Implementing
Targeted
Intervention
What is implementation?
Implementation is the process of
translating the plan into real action.
It includes all the activities that need
to be carried out in order to meet the
objectives.
How is this done?

Breaking the plan into activities (for e.g., under condom
programming assess demand, plan for supply of
condoms, storage, and set distribution channels)

Allocating resources for each of these tasks (how much
money would be required for condoms? where will it be
stored?)

Monitoring the project (continuously monitor condom
distribution and usage)

Removing bottlenecks (address the barriers in condom
usage)
Decisions during implementation
 Project
coordination (coordinating project
activities like recruitment of ORW, PE, and
distribution of condoms)
 Deployment
of personnel (deploying
people for condom distribution, STI
services)
 Allocation
of resources (allocating money
for medicines, storage of condoms)
STEPS IN STARTING AND SCALING UP TIS
Work Plan

It is a planning and management instrument (tool)
which provides a framework for planning the work
and serves as a guide for carrying out that work
during the period in question

The proposal submitted to SACS contains a
detailed annual work plan which needs to be
implemented
Developing Quarterly Work Plan
(ex. Condom Programming Work Plan)
Objectives
Output
1. Strategy of free
distribution
2. Condom stock
generated
1. Procurement of good
quality condoms for free
distribution
PM
3. Quality of condom is
maintained
2. Distribution of free
condoms
ORWs & PEs
4. Availability in the
community
Increase
5. Condom visibility and
condom use
acceptance increase
Activities
Responsibility June July Aug
3. Create non-traditional
outlets in the community ORWs & PEs
4. BCC sessions for
condom popularization
ORWs & PEs
6. Increase in motivation
5. Preparing and
levels among outlet
distributing IEC materials
owners
regarding condoms
ORWs & PEs
7. Skill generation for
6. IEC support to the
proper use
traditional outlets
ORWs & PEs
8. Enable them to
demonstrate condom and
to learn the utilities of a 7. Condom demonstration
condom.
by PEs and ORWs
ORWs & PEs
Implementation Plan Example
– Condom Distribution
Assess the Estimates (of condoms required for the state):
At the National Level:

NACO estimates - on the basis of CMIS information, condom consumption by TIs for
last 2 years

Assumptions for HRGs:
 average no. of customers/partners that FSW/MSM/IDU encounter per day (2 per
day)
 average no. of active days in a month for FSW/MSM/IDU (20 days per month)
 no. of target population being covered under the project

Condom estimations for HRGs:
 Condoms for FSW population = 2 condoms X 20 active days X 12 months X no. of
target population (FSWs) being covered

Condoms for MSM population = 2 condoms X 20 active days X 12 months X no. of
target population (MSM) being covered

Condoms for IDU population = 1 condom X 20 active days X 12 months X no. of
target population (IDUs) being covered
Contd.

Condom estimations for the bridge population:
 Condoms for Migrant population = 2 condoms X 30 active days X 12 months X
no. of target population (migrants) being covered

Condoms for Trucker population = 1 condom X 30 active days X 12 months X no.
of target population (truckers) being covered
At the TI/NGO Level:

Further categorization of HRGs on the basis of the number of encounters/partners
per day:
 High Volume (4 or above clients per day)
 Medium Volume (2-3 clients per day)
 Low Volume (less than 2 clients per day)

Formats that can be used for categorization
 HRG registration form (format no. 1 in the monitoring formats ready reference)
 HRG master register (format no. 2 in the monitoring formats ready reference)

PE is trained to do an analysis of the client load for her site.
Contd.

Assess demand for different sub-categories
D = (S X I X N) – C
D = the condom requirement
S = the number of FSWs (of that sub-category i.e. high, medium, low)
operating in that area
I = the number of sexual acts per day
N= the number of days a sex worker is ‘active’ in a given month
C = the number of condoms from other sources including clients

PM & ORW plan condom requirements under different supply channels through
 outreach (peers, ORWs, volunteers)
 outlets (depots, vending machines, condom boxes)

TI prepares quarterly indents for condoms - based on the actual requirement +
20% buffer stock for the next quarter

Further categorized as
 free condoms – indents sent to SACS
 socially marketed condoms – indents sent to SMOs through SACS or SACS
consulted
Contd.
Procure the Supplies:

Two processes:
 budget to the TI/NGO based on the condom assessment for socially marketed
condoms, only during 1st year of the project - revolving fund

required supply of free condoms directly to the TI/NGO
Distribute the Supplies:

Distributed through two major sources (Outreach and Outlets)
 Peer Educators (at field level)
 Outreach Workers (at field level)
 Counsellor/ANM (at clinic level)
 Condom Outlets (public toilets, petty shops, tea shops, lodges)

Formats used:
 ORW Field Diary (format no. 4 in the monitoring formats ready reference)
 Free condom/lubricant stock register (format no. 7 in the monitoring formats ready
reference)
 CSM Stock register (format no. 8 in the monitoring formats ready reference)
 CSM condom outlets register (format no. 9 in the monitoring formats ready
reference)
 DIC register (format no. 13 in the monitoring formats ready reference)
Contd.
Monitor the Distribution/Analyze the Gaps:

Other formats used:
 ORW summary sheet (format no. 6 in the monitoring formats
ready reference)

Condom Gap Analysis done because:
 Actual requirement - may differ widely
 Condom distribution by staff not accounted for
 Condom uptake from various sources needed
 Acceptability of the condom strategy to be checked

Process for condom gap analysis:
 Each PE captures information on demand at the site level
 Data is compiled at TI/NGO level
 Average condom demand along with the subsequent gap is
calculated for every sub-group categorized under HRGs

Analysis then feeds into the re-assessment of condom demand
Contd.
Other Condom Programming Considerations:

Empower HRGs for condom use, skills to negotiate

Messages/IEC – to address local culture, tradition,
practices, myths and misconceptions

Involvement of other key stakeholders in addressing
stigma and discrimination

Handholding and analysis of STI, Outreach and ICTC
information to support condom programme

Explore opportunities of ownership among the community
for the socially marketed condoms, as this activity takes
away almost 30% of the resources of the staff in TI
Conclusion

Developing work plan is easier but real challenge lies in
implementation

Best plans can go wrong for e.g. delay in getting funds

Face any situation and focus on achieving objectives of the
programme.

Money allocated for salaries is spent entirely while money meant
for programme activities remains unspent. This needs to be
avoided!