1. Neill McKee and Antje Becker-Benton
Presentation to OGAC
Neill McKee and Antje Becker-Benton
October 17, 2011

2. Contents: 1. Description of Activity: Overview
4. Specific PEPFAR Deliverables
2. Goals and Objectives
5. Outcomes & Impact, to date
3. Countries of Operation
6. Plans to Transition to Country Ownership

3. 1. Description of Activity - Overview

4. A Five-Year Global Health and Development Communication Initiative
Agency-wide Cooperative Agreement ( )
Mission:
Improve the effectiveness and sustainability of communication; bring about sustainable change by influencing underlying individual and social norms
For PEPFAR:
Systematic improvement in quality of behavioral prevention through capacity building in Social and Behavior Change Communication (SBCC)

5. The Partnership

6. Working with Southern Partners in 17 Countries
National and local governments in 10 countries
Universities in 5 countries
4 regional networks with 212 member organizations
Numerous large and small indigenous NGOs in 15 countries

7. Democracy and Governance Economic Growth and Trade, Tourism
Agency-Wide Project
Health
Democracy and Governance
HIV prevention
Family planning
Malaria Prevention
Gender and other socio- cultural issues
Maternal and Child Health
Water and Sanitation
Emerging Pandemic Threats
Economic Growth and Trade, Tourism
Environment

8. What is SBCC? Social and Behavior Change Communication (SBCC)…
Systematic and evidenced-based

9. What is SBCC? Addresses social context, not just individual behavior
- Use in analysis and design

10. What is SBCC?
Employs various strategies for levels of intervention

11. Why SBCC? Key Lessons learned from HIV Prevention:
People make meaning of information based on the context they live in
Culture and networks influence people’s behavior
People can’t always control the issues that determine their behavior
People’s decisions about health and well-being compete with other priorities

12. 2. Goals and Objectives

13. 1 2 4 3 C-Change Objectives Scale-up of SBCC Best Practices
Capacity Strengthening in SBCC skills 1 2 4 3
SBCC Evidence through Operations Research and M&E
Wider SBCC Integration within development agendas

14. 3. Countries of Operation

15. PEPFAR PEPFAR Funding type Countries Themes Central Funds DRC Kenya
- GBV
- MC
Country Funds
Jamaica & Bahamas
Lesotho
Namibia
Swaziland
Morocco, Tunisia, Algeria, Lebanon (IAA)
- MARP
- Wat. & San. for PLHIV
- MCP + other drivers
- MCP, MARP, Alcohol, MC
- Sexual Prev. Adults, gender
- MARP (MSM Network )
Associate
Awards
Ethiopia
Nigeria
- PMTCT
- Sexual Prev. Youth, PMTCT
Studies (Central Funds)
South Africa
Mozambique
Uganda
- OR on reaching adult women
- OR on community-based PHDP

16. How do we work?
Country Programs: Roll-out tool application and evaluate for effectiveness
Central Funds: Field test, adapt & roll out tools through regional networks
Central Funds: SBCC Capacity Strengthening toolkit for practitioners and managers

17. Country-funded SBCC Implementation
Focused on:
Capacity Strengthening (CS) Assessments, training, mentoring, for government and local NGO partners
SBCC Coordination with NACs, international & national partners
Development of national strategies and materials; used by all partners
Institutionalization of SBCC Capacity with tertiary institutions
Evaluation and dissemination

18. 4. Specific PEPFAR Deliverables

19. The C-Change Story Years 1 & 2 - start-up and evidence generation
By year 3 – strong demand for SBCC Capacity Strengthening
Developed high level, comprehensive set of resources to improve quality of behavioral prevention with local and indigenous networks
OR to contribute to programming and filling key gaps
Roll out through regional and country programs

20. SBCC Capacity Strengthening Resources
A. Theory-based SBCC Framework
B. SBCC Capacity Assessment Tools
C. C-Modules Learning Package – with 50 tools
D. Global Online SBCC Courses
E. Master and Certificate Courses
F. C-Capacity Online Resource Center & e-Newsletter
G. Guidance on Participatory Materials Development Processes
SBCC Capacity Strengthening Resources
PEPFAR and PRH Supported

21. SBCC Assessment and Learning Tools
B. Capacity Assessment Tools
C. C-Modules Learning Package

22. 7 Courses on Ohio-U. e-learning platform
Facilitated courses starting w/ 20 students
To reduce cost, 15 AFRICOMNET University faculty trained in facilitation
6 non-facilitated courses free of charge
USAID 3-hour short-course available in November
D. Global Online Courses
Institutionalized CS

23. E. Masters and Certificate Courses - Centers of Excellence
SBCC specialty within MPH pioneered at University of the Witwatersrand; in-service format
Masters and Certificate Courses launched 1/2010: 13 students from the region
74 practitioners (mostly government) finalized certificate courses since then
Other courses starting at Universities in Albania, Guatemala and Nigeria for sustainability
Institutionalized CS

24. Making Resources Available
F. Online Resource Center & e-Newsletters
Making Resources Available

25. G. Guidance on Materials Development
C-Hub:
An online resource housing selected
communication materials
+ 6 Adaptation Bulletins for practitioners

26. Regional Materials Development and Adaptation in 7 countries
Set of interactive materials on key drivers for community level (alcohol, intergenerational, MCP, violence, MC) in SA
“Participants forgot we were in the room, when they started interacting with these materials and topics” (community facilitator)
Local Language Adaptation with Soul City and SAT in 7 countries
Part of National Minimum Package in at least 2 countries, endorsed by stakeholders
Increasing uptake by non-collaborating partners (e.g., PATH in Swaziland)
Evaluate and use as catalyst for unmet need in adult prevention programming (Malawi & Zambia)

27. Examples of Capacity Building of Communication Organizations & Networks
Namibia (country funds)
SBCC CS for USAID Implementing Partners
Coordination & harmonization of SBCC response with partners, ministries, district level, & new cadre of extension workers
Kenya
Rapid support to increase demand for MC with SBCC materials and model process for coordinating w/ regional Task Forces
Southern African AIDS Trust
Strengthening SBCC capacity through regional network in 5 countries in Southern Africa
Africa Broadcast Media Partnership
Mentoring of regional broadcasting network members in 38 countries in designing PMTCT and RH/HIV PSA’s

28. OR: Improving Access to HIV Prevention Services Among Adult Women
Background
Study Status
Data collection completed in Namibia, Draft Report for South Africa, Ethiopia research soon to begin
Expanded understanding of vulnerabilities and risk and how to address them
Analysis, reports and dissemination by August 2012
South Africa, Namibia, Ethiopia
HIV prevalence increases markedly among women in mid-20s
Study to identify vulnerability factors for more tailored SBCC interventions in Sub Saharan Africa

29. OR: Assessment of Community Level Prevention Activities With PLHIV
Background
Study Status
Ethiopia, Mozambique, Uganda
Studies to determine availability and type of community prevention activities among PLHIV
Which PHDP interventions are reaching the community levels
Analysis, reports and dissemination by August 2012

30. 5. Outcomes and Impact, to date

31. Roll Out of C-Change CS Resources
C-Modules available in Spanish, Portuguese, and French
Adapted and used for trainings in over 18 countries with more than 1,600 people
As of July 2011 over 16,000 downloads from C-Change website
Capacity Assessments in 8 countries
Conversation Toolkit adaptations in 4 countries completed, 3 more country adaptations ongoing

32. Namibia Outcomes 13 partner program baseline assessments completed
18 partners’ understanding of SBCC and its application increased
13 partners/24 programs - existing/new HIV prevention programs redesigned/developed to incorporate quality SBCC standards & SBCC strategies.
6 partners - understanding of behavioral M&E increased over baseline
1,118 individuals trained in SBCC - working for civil society, private sector, and government

33. Namibia Outcomes National HIV prevention coordinating bodies in place
National and regional SBCC strategies developed, campaigns implemented
SBCC national standards and materials created
Integrating HIV into Health Extension Program: Child Health, Maternal, Neonatal Health, Family Planning, Malaria, TB, Social Work, Disabilities

34. Kenya MC
Developed overarching operational plan to coordinate MC Communication with National and Regional Taskforces
Developed 14 materials for 4 Provinces and national level w/ intense audience consultations (men, partners, health providers, business and traditional leaders)
Materials used by all MC partners in Nyanza program (strong ownership)
Played key role in demand creation and in maintaining high uptake
Strategic planning process and materials are now serving as models for other countries

35. Kenya MC Materials

36. Southern African AIDS Trust
20 NGO network members from 5 countries trained and mentored in:
SBCC assessments
Participatory Facilitation
SBCC, M&E and data analysis
Training of Trainers
Community Conversation Toolkit use
Expected result by end of project:
Members able to provide TA within their network of 135 organization to small NGO /CBO for community level SBCC

37. African Broadcast Media Partnership (ABMP)
Output: Training and mentoring, script review and development of 3 program guides and 12 monthly electronic bulletins.
2011 survey preliminary results:
90% report allocating 5% or more to HIV/AIDS programming.
75% reported producing local programs related to PMTCT since attending workshop; all broadcasted. 
C-Change to strengthen ABMP survey methods in FY12.
African Broadcast Media Partnership (ABMP)

38. Evaluation CS Evaluation framework for measuring:
National/local governments’ involvement and commitment
Improved competencies through courses and mentoring
Institutionalization of online courses in universities, of their quality standards
Country level evaluations of SBCC interventions e.g., in Lesotho (various drivers); Nigeria (youth); DRC (GBV).

39. From USAID’s External CS Assessment Report
C-Change has:
Introduced a strong focus on social AND individual BC - a departure in CS efforts.
Produced high quality tools, applicable in a wide variety of settings, audiences.
 Developed a model program in Namibia which shows great promise.
 Delivered accredited, formal SBCC training to mid-career professionals throughout the region for shorter-term impact than full academic program.
Fostered robust, regional communities of practice for continued quality improvement and technical innovation in SBCC programming.

40. 6. Plans to Transition To Country Ownership
C-Change SBCC CS and coordination interventions are designed with country ownership in mind from the beginning. e.g.,
All Resources fully accessible online post project
Working with ministries to establish and support lasting SBCC coordination
Working through networks to establish critical mass of capacity
Institutionalizing capacity in tertiary institutions
Southern University partners trained on facilitating online courses

41. Project’s Last Year 11 months to wrap up:
Finalization and evaluation of all activities
Ensuring sustainability of capacity and use of tools
Evaluations and documentation through analysis and cross comparison of country and central level CATs, PMPs, selected case studies (e.g. Namibia and Regional CS, MC, Kenya)
Peer reviewed articles
Wide dissemination of results through special events, publications, websites, e-newsletters, networks.

42. Thank You!