2008 WCAR Regional Programme Communication

Network Meeting8-11 April, 2008

Programme Communication in NigeriaResults to Date and the Way Forward

Planned Results 2004-2007/8

• 40% of Caregivers in the 111 focus LGAs correctly state appropriate child care information on immunisation, child nutrition, environmental sanitation and hygiene, primary education, and HIV/AIDS awareness by 2007

• Key partners at the national, state, and community levels raise awareness on the situation of Nigerian children and advocate for passage of the Child Rights Act

• 70% of institutions that received capacity building support use the ACADA model to develop and implement communication interventions

M&E Indicators

1. % of caregivers in 111 focus LGAs can state 3 key benefits of the 5 core household practices

2. % who report practicing the behaviours

3. # of States that pass the Child Rights Act

4. # of institutions using ACADA as a planning tool

Results

1. MICS 2007 indicate reduction in mortality rates

2. Behaviour challenges still abound

3. Child Rights Law passed in 10 States

4. Assessment of institutions using ACADA set for 2008

Community Dialogues for participation and ownership

1. Step by Step guidelines developed

2. Training of Trainers ppt in use

3. Checklist to ensure minimum operating standards

4. CD Reporting Form to monitor, number, where, when held (in use for IPDs)

5. CD Audit in 2007 to assess conduct, perception of participants and impact

6. CD has been applied to all behavioural problems. J

Community Dialogue Breaks Deadlock and Non-Compliance

Wanfere, Duma Ward, Tureta LGA , Sokoto, 28 February 2008

Results of Community Dialogue Audit

10,000

15,000

20,000

25,000

30,000

June September

No.

of c

hild

ren

imm

uniz

ed

16% increase in number of children immunised in 89

communities with monitored dialogues

0

100

200

300

400

500

600

700

800

900

June September

No.

of n

on-c

ompl

iant

hou

seho

lds

60% reduction in number of non-compliant households in 54 communities with

monitored dialogues

Who moderates

Opening & closing prayers

Participants

Where pre-dialogue meetings held

Challenges a dialogue sessions

Issues raised/discussed

Actions Proposed

Decisions taken

Where IEC materials distributed

Perception of satisfaction

Confidence to counsel neighbours

Peer Group DialoguePrevention of Mother-to-Child Transmission (PMTCT)

Dialogue with People Living With HIV & AIDS in Kaduna, 2005

Dialogue with traditional leaders on PMTCT-Gombe LGA, 2005

Interactive Forum on PMTCT,

Fed. Medical Centre, Lokoja 2006

Theatre for Development• Most communities have

community troupes used for edutainment even on other community concerns

• 15 functional per Field Office (CFO has 28)`

• Partnership with 4 universities & TFD outfits (ABU,UNIMAID, UI, UNICAL, SPACE 2000)

• Alliances with popular actors – Gringori, Chief Zebudaya, Baba Ramota

• Reaching an average of 300 persons x 3 sessions /annum

• Sessions are often complemented by dialogues and questions and answers.

TfD on child participation and child survival, Aro Community, Ovia North LGA, Edo State, May 17, 2007

Community VIEWING & LISTENNG SESSIONS

• 4 viewing sessions/state per annum reaching about 300/session

• 40 media institutions producing in local dialects (# of editions vary from 10 to 26 weeks on key household practices)

• 7 episode video drama serial on KHHP for viewing centres

Ward Head, 70, 47%

Health Worker/ Health

Educator, 28, 19%

Ward Focal Person, 34,

23%

Imam, 17, 11%

Partnerships with Traditional & Religious Leaders

Moderators of Dialogues in 6 States

Izallah Leader

Kekun Nauche facilitaiting dialogue

Addressing knowledge gaps thru Social networks

Federation of Muslim Women’s Association (FOAMWAN) and Traditional Birth Attendants during a Tafsir Session

FOMWAN H2H MOBILIZATION for JAN AND FEB ‘08 IPDs across 7 HR states

(Bauchi, Jigawa, Kaduna, Katsina)

No. of ceremonial events during which public sensitization was done

76

No. of women reached during sensitization events

4831

No. of Children in Non-compliance HH

12,493

No. of Children in resolved Non-compliance HH

9,004

% of Non-compliance cases resolved

72%

Promoting Social Change

Following dialogue session on 25/4/07at Kawo Poultry Market, Kaduna poultry sellers agree to establish water points in markets for handwashing and to clean the market 2x/day

Social Marketing

Highly successful in:• 98% use of iodised salt

• Strong partnership with industry for fortification of foods (flour, oil, sugar)

• Alliance with regulatory agencies - National Agency for Food & drug Admin & Control (NAFDAC) and Standards ON)

Child-Child-Community Partnership with Children

0.0

2.0

4.0

6.0

8.0

10.0

12.0

14.0

16.0

June 2006IPDs

Nov 2006IPDs

Jan 2007IPDs

Mar 2007IPDs

Late Mar2007 IPDs

% o

f T

arge

t Pop

ulat

ion

% Children Adopted

% Adopted Children Immunized

% Children Identified

% Identified Children Immunized

IEC MATERIALSGuidelines for development

Ppt for pre-testing

Checklist for assessing usefulness

To compliment dialogue

At birth31%

6 months27%

9 months and above19%

Don't know23%

1 Dose13%

2 Doses23%

3 Doses22%

More than 3 Doses

8%

Don't know34%

Number of doses of DPT required by child in first year

KAP Research to guide planning

Age a child should be vaccinated against measles

High Risk Programming

0 10 20 30 40 50 60

Gobirawa C

Gobirawa A

Gobirawa B

Gwammaja

K/Mazugal

K/Ruwa

Kabuwaye

Kofar Ruwa

Percentage

Radio/TV85%

Unaware1%

Trad/Religious Institutions

12%

Town Announcer2%

Sources of Information in

Gobirawa

Missed Children in Kano State Feb 2006

Social map Dala LGA in Kano State

Private Sector Partnership

• Immunisation messages on V-mobile and MTN

• HIV/AIDS messages on MTN

1. Going to scale has been a challenge in every programme communication initiative.

2. Monitoring and evaluation has been limited to immunization and Avian Influenza Prevention & Control.

3. Documentation has been limited, resulting in low visibility and credit for programme communication.

4. Funding has been insufficient, time bound and donor driven, focused on vertical approaches.

5. Too much focus on polio communication at the expense of other areas of the country programme.

6. Short time-frames for programme communication initiatives mean that results are difficult to demonstrate.

Weaknesses

Participatory Social mapping and Microplaning

Niwo Nchereng Community in Barkin Ladi LGA, Plateau State – April, 2007

Polio Participatory micro planning session Mashamari Ward, Jere LGA in Borno State

Key lessons learned

• Social marketing alone cannot do it• Intensity and consistency are required

for behaviour results and impact• Data/evidence-based programming

driven is sine-qua-non to behaviour change

• Documentation is required to fuel learning and information sharing

• Interactive media programming is to be strengthened for mass public education

The Way Forward

1. Strengthen partnerships on CSD issues with religious/traditional leaders, adolescents and youth & CSOs

2. Build capacity of institutions, service providers and community networks for interpersonal communication Promote use of community info boards to track wellbeing and

rights of children & women Strengthen capacity of community resource persons to

initiate/facilitate discussion on CSD/ core household practices Institutionalise community and peer group dialogue to

concretise community participation and ownership

3. Document significant changes in the situation of children and women through partnerships with communities

4. Promote mass public education through community viewing and listening centres/groups

5. Invest in research, rolling data collection and analysis

His highness, Alhaji, Dr Muhammadu Kabir Usman, the Emir of Katsina, making a speech for the people’s gathering for the sallah holiday on 21 Oct 2006 , estimated at more than 200, 000. He called on parents to allow their children to be immunized whenever the exercise begins.

Thank You

For discussion

What is the preferred balance between quality and large scale to demonstrate results/ impact?

10 KEY HOUSEHOLD MESSAGES

1. Register Every Child: Register your baby shortly after birth to document his identity. This will help the Government to provide adequate services

2. Fully Immunize Babies: Every child needs a series of vaccinations before his/her first birthday to prevent diphtheria, whooping cough, tetanus, tuberculosis, polio and measles. These diseases prevent growth, and can cause disability or death.

3. Breastfeed for 6 months: Breast milk alone is the food and drink a baby needs for the first 6 months. After 6 months babies need a variety of other foods in addition to breast milk.

4. Boil or filter water: Boil or filter water regularly especially for use by children.

5. Wash hands regularly: Wash your hands with soap or ash after using the toilet, cleaning the baby, and before preparing food, to prevent disease.

10 KEY HOUSEHOLD MESSAGES

6. Use treated bednets: Make sure children and pregnant women sleep under an insecticide-treated net to prevent malaria.

7. Educate Every Child: Register and keep girls and boys in school until they complete their basic education.

8. Feed sick children regularly: During illness, children must eat and drink fluids regularly. After an illness, children need at least an extra meal a day for a week or two.

9. Learn about HIV/AIDS: There is no cure for HIV/AIDS; it kills. Learn how to protect yourself and your family against HIV/AIDS.

10. Protect Children’s Rights: Every child has the right to survive, to develop, to be protected and to participate in his community. Parents and leaders have a duty to fulfill these rights.

COMMUNITY INFORMATION BOARDOur Children, Our Future

Name of Community…………….….. Year…………..

Total Population (Adult): Male….… Female…...… Total number of children less then one year old……….

Total number of children under five years……...… Number of primary schools………..…

Children (6-12 years) Male……… Female….…... Children (13-15 years) Male………… Female………..

Total enrolled in primary school at start of the school year Girls….… Boys…..… No of Community Improved water sources ….…………

Jan-Mar Apr-Jun Jul- Sep Oct- Dec

1 Number of children born

2 Number of children registered at birth

3 Number of children under one year who have received first dose OPV at birth

4 Number of children under five years who have received DPT 3

5 Number of children not gaining weight

6 Number of orphans

7 Number of children attending primary school (boys … ….and girls…...)

8 Number of households with long lasting Insecticide Treated Nets (ITNs)

9 Number of households with latrines

10 Number of functional improved community water sources

11 Number of pregnant women attending antenatal clinic

12 Number of women who died during pregnancy or within 6 weeks of delivery

13 Number of children who died within one month of birth

14 Number of children who died before 5 years of age

15 Number of community dialogue sessions held

16 Number of Village Development Association meetings held

SN