Saath-Saath Project
Micro-planning:
An innovative process to empower and
engage outreach staff for strategic behavior
communication for HIV prevention in Nepal
Kiran Bam1*,
Bhagawan Shrestha1, Mirak Raj Angdembe1, Satish Raj Pandey1
1Saath-Saath Project, FHI 360 Nepal
*Correspondence:
[email protected]
Saath-Saath Project
Outline of the presentation
 Introduction
• Saath-Saath Project Snapshot
• Micro-planning
 Method
 Results
 Conclusion
2
Saath-Saath Project
Introduction-1
Saath-Saath Project Snapshot
Goal: To reduce the
 Funded by: United States Agency for
transmission and
International Development (USAID)
impact of HIV and
 Duration: October 2011 – September 2016
 Team:
• FHI 360 Nepal (Prime)
• Association of Medical Doctors of Asia
• More than 40 local NGO partners
(Implementing Agencies)
AIDS and improve
reproductive health
among selected key
affected populations
(KAPs) in a manner
that supports the
Government of Nepal.
In close collaboration with Government of Nepal authorities at national
and local levels
Saath-Saath Project
Introduction-2
Saath-Saath Project’s Comprehensive HIV Prevention, Treatment,
Care and Support Activities
Outreach by
trained staff
Drop-in
Center/Expanded
Integrated Health
Services Operation
Linkages to other
services
Follow-up
outreach and clinic
visits
Capacity building
Creating enabling environment
Saath-Saath Project
Introduction-3
Micro-planning
Is a participatory process
Is a bottom-up process
Provides information on risks and
vulnerability of female sex workers
(FSWs)
Permits outreach staff
to use
information
for
planning,
implementation and monitoring for
behavior change communication
sessions
Introduction-4: Micro-planning
Implementation Districts
Saath-Saath Project
Method-1
MICRO-PLANNING
STEPS OF
Saath-Saath Project
Saath-Saath Project
Method-2
Recording and
Reporting
Tools
Saath-Saath Project
Method-3
Tools allows outreach staff as well as
program managers to understand
specific risks and vulnerabilities of FSWs
Outreach staff and program managers
trained on the micro-planning
principles, process and tools.
Program managers regularly provide
supportive supervision and onsite
coaching
Saath-Saath Project
Results-1
Micro-planning process helped strengthening quality
of behavior change communication sessions
• Bottom-up planning
• Risk behavior analysis
• Use of the edutainment strategic behavioral communication (SBC)
materials
Increased number of visits to drop-in centers and
utilization of HIV testing and counselling and STI
examination services.
Saath-Saath Project
Results-2: Key achievements
Saath-Saath Project
Results-3
Microplanning
has
supported
to
• Track and monitor behavior change
among FSWs through the use of
various tools (individual profile,
daily diary and coverage register)
• Improve and tailor the behavioral
change communication messages,
materials and methods based on
the needs, priority, risks and
vulnerabilities of FSWs.
Saath-Saath Project
Results-4
Helped for paradigm shift
from outreach staff to
being passive data
collectors to field site
managers
Improved the data analysis
and use culture, ownership
and accountability among
outreach staff and program
managers.
Saath-Saath Project
Conclusion
Involved the outreach staff and program managers meaningfully to
collect, analyze and use the data to plan, implement, monitor and
improve the behavior change communication for HIV prevention among
FSWs in Nepal.
Improve the ways of reaching the FSWs but also uptake of HIV services
by FSWs.
Paved the way for HIV program planners and implementers expand and
scale up HIV prevention programs among other key affected populations
in Nepal
Saath-Saath Project
Voice of outreach staff
It helps to improve
and tailor the
behavioral change
communication
messages, materials
and methods based
on the needs,
priority, risks and
vulnerability of FSWs.
Micro-planning
processes guides to
conduct outreach
session in systematic
way and supports to
manage prevention
activities among FSWs
Saath-Saath Project
Acknowledgements
 Thanks to Government of Nepal for the support provided
for Saath-Saath Project
 Profound gratitude to NGO partners who implemented
the micro-planning activities
 Grateful to USAID Nepal for supporting Saath-Saath
Project and for the approval to share these findings
 Thanks to SBCC Summit Scholarship Committee for the
financial support
 Thanks to FHI 360 Nepal team for all the inputs and
guidance
Saath-Saath Project
Thank you!