IPTp - Springboard for Health Communication

Notes du groupe de travail Paludisme
pendant la Grossesse
Termes de Reference du Groupe

Notre interet en voulant etre membre de ce
groupe ?

La frequences des appels telephoniques : Tous les
2 mois le 1er jeudi de chaque mois.

Leadership : 2 co-Présidents qui doivent assurer
l’animation des discussions d’au moins 3
reunions ; Le secretariat de CCoP assure l’appel
Liste des pays membres

Mozambique
Sergio Tsabete, Felisberto Massingue

Ouganda
Basil Tushabe, Olanya George, Mabel Naibere

Burkina Faso
Ouerdaogo Nicolas, Kabore Noel

Madagascar
Gino Razafindrahaminitra, Roumana Hassanaly, Ramanatiaray Tiana, Andritiana Tzarafihavy

Senegal
Sonko Fagueye

Liberia
Daniel Somah

Sierra Leonne
Wani Kumba Lahai

Tanzanie
Pamela Kweka

Cote d’Ivoire
Nene Diallo

Guinée Conakry
Mariama Gobicko, Denise Timbo

Malawie
Taonga Mafuleka, Chancy Mauluka

Mali
Mory Camara, Boubacar Bocoum

Et Nigeria
Benson Ohemu
En brainstorming problèmes prioritaires sur le
Paludisme pendant la Grossesse sont :

Doses de SP pour la femme enceinte

Traitement du paludisme chez la femme enceinte par le CTA

Vaincre la pesanteur socio culturel (Et que la femme enceinte parte
tôt au centre)

Travailler sur le tabou autour de la révélation de la grossesse

Support du mari lors de la grossesse

Cibler les prestataires en mettant l’accent sur le secteur privé

Effectuer la consultation forraine intégrée (Cas de la Cote d’ivoire)
Quels sont les résultats à atteindre dans
les 2 prochains mois :

Utilisation des services TPI par les femmes enceintes (Traditions et
implication des hommes)

Partage de données sur le TPI à la SP

Offre de services et disponibilité des médicaments SP

Utilisation de mass media sur le TPI

Mobilisation sociale et utilisation des leaders communautaires
Besoins de partage et d’appui par le
groupe :

Mali : Partage du programme Mass media sur la TPI mis en œuvre par KJK
(JHU/CCP)

Madagascar : Expérience de SBCC dans les écoles sur le TPI (PSI) et la
communication sur la SP

Liberia : Renforcement de capacités des agents de santé en CIP sur le TPI
(HC3)

Ouganda : Partage de la campagne de TPI (Etape de production) FHI360

Mozambique : Implication des hommes dans la grossesse

Cote d’Ivoire : Utilisation de la strategie d’envoie de SMS pour la recherche
des femmes enceintes perdues de vue pour le TPI à la SP
Proposition de nomination de CoPrésidents :

Boubacar BOCOUM JHU/CCP Mali

Roumana PSI Madagascar

Wani Coumba NMCP Sierra Léone
Thank you!
M&E Task Force
Work Plan for 2017
Role of the task force

Create a forum for sharing best practices on monitoring and evaluation of
malaria SBCC

Help disseminate evidence on the impact of malaria SBCC

Encourage the use of best practices for documenting the impact of malaria
SBCCC

Liaise with the other task forces here at the SBCC Working Group (MIP, Case
Management and Vector Control) as well as those at RBM
Operations Research Priorities

Encourage the analysis of existing data



including data collected in MIS/DHS/MICS and KAPs using the Indicator Guide
Including data from durability monitoring surveys
Encourage more outcome monitoring (to complement output monitoring)
Potential presentations

Launch the Indicator Reference Guide, v2

Outcome monitoring using omnibus surveys – planning, implementation and
data use (Mathew Okoh, HC3 Nigeria)

Evaluation of integrated health communication programs (Malawi)

Disseminate findings from the Evidence Review
Activities

Translate and disseminate the Indicator Guide

Develop guidance on M&E of health worker SBCC for malaria

Encourage the analysis of existing datasets that use indicator and questions
from the guide


Develop training materials on analysis
Develop guidance on budgeting for M&E of malaria SBCC activities
Leadership and communication

Current co-chairs: Angela Acosta and Jessie Butts

Looking for increased leadership and participation in the group

Next call - Discuss roles and responsibilities of co-chairs and members;
identify roles and leaders for various activities and areas

Calls – Every other month, 2nd Thursday, at 9 am EST/4 pm EAT/3 pm CAT/2
pm WAT.
Indicator Guide
Issues Discussed
Current Indicators in V2
Reach/Exposure
1. Proportion of people who recall hearing or seeing
any malaria message within the last 6 months
Knowledge & Awareness
2. Proportion of people who name mosquitoes as the
cause of malaria
3. Proportion of people who know the main symptom
of malaria
4. Proportion of people who know the treatment for
malaria
5. Proportion of people who know preventive
measures for malaria
Current Indicators in V2 (continued)
Risk/Efficacy
6.
Proportion of people who perceive they are at
risk from malaria
7.
Proportion of people who feel that
consequences of malaria are serious
8.
Proportion of people who believe that the
recommended practice or product will reduce
their risk
9.
Proportion of people who are confident in their
ability to perform a specific malaria-related
behavior
Current Indicators in V2 (continued)
Norms and Attitudes
6.
Proportion of people with a favorable attitude
toward the product, practice or service
7.
Proportion of people that believe the majority
of their friends and community members
currently practice the behavior
Targeted Behaviors
8. Proportion of people who practice the
recommended behavior
#1: Do we need additional knowledge indicators?
Recap: current knowledge indicators:*
2. Proportion of people who name mosquitoes as the cause
of malaria
Additional indicator 2a. Proportion of people who name
ONLY mosquitoes as the cause of malaria
3. Proportion of people who know the main symptom of
malaria
4. Proportion of people who know the treatment for
malaria
5. Proportion of people who know preventive measures for
malaria
Additional indicator 5a: Proportion of people who know
Potential additional knowledge
indicators?
Care-seeking - Proportion of people who know that they
should seek treatment from an approved source within 24
hours for fever
Testing (provider) – Proportion of providers who cite malaria
testing as being the only way to diagnose malaria
IPTp (pregnant women) – Proportion of pregnant women
who are aware that IPTp is a way to protect themselves and
their baby from malaria during pregnancy (subanalysis of
indicator 5)
IPTp (provider) – Proportion of providers who know the
national guidelines for IPTp dosing (timing and frequency)
#2 Health worker behaviors and indicators
recommended
Desired
Behaviors
Ideal Behavioral
Indicators
Health worker Proportion of pregnant women at
adherence to
ANC that received IPTp according to
IPTp guidelines national guidelines
Health worker
adherence to
malaria case
management
guidelines
Current Standard
Indicators (MERG)*
Proportion of women
who received 3 or more
doses of IPTp during
ANC visits during their
last pregnancy
Proportion of fever cases receiving a • Proportion of CU5
malaria diagnostic test (or proportion
with fever in last 2
of malaria cases diagnostically
weeks with
confirmed)
finger/heel stick
• Proportion receiving
Proportion of tested cases
ACT among CU5with
treated/not treated according to test
fever in last 2 weeks
results (or proportion of confirmed
who received any
positive cases receiving ACT)
antimalarial
*Data sources: MIS/DHS; health facility surveys , in-depth register reviews
Summary

Participants felt it was important to provide indicators on
knowledge about care-seeking, treatment, and IPTp.


However, knowledge is not enough. Changes in attitudes,
norms, perceived risk, self-efficacy, response efficacy,
perceived susceptibility, perceived severity, and behavior
should be measured


Participants recommended we add the suggested
indicators.
Current indicators allow this
Health workers are an important target group for SBCC and
their knowledge, attitudes and behaviors should also be
measured

The suggested indicators were accepted as proxy
indicators for health worker behavior by the group (they
THANK YOU!
MERCI BEAUCOUP!
ASANTENI SANA!
OBRIGADO!
What do the people want?

How to translate indicators to incorporate SBCC activities already being done?

How to liaise with other task forces?

How to apply the indicator reference guide?
SBCC and Operations Research Priorities

How do we answer the efficacy questions?

Outcome monitoring vs. Output monitoring

Look at analyzing existing data against our indicator set

Shared case studies/best practices on quarterly calls

Training in triangulation to show impact

Pairing M&E staff w/ SBC

Piggy-back training onto field visits

Co-facilitation by taskforce/platform representative
Ideas for the coming year

Improve communication to quantify SBCC impact

Example activities:
 Madagascar
net durability
 Malawi
integrated SBC program evaluation
 Nigeria
omnibus survey questions/results

Newsletter

Survey of costing structure for SBC evaluations

Developing guidance on measuring CHW/provider SBCC

How to increase country participation on calls

How to translate indicators to incorporate SBCC activities already being done?

How to liaise with other task forces?

How to apply the indicator reference guide?
Case Management SBCC
Task Force
Objective

To strengthen SBCC in case management, particularly in
testing and treatment for all the malaria phases
(control, pre-elimination and elimination)

To promote free case management for children under 5
(where applicable)
Roles of CM SBCC Task Force
 To
provide technical support to countries to
implement the SBCC Case Management (CM) by
sharing success stories, tools, best practices, and
lessons learned
 Provide
guidance to countries to prioritise SBCC Make a case for return on investment
 To
review, evaluate, endorse, and share CM SBCC
tools to be used by countries
Activities
 Assisting
countries come up with communication
strategies and seasonal messages by providing
examples and lessons learned from other countries
 Collecting
and disseminating best practices,
evidence of impact of SBCC on case management,
promising practices through platforms like
HealthCOMpass and/or SpringBoard discussions
The Case Management SBCC Task Force will
be an Interactive Technical Group
Activities

Reaching out to other CM professionals to join the general CCoP call and identifying
case management topics and speakers to present on a future CCoP call

Advocate for the availability of quality medicines and RDTs

Reaching out to other RBM WG's working with commodities to convince them to use
SBCC to make most efficient use of their resources
Task Force Lead
 Chair:
Kwame Gakpe, Ghana NMCP
 Co-chair: Mamadouba Sanoussi Camarra, RTI Guinea
 Term of Office: 1 year (Till 2017 SBCC meeting)
 Communication:
Bimonthly calls
First
Wednesdays of the month at 2 PM GMT (8 AM ET)
First call: 9th November 2016
List of members

Mireille Lusiense

Theresia Shirima

Fatou Mwaluke

Yanogo Pauline

Kwame Gakpey

Michel Itabu

Ogwal William

Amina Fakir-Knipiler

Nan Lewicky

Jeanine Musau

Debora Freitas Lopez

Dr. Andrintiana Tsarafihavy

Fortunate Manjoro

Camara Mamadouba Sanoussi

Boladale Akin-Kolapo

Dr. Tsapafinah Arabutiane

Jackie Kisia
Issues of concern
 No
funding support for CM SBCC Task Force
 Collaboration
 Need
and commitment of members needed
for translators for the call
 Dedicated
CM forum
space in Springboard dedicated to
Tatenda/Thank
you