the Red Cross; religious-based pressure-groups; human rights campaigns in repressive societies; and non-governmental organizations improving health, education and living-standards in both the developed and developing nations.
4 Importance Health interventions are social interventions Broad-based support needed to maximise impact of health interventionsStrong political and social support are critical to program successCivil Society is a force multiplier that can increase impact—ACSM is the means to an end.
5 Possible Contributions of Social Mobilization To Desired Outcomes to Gov’t ensures adequate drug supplyGov’t provides quality DOTS servicesGov’t makes TB control high priorityMore Effective AdvocacySTOPTBMonitoringGov’t, community, households team up to eliminate TB stigmaProviders, community and people team up to detect potential cases and diagnose correctlyProviders, community and people team up to encourage correct treatment regimenHouseholds learn about TB symptoms, transmission and treatment# Cases drop long termMore Effective CommunicationPeople with symptoms seek health care# of TB free communities increaseGov’t, community, civil society and households integrate into culture appropriate health values and practicesSocial MobilizationCivil society works with Gov’t ,and households to eliminate TB in the communityCivil society allocates resources and nurtures appropriate environment to eliminate TB in communityPossible Contributions of Social Mobilization To Desired Outcomes toSTOPTB
6 Question: How to increase case detection through community engagement? Philippines Social Mobilization Project Micro level engagement of civil societyQuestion: How to increase case detection through community engagement?CCM turned to community-based NGOs.Partner Profile: World Vision—faith-based NGO with strong community level visibility.Project: Formation of community based TB "task forces".Active TB case referralHouse to House communication and education for TB
7 Increase in detection of TB suspects as a result of civil society engagement Barangay Pangobilian, Brooke’s Point, Palawan Case Finding Activities
8 Unforeseen benefit!Community members lobby local government to increase TB servicesCommunity members involved in active case detection (based on clinical presentation)Engagement of businesses, schools, churches, civic organizationsBeginning of a political health movement for wider health issues
9 Mobilizing civil society to implement ACSM activities in Kenya A national approach
10 Problem 1: NLTP's access to people living in urban slums Journalists can advocate for equitable access to TB/HIV detection and treatment TB/HIV and poverty often go hand in handProblem 1: NLTP's access to people living in urban slumsis limited because of resource constraintsA peri-urban area in Southern Africa.
11 Local NGOs have access slum dwellers, but need training to deliver TB information to patients and need to become more involved in the planning and policy processCured TB patients on World TB Day in Kinshasa.
12 There's no problem in mobilizing civil society in Kenya 9,000 registered NGOs and CBOs in Kenya out of which 6,000 are operationally active.About 500 are members of the Kenya Consortium to Fight AIDS, TB and Malaria (KECOFATMA).KECOFATUMA has used a GIS system to map and analyze its members countrywide.The NLTP and its implementing partners work with KECOFATUMA and therefore more than 500 organizations that are members of this umbrella body.…but civil society activities for ACSM are uncoordinated
13 The NLTP had already established an ACSM Task Force to manage the COMBI project There was past history of good relations in the Task ForceGood management structures had been establishedMembers knew each other and communicated effectivelyNew members were simply included in the existing ACSM Task Force:World Health Organization (WHO), African Medical and Research Foundation (AMREF), Centers for Disease Control (CDC), Family Health International (FHI), Global and National Stop TB Partnership; International Medical Corps (IMC), Kenya Medical Research Institution (KEMRI), KNCV, National AIDS, STI Control Programme (NASCOP); National Empowerment Network of People Living with HIV/AIDs in Kenya (NEPHAK); PATH; Population Services International (PSI); United States Agency for International Development (USAID); in coordination with the Ministry of Health's Division of Health Promotion and the National Leprosy and Tuberculosis Control Programme (NLTP).
14 Lines of communication were already established …Flow of funds Were discussed openly in the Task force at the outset Given to the lead agency for each component of the strategic plan
15 The Task Force gained consensus on the target audiences based on the problem
16 NEPHAK and IMC : train 100 first line health providers include religious, civic and cultural organizationsPATH, FHI and PSI: evaluation of communications needsPATH, FHI, and IMC: use peer education etc in communities, schools and with health workersPATH: develop community-linked mass media campaignsPATH and NLTP: mobilize the mediaPSI and AMREF: plan the mass media campaignKenya Medical Research Institute and NLTP: take out quarterly TB ads in national papersFHI: review, upgrade and develop new IEC materials for mass pamphleteeringFHI, Min of Lab and Manufacturers Association etc: train on peer-to-peer education in workplace.NLTP coordinated the process Agencies were mapped according to expertise Each agency took the lead on an element in the strategic plan KMRI were tasked to map the policy, legal and judicial barriers to TB control Local NGOs involved but not leading the process – they need support to increase capacity
17 Conclusion Mapping of: The problem Target audience Stakeholder expertisePolicy, judiciary and legal barriers to TB control…leads to improved coordination of activities and greater access to the urban poor…but local NGOs still need support to build capacity to deliver services and to lead some aspects of the programme design and policy process
18 ExerciseInstructions: Take a sheet of paper and map an overview of all the different players and actors involved in your TB programDraw lines and arrows indicating the connects of authority, influence and support. Are there other actors and players that can be accessed?
20 Information is needed for teachers and schoolchildren Children reading an information leaflet on TB.
21 Policy-makers, the judiciary and the legislature WHO will be asking technical focal points of bilateral agencies in G8 countries to attend a consultative and planning meeting on 14 October in Versailles, France, prior to our mega-Working Group meeting on TB control, from October 2005 in VersaillesAfrican Union SummitNeed to be engaged to develop policies and mobilize resources for TB control
22 need to be engaged to detect and treat TB/HIV at the workplace Private sectorneed to be engaged to detect and treatTB/HIV at the workplaceThe Coca Cola Foundation in 2001 decided to focus on 3 key areas:HIV/AIDS and polio, education and the environment. $4-$6 million per year is earmarked to help fight HIV/AIDSThis HIV/AIDS policy has been developed to clarify Heineken's position and to define the conditions and principles of its prevention and medication policy.Bart de Jonge Director, Corporate Human Resources Heineken international January 2002
23 TV and newspaper spots need to be bought to inform the general population