using community video to promote high impact micyn and ......community video for nutrition guide: 1....

Using Community Video to Promote High Impact MIYCN and Hygiene Practices in Niger

November 19, 2015

SPRING/Digital Green Program in Niger - 2015

The collaboration was established between SPRING/Digital Green and 3 USAID/Niger programs - REGIS-ER (NCBA CLUSA), LAHIA (Save the Children) & Sawki (Mercy Corps)

Involved 80 established Hausa-speaking community groups, in 20 villages in the Maradi Region

Focused on the development and dissemination of 10 videos by community facilitators working with 4 distinct groups in each participating village

Niger

Target Population groups included 15 to 25 members in each of the 4 distinct groups

Women of reproductive age

(WRA) (15-49)

Key Influencers, including

grandmothers and other family

members

Men (25- 60+) model husbands

selected by health centers

Adolescent girls (12-18) in “safe

space” programs


Women of reproductive age

(WRA) (15-49)


Men (25- 60+) model husbands

selected by health centers


Adolescent girls (12-18) in “safe

space” programs


Key Influencers, including

grandmothers and other family members

The process involved adapting the steps outlined and the tools provided in the Community Video for Nutrition Guide:

1. Rapid formative research 2. Prioritization of video themes 3. Video production training 4. Adaptation of a 2-day MIYCN

and hygiene training package 5. Video dissemination and data

collection training 6. Production of videos 7. Pretesting/finalization of videos 8. Dissemination of videos 9. Home visits and follow-up 10.Quality assurance/supervision

Rapid formative research to identify priority practices and barriers/facilitators of behaviors

Simple 2-day nutrition “sensitization” training for community agents and project staff

Video production: storyboards/shooting /editing

Selection of video content/design of storyboards

Recruitment of community video “stars”

Production of videos

Dissemination of videos: the equipment

Dissemination of videos in community groups

Monitoring and supportive supervision

10 Prioritized video topics in Niger include

1. Importance of hand washing with soap

2. Importance of the first 1000 days 3. Active (responsive) feeding 4. Importance of exclusive

breastfeeding (EBF) 5. EBF for on demand feeding and

working mothers 6. Introduction of complementary

food for the baby after 6 months 7. Age appropriate complementary

feeding for babies 6 to 24 months 8. Maternal and adolescent girls diet 9. Animal and human contamination,

diarrhea and management 10. Dietary diversity & resilience

Adaptations and challenges in Niger

Adaptations

• Worked with volunteers, not NGO agents

• Partnership model involved 3 international NGOs, not a local CBO

• Needed to focus more on male involvement because of the strict Muslim context

• Video topics adapted to a resilience context with a long hunger season

Challenges

• Remote villages made it impossible to share equipment across multiple communities (1 set shared between 2 volunteers in each community)

• There was often no electricity – needed solar chargers which was an extra expense

• Weak internet connectivity made uploading data and the videos more difficult

Adaptations and challenges in Niger

Mixed Method Evaluation Results

Quantitative Study: Handwashing and Responsive Feeding Behaviors

Handwashing Behavior

Chart1

Endline Survey (August 2015)

Second survey (June 2015)

Baseline Survey (April 2015)

Percent

Percent of households

Having a designated place to wash hands increased from 14% to 59% after exposure to the video.

59

48.8

14

Sheet1

Column1Percent

Endline Survey (August 2015)59

Second survey (June 2015)48.8

Baseline Survey (April 2015)14


Chart1

Endline Survey (August 2015)


Baseline Survey (April 2015)

Percent

Percent of households with a handwashing station

Among households with a handwashing station, the percent having soap and water increased from 73.8 at baseline to 96.2% at endline.

96.2

95.5

73.8

Sheet1

Column1Percent

Endline Survey (August 2015)96.2

Second survey (June 2015)95.5

Baseline Survey (April 2015)73.8


Chart1

Next to kitchenNext to kitchenNext to kitchen

Next to latrineNext to latrineNext to latrine

Next to entrace of compoundNext to entrace of compoundNext to entrace of compound

Baseline (April 2015)


Endline survey (August 2015

In households with handwashing stations, more were found next to the kitchen & latrine after the video.

36.6

65.6

52.9

19.5

22.9

44.2

43.9

7

2.9

Sheet1

Column1Baseline (April 2015)Second survey (June 2015)Endline survey (August 2015

Next to kitchen36.665.652.9

Next to latrine19.522.944.2

Next to entrace of compound43.972.9

Responsive Feeding Behavior

Chart1

Percent of women who said child a responsible person helped the child at the last mealPercent of women who said child a responsible person helped the child at the last mealPercent of women who said child a responsible person helped the child at the last meal

Percent of women who have a separate plate for their childPercent of women who have a separate plate for their childPercent of women who have a separate plate for their child

Percent of women who said child was less than an arms length from a responsible person at last mealPercent of women who said child was less than an arms length from a responsible person at last mealPercent of women who said child was less than an arms length from a responsible person at last meal

Baseline (April 2015)


Endline (August 2015)

Responsive feeding practices increased after exposure to the video.

87.7

94.7

92.7

69.8

89.1

96.6

64.5

76.7

79.5

Sheet1

Baseline (April 2015)Second survey (June 2015)Endline (August 2015)

Percent of women who said child a responsible person helped the child at the last meal87.794.792.7

Percent of women who have a separate plate for their child69.889.196.6

Percent of women who said child was less than an arms length from a responsible person at last meal64.576.779.5

To resize chart data range, drag lower right corner of range.

Qualitative Study: Feasibility, Acceptability, and Sustainability

Learning Workshop for implementing partners: Collaborative effort between: SAREL/CESAO; SPRING/CESAF; Digital Green; LAHIA; REGIS-ER; and Sawki

Feasibility of the Videos

• Timing and duration of videos appear appropriate

• Videos encourage women to come more regularly to group meetings

• Many outsiders are attracted to the sessions which results in overcrowding at the video viewing

• Women could relate and understand the content and behaviors presented in the videos

“The women are very enthusiastic because the actors are villagers like them and speak Hausa. This has had a great effect and resulted in significant behavior change.” (Female Mediator)

“It is important to project the videos during all the group meetings, the simulations conducted during the videos are easier to understand than listening to the group facilitator.” (Woman beneficiary)

Acceptability of the Videos

• Excitement in the group is spilling over and uniting the community

• Group members and mediators social status is increasing • Inviting influential members to the groups is helping to

educate others and support behavior adoption

“The video gave us the final push to change. I already knew many things before through my husbands’ school, but it took us seeing the video to make a change" (Woman Beneficiary).

“The men now accept to let their wives visit the health center and to at times accompany them. In addition, they agree to provide money for consultations more frequently.” (Woman Beneficiary)

"We are considered teachers and we are given great importance. We are valued in the community because of this work it has changed our status. We are perceived as officers to accompany and support people to change their behavior." (Mediator)

Scale up and Sustainability • There is great enthusiasm and interest in expanding the program • Will need additional mediator training and possibly incentives to

motivate staff • Desire for new video content: birth spacing, avoiding early marriage,

and education • Additional suggestions include coordinating with SMS messages and

print materials • Stakeholders wanted to retain the resources to continue

disseminations and home visit after the project concluded if there was no extension

“If the project does not remove the equipment, we could continue to provide home visits and advise the population.” (Mediator)

“We must extend the video sessions for all other groups of villages and go to neighboring villages. By increasing the number of mediators and finding alternative means of projection we can expand the program reach.” (Male Mediator)

Community Video for Nutrition Guide

www.spring-nutrition.org/publications/series/community-video-nutrition-guide

For more information:

This presentation was made possible by the American people through the U.S. Agency for International Development (USAID) under Cooperative Agreement No. AID-OAA-A-11-00031, the Strengthening Partnerships, Results, and Innovations in Nutrition Globally (SPRING) project.

Thank you! Peggy Koniz-Booher

[email protected]

www.spring-nutrition.org/CommunityVideo

Using Community Video to Promote High Impact MIYCN and Hygiene Practices in NigerSPRING/Digital Green Program in Niger - 2015Target Population groups included 15 to 25 members in each of the 4 distinct groupsTarget Population groups included 15 to 25 members in each of the 4 distinct groupsTarget Population groups included 15 to 25 members in each of the 4 distinct groupsTarget Population groups included 15 to 25 members in each of the 4 distinct groupsTarget Population groups included 15 to 25 members in each of the 4 distinct groupsThe process involved adapting the steps outlined and the tools provided in the Community Video for Nutrition Guide:Rapid formative research to identify priority practices and barriers/facilitators of behaviorsSimple 2-day nutrition “sensitization” training for community agents and project staffVideo production: storyboards/shooting /editingSelection of video content/design of storyboardsRecruitment of community video “stars”Recruitment of community video “stars”Production of videosProduction of videosProduction of videosProduction of videosDissemination of videos: the equipmentDissemination of videos in community groupsDissemination of videos in community groupsDissemination of videos in community groupsMonitoring and supportive supervision10 Prioritized video topics in Niger includeSlide Number 25Adaptations and challenges in NigerMixed Method Evaluation ResultsQuantitative Study:�Handwashing and Responsive Feeding BehaviorsHandwashing BehaviorHandwashing BehaviorHandwashing BehaviorResponsive Feeding BehaviorResponsive Feeding BehaviorQualitative Study:�Feasibility, Acceptability, and SustainabilityLearning Workshop for implementing partners: Feasibility of the VideosAcceptability of the VideosScale up and SustainabilityCommunity Video for Nutrition GuideFor more information:�Slide Number 41

using community video to promote high impact micyn and ......community video for nutrition guide: 1....

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