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PEI Communication: Progress & Challenges - Afghanistan TAG 1- 2 June 2009, Cairo Presentation Outline Implementation of last TAG Recommendations Evidence-based communication - what does the data tell us? Strategic shifts & communication objectives

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Presentation Transcript
presentation outline
Presentation Outline
  • Implementation of last TAG Recommendations
  • Evidence-based communication - what does the data tell us?
  • Strategic shifts & communication objectives
  • A dynamic mix of communication interventions
  • Outcome
  • Challenges
  • Way forward
What Does Data Tell Us?

Social & Epidemiological Analysis


Social Data – KAP Study Jan 2008

If we want caregivers to get children immunised with OPV, what do they need to know, feel and believe? Is awareness enough?


Knowledge Gaps

Low knowledge of specifics, regarding polio as a disease or OPV






Low perceived threat—few people believe polio is an untreatable disease, which indicates low threat perception

Low perceived OPV efficacy, which might be linked to poor knowledge



missed children distribution 2009 children absent or silent refusal
Missed Children Distribution 2009 – Children Absent or Silent Refusal?









Communication Variables


Communication Objectives


Communication Variables to Increase Demand

Knowledge of intervention


Threat (susc / sev)

Child gets OPV

Intent to immunize child

Perceived norms

Perceived personal efficacy

Perceived efficacy of intervention

communication objectives
Communication objectives

Raise awareness and fill specific knowledge gaps about polio and routine immunisation

Improve access to children in HRAs with targeted, data-driven community mobilisation

Communicate with and through women to reach newborns, sleeping & sick children with OPV

Address campaign fatigue and improve motivation of families and vaccinators

Reduce % share of ‘absent children’ among children missed in SIAs

Integrate communication planning and implementation into the SIA micro planning.

Build IPC skills of vaccinators, especially in HRAs

Improve cross-border communication – social mapping, common messaging and reaching mobile populations

Improve communication data collection management & utilisation

community mobilisation supporting option three
Community Mobilisation Supporting ‘Option Three’

Southern Region:

Kandahar – Panjwai, Maiwand, Shahwalikot, spinboldak, Daman, Kandahar urban

Hilmand – Nade Ali, Nauzad, Musa Qala, Sangin, Kajaki, Washer, Garamsir & Bust

Urozgan – Tirinkot, Dehrewood, Shahedehesas

Eastern Region:

Ningarhar - Jalalabad

Laghman – Mehterlam

Kunar – some border clusters

Western Region:

Farah – Bakwa, Balabaluk,

local inaugurations at sub district level
Local Inaugurations at Sub-district Level

Local level ownership & community engagement:

cluster jirgas with elders and mullah
‘Cluster Jirgas’ with Elders and Mullah

Local level advocacy: using credible voices to influence families

address campaign fatigue district sub district motivational events
Address Campaign Fatigue:District & Sub-district Motivational events

Cricket, football and volleyball matches held in Kandahar, Khox and Nangarhar & Laghman – generating good coverage in local media

Special Events:

Above – Cricket Match for the

May NID in Jalalabad

Right – Cricket Match in Khost

communication with women by women
Communication With Women, By Women

Visibility events




Visibility events



Community Elders

Women Courtyard


Posters and Banners



Women Courtyard


Community Elders

Posters and Banners




Post-campaign Community Mobilisation Reviews – Ongoing Process

Cluster focal points’ review meeting March 2009:

Mawlawi Nazeer, Cluster focal point of B3 during reporting of his cluster

improved communication data management
Improved Communication Data Management
  • Communication indicators added to PCA and ICM checklists
  • Data collection tools standardised
  • Training provided to national and provincial communication Focal Points in data entry, analysis and report generation using Epiinfo – STOP Team Volunteer
cross border communication
Cross Border Communication

High visibility to border vaccination posts

Use of local Pashto media channels – BBC Pashto Service, local and community media channels, Shamshaad TV

Community based social mapping of border clusters in ER to identify spheres of influence & channels of communication to access them better


Coordination in ER:

Number and % of CM undertaking Joint house visits with vaccinators during Jan 2009 NID





Missed Children Reduced in CM Districts during Jan 2009 NID


due to insecurity

Districts with Social Mobilization

Result indicator in SR: Comparison of Refusal in CM districts by rounds Oct 08 – Jan 09Data Source PCM

Zero refusals

New Families Repatriated from Pakistan

women courtyard in sr
Women Courtyard in SR
  • 787 meetings attended by 6,578 women*
  • Women discussed with women & shared information about polio immunisation - 12,136 neighbourhood houses mobilized
  • Space created for women to dialogue with women on survival and health of children – including of course polio and routine imunisation
  • 68 refusal and not interested families ‘converted’ during mobilization
  • Courtyard Women accompanying male vaccinator teams in ER to open access into homes

* Q 3 & Q 4 of 2008

media outreach
Media Outreach
  • National Media:
  • Regular briefings
  • Polio Express brought out by MoPH
  • PSAs produced and broadcast in the field
  • Partnership with BBC World Trust: Produce and broadcast episodes in the highly popular TV drama serial ‘New Home, New Life
  • Local media:
  • Local radio, community radio, local TV channels

For e.g. Azadi radio, Equal Access community radio, BBC Pashto service, Shamshad TV

  • IPC Skills of vaccinators need continuous strengthening
  • High turnover of trained vaccinators – limits training gains
  • Ongoing training of monitors to collect communication data
  • Communication data collection and transmission from sub-district and provincial level
  • Inadequate documentation in the field of innovations & lessons learned
  • Difficulties in conducting micro surveys, KAPs and similar resarch due to modest technical capacity and ongoing insecurity
  • Develop relevant partnrships to reach mobile and nomadic populations
next steps
Next Steps
  • Strengthen partnerships including with NGOs, YICC (youth), pvt media and women’s groups in KDH, Hilmand and Farah
  • Strengthened monitoring of Integrated community mobilisation in HRAs (SR, ER & WR)
  • Implement Research Plan
  • Hold national Polio Communication Review in October 2009
  • Long term IPC capacity building of vaccinators
  • Strengthen communication data management and standardise reporting
research plan
Research Plan
  • Micro survey to track ‘absent children’ : members in order to analyse trends among 'missed children', esp 'absent' or 'not at home’
  • Post training evaluation- Interviews- Field observations- Interviews with families- Role play