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

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

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

3. 1. Description of Activity - Overview

4. A Five-Year Global Health and Development Communication Initiative • Agency-wide Cooperative Agreement (2007- 2012) • Mission: • Improve the effectiveness and sustainability of communication; bring about sustainable change by influencing underlying individual and social norms • For PEPFAR: • Systematic improvement in quality of behavioral prevention through capacity building in Social and Behavior Change Communication (SBCC)

5. The Partnership

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

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

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

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

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

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

12. 2. Goals and Objectives

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

14. 3. Countries of Operation

15. PEPFAR PEPFAR

16. How do we work?

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

18. 4. Specific PEPFAR Deliverables

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

20. SBCC Capacity Strengthening Resources PEPFAR and PRH Supported

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

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

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

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

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

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

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

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

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

30. 5. Outcomes and Impact, to date

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

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

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

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

35. Kenya MC Materials

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

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

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

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

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

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

42. Thank You!