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COMPASS Overview

Transforming Gender Norms Increases Equity and Access to Reproductive Health and Family Planning Services Mohammed Gama, Kemi Ayanda, Bridgit Adamou, Fatima Inuwa, Moriam Jagun, Habib Sadauki, Kent Klindera and Rita Badiani 3rd Africa Conference on Sexual Health and Rights

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COMPASS Overview

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  1. Transforming Gender Norms Increases Equity and Access to Reproductive Health and Family Planning Services • Mohammed Gama, Kemi Ayanda, Bridgit Adamou, Fatima Inuwa, Moriam Jagun, Habib Sadauki, Kent KlinderaandRita Badiani • 3rd Africa Conference on Sexual Health and Rights • 4th - 7th February, 2008 • Abuja, Nigeria

  2. COMPASS Overview • USAID 5-year Cooperative Agreement (June 2004 - May 2009) • Partnership among five international and four Nigerian partners: • Pathfinder International • Johns Hopkins University/CCP • Constella Futures • Management Science for Health • Creative Associates International • Adolescent Health Information Project • Federation of Moslem Women’s Associations of Nigeria • Civil Society Coalition on Education for All • Nigeria Medical Association

  3. COMPASS’ core components: Family Planning/ Reproductive Health (FP/RH) Basic Education Maternal & Child Health, including Polio Key cross-cutting activities: Community Mobilization Institutional Capacity Building (ICB) Enabling Environment through Policy & Advocacy Public Private Partnership Monitoring and Evaluation Overview Cont.Designed to expand participation and ownership of healthcare and education at the community level in 51 LGAs in Nasarawa, Bauchi, Kano, and Lagos States and the Federal Capital Territory of Nigeria

  4. COMPASS’ Community Approach Definition of Community • Group of people within a defined geographical locality using common social services. • Defined around an integrated, functional Primary Health Care (PHC) center Approach • Community Action Cycle (CAC) • Partnership Defined Quality (PDQ)

  5. CAC as a Core Approach • Simple steps community members can follow to identify and analyze health problems, identify solutions, set priorities, develop action plans, and take action to improve the situation then review progress to either adjust their actions or identify other problems

  6. Explore the Issues and set priorities Prepare to mobilize Organize the Community for action Plan together Prepare to scale up Act together Evaluate together Phases of a Community Action Cycle (CAC)

  7. Partnership Defined Quality (PDQ) • A process that facilitates building partnerships between providers (health and education) and community members that leads to the formation of Quality Improvement Teams (QIT)

  8. How the PDQ Process Works Getting Started Introduce Concept Build support (MOH, HW, Community) Step 1 Explore Quality Health Worker View Teachers view Explore Quality Community View Step 2 Workshop Bridging the Gap: Problem & Solutions Step 3 Quality Improvement Team Step 4 Working for Change: Mobilization/Advocacy/Monitoring Health Workers Teachers “System” Community

  9. Community Coalitions (CCs) Includes all interested groups within a community: community-based organizations, parent-teacher associations, women groups, youth groups, associations, QITs • The purpose of forming CCs is: • to bring everybody together “under one roof” • to enlighten them on their role of key actors in improving their own health and education status • to share with them the vision of community members committed to contributing to their own betterment • to encourage community members to take the lead in addressing their health and education problems.

  10. Male as Partners (MAP) Approach • Objective: Increase male participation and support in sexual and reproductive health • This is done by: • Strengthening individual knowledge/skills • Promoting community education • Educating providers • Mobilizing communities • Changing organizational practices • Influencing policy legislation

  11. Achievements on MAP: Kano • Trained 25 service providers improved male friendliness at health facilities during RH/FP visits • Trained 30 CC members on the MAP approach • - The trained community coalition members rolled out the MAP approach at the community level reaching 1630 men and 209 women • - More men participated in supporting their partners and families to access RH/FP and other social services

  12. MAP Roll-out at the Community Level

  13. MAP Training Activity

  14. Gaya Kudu Community Coaliton

  15. MAP Achievements • Increased uptake of RH/FP services at the community and facility level • CCs refocusing their actions towards advocating for more support for women's health • Built toilets for women to bathe after delivery • Donated generator to the maternity section • Provided clean water supply to HFs • Community members having the capacity to identify RH/FP advocacy and policy issues • Implementation of free ANC policy • Staff transfer and inadequacy of staff

  16. Zuwaira Kawaji CC Women Leader Facilitating the Role of Men in ANC Visits

  17. Media Participation in MAP

  18. CC/MAP Achievements

  19. CC/MAP Achievements Cont.

  20. CC/MAP Achievements Cont.

  21. Lessons Learned • RH/FP services are more accepted when communities take the lead and ownership in mobilizing men to participate • Involving religious leaders during MAP activities facilitates clearing wrong perceptions about RH/FP services • Involving women in MAP activities improves women’s skills on how to communicate the benefits of RH/FP services between couples and with other members of the family • Involving media helps to communicate RH/FP messages and reduces male apprehension of RH/FP

  22. Lessons Learned Cont. • Involving male service providers within the community increases male acceptance and level of comfort in accessing RH/FP services • COMPASS’ rigorous denial of financial and material support for CC and QIT operating costs has led to a significant increase in community responsibility for their activities • People remember and count on what they are told, and any changes in plans need to be transparently shared with them. Otherwise, suspicion falls not only on the project itself, but also on the volunteersand collaborators with the project. • The CAC approach can be catalyst for other initiative in the community

  23. Lessons Learned Cont. • Success requires a minimum membership size to make the coalition effective and produce an impact • Communities need basic skills in advocacy strategy, conflict management, problem solving, root cause analysis, prioritization, planning, and monitoring as well as basic knowledge in technical areas (child survival, reproductive health, basic education) • Involving community members in decision-making made them see themselves as true stakeholders and owners of the project

  24. Challenges • How to keep a coalition together long enough to accomplish its goals? • How will leaders stay accountable to their membership? • How to maintain interest and membership? • How to document male involvement at the community level? • How to continue building their capacity to fully understand and implement the concept of transforming gender norms?

  25. Imeela! Ese pupo! • THANK YOU! Mun gode!

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