THE IMPORTANCE OF WHY

Transcription

1 THE IMPORTANCE OF WHY HOW POLIO COMMUNICATIONS HELPS REACH EVERY CHILD Amanda Quintana, MPH & Ellyn W Ogden, MPH Nusa Dua, Indonesia April 18, /3/2018 FOOTER GOES HERE 1

2 WHY IS THE GLOBAL POLIO ERADICATION PROGRAM HISTORIC? 25 CASES /3/2018 FOOTER GOES HERE 2

3 WHY DID USAID INVEST IN POLIO COMMUNICATIONS? Through Field Visits Uncovered: Superficial and minimal efforts Activities not effective Lack of leadership and coordination Inefficient use of money Lack of local engagement Disconnect between the program and the people Communications did not have: A standardized field guide Indicators Accountability for results Data analysis and triangulation Enough trained people Supervision 5/3/2018 FOOTER GOES HERE 3

4 WHY DID USAID INVEST IN POLIO COMMUNICATIONS? Challenged underlying assumptions: Operating environment not relevant All people love vaccines Communications not essential Social issues not relevant: gender, culture, religion More campaigns will compensate for missed kids Impossible to track children; only households Mobile/nomads/remote populations: not very important Communications can t be measured the same way surveillance is. 5/3/2018 FOOTER GOES HERE 4

5 GPEI S ORIGINAL 3-PRONGED COMMUNICATION STRATEGY, 1996 Carry out advocacy among decisionmakers at different levels (global, regional, national, state, and district) to obtain political and financial commitments, and to persuade others to rally behind the PEI. Mobilize caregivers, communities, leaders, and organizations to participate in vaccination days, and Inform caretakers about vaccination dates and places to ensure compliance. 5/3/2018 5

6 EVOLUTION OF POLIO COMMUNICATION Present Relevance: Low Messages: General Source: Mass Media; Posters, No branding Social context: Poor M&E: No perceived need Management/Leadershi p: Weak Coordination: Weak. Research: None Relevance: Improving Messages: Expanded (Inc. Dates + Some info) Source: Mass Media Social: Increased use M&E: scales up, Post- Campaign Monitoring/tally sheets Mgmt/Leadership: Establish SM Net; harmonize training/tools/policies Coordination: Strengthened Research: KAP Relevance: High Messages: Highly tailored Source: Religious and Traditional Leaders Social: Well mapped & in use M&E: Indicators introduced 2007/2008. rapid, detailed, validated Mgmt/Leadership: high Coordination :especially in HRAs Research: Minimal Relevance: Essential Messages: Sophisticated; integrated Source: Front Line Workers/survivors/Prof. Assoc. /Celebrities/Islamic Advisory group Social: Very detailed M&E: detailed to settlement level, disaggregated indicators, Intra and Post Campaign monitoring; LQAS, mining surveillance data and triangulation Research: Household, Migrants/Mobile, Social 5/3/2018 FOOTER GOES HERE 6

7 SAME CHILDREN ARE CHRONICALLY MISSED 5/3/2018 FOOTER GOES HERE 7

8 PHOTO: LAST MILE HEALTH OPERATIONAL CHALLENGES 5/3/2018 FOOTER GOES HERE 8

9 ADD PHOTO CREDIT HERE INSECURITY AND ATTACKS ON HEALTH WORKERS 5/3/2018 FOOTER GOES HERE 9

10 DIFFICULTY REACHING NEWBORNS 5/3/2018 FOOTER GOES HERE 10

11 Photo credit: Ashique Rushdi, USAID UNDER-SERVED POPULATIONS & REFUGEES 5/3/2018 FOOTER GOES HERE 11

12 ADD PHOTO CREDIT HERE MICROPLANNING CHALLENGES 5/3/2018 FOOTER GOES HERE 12

13 HOSTILE MEDIA MYTHS AND RUMORS 5/3/2018 FOOTER GOES HERE 13

14 Photo credit: Amanda Quintana, USAID SUPERVISION CHALLENGES 5/3/2018 FOOTER GOES HERE 14

15 Communications and Community Engagement Solutions 5/3/2018 FOOTER GOES HERE 15

16 PHOTO: GAVI MIGRANT WORKERS & PEOPLE IN TRANSIT 5/3/2018 FOOTER GOES HERE 16

17 Photo credit: Ashique Rushdi, USAID BETTER USE OF TECHNOLOGY 5/3/2018 FOOTER GOES HERE 17

18 ADD PHOTO CREDIT HERE ACCOUNTABILITY AND POLITICAL LEADERS COMMITMENT 5/3/2018 FOOTER GOES HERE 18

19 Photo credit: Ashique Rushdi, USAID CROSS BORDER COORDINATION 5/3/2018 FOOTER GOES HERE 19

20 GAVI PATH Doune Porter EFFECTIVE COMMUNICATIONS & SOCIAL MOBILIZATION 5/3/2018 FOOTER GOES HERE 20

21 INDEPENDENT MONITORING 21

22 GOOD DATA DRIVES QUALITY PROGRAMMING Stratifying Information National to household levels General Awareness/enabling environment High Risk and Underserved populations Insecure, inaccessible and conflict areas Religious or Ethnic Minorities Nomads / Seasonal Workers IDPs and refugees Newborns Sleeping, or sick Geographically remote (e.g. Lake Chad Islands) Urban slums Caste or Professions (e.g. weavers) Clusters Complacency Trust Accountability 5/3/

23 GOOD DATA DRIVES QUALITY PROGRAMMING Tactics Child Tracking & Household Tracking Youth Engagement Mass Media Journalist Groups IEC / Branding Interpersonal Communication Communication Networks Negotiation in Insecure Areas Mosque Announcements Celebrities Polio Survivors Full Engagement of Local, Religious and Traditional Leaders NGOs Islamic Advisory Counsel Health Camps Advocacy Training to Persuade 5/3/

24 USAID S LEADERSHIP IN POLIO COMMUNICATIONS Linking Communications and Operations Establishing the Communication Networks in India, Pakistan, Afghanistan and Nigeria. Introducing Standard Communication Indicators: 1. Profile of missed children (location, age, sex, and social data.) 2. Sources of information about polio (TV, radio, religious leaders) 3. Knowledge about polio immunization (minimum age, health status) 4. Reasons for missed children (refusals, home not visited by vaccinators) 5. Reasons for refusals (fear of side effects, religious issues, too many rounds) Initiating external communication reviews: India, Afghanistan, Pakistan, Nigeria Supporting operational and QCA Research: Nigeria, Ukraine Supporting strategic, evidence-based use of mass media, inter-personal communication, community mobilization, print materials 5/3/2018 FOOTER GOES HERE 24

25 Reaching Every Child

26 GAVI PATH Doune Porter EFFECTIVE COMMUNICATIONS & SOCIAL MOBILIZATION Global Polio Eradication is the largest effort outside of armed conflict in the world. With 20 million volunteers, health workers, lab techs, vaccinators, mobilizers dedicated to the common goal of preventing childhood paralysis. 16 Million Cases of Paralysis Prevented 5/3/2018 FOOTER GOES HERE 26

27 WHY ARE THE LESSONS FROM POLIO COMMUNICATIONS IMPORTANT? SAVES TIME SAVES MONEY SAVES LIVES 5/3/2018 FOOTER GOES HERE 27

28 THANK YOU 5/3/2018`1 FOOTER GOES HERE 28