Health Communication Partnership
- UGANDA –
Quarterly Progress Report
January 1 – March 31 2008
TABLE OF CONTENTS
LIST OF ABBREVIATIONS ................................................................................... IV
EXECUTIVE SUMMARY ....................................................................................... VI
INTRODUCTION ........................................................................................................ 1
PROGRESS BY PROGRAMMATIC AREA ............................................................ 1
A.
HIV/AIDS PROGRAMMES....................................................................................... 1
1. Young Empowered and Healthy ............................................................................ 1
Background .................................................................. Error! Bookmark not defined.
Progress on Work plan .................................................................................................. 2
Achievements by Intermediate Result ............................................................................ 4
Planned Activities for the Next Quarter......................................................................... 9
2. Support to JCRC for ART communication ............................................................ 9
Background .................................................................................................................... 9
Achievements by Intermediate Result .......................................................................... 10
Planned activities for the Next Quarter ....................................................................... 14
3. Support to TB /HIV Communication................................................................... 14
Background .................................................................................................................. 14
Progress on Work plan ...................................................................................................... 15
Achievements by Intermediate Result ............................................................................. 17
Planned Activities for the Next Quarter....................................................................... 20
4. HIV Counseling and Testing (HCT) .................................................................... 21
Background .................................................................................................................. 21
Progress on Work plan ................................................................................................ 21
Achievements by Intermediate Result .......................................................................... 23
Planned Activities for the Next Quarter....................................................................... 24
5. Communication Support for Medical Male Circumcision for HIV Prevention .. 24
Background .................................................................................................................. 24
Progress on Work plan ................................................................................................ 26
Achievements by Intermediate Result .......................................................................... 27
Planned Activities for the Next Quarter....................................................................... 28
6. HIV/AIDS Stigma Communication ..................................................................... 29
Background .................................................................................................................. 29
Progress on Work plan ................................................................................................ 29
B. Malaria Programmes ................................................................................................. 31
1. Communication Support of New Malaria Treatment Policy ............................... 31
Background .................................................................................................................. 31
Progress on Work plan ................................................................................................ 31
Achievements by Intermediate Result .......................................................................... 32
Planned Activities for the Next Quarter....................................................................... 33
2. Support to Intermittent Preventive Treatment (IPT) Communication ................. 33
Background .................................................................................................................. 33
Progress on Work plan ................................................................................................ 34
Achievements by Intermediate Result .......................................................................... 34
Planned Activities for the Next Quarter....................................................................... 35
3. Communication Support to Indoor Residual Spraying (IRS) .............................. 36
Background .................................................................................................................. 36
Progress on Work plan ................................................................................................ 36
ii
C.
D.
E.
Achievements by Intermediate Result .......................................................................... 37
Planned Activities for the Next Quarter....................................................................... 39
Family Planning Programme (same subcategories ................................................. 40
Background .................................................................................................................. 40
Progress on Work plan ................................................................................................ 40
Achievements by Intermediate Result .......................................................................... 41
Planned Activities for the Next Quarter....................................................................... 45
Cross-cutting Capacity Building .............................................................................. 46
1) Media Relations ................................................................................................... 46
2) E-Library and Materials Distribution Agreement ................................................ 46
3) Generating Opportunities for Leadership and Professional Development
(G.O.L.D) ..................................................................................................................... 47
Research Monitoring and Evaluation (RM&E) ...................................................... 49
Background .................................................................................................................. 49
Progress on Work Plan (January - March 2008) .......................................................... 49
Planned Activities for Quarter 4 .................................................................................. 51
ANNEX I: HEALTH COMMUNICATION PARTNERSHIP – RESULTS
FRAMEWORK & PMP FOR PHASE II (2008 – 2010) ......................................... 53
ANNEX II: PROGRAMME-LEVEL PERFORMANCE MONITORING
REPORT: QUARTER 3, 2008 ................................................................................. 54
iii
LIST OF ABBREVIATIONS
4Rs
AA
ACT
ACP
AfriComNet
AIDS
AIM
AMD
ART
CBO
CCP
CDFU
CLV
COP
DCOP
DHE
DOTS
FBO
FHI
FPRWG
GEM
HCP
IEC
IPC
IPT
IR
IRB
IR
ITN
JCRC
JHU
M&E
MARCH
MC
MCP
MFD
MOH
MOU
Runyoro, Runyankole, Rukiiga and Rutoro languages
Associate Award
artemisinin-based combination therapies
AIDS Control Programme
African Network for Strategic Communication in Health and Development
Acquired Immune Deficiency Syndrome
AIDS Integrated Model Programme
Africa Malaria Day
antiretroviral therapy
community-based organisation
Center for Communication Programs
Communication for Development Foundation Uganda
Community Liaison Volunteer
Chief of Party
Deputy Chief of Party
District Health Educator
Directly Observed Treatment, Short-course
faith-based organisation
Family Health International
Family Planning Revitalization Working Group
Gender-Equitable Men
Health Communication Partnership
Information, Education and Communication
Interpersonal Communication
intermittent preventive treatment
intermediate result
International Research Board
indoor residual spraying
insecticide treated net
Joint Clinical Research Centre
Johns Hopkins University
monitoring and evaluation
Modelling and Reinforcement to Combat HIV/AIDS
male circumcision
Malaria Control Programme
Media for Development International
Ministry of Health
Memorandum of Understanding
iv
NHC
NTLP
NUMAT
PEPFAR
PLHA
PMI
PMP
POL
RLO
RM&E
RTI
SBCC
SMD
STF
STI
TAT
TB CAP
UAC
UHMG
UPHOLD
USAID
YAG
YEAH
YP
National HIV Counseling and Testing Committee
National TB and Leprosy Control Programme
Northern Uganda Malaria, AIDS and TB Project
US President’s Emergency Plan For AIDS Relief
people living with HIV/AIDS
US Presidential Malaria Initiative
Performance Monitoring Plan
Popular Opinion Leader
Regional Lead Organisation
research, monitoring and evaluation
Research Triangle International
social and behavioural communication change
Safe Motherhood Day
Straight Talk Foundation
sexually transmitted infection
Technical Advisory Team
Tuberculosis Control Assistance Programme
Uganda AIDS Commission
Uganda Health Marketing Group
Uganda Programme for Human and Holistic Development
United States Agency for International Development
Young People’s Advisory Group
Young Empowered and Healthy
Young Professionals
v
EXECUTIVE SUMMARY
1) Introduction – objectives of the programme, quarterly strategy, planned activities,
recap of any outstanding issues from last quarter.
2) Summary of progress – key achievements, gaps for each program area
3) Challenges/constraints and how they affected progress
4) Key recommendations & plans for next quarter.
vi
Introduction
This report covers activities supported by the Health Communication Partnership
(HCP) Project in Uganda between 1 January and 31st March, 2008, through USAID
Associate Award Number 617-A-00-07-00005-00 to the Johns Hopkins University
Bloomberg School of Public Health Center for Communication Programs. HCP is a
three-year project that began on 1 July, 2007, with the overall objective of
strengthening capacity for strategic health and HIV/AIDS communication, and has
three intermediate results:
IR1:
Improved ability and motivation to use services and practices that enhance
health
IR2:
Supportive social environments fostered to enable positive health behaviour;
and
IR3:
Increased capacity for sustained health communication.
During the reporting period, HCP worked on communication programmes in the
following areas:
1. Young Empowered and Healthy (Y.E.A.H.), a national sexual and reproductive
health communication initiative by and for 15 – 24 year olds under the auspices
of the Uganda AIDS Commission.
2. Malaria communication in support of intermittent preventive treatment during
pregnancy, the new malaria treatment policy, and indoor residual mosquito
spraying.
3. Communication about tuberculosis and HIV
4. HIV counselling and testing promotion
5. Promotion of testing and ART uptake among children with HIV/AIDS.
6. Education and communication about male circumcision and HIV/AIDS
7. Family planning promotion.
8. Generating Opportunities for Leadership and Professional Development (GOLD)
internship program for young Ugandan professionals.
Progress by Programmatic Area
A. HIV/AIDS PROGRAMMES
1. Young Empowered and Healthy
HCP continued to provide financial and technical support to Young Empowered and
Healthy (Y.E.A.H.), a youth sexual and reproductive health communication initiative
implemented by Communication for Development Foundation Uganda (CDFU) under
the auspices of the Uganda AIDS Commission (UAC). Y.E.A.H. aims to prevent
HIV/AIDS and unplanned pregnancies while keeping young people in school.
Since 2004, Y.E.A.H. has designed and implemented two national multi-channel
campaigns: the first one discouraged transactional sex (“something for something
1
love”); and the second promotes gender equitable attitudes and behaviours among
young men (“Be a Man”).
In addition to support provided through HCP, Y.E.A.H also received direct funding
during the quarter from Save the Children in Uganda (Norwegian government
funding) for activities in Northern Uganda.
A. Progress on Work Plan (January - March 2008)
During the reporting period, Y.E.A.H. conducted formative research on alcohol use,
gender based violence, and transactional sex; organized a workshop to design the
strategy for the second phase Be a Man campaign; entered into agreements with
five training organizations and four non-governmental organizations to coordinate
Y.E.A.H. activities outside Kampala. Y.E.A.H. continued to produce the award
winning radio serial drama “Rock Point 256,” reaching more than two million young
people.
Progress on Work plan
IR1: Improved ability and motivation to use services and practices that enhance
health
Planned Activity
Radio and television spots broadcast
during Africa Cup of Nations
Develop scripts for quarter 11 and
broadcast Rock Point 256 quarter 10
Establish, train and support 20 Rock
Point 256 radio listening groups
Promote Rock Point 256 listenership
through community events/contests
Status
Comments
Completed
Completed
Ongoing
Ongoing
Conduct qualitative research on alcohol
use, and literature reviews on gender Completed
based violence and transactional sex
Assist Y.E.A.H. to design alcohol,
gender-based
violence,
and
Ongoing
transactional
sex
communication
strategy under the “Be a Man” umbrella
Develop Rock Point 256 Volume 4
Ongoing
comic book
Assist Y.E.A.H. to design print and
media materials for the “Be a Man” Ongoing
campaign
Sign sub-agreements for Rock Point
Completed
256 production & broadcasts
2
13 episodes in 5 languages
broadcast
56 functional listening clubs
identified and linked to RLOs
Holiday
Bonanza
Contest
conducted
Conducted and presented during
Strategy Design Workshop for
phase II ‘Be a Man’ Campaign.
Workshop conducted; strategy
document drafted
Combined Rock Point Boys and
Girls comic book scripted
Be a Man fact sheets pretested &
reviewed; Life Choices for Men
interactive drama scripted
Sub-agreements signed with
Audio Central and Intermedia
Studios and Moringa Ogilvy
IR 2: Supportive social environments fostered to enable positive health behaviour
Activity
Status
Expand network of RLOs and YAGS
from 4 regions to 5
Completed
Train parliamentarians, POLs, the Ongoing
media, religious and cultural leaders on
“Be a Man” campaign
Establish “Be a Man clubs” in tertiary Ongoing
institutions
Hold national stakeholders’ meeting
Hold quarterly YAG meetings
Not yet
done
Not done
Hold regional stakeholders’ meetings
Not yet
done
Establish Community Outreach and
Training Department at Y.E.A.H.
Implementation Unit
Ongoing
Train young people’s groups, men’s
groups and community organisations
on the use of Y.E.A.H. materials
Ongoing
Comments
Sub-agreements were signed
with 4 existing RLOs; and with
AIC, which is the new RLO for
Kampala.
Worked
with
UHMG
to
incorporate “Men and HIV/AIDS”
training into refresher training
and pre-service training for
Popular Opinion Leaders
Designed strategy; will pilot
approach in 5 institutions next
quarter
Scheduled for next quarter
Agreements were only signed
this quarter; quarterly YAG
meetings will begin next quarter
Scheduled for next quarter
Recruitment of Training and
Outreach Manager underway;
Lead Trainer hired and working
with consultants
• Contracted 4 Master Training
Organizations
• Trained 25 Master Trainers
• Trained 152 peer educators
and trainers in “Men and
HIV/AIDS” and use of trigger
videos
IR 3: Increased capacity for sustained health communication
Activity
Status
Comments
•
Identify additional sources of funding
for Y.E.A.H.
Ongoing
3
•
•
Marketing Manager joined
Y.E.A.H.
Marketing
and
Resource
Mobilization Plan revised
Discussions with NUMAT re:
Y.E.A.H./NUMAT partnership
underway
•
Restructure Y.E.A.H. Implementation
Unit and recruit new staff
Ongoing
•
Interviews for Outreach and
Training
Manager
and
Accountant will take place
next quarter
Marketing Manager joined
Y.E.A.H. during the quarter.
Accountant will begin in April
Conduct media relations training for
Not yet
Y.E.A.H. implementation unit staff
done
Scheduled for next quarter
Finalize and launch Y.E.A.H website
Website content is complete.
The site will be finalized and
launched during the next quarter
Ongoing
Organize
technical
updates
in
HIV/AIDS, alcohol, gender based
Completed
violence, the MARCH approach to
script development for Y.E.A.H. staff
Sponsor 3 – 5 Y.E.A.H. staff to short
Not yet
courses in strategic communication
done
Prepare Y.E.A.H. marketing package
Produce
Y.E.A.H.
video
documentary
Not yet
done
on Not yet
done
HCP facilitated a one-day update
on the MARCH approach for
Y.E.A.H. scriptwriters
Media and Materials Manager
attended training in M&E in
Zambia, sponsored by SPW
To be done next quarter
To be done next quarter
Present Y.E.A.H. to at least 5 donors or Not yet
corporate sponsors
done
Will begin next quarter
Prepare proposals in response to Ongoing
requests for proposals (eg. Global
Fund)
Y.E.A.H. submitted proposal for
Round 7 Global Fund; in
discussions/negotiations
with
Coordination Unit
Achievements by Intermediate Result
IR 1
Improved ability and motivation to use services and practices that
enhance health
Phase 2 “Be a Man” Campaign Strategy Design
HCP assisted Y.E.A.H. to organize and conduct a 4-day Strategy Design Workshop
for phase two of the “Be a Man” campaign from 17th – 20th March, 2008. The first
day of the workshop, which took place at Hotel Africana, featured presentations of
literature reviews on transactional sex and gender based violence, and qualitative
research on alcohol use conducted by HCP. Approximately 103 partners and media
representatives participated in the first day dissemination.
4
Sereen Thaddeus, USAID speaks at Strategy Workshop
Strategy Design Participants Conduct Group Work
There was significant press coverage of the workshop the following day in the New
Vision and the Monitor publications as well as on Nation TV and Vision Voice FM.
HCP and Y.E.A.H. co-facilitated the remaining three days of the workshop at the
HCP office, during which a smaller group of partners synthesized the research
findings and drafted a campaign strategy to address violence against women,
alcohol and transactional sex in addition to the Phase I themes of faithfulness and
partner reduction and HIV counselling and testing. HCP and Y.E.A.H. will convene a
series of smaller meetings to finalize the strategy during the next quarter.
Rock Point 256 Radio Serial Drama and Comic Books
In January, Y.E.A.H. signed a contract with Moringa Ogilvy to continue broadcasts of
Rock Point 256 on 13 radio stations from 1st January to 30th September, 2008.
Y.E.A.H. also signed agreements with two production houses to continue producing
the series. The Y.E.A.H. scriptwriting team scripted episodes 118-130. Episodes
122-133 in English, Luo, Luganda and 4Rs, and episodes 104-127 in Ateso
broadcast during the quarter.
5
Y.E.A.H. received and responded to 242 letters. Below are two excerpts from the
letters:
What Rock point Listeners are Saying
“I thank Rock Point 256 for the advice you give us on how we can avoid
Sexually Transmitted diseases. Long Live! I want to advice Steve who beats Blessing; He should not think that by beating
Blessing it can make him a real man. Not at all!!! A real man is that one who respects his wife and also forgives her when she
makes a mistake but not beating her”.
Rowlings, Ntungamo
“I want to thank you for the nice program and also the comic books that you send to us. They are educative and interesting. I
call upon people to take the advice from the drama serious. We shouldn't be like Steve who doesn't listen to his wife's advice.
He beats her and gives her a hard time. Be like Guma, he is a real Man. Immaculate, Kabale
During the quarter, HCP consultant Ham Kakembo assisted Y.E.A.H. to design the
scripts for Volume four of the Rock Point comic book series. This volume will
combine storylines from four quarters, in order to catch up with the radio series.
With this volume, Y.E.A.H. will no longer produce separate comic books for boys and
girls.
Reinforcing Media, Materials and Events
Radio broadcasts
Y.E.A.H. broadcast 200 “Be a Man” radio spots during the Africa Cup of Nations
coverage on Super FM and Radio Two; Y.E.A.H. also placed eight “Be a Man” TV
spots on UBC TV during the quarter-finals, semi-finals and finals.
In March, Y.E.A.H. staff participated in an on-air panel on Vision Radio with guests
including Honorable Member of Parliament Dr. Chris Baryomunsi to discuss findings
from the literature review on transactional sex.
Holiday Bonanza
During the quarter, Y.E.A.H. launched the Holiday Bonanza contest as a promotional
exercise for Rock Point 256. Rock Point 256 listeners were invited to enter songs
and poems about their favourite characters. The contest was publicized through
radio announcements and flyers. During the next quarter, Y.E.A.H. will organize
prize-giving ceremonies regionally.
IR 2
Supportive social environments fostered to enable positive health
behavior.
Radio listening clubs
Y.E.A.H. identified 56 functional Rock Point 256 listening clubs linked through the
Regional Lead Organizations (RLOs). The clubs are located in the following districts
with corresponding numbers: Jinja (5), Kaliro (1), Mbarara (4), Isingiro (2), Kasese
(1), Ntungamo (5), Lira (18), Apac (10), Kitgum (3), Pader (1), Gulu (3), Amuru (1),
and Oyam (1).
Y.E.A.H also learned that Kabale, Soroti, Kibale, Mubende,
Rukungiri, and Bushenyi districts also host functional Rock Point 256 listening clubs
although none of them are currently linked to any Regional Lead Organization.
6
Letter from a Rock Point 256 listening club
I am so glad because of your program against something for something love. We have drama and we have a play
entitled "Life is what one makes it" …We advise Steve to be faithful to Blessing because marriage without
faithfulness brings problems. He should avoid Anne though she was giving him money to sleep with her. We thank
Steve for refusing deals.
Muremure
Rock Point Club, Kabale
Training and Community Outreach
HCP provided technical assistance to the new Training Officer to revise the national
training plan so it relates to the new Y.E.A.H work plan and targets. The training
plan targets training in “Men and HIV/AIDS” to men in community groups,
universities or vocational schools.
Y.E.A.H. also contracted four master training organizations to train trainers on the
“Men and HIV/AIDS” manual and the Be a Man trigger videos. The training
organizations contracted are: Reproductive Health Uganda (RHU) for Central region,
Life Child Initiative (LICHI) for the Western region, Youth Social Work Association
(YSA) for the Kampala region, and Students Partnership Worldwide (SPW) for the
Eastern region.
Y.E.A.H trained 25 master trainers during a five-day workshop. These trainers will
be responsible for training district trainers in their respective regions and for
responding to requests for Y.E.A.H. training and materials. At the end of the TOT,
master trainers prepared activity schedules for training youth groups and tertiary
institutions.
Trainers in TOT Workshop
During this quarter, the central region trainers organized trainings in Kampala,
Wakiso and Mukono, for 75 participants. The training was conducted by trainers
from Reproductive Health Uganda (RHU), Save the Children US in Luwero Town
council, in partnership with Children’s AIDS Fund (CAF). Each training ended with
the development of training schedules.
Training requests from partners
Upon request from the Northern Uganda Malaria, HIV/AIDS and Tuberculosis Project
(NUMAT), Y.E.A.H trained 50 peer educators from partner organizations on “Men
and HIV.” Trainings were conducted in Gulu and Lira sub-regions. The participants
from this workshop plan to conduct trainings in 9 NUMAT districts in northern
Uganda.
7
In summary, a total of 152 individuals received training in Men and HIV/AIDS and
the use of the Be a Man trigger videos during the quarter.
Training
Sub-county
NUMAT
Peer
Lira Central
Educators
National TOT
Kawempe
NUMAT
Peer
Layibi
educators
Nakawa
Univ. Students
Regional TOT
Total
Luweero
LC1
15-24 yrs 24yrs+
M
F
M F
Senior quarters
2
0
17
3
Kawempe
10
1
9
3
11
14
-
Lagara Road
VTI
46
8
4
Luwero TC
20
78
2
22
2
46
6
IR 3 . Increased capacity for sustained health communication.
New partnerships and requests for collaboration
Y.E.A.H. submitted a proporal to NUMAT for collaboration in Northen Uganda. In
February, Anne Gamurorwa, Y.E.A.H. Director, held discussions with NUMAT senior
management and technical team in Gulu district concerning the Y.E.A.H/NUMAT
partnership proposal. The following were identified as possible areas for
collaboration:
1. Adaptation, reproduction and distribution of Y.E.A.H. materials and tools.
2. Training for NUMAT youth groups in “Men and HIV/AIDS”, use of trigger
videos and forum theatre
3. NUMAT participation on the Y.E.A.H. Technical Advisory Team (TAT)
4. Expansion of the YAG structure to new districts and the inclusion of activities
in fishing communities and in-school prevention activities.
Y.E.A.H also helped Kampala Pentacostal Church (KPC) to organize its annual interschool music, dance and drama competition. The competition took place on 15
March 2008 with the theme, ‘I can abstain’. During the event YEAH provided
participants with comic books, posters, and bandanas.
Capacity building
Training in M&E, Fundraising and Partnerships
The Media and Materials Manager attended a workshop to train young professionals
working in the field of HIV/AIDS in monitoring and evaluation, fundraising and
establishing partnerships. The workshop was held in Zambia and attracted
participants from 10 other African Countries
IUSSP Scientific Seminar
8
Isaac Musoke, Y.E.A.H. M&E Manager presented a paper “Changing Male
Gender Norms that Increase Risk of HIV in Uganda: the Be a Man Campaign”
during a seminar organized by IUSSP in Entebbe. The theme for the seminar
was ‘Potential and Actual Contributions of Behavioral Change to Curbing the
Spread of HIV.”
Planned Activities for the Next Quarter
• Finalize the Phase 2 Be a Man communication strategy
• Develop scripts for the 13th quarter and broadcast the 12th quarter of Rock Point
256.
• Script the “Life Choices for Men” interactive drama.
• Hire and orient the Accountant and Training and Outreach Manager.
• Finalize and launch the Y.E.A.H. website
• Finalize and disseminate Rock Point 256 Volume 4 comic book.
• Finalize and disseminate Be a Man fact sheets.
• Train and provide materials to 20 radio listening groups
• Establish Be a Man clubs in three tertiary institutions
• Hold regional stakeholders meetings
• Hold National stakeholders meeting
• Design new trigger videos for alcohol and something for something love
• Conduct media relations training for Y.E.A.H. staff
2. Support to JCRC for ART communication
Background
According to the MOH, 25,000 children in Uganda are born with HIV annually. Half of
them die before their third birthday, and three-quarters die before their fifth birthday.
ART makes it possible for these children to live longer, healthier lives. Unfortunately,
few children in need of antiretroviral (ARV) drugs have accessed them. In 2006, an
estimated 170,000 children were infected with HIV and while 13,000 were eligible for
ART, only 6,000 were receiving the life-saving therapy. The low uptake of ART
amongst children is partly attributed to lack of awareness among parents and caregivers that they can be tested and treated with ART.
Many children who started on ART are now adolescents, presenting new challenges
in adherence to treatment and positive prevention. Qualitative research indicates that
many adolescents discontinue their ART due to denial or discriminatory and
stigmatizing attitudes among their peers. Also, many adolescents and young people
who are living with HIV and AIDS are becoming sexually active without disclosing
their status to their partners or using condoms.
In response to these issues, HCP has assisted the Joint Clinical Research Centre
(JCRC) to design a paediatric AIDS communication strategy and to develop
materials and activities to encourage parents and caregivers of children at risk of HIV
to get their children tested and enrolled in ART programs, and to support children on
ART to adhere to their treatment. The following audiences have been identified for
9
the paediatric ART campaign, with initial emphasis placed on the first two during the
last financial year:
•
•
•
•
Caretakers of children who are at risk of being HIV positive (focus on uptake)
Caretakers of children and adolescents on ART (focus on adherence)
Adolescents on ART (focus on adherence)
Sexually active HIV positive adolescents (focus on prevention)
In 2007 – 2008 HCP II will continue assisting JCRC to implement the paediatric ART
campaign aiming to increase uptake and adherence amongst the first two audiences.
HCP already assisted JCRC to produce materials for the campaign during the
previous year, so during this work plan year, the focus will be on dissemination,
monitoring and evaluation. JCRC will be responsible for dissemination of print and
outdoor media; HCP II will be responsible for radio broadcasts. Also during the 2007
– 2008 work plan year, HCP II will assist JCRC and other paediatric ART providers
to develop materials and approaches encouraging adolescents who are living with
HIV and AIDS to prevent transmission and re-infection. HCP II will also continue to
assist JCRC to finalize adherence counselling materials for Community Liaison
Volunteers (CLVs) and clinical providers that were developed during the previous
year. In addition, during this work plan year, HCP II will provide technical assistance
to JCRC to design a diploma course in ART adherence and disease management
counselling.
HCP II provided communication support during this quarter in the following areas:
a) Arrangements for the implementation of the interpersonal communication
activities in the five divisions of Kampala
b) Development of the Adherence counseling and disease management course
c) Finalization of pediatric ART literacy materials
d) Providing technical Support to JCRC‘s Communication and Training functions.
Achievements by Intermediate Result
IR1 Improved ability and motivation to use services and practices that enhance
health
During this quarter HCP worked with JCRC to design community mobilization and free
HIV testing events for children at risk of HIV in the five divisions of Kampala. The plan
takes into consideration feedback following implementation of similar activities in the
six JCRC regional centres of excellence last quarter. In preparation for implementation
of outreach activities in Kampala district, HCP worked with JCRC to:
•
•
•
•
Identify appropriate sites for free testing events
Select appropriate media for publicity and develop schedules for the media
activities
Develop content for talk shows on radio and television about pediatric AIDS
and ART
Develop a monitoring and evaluation tool to track numbers and types of people
participating in free testing days. The tool includes a job aide to guide data
collection
10
•
Plan for a launch ceremony for the paediatric ART campaign.
Implementation of these community outreach activities will take place during the next
quarter.
HCP also assisted JCRC to finalise the following paediatric ART materials during this
quarter:
Caregiver booklet: JCRC produced 20,000 copies, and distributed 1,200 to Mildmay,
Paediatric Infectious Disease Centre (PIDC) and Infectious Disease Institute (IDI). The
booklet has useful tips on how to handle challenges that come with taking care of HIV
positive children.
Story book for HIV positive children: HCP assisted JCRC to finalise an illustrated
story book for HIV-positive children on ART. JCRC is currently printing 10,000 copies
in readiness for its launch during the next quarter.
Posters: JCRC reprinted 30,000 copies of the ART adherence and uptake posters in
English; 1,000 were distributed during the recent activities to mark 25 years of HIV in
Kasensero Landing site, Rakai district, and the 5th HIV/AIDS children’s conference.
JCRC also printed 31,500 copies of the Paediatric ART posters in the local languages
of Luganda (9,000), Luo (4,500), Ateso (4,500), Rutoro (6,000), and RukigaRunyankole (7,500).
11
Adherence posters in Luganda
IR 2
Supportive social environments fostered to enable positive health
behaviour.
HCP continued to assist JCRC in the area of adherence counselling during the
Quarter as per the following activities;
•
Based on a concept paper prepared by JCRC and HCP last quarter, USAID
has requested HCP to provide technical assistance to JCRC to design a
diploma course on Treatment Adherence and Disease Management
Counselling. At the end of the quarter, HCP worked with JCRC to prepare a
detailed work plan and budget that will guide the process. .
•
JCRC reprinted 100 copies of the Adherence Counselling Training Manual for
Community Liaison Volunteers and distributed these to: Uganda Cares, AIDS
Information Centre (AIC), Mildmay, SCOT , AMREF, TASO, GOAL, UWESO,
and Baylor College of Medicine. According to the JCRC Training Coordinator,
the recipients have given positive remarks about the manual with some
organizations requesting additional copies. So far JCRC has trained 100 CLVs
using this manual; an additional 130 will be trained this year. HCP continued to
work with JCRC to capture feedback from users of the manual.
IR 3 Increased capacity for sustained health communication
12
HCP helped the newly recruited JCRC Communication Assistant come up to speed
with the planned and on going TREAT communication activities while the JCRC
Communication Coordinator is on leave.
Activity
Status
Comments
IR 1 Improved ability and motivation
enhance health
Assist JCRC
to In progress •
design and implement
interpersonal
•
communication
and
community outreach
activities
for
the
paediatric
ART
campaign
Develop
a
media In progress •
strategy to address
prevention, disclosure
and adherence among
HIV-positive
adolescents
•
Engage agency to
develop
creative
concepts
for
promotion
of
prevention, disclosure
and
adherence
amongst adolescent
Assist
JCRC
to
develop approaches
to support adherence
and
positive
prevention
among
HIV-positive
adolescents
Work with JCRC to
monitor and evaluate
the effects of the
pediatric
ART
campaign
to use services and practices that
Outreach activities completed at 6
Centres of Excellence
Plans for Kampala outreaches in all 5
divisions finalized; will take place next
quarter
Not
done
HCP and JCRC commissioned a
literature review to better understand
factors that influence adherence,
prevention and disclosure among
adolescents.
Media strategy to be developed next
quarter
yet Creative concepts will be developed the
next quarter, based on media strategy.
Not
done
yet Will develop once media strategy in
place.
In progress •
Questions drafted for HCP evaluation
survey.
•
HCP assisted JCRC to develop a tool
to monitor pediatric ART outreach
activities in Kampala
IR 2 Supportive social environments fostered to enable positive health
behaviour.
Pretest revise and Completed Print-ready handbook delivered to JCRC
for printing.
finalize hand book for
CLVs
13
Assist
JCRC
to In progress • Detailed
workplan
and
budget
develop
diploma
developed
course in treatment
adherence
and
disease management
counselling
IR 3 Increased capacity for sustained health communication
Provide
necessary In progress HCP assisted newly recruited JCRC
assistance
to
Communication Assistant to fill in for
implement
capacity
Communication Coordinator who was on
strengthening plan
maternity leave.
Planned activities for the Next Quarter
1. Implement Pediatric ART community mobilization and testing activities in five
divisions in Kampala
2. Assist JCRC to organize a public launch for the pediatric ART communication
campaign.
3. Conduct a literature review of recent research on factors influencing adherence,
disclosure and prevention among HIV positive sexually active adolescents.
4. Co-facilitate a workshop with JCRC, PIDC and the Mildmay Centre to agree on
communication approaches, key messages, and channels for sexually active
adolescents on ART.
5. Secure the services of a consultant to assist JCRC to develop the curriculum for a
diploma course on Treatment Adherence and Disease Management Counselling.
6. Develop materials
adolescents
to
promote
preventive
practices
among
HIV-positive
7. Produce and distribute the brochure about prevention among HIV-positive people
that HCP assisted JCRC to develop in 2006.
3. Support to TB /HIV Communication
Background
Uganda is ranked 16th among the 22 high burden Tuberculosis (TB) countries, with
approximately 70,000 – 80,000 new TB cases detected in the country every year.
Despite several efforts towards improving the control of TB, Uganda is yet to attain
the global case detection and treatment success targets of 70% and 85%
respectively. Whereas TB presents a public health problem in itself, the interaction
14
between TB and HIV/AIDS aggravates the situation. Fifty percent of TB patients are
co-infected with HIV. The number of HIV patients with TB is even higher. Though
curable, TB is still one of the highest causes of morbidity and the leading cause of
mortality among people living with HIV /AIDS.
The National TB/ HIV policy guidelines (March 2006) call for collaborative efforts in
order to control the two diseases. TB patients need to know about HIV and its
relationship to TB. They also need to be motivated to get tested for HIV so they can
prevent its spread and access AIDS treatment when they are eligible. Likewise,
people living with HIV and AIDS need to know about TB and its relationship to HIV.
They also need to be motivated to get screened for TB so they can begin treatment
early if they are affected.
Unfortunately, most communication interventions
regarding the two diseases are currently vertical.
HCP, under the new Associate Award from USAID, is providing communication
support to the National TB and Leprosy Control Programme (NTLP) of MOH, the TB
Control Assistance Programme (TB CAP), the Northern Uganda Malaria, AIDS and
TB Project, and other partners, to operationalise and implement the National TB/HIV
Communication Strategy as well as disseminate policy guidelines to districts and
health facilities.
HCP II provided communication support during this quarter in the following areas:
a) Developing of the two-year TB/HIV Message and Media Plan (MMP) to
operationalise and implement the TB/HIV communication strategy.
b) Providing technical support in the area of Advocacy, Communication and Social
Mobilisation (ACSM) to TB CAP districts during their planning and budgeting for
TB/HIV activities.
c) Planning and developing of ACSM materials and activities for World TB Day,
March 27, 2008 in Mbale (Eastern Uganda).
d) Participation as content development experts in ACSM during the training of
trainers for TB/HIV manager’s course in Jinja.
e) Providing on-going technical support to NTLP, TB CAP and the Uganda Stop TB
Partnership (USTP).
Progress on Work plan
Activity
Status
Comments
IR1: Improved ability and motivation to use services and practices that
enhance health
NTLP and TB CAP are currently renovating
Place TB/HIV
Not yet
office space for the TB/HIV program officer
Communication
done
who will work within the NTLP and continue
Programme Officer within
supporting the communication function
TB Cap and NTLP office
15
Desk review of existing
In
The CCP Programme Officer from
literature to establish
Baltimore, who joined the HCP team in late
Progress
factors affecting TB/ HIV
January, is finalizing literature review on
integration
TB/HIV.
HCP
has
drafted
memoranda
of
Agree and sign
In
understanding between HCP and TB CAP
Memoranda of
Progress
and NUMAT.
Understanding (MoU)
between HCP II and TB
CAP and NUMAT
Develop a two-year
In progress HCP and NUMAT co-facilitated a workshop
operational plan for
to develop a two-year MMP (2008-2009)
implementing the
that
operationalise
the
TB/HIV
National TB/HIV
Communication Strategy.
Communication Strategy
Not yet
The process of developing these materials
Develop/update TB/HIV
will start in the next quarter after general
job aides for health
done
consensus and revisions of the MMP by all
workers, and client
stakeholders.
education materials for TB
clients and PLHA as
defined by the message
and media plan
Assist 13 districts to
In progress The HCP Programme Officer worked with
identify, prioritize, and
the TB CAP team in providing technical
plan TB/HIV
assistance and guidance to 8 districts to
communication activities
plan
for
and
prioritize
TB/HIV
for incorporation in district
communication activities.
work plans and budgets.
This should be part of IR 1
IR 2: Supportive social environments fostered to enable positive health
behaviour
Provide
technical Completed HCP supported the Uganda Stop TB
Partnership (USTP) and the NTLP to
assistance
to
the
organize a highly successful World TB Day
Uganda
Stop
TB
in the areas of Advocacy, Communication
Partnership and
the
and Social Mobilisation (ACSM).
NTLP in planning and
organising World TB Day
activities
Assist the MOH’s NTLP
This activity is pending approval of the
Not yet
and ACP to plan and
supplementary budget submitted to USAID
done
conduct policy
early this year.
dissemination workshops
in five regions for a total of
45 districts
Increased capacity for sustained health communication.
Participate in weekly
The HCP Programme Officer attends
On-going
meetings at NTLP & TB
meetings at TB CAP and NTLP every
CAP to facilitate easy
Monday morning and supports them
coordination of activities
throughout
the
week
in
TB/HIV
communication related activities.
Train NUMAT IEC/BCC
Re-scheduled for May 2008 to allow
Not yet
16
groups in message and
materials development
and pretesting
done
Develop a training module Completed
in ACSM for TB/HIV
District Managers
NUMAT and HCP finalize developing the
MMP so that training of the IEC/BCC
groups can include orientation on the MMP
and sample materials.
HCP submitted a draft copy of the module
which was used by CDC and TB CAP
during the Training of Trainers in Jinja,
March 2008.
Achievements by Intermediate Result
IR 1 Improved ability and motivation to use services and practices that
enhance health
In February 2008, HCP and NUMAT co-facilitated a workshop to develop a two-year
Message and Media Plan (MMP) that operationalises and implements the national
TB/HIV Communication Strategy. HCP and NUMAT are currently sharing the
developed MMP with partners in NTLP, ACP, TB CAP, Uganda Stop TB Partnership
(USTP) for their feedback on the proposed message and media action points.
The MMP spells out key job aides and client education materials for the period (20082009), including; posters, referral directory, grain sack poster sets for PLHA, low
literate booklets for TB clients, a logo/signage to brand TB services, a short video
documentary on TB infection control as well as radio messages on TB and HIV
diagnosis, uptake and treatment. Upon generating feedback and consensus from
stakeholders, HCP will sign the already drafted Memoranda of Understanding with TB
CAP and NUMAT and start developing the above materials through out the two year
period (2008-2009).
HCP is negotiating with the Uganda Stop TB Partnership Secretariat to allow its
member organizations to participate in the re-production and dissemination of the
above TB/HIV communication materials specified in the MMP and in-line with the
TB/HIV communication strategy.
During this quarter, HCP collected research on TB/HIV in Uganda as a first step
towards writing a literature review. In this quarter, a Programme Officer from the
Johns Hopkins Centre for Communication Programmes (CCP) who joined the HCP
team in late January is finalising working on this literature review. This literature will be
used to sharpen the already developed MMP and inform the materials development
stages of the TB/HIV communication due to start in the next quarter.
During this quarter, HCP worked with the TB CAP team in providing technical
assistance and guidance to 8 districts to plan, prioritize and budget for TB/HIV
communication activities. HCP made presentations on the TB/HIV communication
strategy and the MMP, provided guidance to district working groups on ACSM and
responded to
questions regarding TB / HIV communication from District Health
Officers, District Health Educators and the TB CAP Regional Medical Officers.
IR 2 Supportive social environments fostered to enable positive health
behaviour
17
HCP supported the Uganda Stop TB Partnership (USTP) and the Ministry of
Health’sNTLP, to plan and organize a highly successful World TB Day on March 27 in
Mbale (Eastern Uganda). HCP support was mainly in the areas of Advocacy,
Communication and Social Mobilization (ACSM). HCP worked with partners to
develop posters and banners for the World TB Day publicity and community
mobilization activities on the theme, “I am Stopping TB.” Three poster sets with 3
different messages, targeting TB clients, health workers and community leaders were
developed. These three audiences were chosen in line with the theme of the day, “I
am Stopping TB” and are among the primary audiences for TB diagnosis and
treatment. The major message point was that all Ugandans can make a contribution
towards stopping TB. Messages therefore appealed to TB clients, community leaders
and health workers and spelt out action points that each audience should do to stop
TB.
A total of 3,000 posters were printed for World TB Day publicity purposes. Of these
1,500 posters were distributed to the 23 participating organizations from 8 districts.
NTLP and the Uganda Stop TB Partnership are currently mobilizing resources to print
more copies of the posters for nation wide dissemination.
A volunteer from the Uganda
Stop TB Partnership (USTP)
distributing materials in the
exhibition stall. Below are
posters on the theme, “I am
Stopping TB.” According to the
Executive Secretary of the
USTP, Dr. Joseph Kawuma, the
major advantage of posters is
that they stay in the community
and carry on the “Stop TB”
message even after World TB
Day.
HCP also developed a radio talk show programme outline and radio D.J mentions for
World TB Day publicity. The talk show outline guided the District Health Officer, the
District Health Educator and the radio presenter on TB and TB/HIV issues when they
appeared on Open Gate Mbale FM on Tuesday, March 25, 2008, 5-6pm and on
Wednesday, March 26, 5-6pm. A total of 43 Radio D.J mentions were aired on Open
18
Gate Mbale FM and Signal FM between, Monday, March 24 – Thursday, March 27,
2008.
HCP also mobilized and achieved extensive media coverage on World TB Day
activities before and after the event. HCP coordinated the placement of newspaper
supplement in The New Vision newspaper and stories and interview with the NTLP
Programme Manager in The Monitor on March 27, 2008 and further news coverage on
Monday, March 31, 2008 (New Vision) and Saturday, April 03, 2008 (Monitor). Other
coverage included; Radio Uganda, Signal FM and Open Gate Mbale FM on Thursday,
March 27 and Friday, March 28 and a three minutes news feature on Nation TV (NTV)
News’ Health Focus on TB/HIV on April 01, 2008 at 7pm, 9pm and 11pm. According
to the Programme Manager of NTLP, Dr. Francis Adatu, media coverage plays a
critical advocacy role of keeping TB on the public agenda and also reminds people of
the causes, symptoms and treatment of TB.
HCP was also part of the NTLP and USTP advanced team that worked with Mbale
District Health Office to mobilize local CBOs, leaders, schools and neighbouring
districts to participate and exhibit during the World TB Day activities. A total of 8
neighbouring districts, 13 local NGOs and CBO’s as well as 10 schools participated in
World TB Day activities. NGOs and CBO’s like TASO and Mbale Regional Referral
Hospital set up exhibition tents and demonstrated to participants how to detect the TB
germ. Aids Information Center, carried out on-site counselling and testing while other
community groups like; Uganda Women Concern Ministry and Foundation for
Development of Needy Communities and schools, performed songs and poems on the
signs, symptoms, diagnosis and treatment of TB.
Siraje David, a Senior Lab Technologist from Mbale
Regional Referral Hospital explaining to the RDC Mbale,
Mr. Paul Lubowa, the Programme Manager, NTLP, Dr.
Francis Adatu and the WHO Representative, Dr. Joseph
19 tour of
Imoko the process of diagnosing TB during their
the exhibition stalls on World TB Day. According to
Siraje, the hospital tested 94 TB suspects in the month of
IR3: Increased capacity for sustained health communication
At the end of October, 2007, HCP hired a full time Programme Officer to coordinate its
TB/HIV communication activities. The Programme Officer will have an office at the
NTLP, once renovations have been completed, and will function as a member of the
TB CAP team. During the quarter, the Programme Officer worked full time on TB/HIV
activities at NTLP, TB CAP and the Uganda Stop TB Partnership (USTP) who all
share neighbouring office buildings on Plot 2, Lourdel Road in Wandegeya.
In November and December, HCP assisted TB CAP and NTLP to develop a training
module on Advocacy Communication and Social Mobilisation (ACSM) for TB/HIV
district managers. During this quarter, HCP participated in the training of trainers
course for district TB/HIV managers in Jinja as content development experts in the
area of ACSM. The HCP Program Officer, worked with CDC Teach Back Team and
the Union Uganda (TB CAP) team to listen-in and advise trainees as they trained and
presented on the ACSM session.
Planned Activities for the Next Quarter
8. Finalize literature review document on TB and HIV in Uganda, share document
with all TB/HIV partners and harmonize it with the developed MMP.
9. Collect feedback from partners on the developed two-year MMP and finally sign
Memoranda of Understanding with NUMAT and TB CAP and other possible
partners on the execution of roles in the MMP.
10. Work with NTLP, ACP, TB CAP, USTP and NUMAT to develop job aides and
client education materials as spelt out in the MMP and the signed MoUs.
11. Conduct orientation for TB/HIV communication; the TB/HIV communication
strategy and the developed MMP to the NUMAT IEC/BCC regional working groups
and sensitize them on their roles in implementing TB/HIV communication activities.
12. Continue supporting TB CAP in providing technical support in the area of ACSM to
the remaining 4 districts during their planning for TB/HIV activities.
13. Support the NTLP to plan for and organize five regional dissemination workshops
in central, northern, eastern, and western and Karamoja sub-region, to
disseminate the National TB/HIV Policy Guidelines and the National TB/HIV
Communication Strategy.
14. Develop TB logo/signage to brand and improve visibility of TB services
15. Develop
districts
a directory for TB/HIV services, starting with
20
NUMAT and TB CAP
4. HIV Counseling and Testing (HCT)
Background
It is estimated that 1.2 million Ugandans are HIV positive but only 10 – 13% know
their HIV status.1 This is a serious concern, as more than 50% of cohabiting adults
who are HIV-positive are involved in discordant relationships, and most new HIV
infections occur among married couples.1 Additionally, this limits individual’s access
to AIDS treatment and prevention of opportunistic infections.
HIV counselling and testing (HCT) services have been available in Uganda since
1990, and are now available in all districts. According to the MOH, there are 801
facilities offering HCT services in the country. The government plans to make HCT
available in all Health Centres III and IV, and services are already available at all
district hospitals and through a variety of non-governmental providers.
There is already a high unmet demand for counselling and testing services, with over
70% of individuals stating that they want to know their status, while only 10- 13%
have ever tested.1 However, testing as couples and disclosure of HIV status still
remains low. In addition, research suggests that people who test negative are no
more likely to change their prevention behaviour than people who have never tested.
HCP, under the new Associate Award from USAID, is assisting the national AIDS
Control Programme (ACP) of the MOH and the National HCT Coordinating
Committee (known as CT17) to design and implement a national “Know Your Status”
campaign focused on promoting couple testing and disclosure, and linked to national
testing days or weeks. HCP II provided communication support during this quarter in
the following areas:
a) Desk review of research, policy and strategy documents concerning HIV
counselling and testing to better understand the factors affecting couple
counselling, testing and disclosure
Progress on Work plan
Activity
Status
Comments
IR1 Improved ability and motivation to use services and practices that enhance
health
The CCP Programme Officer who joined
Conduct desk review
of research, policy In progress HCP early this year conducted a desk
review on HCT. The first draft of the
and
strategy
1
Uganda National Strategic Plan for HIV/AIDS 2007/8 – 2011/12.
21
documents
concerning
counselling
testing
findings is currently under review by HCP.
HIV
and
Pending completion of the desk review
Work with National
HCT
Coordinating Not
Committee to design complete
a plan for national
testing
days
or
weeks,
and
communication
strategy for “Know
Your
Status
Campaign”
Initial contact has been made with AIDS
Identify implementing
partners and clarify In progress Information Center (AIC), one of the
proposed implementing partners. Further
roles
and
contact to be made in the next quarter.
responsibilities
for
national
testing
days/weeks
and
“Know Your Status”
Campaign
Pending completion of the desk review
Put
funding
and communication strategy.
mechanisms
and Not
MOUs in place with complete
implementing
partners
IR2 Supportive social environments fostered to enable positive health behaviour
Pending completion of desk review
Regular
meetings
with
key
HCT Not
partners to coordinate complete
communication and
service
delivery
preparations
IR3 Improved communication capability to effectively support social and
behavioural goals
Pending completion of the desk review
Revitalize
Communication and Not
complete
Advocacy
Subcommittee
of
National
HCT
Coordinating
Committee
Identify
nonInitial contact has been made with AIDS
Information Centre, one of the proposed
governmental
partner(s)
to In progress implementing partners for the HCT
coordinate campaign
programme
on behalf of MOH
and
provide
22
mentoring
and
technical assistance
Pending completion of desk review
Conduct assessment
of partner(s) strategic In progress
communication
capacity and sponsor
involved
staff
for
relevant training
Achievements by Intermediate Result
IR 1: Improved ability and motivation to use services and practices that
enhance health.
HCP II is assisting the MOH AIDS Control Programme (ACP) and the National HCT
Coordinating Committee to design and implement a multi-channel campaign to
encourage greater uptake of HIV counselling and testing and disclosure of status
among couples. During the quarter, HCP identified a CCP Programme Officer who
joined HCP in January 2008 to carry out a literature review. The findings from the
literature review will form the basis for the development of communication strategy
for HIV Counselling and Testing.
Peer-reviewed research, household surveys, programmatic and policy documents
were sourced analyzed and synthesized into a comprehensive document. The
literature review covers the current HCT context in Uganda, knowledge, uptake and
barriers to uptake of HCT, couples HCT, discordance, disclosure, and information on
potential target audiences.
Key informant interviews with officials from the ACP, Ministry of Health and School of
Public Health - Center for Disease Control (CDC) fellowship were conducted to
supplement the literature review findings.
The document is currently under review with HCP.
IR2: Supportive social environments fostered to enable positive health
behaviour.
During the quarter, HCP began to make contacts with HCT stakeholders in Uganda
including the Ministry of Health, AIC, and USAID in order to gain support for the
initiative and guidance on the way forward.
IR3: Increased capacity for sustained health communication.
No progress was made on IR 3 in the second quarter.
23
Planned Activities for the Next Quarter
1. Finalise a contract for the Programme Officer in charge of HCT
2. Finalize HCT literature review
3. Identify implementing partners and clarify roles and responsibilities for
national testing days/weeks and Know your Status campaign
4. Organize and facilitate a workshop among HCT partners to present the
literature review and design a communication strategy for the “Know Your
Status” campaign
5. Draft and finalize the “Know Your Status” communication strategy
6. Put funding mechanisms and MOUs in place with implementing partners
7. Identify HCT counselling and education materials currently available
8. Identify and hire an advertising agency to assist with creative design and
placement of media materials
9. Provide technical assistance to HCT partners to design and pre-test creative
materials, plan community mobilisation activities, develop tools and training to
support community mobilisation, prepare a dissemination and distribution plan
for campaign media and materials; organize a campaign launching ceremony
and press coverage; and monitor and evaluate the campaign.
10. Hold regular meetings with key HCT partners to coordinate communication
and service delivery preparations
11. Present plans for campaign with top management at Ministry of Health and
AIDS Information Centre (AIC)
12. Prepare guidelines for service delivery during national testing days/weeks
13. Develop strategy for orienting leaders and resource persons
14. Revitalize Communication and Advocacy Subcommittee of National HCT
Coordinating Committee
5. Communication Support for Medical Male Circumcision for HIV
Prevention
Background
Three studies conducted in Kenya, South Africa and Rakai, Uganda indicates that
safe, male circumcision (MC) is an effective means of individual risk reduction for
HIV infection among men. The findings indicate that circumcised men engaging in
heterosexual, vaginal sex are up to 60% less likely to become infected with HIV.
Based on this research, the World Health Organisation (WHO) has identified Uganda
as a potential pilot site for the scale up of MC for HIV prevention.
While the research on MC is compelling, there are several limitations to the findings.
MC is not completely protective for men, indicating that condoms and other risk
reduction measures are still necessary, especially in high-risk situations. There is no
24
evidence that women are less likely to become infected if they engage in sex with an
HIV positive man who is circumcised; and, while MC has been proven as an effective
means of individual risk reduction for HIV, a population effect on HIV prevalence is
estimated to only occur if a sizable majority of the male population is circumcised.2
Since the release of study findings, some health providers in Uganda have reported
an increase in public demand for male circumcision for both older men and male
children.
The UAC and the MOH have recently formed a Male Circumcision Task Force to
recommend programmatic and policy directions for adding MC to the currently
available range of HIV prevention strategies promoted in Uganda. While the
Government of Uganda has indicated the need for additional research and is
preparing for the integration of promising HIV prevention technologies including MC3,
there is as yet no policy on MC for HIV prevention. While the MOH leadership is
supportive of adding MC to the range of Abstinence, Be Faithful, and Condoms tools
for HIV prevention, some within the lay public and in political and policy circles are
less certain about the need to roll out services.
While the MC Task Force is still deliberating on future directions for MC scale up, it
has identified a serious need to provide technically correct and easily understood
information to health providers, leaders and the public. In response to this request,
HCP II will work with the MOH AIDS Control Programme (ACP) and the MC Task
Force to develop and operationalise a communication strategy for distilling and
disseminating scientific and epidemiological data concerning MC and HIV prevention
to the general public to address information needs and misconceptions. HCP II will
also assist with the design and implementation of an information campaign for health
professionals and leaders to provide basic information about MC as it relates to HIV
prevention.
HCP provided communication support during this quarter in the following areas:
f) Supporting Makerere University School of Public Health to produce a Basic Facts
brochure on Medical Male Circumcision for HIV Prevention,
g) Signing of a MC implementation agreement with MUSPH as a leading
implementing partner for communication on MC for HIV prevention.
h) Supporting MUSPH to Organise a half day Public Debate on MC for HIV
Prevention.
i)
Co facilitating a workshop to design an MC communication strategy through a
participatory stakeholders’ meeting for journalists, health workers and surgeons,
and MOH officials.
2
World Health Organization/UNAIDS Technical Consultation on Male Circumcision and HIV Prevention:
Research Implications for Policy and Programming, 2007
3
The Road Map to Universal Access to HIV Prevention, Uganda AIDS Commission, April, 2007
25
Progress on Work plan
Activity
Status
Comments
IR 1: Improved ability and motivation to use services and practices that
enhance health
Assist MOH and MC
Task Force to develop
a
communication
strategy on MC and
HIV prevention
Develop,
pre-test,
and
assist
dissemination
of
materials on MC
Conduct a Literature
review
on
MC
knowledge, beliefs,
attitudes
and
practices in Uganda
Identify
and
subcontract
local
implementing
partner
Ongoing
Completed
Completed
HCP and MUSPH convened a meeting of
key communication, media, government,
and health practitioners to develop the 1st
draft of a communication / advocacy
strategy on MC.
10,000 copies of a Basic Facts brochure
on MMC were produced. Distribution is
still ongoing.
Family
Health
International
conducted the literature review.
(FHI)
Makerere University School of Public
was identified as implementing partner for
MC communication. HCP Signed a
contract with School of Public Health
during the reporting period.
IR2: Supportive social environments fostered to enable positive health
behaviour
Organise a Public Completed HCP Supported MUSPH to organise a
Debate for people of
Public Debate on MMC for HIV
all walks of life on MC
prevention. Health workers, surgeons,
for HIV prevention
journalists, civil servants, students,
teachers, NGO workers, and faith leaders
participated.
IR 3: Increased capacity for sustained health communication
Completed
Design and conduct In progress HCP is working with MUSPH to re-align
the training content and identify potential
media
relations
trainees to involve in the 2 day media
training
for
relations course.
Implementing partner
and MC Task Force
Design and conduct a Not done
Media Briefing on MC
and HIV prevention
26
Achievements by Intermediate Result
IR 1: Improved ability and motivation to use services and practices that
enhance health
HCP assisted Makerere University School of Public Health (MUSPH) and Ministry of
Health to convene meetings to develop an MC Communication Strategy aimed at
guiding the dissemination of information on MC and HIV Prevention. The meeting
was attended by officials from the MOH, the Media, FHI, HIV AIDS Alliance,
Community Based organisations among others. HCP and MUSPH are currently
reviewing the draft and will disseminate it to the MC Task Force for review before
finalising it.
Design of the communication strategy relied on findings in the literature review
conducted by FHI, Media Clippings on MC and HIV prevention and Research
findings from School of Public Health.
During the quarter, HCP and MUSPH produced and disseminated a brochure on
“Basic Facts about MMC for HIV prevention”. Both the MOH and FHI reviewed and
made input into the content of the brochure, which would enable individuals and
communities to understand the concept and importance of MC in relation to HIV
prevention. . HCP produced 10,000 copies of the Fact Sheets: 4,000 in English,
6,000 in four local languages namely Luganda, Luo, Itesot, and Rukiga
The brochure was disseminated to district health officials and opinion leaders in the
four districts of Rukungiri, Kumi, Kampala and Gulu during the Regional Stakeholder
meetings organised by Family Health International and MOH to disseminate MC
research findings and collect views on issues related to MC and HIV prevention.
HCP participated in the regional meetings in Kumi and Gulu to understand the
prevailing issues on MC so as to better support MSPH to develop appropriate
communication materials to address any communication gaps
Research assistants contracted by FHI and MOH to conduct a country wide MC
needs assessment are also currently using the facts sheet as a reference point while
interacting with responded in the gazetted research areas.
400 copies of the brochure were also shared with employees of Finlays Tea estates.
IR2: Supportive social environments fostered to enable positive health
behaviour
HCP worked with School of Public Health and the Association of Surgeons of
Uganda to organise a half day Public Debate on MMC for HIV prevention on March
25th 2008. The debate attracted over 180 people who included Health workers,
surgeons, journalists, civil servants, students, teachers, NGO workers, and faith
leaders. Professor George Kirya, Chairman of the Health Service Commission
moderated the debate with a panel comprising of Professor David Serwadda, Dean
School of Public Health, Dr. Steven Watya, Senior official of the Uganda Surgeons
Association and Dr Opio Alex, Assistant Commissioner of the National Disease
Control Program, MOH.
27
Prior to the debate HCP worked with MUSPH to identify appropriate panellists,
identify relevant media for publicity of the event and to develop content for the
adverts inviting the public.
The debate was featured in the New Vision and Monitor news papers, W.B.S and
N.T.V as well as several FM stations.
Figure 1: Daily Monitor newspaper article 26 March '08
IR 3: Increased capacity for sustained health communication
HCP signed a contract with MUSPH to spearhead the implementation of
communication activities on MMC for HIV prevention in Uganda. Under the
agreement, HCP provides technical support to MUSPH to mobilise key stakeholders
in the media, government, health sector, civil society and the entire public to engage
in mutual dialogue over the benefits of male circumcision, particularly its potential to
significantly reduce the risks of HIV infection. During the Quarter, the Programme
Officer in charge of MC communication continuously supported the team at MUSPH in
the area of communication.
MUSPH is currently developing content for media relations training for medical
workers engaged in MC related activities in different health units.
Planned Activities for the Next Quarter
1. Conclude the development of a Communication Strategy for MC and HIV
prevention.
2. Conduct media relations training for Implementing partner and MC Task Force
members
3. Conduct Media briefings on MC and HIV prevention
4. Conclude arrangements with Signal FM for communication to promote safe MC in
Bugisu.
28
5. Produce a booklet on MC and HIV prevention for Health care providers and
leaders based on issues raised in the public debate and FHI regional stakeholder
meetings.
6. Provide on going technical support to MC implementing partner and MC Task force
6. HIV/AIDS Stigma Communication
Background
HIV/AIDS stigma continues to be a serious issue in Uganda, undermining prevention
and mitigation efforts. Fear of stigma is a major deterrent to disclosure of status
within couples and between parents and their children. Fear of stigma also stops
people living with HIV and AIDS from preventing transmission to sexual partners and
from mother to child. Fear of stigma encourages people to continue behaviour that
puts themselves and others at risk of HIV, even when they know the proper thing to
do.
HIV/AIDS stigma manifests itself among individuals, families, communities, health
care workers, workplaces and religious leaders. Factors that contribute to stigma
include lack of comprehensive knowledge about HIV/AIDS, fear of transmission, the
widely held concept of HIV/ AIDS as a moral issue, cultural beliefs, fear of death, and
lack of recognition of stigma and discrimination. In order to make meaningful impact
in the reduction of stigma and discrimination there is need for a coordinated,
comprehensive and multi-sectoral response that addresses the different
environments where people live and work.
HCP II intends to work with the Uganda AIDS Commission (UAC), representatives of
faith-based organizations (FBOs), PLHA networks, media organizations and
HIV/AIDS service providers to design communication interventions aimed at
reducing stigma and discrimination at various levels. It is expected that these
interventions will compliment efforts made by JCRC and HCP II to reduce stigma
and discrimination within the health care setting.
HCP was involved in the following activities during the period under review
j) Mapping key players that might be potential partners to influence behavioural
change at individual, community, heath care, work place and religious levels.
k) Updating available literature to cover comprehensive analysis of latest research
findings on the extent, causes, and effects of HIV stigma.
l)
Working with AfriComNet and the Uganda Consortium to prepare for the
HIV/AIDS Stigma and Discrimination training and communication strategy
development.
Progress on Work plan
29
IR 1: Improved ability and motivation to use services and practices that
enhance health
In
Map out key players that progress
are potential partners for
HIV stigma reduction
communication
campaign
HCP contracted a consultant to help map key
players in the HIV AIDS field that are
potential partners for the implementation of
the HIV/AIDS stigma campaign. A report that
profiles these organisations has been
presented to HCP for review.
In
Update Literature review progress
on HIV AIDS Stigma
done by HCP in 2006
The same consultant involved in the
stakeholder mapping exercise updated the
stigma literature review. A draft of the review
is currently being reviewed by HCP.
Design and conduct
Not yet
qualitative research to fill done
gaps in understanding of
underlying factors
leading to stigma at
various levels of society
Focus Group discussions to be conducted
during the next quarter.
IR2: Supportive social environments fostered to enable positive health
behaviour
In
HCP, Africomnet and the Uganda Consortium
Assist Makerere
progress held a joint planning meeting to agree details
University and the
for the HIV AIDS stigma training that will
Uganda consortium to
double as a strategy development workshop
adapt and facilitate the
AfriComNet short course
in HIV AIDS Stigma and
Discrimination for key
stakeholders in Uganda
IR 3: Increased capacity for sustained health communication
Not
Support the formation
complete Progress will be made after strategy the HIV
of a Stigma Advisory
AIDS stigma communication design workshop
Group and a technical
team to steer the
development of
interventions identified
in the stigma reduction
campaign strategy
30
B. Malaria Programmes
1. Communication Support of New Malaria Treatment Policy
Background
Delays in seeking treatment and poor adherence to treatment protocols have
resulted in widespread drug resistance to the two anti-malarials recommended by
the MOH in the past--Chloroquine and Fansidar--necessitating the MOH to introduce
new, more effective malaria treatment medicines. In 2006, the MOH introduced the
new malaria treatment policy, which calls for the use of Artemisinin-based
Combination Therapies (ACTs) for treatment of uncomplicated malaria.
While the MOH has introduced the new malaria treatment policy and guidelines to
health workers, most adults and caretakers of young children are unaware of the
change, and many continue to treat malaria with Chloroquine and Fansidar, or
receive treatment with monotherapy as opposed to Artemisinin-based Combination
Therapies (ACTs).
Over the past two years, HCP has worked with the MOH to develop communication
materials to popularize the new treatment policy, including fact sheets, leaflets, radio
spots, radio talk shows, and information on the MOH malaria webpage. In the current
work plan period, HCP II will concentrate on disseminating information about the new
malaria treatment policy, using these materials together with community-based
activities.
HCP II provided communication support to malaria treatment communication during
this quarter in the following areas:
a) Dissemination of community information on ACTs through partners
b) Development of radio materials for ACT communication
c) Develop plans to work with partners to integrate community based
interventions for ACTs
Progress on Work plan
Planned Activity
Status
Comments
IR 1: Improved ability and
motivation
to
use
services and practices
that enhance health
Disseminate
leaflets on ACTs
community On going
English
leaflets
disseminated;
local
languages will begin in
next quarter
31
Broadcast radio spots
Broadcast radio talk shows
In progress
In Progress
IR2: Supportive social
environments fostered to
enable positive health
behaviour
Hold media briefs with key Not yet completed
radio stations
Develop
Forum
Theatre Not yet completed
Scripts on ACT
Delayed until next
quarter
Delayed until next
quarter;
preliminary
meetings
were
conducted
IR3: Increased capacity
for
sustained
health
communication
Update MCP website
In Progress
Still
materials
partners
collecting
from
Achievements by Intermediate Result
IR 1: Improved ability and motivation to use services and practices that
enhance health
During the quarter, HCP disseminated 26,600 units of community ACTs leaflets to
malaria partners. These have been disseminated to various audiences during political
leaders’ sensitization meetings, trainings and during the roll out of the HBMF strategy.
HCP, with input from MOH, NUMAT and UPHOLD developed radio talk show outlines
for ACT. Issues to be addressed during the talk shows will include basic facts about
malaria; details of the new treatment policy using ACTs; who can take ACTs and how;
and the importance of complying with the new treatment regimen even when one feels
better. District radio talk show coordinators and guest speakers have been identified.
The programs will be broadcast on nine radio stations, in eight languages, beginning
the first week of April.
The ACT spots and public service announcement will also be broadcast in six local
languages on 9 stations starting in April.
IR2: Supportive social environments fostered to enable positive health
behaviour
During the quarter, HCP held initial discussions with NUMAT on the modalities of
implementing forum theatre in its regions. Implementation arrangements will be
finalized in the next quarter.
IR3: Increased capacity for sustained health communication
32
HCP, in collaboration with MCP/MOH, began collecting partner materials on ACTs to
update the MCP website. HCP will compile and digitalize materials received from
partners which will be uploaded on MCP webpage and burnt on CDs.
Planned Activities for the Next Quarter
•
Broadcast radio spots in 6 languages on 9 radio stations.
•
Broadcast radio talk shows on 9 radio stations in eight languages.
•
Implement forum theatre in 10 districts.
•
Provide technical and financial support to MCP during the commemoration
of World Malaria Day, scheduled to take place on 25th April, 2008.
•
Digitalize materials gathered from malaria partners and upload it on malaria
webpage and CD
•
Continue with dissemination of community leaflets on ACTs among malaria
partners.
•
Conduct an orientation of the district health educators on available
communication materials.
•
Train two MOH Officers to regularly update the malaria webpage.
2. Support to Intermittent Preventive Treatment (IPT) Communication
Background
Malaria among pregnant women contributes to maternal anaemia, low birth weight
and infant deaths and is the single most common cause of spontaneous abortion in
many African countries. In response to this serious health problem, the MOH
launched a strategy in 2001 to ensure pregnant women prevent malaria through the
use of Intermittent Preventive Treatment (IPT) and regular use of Insecticide Treated
Nets (ITNs).
Current studies show that only 40% of pregnant women in Uganda access the
recommended two doses of IPT, falling short of the country’s target of 80%. Various
factors contribute to low levels of IPT uptake, including lack of awareness about IPT;
long distances to health facilities; lack of partner support; poor counselling skills by
health workers; the widespread traditional belief that malaria is part and parcel of
pregnancy; and shortages of medicines at health facilities.
In the past year, HCP has worked with the MOH and UPHOLD to develop job aides
to guide health workers in counselling pregnant women, and to increase demand for
33
IPT through radio spots, radio talk shows, and forum theatre targeting pregnant
women, their partners and community advisors in seven districts.
HCP II provided communication support to malaria in pregnancy during this quarter
in the following areas:
a) Finalizing radio materials on IPT
b) Continued dissemination of IPT job aides and assessing job aide usability in
partnership with UPHOLD
Progress on Work plan
Activity
Status
Comments
IR 1: Improved ability and
motivation to use services
and
practices
that
enhance health
Produced radio spots in four completed
additional local languages
Dissemination of IPT job aides
On going
Follow up study on IPT job completed
aides
Develop and broadcast radio In Progress
talk shows
Some
job
aides
disseminated
to
partners
Final report in draft
IR2:
Supportive social
environments fostered to
enable positive health
behaviour
Conduct media briefs
Implement Forum Theatre
Not yet completed
Not yet completed
Delayed to next quarter
Delayed to next quarter;
preliminary
meetings
with
partners
were
conducted
Achievements by Intermediate Result
IR 1: Improved ability and motivation to use services and practices that enhance
health
During this quarter, HCP translated and produced IPT radio spots into four additional
local languages Luo, Lugbara, Runyoro and Runyankole. These local languages
were chosen in order to complement on-going activities implemented by partners
(NUMAT and UPHOLD) in western, northern and the west Nile region of Uganda.
Broadcast will begin for all radio spots in April.
HCP disseminated 1120 IPT wall charts and 1025 MIP Gestation Wheels among
various partners namely; UPHOLD, NUMAT and PATHFINDER. These were
distributed to ANC health providers during trainings organized by the partners.
34
During this quarter, HCP conducted an assessment of the job aides. The major
objectives of the assessment were to:
1. To establish if the job aides are used by health workers during the course of
their work;
2. To establish if the use of the job aides by the health workers has increased
the uptake of IPT services among pregnant women;
3. Find out if there has been an improvement in service delivery by health
workers
4. To establish if health workers understand/ know how to use the job aids
A total of 31 people were interviewed, including nine ANC health workers and 22
pregnant women in six health facilities in Luwero, Mayuge, and Rakai Districts. A
summary of the findings show that the job aides, particularly the Gestation Wheel,
were regularly used and were useful in determining EDD, gestation period of the
pregnancy and when to administer IPT. Additionally, health workers indicated that the
Gestation Wheel, in addition to helping to administer IPT, was also helpful in helping
them to administer folic acid and to council on PMTCT. Details of the findings and the
final report will be shared with partners in the next quarter.
During this quarter, HCP also worked with partners to finalize topical issues on malaria
in pregnancy for the radio talk shows. The radio programs will discuss the basic facts
and risks associated with malaria in pregnancy; the importance of supporting women
to access IPT as part of proper ante-natal care; the importance of net use among
pregnant women as a means of malaria prevention.
IR2: Supportive social environments fostered to enable positive health
behaviour
During the quarter, HCP held initial discussions with NUMAT on the modalities of
implementing forum theatre for IPT and ACT in its regions. Implementation
arrangements will be finalized in the next quarter.
Planned Activities for the Next Quarter
1. Write up the follow up study report on IPT job aides and disseminate it among
partners.
2. Broadcast radio spots and talk shows in 8 languages on 9 radio stations.
3. Implement forum theatre in 10 districts.
4. Revise and re- print job aides based on suggestions from the follow up exercise.
5. Hold media briefs on malaria and malaria in pregnancy with key radio stations.
35
3. Communication Support to Indoor Residual Spraying (IRS)
Background
Indoor Residual Spraying (IRS) is a highly effective technique for malaria control,
which involves spraying the inner walls of homes and institutions with insecticide. In
Uganda, the IRS programme is still in its infancy. Access to this effective malaria
control measure remains low, with only an estimated six percent of households ever
having had their walls sprayed. IRS has been largely limited to select urban areas,
with 12% of urban households versus 5% of rural households having been sprayed.
IRS has also been more common in institutions such as schools, hospitals and
barracks. Several factors have limited IRS from becoming more widespread,
including cost, lack of information and misconceptions about the spraying, lack of
supplies and insufficient manpower. To date, MOH is expanding the IRS program in
order to protect populations living in camps (Internally Displaced Populations). In
2008, the MOH began spraying in Apac and Oyam districts.
HCP has worked with the MOH and Research Triangle Institute International (RTI) to
increase awareness about and community and household acceptance of IRS
through interpersonal, print and electronic communication in Kabale and Kanungu
districts. This involved production and dissemination of leader facts sheets, sprayer
pocket reference cards, radio spots, radio talk shows and community sensitization
meetings. HCP provided technical support to develop an IRS documentary video that
will be used during community mobilisation activities.
HCP II provided support to IRS communication in the following areas during this
quarter:
m) Hired a consultant to coordinate IRS communication activities in Apac and Oyam
n) Finalized all print and radio materials for IRS
o) Provided support to community mobilization and education activities in Apac and
Oyam
Progress on Work plan
Planned Activities
Status
Comments
IR 1: Improved ability and
motivation
to
use
services and practices
that enhance health
Hire an IRS Consultant
Completed
Revised , translated , pre- Completed
tested and printed IRS
communication materials
Broadcast radio spots
On going
Spraying began during
the last week of March
Broadcast radio talk shows
On going
Provide technical support to Completed
the film van crew
36
IR2: Supportive social
environments fostered to
enable positive health
behaviour.
Ongoing
Disseminate
communication materials to
leaders through RTI
IR3: Increased capacity
for
sustained
health
communication.
Pre-test
Video
IRS
and
finalize Ongoing
Develop IRS Toolkit
Ongoing
Spraying began during
the last week of March
Video pre-tested with
District personnel and is
being finalized
Achievements by Intermediate Result
IR 1: Improved ability and motivation to use services and practices that
enhance health
During this quarter, HCP hired a local consultant with experience in community health
education to lead the implementation of the IRS IEC activities in Apac and Oyam.
HCP led the process of revising, translating and pre-testing one PSA and two radio spots. The
spots target household heads and encourage them to support and participate in the IRS
exercise. A total of 510 radio spots were broadcast on three major stations (Radio WA, Unity
FM and Apac FM).
HCP developed radio talk show out lines and talking points for LCV Chairmen/RDC. A total of
8 one- hour radio talk shows were broadcast on three radio stations.
The IRS video was pre-tested among sprayers in Oyam district and leaders in Apac district.
The video is being revised to include input from the district and the MoH in addition to
addressing issues related to DDT.
HCP developed talking points for the film van crew. Sixty-five community health talk shows
were held in Apac and Oyam districts. During these community health talk shows, community
members received information about IRS and their concerns about IRS were also addressed.
A total of 32, 365 people were reached.
37
A Health Educator conducts Community IRS talks in Apac
IR2: Supportive social environments fostered to enable positive health
behaviour
HCP printed and disseminated 10,000 community leader fact sheets about IRS in two
languages (English and Langi). These were disseminated to district leaders, cultural leaders
and leaders from faith based Organizations in Apac and Oyam.
Community Leader’s Fact Sheet
During this quarter, HCP led the process of revising, translating, and pre-testing print
materials to be used by sprayers and at schools. 100,000 units of Frequently Asked
Questions (FAQs) reference cards were printed in English and Langi. These were
disseminated to local leaders during sensitization meetings and to sprayers during training
activities in Apac and Oyam.
38
Sprayers reading through the FAQs reference cards during training
HCP printed and disseminated 30 banners for display at various venues in Apac and Oyam
districts. The banners are used to create awareness and stimulate demand for IRS services.
IRS banner
HCP printed and disseminated 1,400 T-shirts among community Mobilizers in Apac and Oyam
district.
IR3: Increased capacity for sustained health communication. During this quarter,
HCP drafted an IRS Communication Strategy and an outline for the IRS communication
implementation tool kit. A workshop will be held in the next quarter to review the draft
document and gain input on the tool kit content from the Ministry of Health and key
stakeholders.
Planned Activities for the Next Quarter
•
Continue to support broadcast of radio talk shows on three radio stations.
•
Continue to support broadcast of one PSA and 2 radio spots on three radio stations.
•
Finalize the IRS video in Langi, Rukiga and English
•
Host a partners' workshop to review draft IRS communication strategy and provide
input into the IRS Tool Kit content.
39
•
Implement FGDs to assess the impact of the communication activities implemented in
Apac and Oyam district.
C. Family Planning Programme (same subcategories)
Background
Uganda has one of the highest fertility rates in the world, with an average of 6.7 children per
woman. This is in an environment where there are political and cultural leaders who support
large families and cultural beliefs where children are seen as a source of wealth. Culturally,
men associate the number of children with virility and see family planning as a woman’s
issue. This rapidly increasing population has an adverse effect on the development of
Uganda, quality of life, and access to social services, infrastructure and land. It is important
to note that previous family planning communication campaigns focused on birth spacing
with emphasis on the health of mothers and children.
To address the population crisis, during 2007/8, HCP, under the new Associate Award from
USAID is providing technical assistance to the Ministry of Health and the Family Planning
Revitalization Working Group to develop and implement a national communication campaign
to promote “smaller, healthier, more prosperous families in Uganda.” The campaign focuses
on men with the objective of increasing the proportion of men who discuss family planning
with their partners because they believe it is the best way to a healthier, more prosperous
life.
HCP II provided communication support during this quarter to assist the Ministry of Health
(MOH) and its family planning partners to implement, monitor, and evaluate the family
planning revitalization campaign. This support has the following objectives:
HCP II provided communication support to family planning communication during
this quarter in the following areas:
a) Production and broadcast of radio materials on men and family planning
b) Design and implementation of community based, ‘Men Only Seminars’
c) Strategic training and orientation of key partners on family planning and
population issues
Progress on Work plan
Activity
Status
Progress against work
plan and comments
IR 1: Improved ability and motivation
to use services and practices that
enhance health
Finalize broadcast radio mini-dramas and
Completed
spots about the benefits of family planning
and smaller family size
Install family planning billboards in key Completed
regions of Uganda
40
950 radio spots and mini radio
dramas aired on 14 radio stations
6 billboards put up in key regions
Produce and place signposts with rainbow On going
over the yellow flower at or near family
planning points of service
Organize “Men Only” seminars in key On going
regions of Uganda
Produce family planning standees for use
in the “Men Only” seminars and placement
at service delivery points.
Complete distribution of family planning
materials including posters, Everyday
Health Matters newsletters and booklets.
Completed
150 signposts were produced and
will be put up in 10 districts
Over 600 men attended the pilot
seminar held at Kasana sports
field in Luwero
22 standees produced and used
during the “Men Only” Seminars
On going
10,510 family planning materials
were distributed through partners
Completed
12 Trainers of Popular Opinion
Leaders (POLs) and 15 media
specialists from the East African
region were trained
IR2: Supportive social
environments fostered to enable
positive health behaviour
Collaborate with Afford to train POLs in
gender equity, using Be a Man and Africa
Transformation tools
IR3: Increased capacity for
sustained health communication
Conduct an assessment of Plan
On going
Kawempe, Plan Luwero and Plan Tororo
family planning community based activities
Facilitate and fund Family Planning On going
Revitalization Information, Education and
Communication (IEC) Subgroup meetings.
Consultant identified to carry out
this program assessment
FPRWG meeting held on 5th
February where materials
produced by HCP were presented
to partners
Achievements by Intermediate Result
IR 1
Effective communication strategies designed and implemented to
increase appropriate use of services and / or practices across identified
priority programs
In February and March, HCP facilitated the broadcast of 950 radio mini-dramas and spots
about the benefits of family planning and smaller family size on 14 radio stations. The
stations include; Voice of Toro, Buddu FM, Capital FM, Mega FM, Unity FM, Impact FM,
Simba FM, Vision FM, Open Gate, Voice of Teso, Voice of Kigezi, Hoima FM, Nile
Broadcasting and Voice of Africa. The broadcast schedule also included DJ mentions about
the upcoming “Men Only” Seminars.
During the quarter HCP put up 6 family planning billboards in key regions of Uganda. These
included; Iganga (next to Iganga Hospital), Masaka (at the T junction), Mbarara (next to
Bushenyi junction), Lira (approaching Lira town), Busega (at the road junction) and Kampala
(near the new park). HCP also partnered with UPHOLD which put several other billboards
and roadsters in Kampala city.
At the request of the Ministry of Health, HCP produced 150 signposts with rainbow over the
yellow flower for placement at or near family planning points of service. The production of
the signposts is complete and the placement is scheduled for April in the districts of
Mukono, Kiboga, Mpigi, Masaka, Nakasongola, Nakaseke, Kayunga, Kalangala, Mitiyana
and Lyantonde.
41
During the quarter HCP partnered with the Ministry of Health, Marie Stopes, Save the
Children, Reproductive Health Uganda (RHU), Elizabeth Glazer Pediatric AIDS Foundation
(EGPAF) and AFFORD’s Popular Opinion Leaders to organize “Men Only” seminars in key
regions of Uganda. These seminars are designed to get men informed and interested in
family planning with a view of encouraging couple communication and support to access
family planning services. HCP also commissioned an ad agency and a creative team to
facilitate this process. Two key preparation workshops for the creative team and the
partners were held at HCP on 27th February and 12th March respectively. The pilot seminar
which attracted over 600 men was held at Kasana sports field in Luwero on 29th March.
This event was opened by the Luwero Minister of Health and Education and closed by the
Acting Mayor of Luwero. The subsequent seminars will be held in 5 districts in the next
quarter.
HCP produced 22 life-size ‘standees’ depicting a man directing other men to FP services.
These standees are used in the “Men Only” Seminars and are to be distributed to family
planning outlets upon completion of the events.
Distribution of family planning materials including posters, Everyday Health Matters
newsletters and booklets has continued during this quarter. 10,510 materials have been
distributed to the following partners; Ministry of Health, Marie Stopes, Save the Children,
RHU, HIPS, EGPAF, Afford, Pathfinder, USAID and Minnesota International Health
Volunteers (MIHV). Distribution of the materials will continue in the next quarter.
Photos from First Men Only Seminar on Kasana Sports Ground, Luwero, Saturday
March 29th
42
Luwero Minister of Health and Education opening the seminars
Luwero
43
Competitive football match at Kasana sports field in
Entertainment during the seminars
IEC material facilitation and discussion of the
population crisis
Over 600 men reached with the family planning message
event
Competitive “Omweso” games played during the
IR 2
Supportive social environments fostered to enable positive health
seeking behaviours and result in healthier individuals, families and
communities
During the quarter, HCP collaborated with Afford to train Popular Opinion Leaders (POLs) in
gender equity, using Be a Man and African Transformation tools, and the population crisis so
they can be advocates for male involvement in health and family planning. Several meetings
were held with Afford and CDFU which culminated in a workshop held on 13th March at
Equatorial Hotel to train 12 POL trainers. During the month of April, these trainers will train a
total of 160 POLs on the importance of male involvement in family planning and the
population crisis in Uganda.
Upon the request of representatives from the Population Reference Bureau, HCP trained 15
media specialists from the East African region about the population crisis and the importance
of male involvement in family planning. The training took place on 18th March at Golf Course
Hotel. The objective of the training was to stimulate media representatives to provide more
accurate and interesting coverage of FP in the regional media.
HCP has identified a consultant to carry out an assessment of the community based family
planning activities which were implemented late last year with Plan Uganda in Kawempe,
44
Luwero and Tororo. The terms of reference of the consultant have been extended to include
an assessment of the on going “Men Only” seminars. She is scheduled to start work in April.
IR 3 Improved communication capability to effectively support social and
behavioural goals
HCP hosted a meeting of the Family Planning Revitalization Working Group (FPRWG) on 5th
February During this meeting partners were oriented to the HCP FP materials. HCP also
solicited the participation of partner organizations in the “Men Only” seminars.
As a result of the FPRWG meeting, several partners have requested HCP assistance and or
collaboration with FP activities. The Country Director of Pathfinder International has
requested HCP materials for distribution in their district based activities in the northern
region and is considering allocation of resources for HCP materials and activities in its
upcoming work plan. The Population Secretariat has also requested support for its FP
activities currently being implemented in six districts. The Population Secretariat also
requested HCP support for the development of their Family Planning advocacy strategy and
HCP participated in preliminary strategy development meetings during the quarter.
On Wednesday, March 12th, HCP hosted partners from the FPRWG for a half-day
orientation to the Men Only Seminars. The orientation included an overview of the planned
activities and guidelines and information for organizations that may be interested in hosting
similar events.
Challenges to Implementation
While the implementation of this project has benefited from the active participation of the
Ministry of Health and the Family Planning Revitalization Group, there are two major
challenges to the project
1. The Family Planning Revitalization Group is too big. It is therefore hard to get consensus
on the way forward for often they have divergent views. In order to expedite materials
review, a sub-group has been formed;
2. Political pressure placed on the Division of Reproductive Health to de-emphasize the
concept of ‘smaller’ families regardless of economic capacity has led to the inclusion of the
term ‘manageable’ in the overall campaign slogan.
Planned Activities for the Next Quarter
•
•
•
•
•
•
Implement “Men Only” seminars next 5 regions
Finalize the placement of signposts with rainbow over the yellow flower at or near family
planning points of service
Complete distribution of family planning materials including posters, Everyday Health
Matters newsletters and booklets.
Facilitate and fund Family Planning Revitalization Information, Education and
Communication (IEC) Subgroup meetings.
Provide ongoing support to the Family Planning Revitalization Working Group and
Ministry of Health by hosting a two-part seminar series on issues related to family
planning communication
Complete the impact assessment of community based activities conducted by Plan
Uganda late last year in Luwero, Kawempe and Tororo and the “Men Only” Seminars
45
•
•
Organize training for MOH Village Health Teams on the population crisis, male
involvement in family planning, and the family planning revitalization campaign
Organize a workshop for the orientation of MOH District Health Educators (DHEs) on the
population crisis and the family planning communication campaign
D. Cross-cutting Capacity Building
1) Media Relations
2) E-Library and Materials Distribution Agreement
In order to improve access to information among HCP staff and volunteers, and to
make materials developed by HCP and its partners more widely available for use by
other organisations, HCP is designing a comprehensive electronic library to house
HCP’s print and electronic materials for internal and external use, and programmatic,
finance and administration, and business development files for internal use. HCP is
also negotiating the terms of a distribution agreement with Mango Tree, a Ugandan
organization that sells educational materials to provide a sustainable system for
making health communication materials developed by HCP and its partners more
widely available.
E-Library: During this quarter, HCP staff saved the majority of the electronic
materials for African Transformation (AT), Malaria, Antiretroviral Therapy (ART),
Young Empowered and Healthy (YEAH), CORE Initiative, AfriComNet,
Administration, and Research, Monitoring and Evaluation onto its network server.
HCP also created folders for new programmes, including Medical Male Circumcision
and Tuberculosis. HCP has instituted a system for updating the E-library twice a
month.
Distribution agreement with Mango Tree: During this quarter, HCP negotiated the
terms of an agreement with Mango Tree, a Ugandan organization that develops,
catalogues, and sells development communication materials.
Mango Tree has
agreed to market, stock, and sell most of the print and audio-video materials
produced under its Ugandan projects. Proceeds from sales of these materials will be
used by Mango Tree to support replication, marketing, and administrative costs of
the operation. Mango Tree will provide HCP with quarterly sales reports indicating
the types and numbers of materials distributed, and the types and locations of
organizations purchasing materials. Mango Tree will submit it’s first report at the end
of the next quarter.
46
3) Generating Opportunities for Leadership and Professional
Development (G.O.L.D)
HCP implements and serves as the Secretariat of G.O.L.D which is an integrated
program designed to strengthen the skills of young Ugandan graduates interested in
pursuing a career in health or development communication.
The G.O.L.D Program has two primary outputs:
∗ A cadre of professionally trained and competent young, Ugandan graduates who
are highly sought after and able to compete for positions in strategic
communication, and
∗ A cadre of employers and mentors who are competent in training and mentoring
new graduates and willing to employ them in full-time, professional positions.
Young participants and host organizations of the G.O.L.D program take part in the
program’s four primary activities:
∗
∗
∗
∗
Selection and placement of young graduates in career relevant internships;
Mentoring and supervision by mid and senior level managers;
Ongoing supportive supervision of mentors and interns; and
A series of professional development seminars.
The entire program falls under HCP’s IR3: Improved communication capability to
effectively support social and behavioral goals.
During this quarter, HCP supported GOLD program activities in the following areas:
o Developing and conducting monthly professional development seminars
o Continued enrollment of Young Professionals
o Developing Mentoring Guidelines Achievements during the Quarter
Planned Activities Quarter 2
Conduct Monthly Seminar Series
Status
Completed
Complete all host and Young
Professional agreements
Secretariat conducts mentor’s meetings
to introduce Mentoring Guidelines
Completed
Ongoing
Preparations for the
meeting are taking place
Secretariat conducts supervisory
meetings with all Young Professionals at
work sites
Ongoing
Preparations for the
meetings taking place
Identify opportunities for collaboration
with PSI Go Getters
Ongoing
47
Comments
Seminar series 2-4
conducted. Part 2 of
Career Planning; Part 1 and
2 of Professional
Correspondence
All agreements signed
Professional Development Seminars
On January 29th, HCP conducted part two of the Career Planning’ seminar. The
seminar was held in the Straight Talk Foundation (STF) boardroom. Dr. Lorna
Tumwebaze, Executive Director of AfriComNet facilitated a very participatory
discussion which was attended by 10 Young Professionals. During the seminar, YPs
shared their experiences from informational interviews they conducted with
professionals working in their fields of interest. YPs were also led through a career
visioning exercise to encourage them to begin to think where they would like to be
professionally and identify what skills and experiences they need to get there. Dr.
Tumwebaze also introduced them to the importance of a mentor and gave tips on
selecting mentors as part of their next assignment.
A Young Professional is quoted with the following from the session evaluation:
“I haven’t had an opportunity to hear this before and I never would never
have got a chance if I was not part of this…”
On February 26th, part one of the third Professional Development Seminar was held
in the CORE Initiative boardroom. The topic of the seminar was, ‘Professional
Correspondence’. Ms. Michelle Ell, Senior Project Officer for the CORE Initiative
was the guest facilitator. Eight Young Professionals attended this seminar. YPs
were introduced to proper etiquette for professional phone calls, emails and personal
visits.
On Tuesday, March 18th, Part two of the ‘Professional Correspondence’ Seminar
was held in the CORE Initiative boardroom facilitated by Michelle Ell. During this
session YPs were introduced to how to write professional emails and letters,
managing and using information on the computer, setting up file systems on
computer, and basic formatting tricks in Microsoft Word.
As a means of improving the networking skills and professional exploration of the
Young Professionals, the Secretariat decided to introduce additional ‘inspirational’
seminars to the Seminar Series. These will be conducted by highly successful
Ugandan professionals who have a story to tell about how they succeeded in life and
in their careers. During this quarter, the Secretariat began to plan and invite guest
facilitators.
Complete all host and Young Professional agreements
During this quarter, six YPs were placed in positions with a host organization and
five Young Professionals officially signed agreements with their host organizations.
Conduct mentor’s meetings to introduce Mentoring Guidelines
During this quarter, the Secretariat drafted the Mentor Guidelines to help G.O.L.D
Mentors understand their role and to be successful mentors. The guide will be
completed and individual meetings will be scheduled with each mentor during the
next quarter.
48
Conduct supervisory meetings with all Young Professionals at work sites
During this quarter, the Secretariat began to design a tool to conduct monitoring
meetings with the Young Professional supervisors. These meetings will take place
in the next quarter.
Plans for Next Quarter
1) Hold Seminar Series 5-7
2) Conduct first ‘Inspirational Seminar’ with successful HR Manager from DFCU
3) Hold mentor’s meeting to introduce Mentoring Guidelines
4) Conduct supervisory meetings with all Young Professionals at work sites
5) Identify opportunities for collaboration with PSI Go Getters and other relevant
organizations and projects
6) Develop and implement a plan to recruit and enroll new Young Professionals
E. Research Monitoring and Evaluation (RM&E)
Background
HCP did not have an established RM&E programme until January 2008. Following
the hiring of an RM&E Advisor in January, the main emphasis has been placed on
establishing the office and developing a Performance Monitoring Plan (PMP).
The work plan for the quarter comprised of four activities:
1. Completing a Performance Measurement Framework for HCP.
2. Developing a PMP
3. HCP Evaluation and Baseline Survey.
4. RM&E Support to HCP Programmes
Progress on Work Plan (January - March 2008)
Summary
Planned Activity
1. Completing a
performance
Measurement
Framework for HCP.
2. Developing a PMP
Status
Comments
Completed
An HCP-wide performance measurement
framework was developed and completed. It
guided the development of the PMP.
On-going
The PMP has taken longer than anticipated
to complete mainly because the number of
HCP programmes has expanded
considerably in the last one year. It also
needed consultations with a large number of
49
stakeholders. It is expected to be completed
in April 2008.
A contract was signed with Wilsken
Agencies Ltd in February 2008.
3. HCP Evaluation and
Baseline Survey
On-going
4. RM&E Support to
HCP Programmes
On-going
The RM&E office drafted the survey
questionnaire in consultation with HCP staff
and the CCP RM&E Specialist in Baltimore.
It has been handed over to the consultant
for coding and indigenisation.
The RM&E Office has worked with HCP
programmes to design and implement the
following studies:
• Qualitative Evaluation of the Be A Man
Campaign – completed.
• Qualitative Research On Young People
and Adult’s Knowledge, Attitudes and
Practices Concerning Alcohol completed
Achievements
Performance Measurement Framework for HCP
A result oriented PMF was developed basing on the behavioural change
communication objective under the USAID S.O 8. Three key results have been
identified for the HCP II phase:
IR 1: Improved ability and motivation to use services and practices that enhance
health
IR2: Supportive social environments fostered to enable positive health behavior.
IR 3: Increased capacity for sustained health communication.
The PMF is attached in Annex I.
Draft PMP
The draft PMP consolidates previous PMPs for YEAH, Malaria, ART, and Family
Planning, and new monitoring plans for Male Circumcision, TB and HIV, Stigma
reduction and HCT. A total of 32 outcome indicators have been identified together
with 8 standard outputs for each programme. The PMP was reviewed at two
stakeholder workshops.
HCP Evaluation and Baseline Survey Plan and Questionnaire.
The survey is intended to evaluate the impact of the YEAH programme as well as
determine baseline values for indicators that have no secondary data. The RM&E
team has been coordinating the survey and provides guidance to the consultant. The
50
CCP RM&E Specialist in Baltimore has continued to provide valuable technical
support.
The research proposal and plan were completed and a consultancy agreement
signed in February. The last two months have been spent designing the survey
questionnaire. The activity was scheduled to start in September last year, but
delayed due to manpower shortage. Despite the late start, data collection is
expected to start in April and be completed by May 2008. The target agreed upon
with the consultant is to complete data cleaning by the end of June 2008.
RM&E Studies Completed
The RM&E team has worked with HCP programmes to design and implement two
studies. The following final reports have been submitted by consultants:
1. Qualitative Evaluation of the Be A Man Campaign.
2. Qualitative Research On Young People and Adult’s Knowledge, Attitudes and
Practices Concerning Alcohol.
Both reports have been used in designing the YEAH phase II campaign strategy.
Using the results of the Be A Man Campaign Evaluation, CCP staff authored a
paper: ‘Changing male gender norms that increase the risk of HIV in Uganda: the Be
a Man Campaign’. Isaac Musoke presented the paper at an international seminar on
‘Potential and Actual Contributions of Behavioural Change to Curbing the Spread of
HIV’ organized by IUSSP Scientific Panel & Population Council. The paper will be
published in the proceedings of the seminar.
Planned Activities for Quarter 4
1. Assessment of Communication Needs for UNICEF supported BCC programmes
in five districts: The RM&E team will support the UNICEF communication project
to design and guide implementation of a study by a consultant.
2. Staff Training in M&E: The RM&E team will organise in-house seminars and train
HCP staff on M&E principles and how to implement the PMP.
3. Evaluation of Community Based Communication Programmes for Promoting
Family Planning: The RM&E team will work with the FP team to design and
implement a study to review community based activities targeting men.
4. HCP Evaluation and Baseline Survey: The RM&E team will work with the
consultant to pre-test and revise the draft questionnaire in April. Data collection is
expected to commence in May, and a cleaned data set is expected to be ready
by the end of the next quarter.
5. Field Visits: The team will visit various partners who contribute data for the PMP
mainly to agree on protocols; harmonise data collection instruments, and ensure
that data quality checks at source are in place.
51
6. Review of YEAH PMP. The team will work with YEAH to ensure that the YEAH
PMP can provide data required for the HCP PMP.
52
ANNEX I: HEALTH COMMUNICATION PARTNERSHIP – RESULTS FRAMEWORK & PMP FOR
PHASE II (2008 – 2010)
Communities, families and individuals adopt
practices and appropriately use services
protective of their health.
IR 1: Improved ability and
motivation to use services and
practices that enhance health
IR 1.1: Improved
attitudes, selfefficacy, risk
perceptions,
normative beliefs and
knowledge about
services and
practices that
contribute to health
IR 1.2: Increased
availability of
information about
services and
practices that
contribute to health.
IR2: Supportive social environments
fostered to enable positive health
behavior.
IR 3. Increased capacity for
sustained health communication.
IR 2.1: Target
policies, laws, and
strategies adopted at
national and
community level
IR 3.1:
Strengthened
collaboration,
resource sharing,
and information
sharing among
partners involved
in heath
communication.
IR. 2.2: Increased
public support for
services and practices
that promote health
IR. 2.3: Strengthened community
capacity to address barriers to uptake of
services and practices. that promote
health.
53
IR.3.2:
Strengthened
capacity of HCP
partners to design,
implement, and
monitor and
evaluate health
communication
programmes.
ANNEX II: Programme-Level Performance Monitoring Report: Quarter 3, 2008
ANNEX II.1: TB/HIV
Indicator
Target
Actual
Variance
Explanation
1.1. Number of individuals reached with HCPsupported media messages on practices and
services that promote health.
N.A
N.A
N.A
N.A
1.2. Number of letters received from young people
(15-24) responding to Y.E.A.H campaign
activities and materials
N.A
N.A
N.A
N.A
1.3. Number of health facilities with HCP-supported
information materials on practices and services
that promote health.
N.A
N.A
N.A
N.A
1.4. Number of leaders, service providers,
community health workers, and CORPs who
receive HCP-supported information materials
on practices and services that promote health.
-
600 people
-
600 people, including district and community
leaders, NGO and CBO representatives, health
workers from Mbale and 8 neighbouring
districts (Sironko, Bukedia, Bududa, Butaleja,
Manafwa, Tororo, Kumi and Palisa) received
posters made by HCP on the theme, “I am
Stopping TB.”
-
18
-
18 representatives from 10 national and
community partner organisations participated
in designing the two-year TB/HIV message
IR 1: Improved ability and motivation
to use services and practices that
enhance health
IR 2: Supportive social environments
fostered to enable positive health
behavior
2.1. Number of leaders, media representatives,
service providers, community health workers,
and CORPs who participate in designing and
54
Indicator
Target
Actual
Variance
implementing HCP-supported strategic health
communication activities.
Explanation
and media plan at HCP.
2.2. Number of young people (15-24) involved in
implementing Y.E.A.H campaign activities at
the community level.
N.A
N.A
N.A
Not applicable
2.3. Number of leaders, media representatives,
service providers, community health workers,
and CORPs who participate in HCP-supported
activities to disseminate policies, laws &
strategies.
N.A
N.A
N.A
-
3.1. Number of communities (LC1) in project areas
implementing HCP-supported programs
disaggregated by programme area
N.A
N.A
N.A
-
3.2. Number of organizations integrating HCP
programmes in their work plans and budgets.
2 organisations and 12
districts
2 organisations and
12 districts
3.3. Number of people who have participated in
capacity building activities (training programs,
internships, exchange visits) conducted by HCP
and its partners.
N.A
N.A
IR 3: Increased capacity for sustained
health communication.
-
N.A
55
12 TB CAP districts have integrated HCP
communication activities in their work plans
and budgets
-
ANNEX II.2: FAMILY PLANNING
Indicator
Target
Actual
Variance
Explanation
Men –
900,000,
Men –
900,000,
0
Women –
800,000
Women –
800,000
1.2 Number of health facilities with HCP-promoted Family
Planning communication materials.
150
240
+ 160%
1.3 Number of leaders, service providers, community health
workers, and CORPs who receive HCP-supported
information materials on family planning practices and
services.
100
268
+ 168%
240 Service Providers from Ministry of Health facilities
received FP materials and 28 partners from Marie Stopes, Save
the Children, Reproductive Health Uganda (RHU), Elizabeth
Glazier Paediatric AIDS Foundation (EGPAF) and Afford
received FP materials
60
27
- 45%
During the quarter HCP partnered with Afford to train 12
Trainers of POLs who are scheduled to train 160 POLs in
April. This training was initially supposed to take place in
March. HCP also partnered with the Population Reference
Bureau to train 15 media specialist from the East African
region.
21
21
0
IR 1: Improved ability and motivation to use
services and practices that enhance health
1.1 Number of individuals reached with HCP-supported
media messages on family planning practices and services
HCP worked with Ministry of Health during this quarter to
distribute newsletters, FP wall charts and FP handbooks to 240
health centers
IR 2: Supportive social environments fostered
to enable positive health behaviour
2.1 Number of champions of family planning, popular
opinion leaders (POL), media representatives, and service
providers who participate in designing and implementing
HCP-supported family planning activities
IR 3: Increased capacity for sustained health
communication.
3.1 Number of organizations integrating HCP family
planning programmes in their work plans and budgets
56
ANNEX II.3: ART
Indicator
Target
Actual
Varian
ce
Explanation
1.1. Number of individuals reached with HCP-supported ART literacy
messages
3,895,617
0
N.A
There were no electronic media messages relayed during this
reporting period.
1.2. Number of health facilities with HCP-supported ART literacy
communication
100
60
60%
ART literacy materials Care giver booklet) were distributed to
50 JCRC Treat Sites and four other organisations namely; Mild
May, PIDC, AIDS information Centre. Uganda Cares, Baylor
College of medicine, AMREF, SCOTT,GOAL, UWESO and
TASO. Distribution still on going by end of Quarter.
1.3. Number of leaders, service providers, community health workers,
and community volunteers who receive HCP-supported
information materials on ART.
414
0
N.A
To be reported in the next quarter. Distribution of materials
started in the last part of the quarter. Not able to determine reach
of materials beyond the head offices.
200
120
60%
120 JCRC community liaison volunteers have been trained using
the CLV curriculum developed with support from HCP. 100
more to be trained.
3.1. Number of communities (LC1) in project areas implementing
HCP-supported programs disaggregated by programme area
N.A
N.A
N.A
3.2. Number of organizations integrating HCP programmes in their
work plans and budgets.
N.A
N.A
N.A
3.3. Number of people who have participated in capacity building
activities (training programs, internships, exchange visits)
conducted by HCP and its partners.
N.A
N.A
N.A
IR 1: Improved ability and motivation to use services
and practices that enhance health
IR 2: Supportive social environments fostered to
enable positive health behaviour
2.1. Number of leaders, media representatives, service providers,
community health workers, and CORPs who participate in
designing and implementing HCP-supported strategic health
communication activities.
IR 3: Increased capacity for sustained health
communication.
57
ANNEX II.4: MALARIA
Indicator
Target
Actual
Variance
Explanation
1.1. Number of individuals reached with HCP-supported media
messages on practices and services that promote health.
782,097
0
-100%
1.2. Number of health facilities with HCP-supported information
materials on practices and services that promote health.
20
Data for IRS pending radio reach estimates
IPT and ACT broadcasts were delayed.
Will begin broadcast first week of April
Need data from UPHOLD
1.3. Number of leaders, service providers, community health
workers, and CORPs who receive HCP-supported information
materials on practices and services that promote health.
550
2437 men
1217 women
+564%
More leaders than expected attended IRS
meetings in Apac and Oyam
2.1. Number of leaders, media representatives, service providers,
community health workers, and CORPs who participate in
designing and implementing HCP-supported strategic health
communication activities.
20
11
-45%
Media activities were delayed until next
quarter. Number reflects only IRS activities
2.2. Number of leaders, media representatives, service providers,
community health workers, and CORPs who participate in
HCP-supported activities to disseminate policies, laws &
strategies.
400
11
-97%
Need data from IRS activities
3.1. Number of communities (LC1) in project areas implementing
HCP-supported programs disaggregated by programme area
30
0
-100%
IPT activities with NUMAT will take place
next quarter. IRS reports not received
3.2. Number of organizations integrating HCP programmes in their
work plans and budgets.
1
1
0
IR 1: Improved ability and motivation to use
services and practices that enhance health
IR 2: Supportive social environments fostered to
enable positive health behaviour
IR 3: Increased capacity for sustained health
communication.
58
ANNEX II.5: PMI INDICATORS
Indicator
Target
Actual
Variance
Explanation
1. Number of community members reached
through IRS IEC.
Men: 32,911
Women: 29,711
Men: -30%
Women: -57%
Data for community members reached via radio
not yet complete
2. Number of people reached with IEC
activities related to ACTs and IPTp.
Men: 378,957
Women:
334,606
Men reached:
23,185
Women
reached:
12,924
Total: 26,600
-96%
This number only includes the number of print
materials disseminated to partners. Will report
disaggregate details once we receive partner
information detailing who they disseminated
materials to. Radio reach not reported as radio
broadcasts began broadcast in April.
59