1. Prachar Project Dissemination, 19 th Sept’ 05 Pathfinder International India Country Program Funded by: Bill & Melinda Gates Foundation David & Lucile Packard Foundation The Flora Foundation & an anonymous donor UrbanRural Community BasedSchool Based Prachar Project Tigris Project Safe Abortion and post abortion care program Pathfinder International, Prachar Project, Bihar

2. Promoting Change in Reproductive Behavior Bihar, India The Prachar Project Supported by the David and Lucile Packard Foundation Prachar Project 189, Ground Floor, Patliputra Colony, Patna- 800 013 Tel. 0612-2275290/1, 2276870/1 e-mail: pracharproject@sify.com, sam_pathfinder@yahoo.compracharproject@sify.com

3. Prachar Project Dissemination, 19 th Sept’ 05 Improve Reproductive Health of Youth Reduce Early Fertility Project Goals Pathfinder International, Prachar Project, Bihar

4. Prachar Project Dissemination, 19 th Sept’ 05 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

5. Prachar Project Dissemination, 19 th Sept’ 05 Project Area NGO Partners:30 Districts:3 Blocks:17 Villages:552 Population:636,803 (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

6. Prachar Project Dissemination, 19 th Sept’ 05 Project Geography Operations in 5 districts in Phase-II Welcome to Prachar Project, Pathfinder InternationalPathfinder International, Prachar Project, Bihar

7. Prachar Project Dissemination, 19 th Sept’ 05 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

8. Prachar Project Dissemination, 19 th Sept’ 05 Patna Nalanda Nawada Prachar Project Dissemination, 19 th Sept’ 05ProjectGeography 6,36,803 people Phase-I 552 villages Welcome to Prachar Project, Pathfinder International Phase-II additional 4 NGO intervention Partners & 12 NGO Training Partners (NTPs) Pathfinder International, Prachar Project, Bihar

9. Prachar Project Dissemination, 19 th Sept’ 05 Intervention Approaches 1.Change behavior through communication 2.Achieve Impact and effect sustainable change 3.Implement in phases 4.Structure the Implementation process 5.Build capacity to implement 6.Improve access to RH services 7.Monitor vigorously 8.Provide technical support Welcome to Prachar Project, Pathfinder InternationalPathfinder International, Prachar Project, Bihar

10. Prachar Project Dissemination, 19 th Sept’ 05 LIFE STAGE SPECIFIC COMMUNICATION Audience Segmentation Communication for Behavior Change Pathfinder International, Prachar Project, Bihar

11. Prachar Project Dissemination, 19 th Sept’ 05  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 Segment Specific Communication Communication for Behavior Change Welcome to Prachar Project, Pathfinder InternationalPathfinder International, Prachar Project, Bihar

12. Prachar Project Dissemination, 19 th Sept’ 05 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 InternationalPathfinder International, Prachar Project, Bihar

13. Prachar Project Dissemination, 19 th Sept’ 05 30 Villages 3-5 km radius 30,000 population Structured Implementation A Typical Intervention Area Welcome to Prachar Project, Pathfinder InternationalPathfinder International, Prachar Project, Bihar

14. Prachar Project Dissemination, 19 th Sept’ 05 Cluster 1Cluster 2Cluster 3 10 villages 10K pop Accountability Effective planning and implementation Effective supervision and monitoring Systematic and extensive coverage One Cluster level team for Structured Implementation Organization of field Welcome to Prachar Project, Pathfinder InternationalPathfinder International, Prachar Project, Bihar

15. Prachar Project Dissemination, 19 th Sept’ 05 Project Manager Cluster Supervisor 1 Cluster Supervisor 1 Cluster Supervisor 3 4 Female Change Agents 2 Male Change Agents A team of 23 per intervention area Structured Implementation Organization of team Project Accountant Welcome to Prachar Project, Pathfinder InternationalPathfinder International, Prachar Project, Bihar

16. Prachar Project Dissemination, 19 th Sept’ 05 Capacity Building of Partner NGOs Multi stage training to ensure progressively greater competence The Approach Clarify values and beliefs and build conviction in program messages Emphasize development of technical skills and competence Develop comfort in communicating on sexual heath issues Facilitate transfer of learning from classroom to field through technical support visits in field Welcome to Prachar Project, Pathfinder InternationalPathfinder International, Prachar Project, Bihar

17. Prachar Project Dissemination, 19 th Sept’ 05 Capacity Building of Partner NGOs Reproductive and Sexual Heath – technical knowledge Key Areas Effective communication on contraception, reproductive and sexual heath matters Management Information Systems – record keeping and reporting Conducting effective group meetings and home visits Work planning, monitoring & supervision Accounting & Administrative systems Welcome to Prachar Project, Pathfinder InternationalPathfinder International, Prachar Project, Bihar

18. Prachar Project Dissemination, 19 th Sept’ 05 Improving Access to Services Village Retail Outlets Depot holders HLL/Janani MCH clinic PHC / Sub-Center Civil Surgeon Outside Providers Dais RMPs Infertility Clinics Training Institutions NGO partner Welcome to Prachar Project, Pathfinder InternationalPathfinder International, Prachar Project, Bihar

19. Prachar Project Dissemination, 19 th Sept’ 05 Conclusions 1.Performance, Coverage as planned and as per the norm 2.Enabling & Supportive environment established 3.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 InternationalPathfinder International, Prachar Project, Bihar

20. Prachar Project Dissemination, 19 th Sept’ 05 Conclusions 1.Performance, Coverage as planned and as per the norm 2.Enabling & Supportive environment established 3.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 InternationalPathfinder International, Prachar Project, Bihar

21. Prachar Project Dissemination, 19 th Sept’ 05 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 Capacity Building on RH/FP/HIV