Nicole S. SchieggACSM at Country Level Sub Group Meeting

Cape Town, South Africa

5 November 2007

Advocacy, Communication and Social Mobilization (ACSM):

Your Ally in TBPrevention and Care Efforts

What is the goal of ACSM?

To support your TB efforts by:

Improving case detection and treatment adherence

Combating stigma and discrimination Empowering people affected by TB Mobilizing political commitment and resources

for TB

Key Elements for Implementation

Where do I start?

Key Elements for Implementation1. Create a national partnership/ task force

Charged with planning, implementing and evaluating all activities

2. Conduct an ACSM Needs Assessment Review epidemiological data Identify priority populations Determine behavioral goals

3. Develop a Workplan and Budget Match behavioural goals and targeted audiences with activities Establish benchmarks and process/impact indicators

4. Implement activities Develop, pre-test and produce materials Organize advocacy events, social mobilization activities, etc.

5. Monitor and evaluate results National/ district/ provincial levels

Plan

nin

g →

Imp

lemen

tation

Partnerships: Leverage Skills and Resources

• Identify the stakeholders.• Establish communication

channels.• Ensure the free flow of information.

• Draw up and communicate the strategy clearly.

• Ensure that time frames are realistic and that deadlines are met.

• Plan and evaluate both partnership and intended change.

• Establish partnership working as the “usual way of doing business”.

Needs Assessment Who are the audiences? What are behavioral goals to be

addressed? What are the barriers? What are your past experiences and

current activities? Who are the stakeholders and what are

the assets?

Establishing Baseline Data Available TB data and analysis:

Epidemiological (new TB cases, people living with TB, death rate, etc.)

Available Data to inform ACSM:Administration-policy analysis

financial analysis, policy barriers, stakeholders analysis…

Education-Media analysisliteracy rates, circulation/audience stats

Socio-behavioural?

What is a KAP survey?

Knowledge, Attitudes and Practices survey Statistically-representative study of a given

population Uses a pre-determined questionnaire Collects data that can be used for

evidence-based decision-making in program planning

Why conduct a KAP survey? Data helps you set priorities (i.e., to

determine the most common problems). Establishes baseline level of knowledge

and baseline practices (to measure change as a result of interventions).

Data contributes to advocacy (i.e., to show the magnitude of a problem).

Other Ways to Collect Data DHS Surveys Focus group discussions In-depth individual interviews (i.e.; with TB

patients or medical providers) Observation of patient-provider interactions Exit surveys with TB patients Key informant interviews Stakeholder meetings

M&E Framework for ASCMACSM ImpactACSM Impact

Increased capacity

IncreasedSuspect rates

Increased budget allocations

DecreasedDrop-out ratesSocial Mobilisation Outcomes:

• Partners/communities joint action (NTP)• Coverage partners/communities TB plans

Communication Outcomes: • Knowledge of population • Coverage IEC activities/ campaigns

Advocacy Outcomes:• Knowledge of opinion leaders• Political commitment in policy and reports• Coverage advocacy activities/campaigns

AC

SM

Pro

cess:

Acti

vit

y

Ind

icato

rs

Resources & Technical Assistance

How can I overcome obstacles?

Ways you can ask for help… The design of formative behavior or demographic research studies or

protocols (ex. KAP surveys, focus groups etc.) to establish baseline data, to identify target audiences and to determine behavior change targets;

Data interpretation to aid message development and to also identify target audiences;

Managerial assistance to develop ACSM strategy and to guide roll-out

activities;

Project management training around project implementation at all levels;

Development of tools or instruments for ACSM monitoring and evaluation, which is required by the Global Fund;

Micro-planning training for implementation at sub-levels.

Plans for 2008

EMRO ACSM Planning Workshop Country Technical Assistance

Missions Consultant Training Consultant Guide

Contact Information

Ms Young-Ae Chu (Country-Level ACSM) - chuy@who.int

ACSM at Country Level Website:

http://www.stoptb.org/wg/advocacy%5Fcommunication/acsmcl/