Pathfinder International India Country Program

1. Pathfinder International India Country Program • Prachar Project • Tigris Project • Safe Abortion and • post abortion care program Community Based School Based Urban Rural Funded by: Bill & Melinda Gates Foundation David & Lucile Packard Foundation The Flora Foundation & an anonymous donor Pathfinder International, Prachar Project, Bihar Pathfinder International, Prachar Project, Bihar Pathfinder International, Prachar Project, Bihar

2. Prachar Project 189, Ground Floor, Patliputra Colony, Patna- 800 013 Tel. 0612-2275290/1, 2276870/1 e-mail: pracharproject@sify.com, sam_pathfinder@yahoo.com The Prachar Project Promoting Change in Reproductive Behavior Bihar, India Supported by the David and Lucile Packard Foundation

3. Prachar Project Objectives • Change social attitudes and norms that hinder change in reproductive behavior • Change reproductive behavior of adolescents and young couples • Build capacity of partner NGOs in adolescent and youth focused RH/FP programming Pathfinder International, Prachar Project, Bihar

4. Project Area NGO Partners: 30Districts: 3 Blocks: 17Villages: 552 Population: 636,803 (22%)Adolescents &Young couples: 96,241 (15.1%) Timeframe (Phased Implementation) Nalanda June 02- June 05 36 months Nawada Sept. 02- June 05 33 months Patna Mar. 03- June 05 27 months Pathfinder International, Prachar Project, Bihar

5. Project Geography Operations in 5 districts in Phase-II Welcome to Prachar Project, Pathfinder International Pathfinder International, Prachar Project, Bihar

6. ProjectPartners • 19 Partners involved in implementing community based interventions: Build rapport with community; reach subgroups with behavior change communication using group meetings, home visits, and street theatre; mobilize adolescents and newly weds to attend specialized training sessions • 10 Partners providing specialized training to specific sub-groups at the community level in these intervention areas: 12 to 14 year old girls; 15 to 19 year old boys and girls; newly wed couples; cultural teams; and traditional birth attendants • 1 Partner providing technical training and assistance to staff of NGO Intervention and Training Partners Pathfinder International, Prachar Project, Bihar

7. Project Geography Patna Nalanda Nawada Phase-I 552 villages 6,36,803 people Phase-II additional 4 NGO intervention Partners & 12 NGO Training Partners (NTPs) Prachar Project Dissemination, 19th Sept’ 05 Welcome to Prachar Project, Pathfinder International Pathfinder International, Prachar Project, Bihar

8. Intervention Approaches • Change behavior through communication • Achieve Impact and effect sustainable change • Implement in phases • Structure the Implementation process • Build capacity to implement • Improve access to RH services • Monitor vigorously • Provide technical support Welcome to Prachar Project, Pathfinder International Pathfinder International, Prachar Project, Bihar

9. Communication for Behavior Change Audience Segmentation LIFE STAGE SPECIFIC COMMUNICATION Pathfinder International, Prachar Project, Bihar

10. Communication for Behavior Change Segment Specific Communication • Address men and women concurrently, though separately • Provide each segment with life stage specific information, skills, messages • Using multiple media to reinforce messages • Emphasize informed and conscious decision making on child bearing Welcome to Prachar Project, Pathfinder International Pathfinder International, Prachar Project, Bihar

11. Communicators Change Agents and members of cultural teams: • members of the community • believe in program messages • seen as credible communicators • communicate with comfort and confidence on RH & sexual issues • knowledgeable about contraception, RTI/STI Trainers • travel in to the village from outside • high levels of education & thoroughly trained • specialized communicators on technical issues Welcome to Prachar Project, Pathfinder International Pathfinder International, Prachar Project, Bihar

12. Structured Implementation A Typical Intervention Area 30 Villages 3-5 km radius 30,000 population Welcome to Prachar Project, Pathfinder International Pathfinder International, Prachar Project, Bihar

13. Structured Implementation Organization of field One Cluster level team for 10 villages 10K pop Cluster 1 Cluster 2 Cluster 3 Accountability Effective planning and implementation Effective supervision and monitoring Systematic and extensive coverage Welcome to Prachar Project, Pathfinder International Pathfinder International, Prachar Project, Bihar

14. Structured Implementation Organization of team Project Manager Cluster Supervisor 1 Cluster Supervisor 1 Cluster Supervisor 3 Project Accountant 4 Female Change Agents 2 Male Change Agents A team of 23 per intervention area Welcome to Prachar Project, Pathfinder International Pathfinder International, Prachar Project, Bihar

15. Capacity Building of Partner NGOs The Approach Multi stage training to ensure progressively greater competence Clarify values and beliefs and build conviction in program messages Develop comfort in communicating on sexual heath issues Emphasize development of technical skills and competence Facilitate transfer of learning from classroom to field through technical support visits in field Welcome to Prachar Project, Pathfinder International Pathfinder International, Prachar Project, Bihar

16. Capacity Building of Partner NGOs Key Areas Reproductive and Sexual Heath – technical knowledge Effective communication on contraception, reproductive and sexual heath matters Conducting effective group meetings and home visits Management Information Systems – record keeping and reporting Work planning, monitoring & supervision Accounting & Administrative systems Welcome to Prachar Project, Pathfinder International Pathfinder International, Prachar Project, Bihar

17. Improving Access to Services RMPs Depot holders Village Retail Outlets Dais Training Institutions HLL/Janani MCH clinic Infertility Clinics Civil Surgeon NGO partner PHC / Sub-Center Outside Providers Welcome to Prachar Project, Pathfinder International Pathfinder International, Prachar Project, Bihar

18. Conclusions • Performance, Coverage as planned and as per the norm • Enabling & Supportive environment established • Strengthened the capacity & skills • 4. Improved Knowledge & Attitude which has resulted in behavior change • 5. Community based resources developed for sustainability Welcome to Prachar Project, Pathfinder International Pathfinder International, Prachar Project, Bihar Welcome to Prachar-Ethiopia Team (5th - 9th December 2005)

19. Conclusions • Performance, Coverage as planned and as per the norm • Enabling & Supportive environment established • Strengthened the capacity & skills • 4. Improved Knowledge & Attitude which has resulted in behavior change • 5. Community based resources developed for sustainability Welcome to Prachar Project, Pathfinder International Pathfinder International, Prachar Project, Bihar Welcome to Prachar-Ethiopia Team (5th - 9th December 2005)

20. Capacity Building on RH/FP/HIV • Training NGOs • In project Intervention process • Programmatic, Management & financial and Technical • Training to service providers • formal (e.g. Doctors, Nurses etc) Informal (e.g. Dais, RMPs etc.) • Areas of Specialization • Contraception • Safe abortion • Post Abortion Care • STI & Syndromic Management