REUNION DE SUIVI DE LA MISE EN OEUVRE DU TFI SUR LA RECOMMANDATION EN COMMUNICATION I Communication For polio eradication 1 Présentation du Tchad , Reunion TFI, Dakar: 5-7 avril 2008 The issue of development and use of communication indicators Process : Two categories of indicators – Process indicators Number of training session held Number of sensitization activities conducted Etc. Results related indicators Number or percentage of children immunized Number or percentage of households visited Number or percentage of refusal cases solved Parents’ knowledge of reasons to immunized children against polio, Etc – 2 Présentation du Tchad , Reunion TFI, Dakar: 5-7 avril 2008 The issue of development and use of communication indicators (2nd) Actors involved in the development of communication indicators 3 At the central level: The responsible of the EPI, BIEC, Responsible of communication for EPI, UNICEF, WHO At the peripheral level (health delegation or health center) : Regional health delegate, district level management team, EPI focal point and IEC focal point Présentation du Tchad , Reunion TFI, Dakar: 5-7 avril 2008 Priority Areas Distribution géographique des cas de PVS au Tchad des 12 derniers mois (Fev 07 – Janv 08) Indicateurs de performance de la surveillance des PFA des 12 derniers mois (Fev 07 – Janv 08) PVS type 1 Compatible Polio Cas le plus récent:: 18jjanv 08 CHA-OUAABE-08-002 PVS type 3 Circulation des 2 types de PVS (1 & 3) dans 2 Régions sur 18 (Ndjamena et Ouaddaï) 4 Présentation du Tchad , Reunion TFI, Dakar: 5-7 avril 2008 The 3-4 best indicators 5 Number of cases of refusal or resistance solved or number of parents who accepted to immunize their children after meeting with the mobilization team Number of meetings held with decisions makers Number of broadcast of the sensitization messages in the media Présentation du Tchad , Reunion TFI, Dakar: 5-7 avril 2008 Monitoring and supervision mechanisms 6 Meeting to debrief on supervision and monitoring Activity reports of the mobilization teams Supervision at all levels during NIDs Présentation du Tchad , Reunion TFI, Dakar: 5-7 avril 2008 Majors Challenges 7 Develop a micro plan for social mobilization for NIDs and ensure its implementation Reinforce of the door to door sensitization activities Conduct a rapid survey to identify the reasons why parents are tired with polio campaign Présentation du Tchad , Reunion TFI, Dakar: 5-7 avril 2008 Major Lessons learnt 8 The lack of involvement of some partners (civil society, NGOs, developmental associations) weakens the process toward the development of indicators For the last three years there has not been a stand alone micro plan for social mobilization. Social mobilization was incorporated in the overall NIDs micro plan Though the social mobilization indicators are relevant for a better monitoring and evaluation of the results, they are have not been systematically used. The involvement of leaders in the resolution of refusal cases is an important success factors Présentation du Tchad , Reunion TFI, Dakar: 5-7 avril 2008 Suggestions for improvement 9 Update or develop a micro plan for communication and social mobilization for the AVS Develop a system for reporting on social mobilization activities Develop a system for monitoring social mobilization activities Systematic monitoring of the implementation of the indicators at national and regional levels Involvement of all partners and communities in the development and utilization of indicators Présentation du Tchad , Reunion TFI, Dakar: 5-7 avril 2008 II. Communication for Routine EPI 10 Présentation du Tchad , Reunion TFI, Dakar: 5-7 avril 2008 The issue of development and use of communication indicators Process: Development of indicators in the action Plan for the reinforcement of communication and social mobilization for routine EPI EPI: two categories of indicators Process indicators Number of training session held Number of sensitization activities conducted Etc. Result related indicators – – 11 – Immunization coverage Number of parents who know diseases against which a child should be immunized Number of community immobilizers Présentation trained andduinvolved in the Tchad , Reunion activities TFI, Dakar: 5-7 avril 2008 Actors involved in the development of communication indicators 12 At the central level: The responsible of the EPI, BIEC, Responsible of communication for EPI, UNICEF, WHO. At the peripheral level (health delegation or health center) : Regional health delegate, district level management team, EPI focal point and IEC focal point Présentation du Tchad , Reunion TFI, Dakar: 5-7 avril 2008 Carte du Tchad 13 Zones RED Zones non couvertes par le RED Présentation du Tchad , Reunion TFI, Dakar: 5-7 avril 2008 The best 3-4 indicators 14 Parents’ knowledge of diseases that can be prevented by immunization The number of times a child should be vaccinated before he can be considered t be fully immunized Information channel (Radio, public announcers, families, others ) Présentation du Tchad , Reunion TFI, Dakar: 5-7 avril 2008 Majors challenges 15 Government to adopt and implement the routine EPI communication strategy Development of communication micro plan for routine EPI at both central and peripheral levels Revitalization of the social mobilization committee at central and peripheral levels Présentation du Tchad , Reunion TFI, Dakar: 5-7 avril 2008 Monitoring and supervision mechanism 16 Meetings to debrief on supervision and monitoring Activity reports of the mobilization teams Field mission to monitor/ supervise the activities and to collect data Présentation du Tchad , Reunion TFI, Dakar: 5-7 avril 2008 Major Lessons learnt 17 The lack of involvement of some partners (civil society, NGOs, developmental associations) weakens the process toward the development of indicators and in communication activities to support routine EPI There is no stand alone social mobilization micro plan for routine EPI. Social mobilization is incorporated in the overall EPI action plan Indicators are not systematically monitored . Présentation du Tchad , Reunion TFI, Dakar: 5-7 avril 2008 Suggestions for improvement Development of a social mobilization plan for routine EPI specially in areas with low coverage Develop a communication plan to support field team the priority areas Advocate to the government and other partners for more funding to support the national communication plan Involve al partners including communities in the use and monitoring of the EPI indicators 18 Présentation du Tchad , Reunion TFI, Dakar: 5-7 avril 2008 Thank you for your attention 19 Présentation du Tchad , Reunion TFI, Dakar: 5-7 avril 2008
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