From choice, a world of possibilities

Behavior change programme, condom promotion & distribution & VMMC

Dr Martin MIGOMBA

NOmmigombano@ippfa

ro.org

from the onset to when the situation allows

Emergency

Post-emergency

Loss of essentia

l services

Restoration of

essential services

Relative

stability

Return to

normality

Destabilizing event

Comprehensive HIV & STI services

Durablesolutions

MISP

-Blood Transfusions-Standard

Precautions-Condoms

-ARVs (cont. use)-PMTCT

-Meet STI needs

Implementing & integrating

comprehensiveHIV services

Prevention programme Behavioural interventions Condoms, Promotion and distribution VCT Prevention of mother-to-child transmission (PMTCT), Management of sexually transmitted infections

(STIs), Strengthen health service delivery (Safe blood

transfusion programme, Standard precaution programme (use of PEP)

Voluntary medical male circumcision (VMMC) for HIV

Behavior Change

Process of behavior Change

Unaware Knownledgeable Sustained behavour change

BCC Steps 1 Establishprogramgoals

2 Involvestakeholders 3 Identify t

argetpopulation

4 ConductFormative assessment

5 Segmenttargetaudience

6 Define desiredbehaviour

7 DesignBCC Strategy and M&E plan

8. Develop a communication product

9. Pre test10. Implement and Monitor

11. Evaluate

12. Analyze, feedback and revise

Conducting a formative assessment

Questions Risk situations including what influences

the decisions and settings for risk Which target groups are most vulnerable; What persons or groups constitute their

social networks and key influencers? What factors influences their behavior? What are the insights of opinion leaders …..

Conducting a formative assessment

Methodology Focus groups discussion (cote d’Ivoire crisis) Key Informant interview In Depth interview Discussion with PLWA/Key population Observation Inventory health facility and community based

programme already in place (services, quality Check your Logistic, conduct the assessment then

analyze result than proceed the next BC step

Condom Promotion and distribution

Condom Promotion and distribution Condoms male and female should be made

available and free of charge during a crisis situation Programme should include supply chain

management including lubricant Programme should targeted any person regardless

of sex, age or marital status Programme can be effective when it includes

community and with tailored messages Promotion messages should include dual protection

approach (HIV-unplanned pregancy) Condom needs to be visible

Steps for condom integration

Coordination and strategies Information materials (involve leaders …) Train staff and community (especially for Female

condom) Supply system in place (at the beginning you can use

IAWG RH Kit (Kit 1 A & B), IPPF MAs, UNAIDS… Provision (through health system or none health

system) Awareness campaign especially for female condoms)

Voluntary Medical Male Circumcision

VMMC Effective intervention which can be

perform during a crisis Require trained staff and medical

supplies Require a task shifting approach Require an improved infrastructure Use of BCC strategy to create demand It has to be integrated with other

services such condom distribution, STI, BCC…

There is project implemented by UNHCR in Ethiopia and Uganda

Needs to be done in protracted setting

Guidelines and other tools IASC : Guideline for addressing

HIV in Humanitarian setting SPRINT Facilitator manual for

MISP (IPPF-UNFPA) Field experience from UNHCR Reproductive health in emergency,

Field manual

www.aiwg.net, www.ippf.org

,www.unhcr.org, www.unfpa.org

Thanks, Merci beaucoup, Obrigado