FILM DISCUSSION CARD 2

1. FILM DISCUSSION CARD 2

3. OUTREACH PLANNING

4. WHAT IS OUTREACH PLANNING? • Outreach planning is a process using various tools that facilitate individual level planning and follow up of service uptake, based on individual risk and vulnerability profiles of IDUs • Outreach planning gives a visual picture of the site that a PE is managing. • It helps to understand the reach of general & programme services (if started) among IDUs, identify and monitor problem areas

5. OBJECTIVES OF OUTREACH PLANNING • To identify the number of IDUs at each site • To estimate required risk reduction materials (like N/S & condoms) for adequate & uninterrupted supply • To facilitate effective individual tracking vis-à-vis service access & behaviour modification • To collect information for effective action plans • To enhance participation of IDUs in programme planning

6. OUTREACH PLANNING TEAM Project Coordinator/ Project Manager ORW 1 ORW 2 ORW 3 PE 1 PE 2 PE 3 PE 4 PE 1 PE 2 PE 3 PE 4 PE 1 PE 2 PE 3 PE 4 IDU IDU IDU

7. KEY QUESTIONS TO CONSIDER • How many IDUs are there in the target area? • Can we reach all? • How many regular injectors are there in the IDUs? • Can we meet them according to their accessibility rather than on the basis of their risk/vulnerability? • How many N/S or condoms do we need in a month to cover risk occasions? • Does the outreach timing suit IDUs? • Can we track each individual?

8. OUTREACH PLANNING PROCESS There are six basic stages in the outreach planning process • Social mapping • Spot analysis • Contact mapping • Risk/vulnerability assessment • Work plan • Individual level tracking (monitoring)

9. 1. SOCIAL MAPPING A Social map is a map showing places: • where IDUs live (hotspots/congregation point /Injecting Sites etc.) and • where services for IDUs are available Purpose: • To establish a dynamic understanding of IDUs for complete coverage through Outreach in the project site

10. SOCIAL MAPPING IS USEFUL TO: • Learn about locations where IDUs live • Identify places where IDUs often go (including work) and why they go there • Identify which services are available for IDUs & their locations • Services include: referral, health care, NSE, condom supply, ICTC, STI etc. • Identify gaps in services for IDUs and their partners

11. DEVELOPING SOCIAL MAP • Social mapping can be conducted as either a field or DIC activity by PE and ORW involving (IDU). The PM can act as facilitator of the process • Social map should be updated regularly • Inclusion of (IDU) in social mapping and discussions will ensure views of (IDU) are represented since they know better than outsiders

12. SAMPLE SOCIAL MAP

13. PRACTICE SESSION: Let each one of us make a social map of our area. (The community members are available to help make the map!)

14. 2. SPOT ANALYSIS • Once the social map is constructed, Spot Analysis is done to get further information regarding each site mapped. • Hotspots mapping is done through Spot Analysis • In Spot analysis, ORW leads his/her team of PE and key informants (IDU belonging to that hotspot) to the location to collect information

15. SPOT ANALYSIS – REQUIRED INFORMATION • For Spot Analysis the following information needs to be collected: • Volume of clients (no of IDUs in the hotspot) • Profile of IDUs: age group, sex, typology (heroin/brown sugar/SP/pharmaceutical drugs, etc.) • Frequency of injections – daily, weekly, monthly • Timing of congregation/use

16. SAMPLE SPOT ANALYSIS TOOL

17. PRACTICE SESSION: Let’s do a spot analysis using the spot analysis tool • Make 5 groups • One person to act as ORW who will fill the Spot Analysis Format • The others to act as PEs and provide information that needs to be filled • Each group should have some community members too!

18. 3. CONTACT MAPPING • Refers to developing a detailed plan of each and every IDUs in each spot that the ORW or PE has in each spot. • The spot analysis data can be used to derive number of IDUs in a particular hotspot • The assigned PE/ ORW can then list out the number and names of all IDUs known by each ORW and PE of the assigned hotspot

19. CONTACT MAPPING- QUESTIONS TO ASK • How many contacts in each spot? • In which spot are the contacts limited? • What are the reasons for limited contacts? • What should be done in those locations where contacts are limited? • Is there a duplication of names in the contact list?

20. SAMPLE CONTACT MAPPING TOOL

21. PRACTICE SESSION: Let’s do contact mapping using the contact mapping tool • Make 5 groups • One person to act as ORW who will fill the Contact Mapping Format • The others to act as PEs and provide information that needs to be filled • Each group should have some community members too!

22. 4. RISK/ VULNERABILITY ASSESSMENT The risk/ vulnerability parameters should, at the minimum, include: • Types of drug injected • Frequency of injection • Sharing of N/S or other injecting equipment • Sexual behaviour: frequency of sexual intercourse, protected /unprotected sex • Sensitivity about disclosure (to family/ others about their drug use/sex work)

23. 5. WORK PLAN • A work plan helps to optimise scaled coverage by PE so as to address needs of the IDU • Using information from the social mapping and risk/ vulnerability assessment of IDU, outreach teams should plan a week-on-week target for outreach to the IDU of each area

24. CONTD. • These work plans should be documented in order to focus activities (by referring to them) in the following week • Weekly plans should vary from week to week depending on the service uptake/ outreach patterns • Weekly plans should tie into other activities designed to increase IDU engagement or service utilisation