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REUNION DE SUIVI DE LA MISE EN OEUVRE DU TFI SUR LA RECOMMANDATION EN COMMUNICATION. I Communication For polio eradication. The issue of development and use of communication indicators . Process : Two categories of indicators Process indicators Number of training session held
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REUNION DE SUIVI DE LA MISE EN OEUVRE DU TFI SUR LA RECOMMANDATION EN COMMUNICATION I Communication For polio eradication Présentation du Tchad , Reunion TFI, Dakar: 5-7 avril 2008
The issue of development and use of communication indicators Process : Two categories of indicators • Process indicators • Number of training session held • Number of sensitization activities conducted • Etc. • Results related indicators • Number or percentage of children immunized • Number or percentage of households visited • Number or percentage of refusal cases solved Parents’ knowledge of reasons to immunized children against polio, • Etc Présentation du Tchad , Reunion TFI, Dakar: 5-7 avril 2008
The issue of development and use of communication indicators (2nd) Actors involved in the development of communication indicators • At the central level: The responsible of the EPI, BIEC, Responsible of communication for EPI, UNICEF, WHO • At the peripheral level (health delegation or health center) : Regional health delegate, district level management team, EPI focal point and IEC focal point Présentation du Tchad , Reunion TFI, Dakar: 5-7 avril 2008
Priority Areas Indicateurs de performance de la surveillance des PFA des 12 derniers mois (Fev 07 – Janv 08) Distribution géographique des cas de PVS au Tchad des 12 derniers mois (Fev 07 – Janv 08) PVS type 1 Cas le plus récent:: 18jjanv 08 CHA-OUA-ABE-08-002 Compatible Polio PVS type 3 Circulation des 2 types de PVS (1 & 3) dans 2 Régions sur 18 (Ndjamena et Ouaddaï) Présentation du Tchad , Reunion TFI, Dakar: 5-7 avril 2008
The 3-4 best indicators • Number of cases of refusal or resistance solved or number of parents who accepted to immunize their children after meeting with the mobilization team • Number of meetings held with decisions makers • Number of broadcast of the sensitization messages in the media Présentation du Tchad , Reunion TFI, Dakar: 5-7 avril 2008
Monitoring and supervision mechanisms • Meeting to debrief on supervision and monitoring • Activity reports of the mobilization teams • Supervision at all levels during NIDs Présentation du Tchad , Reunion TFI, Dakar: 5-7 avril 2008
Majors Challenges • Develop a micro plan for social mobilization for NIDs and ensure its implementation • Reinforce of the door to door sensitization activities • Conduct a rapid survey to identify the reasons why parents are tired with polio campaign Présentation du Tchad , Reunion TFI, Dakar: 5-7 avril 2008
Major Lessons learnt • The lack of involvement of some partners (civil society, NGOs, developmental associations) weakens the process toward the development of indicators • For the last three years there has not been a stand alone micro plan for social mobilization. Social mobilization was incorporated in the overall NIDs micro plan • Though the social mobilization indicators are relevant for a better monitoring and evaluation of the results, they are have not been systematically used. • The involvement of leaders in the resolution of refusal cases is an important success factors Présentation du Tchad , Reunion TFI, Dakar: 5-7 avril 2008
Suggestions for improvement • Update or develop a micro plan for communication and social mobilization for the AVS • Develop a system for reporting on social mobilization activities • Develop a system for monitoring social mobilization activities • Systematic monitoring of the implementation of the indicators at national and regional levels • Involvement of all partners and communities in the development and utilization of indicators Présentation du Tchad , Reunion TFI, Dakar: 5-7 avril 2008
II. Communication for Routine EPI Présentation du Tchad , Reunion TFI, Dakar: 5-7 avril 2008
The issue of development and use of communication indicators • Process: Development of indicators in the action Plan for the reinforcement of communication and social mobilization for routine EPI • EPI: two categories of indicators • Process indicators • Number of training session held • Number of sensitization activities conducted • Etc. • Result related indicators • Immunization coverage • Number of parents who know diseases against which a child should be immunized • Number of community immobilizers trained and involved in the activities Présentation du Tchad , Reunion TFI, Dakar: 5-7 avril 2008
Actors involved in the development of communication indicators • At the central level: The responsible of the EPI, BIEC, Responsible of communication for EPI, UNICEF, WHO. • At the peripheral level (health delegation or health center) : Regional health delegate, district level management team, EPI focal point and IEC focal point Présentation du Tchad , Reunion TFI, Dakar: 5-7 avril 2008
Carte du Tchad • Zones RED • Zones non couvertes par le RED Présentation du Tchad , Reunion TFI, Dakar: 5-7 avril 2008
The best 3-4 indicators • Parents’ knowledge of diseases that can be prevented by immunization • The number of times a child should be vaccinated before he can be considered t be fully immunized • Information channel (Radio, public announcers, families, others ) Présentation du Tchad , Reunion TFI, Dakar: 5-7 avril 2008
Majors challenges • Government to adopt and implement the routine EPI communication strategy • Development of communication micro plan for routine EPI at both central and peripheral levels • Revitalization of the social mobilization committee at central and peripheral levels Présentation du Tchad , Reunion TFI, Dakar: 5-7 avril 2008
Monitoring and supervision mechanism • Meetings to debrief on supervision and monitoring • Activity reports of the mobilization teams • Field mission to monitor/ supervise the activities and to collect data Présentation du Tchad , Reunion TFI, Dakar: 5-7 avril 2008
Major Lessons learnt • The lack of involvement of some partners (civil society, NGOs, developmental associations) weakens the process toward the development of indicators and in communication activities to support routine EPI • There is no stand alone social mobilization micro plan for routine EPI. Social mobilization is incorporated in the overall EPI action plan • Indicators are not systematically monitored . Présentation du Tchad , Reunion TFI, Dakar: 5-7 avril 2008
Suggestions for improvement • Development of a social mobilization plan for routine EPI specially in areas with low coverage • Develop a communication plan to support field team the priority areas • Advocate to the government and other partners for more funding to support the national communication plan • Involve al partners including communities in the use and monitoring of the EPI indicators Présentation du Tchad , Reunion TFI, Dakar: 5-7 avril 2008
Thank you for your attention Présentation du Tchad , Reunion TFI, Dakar: 5-7 avril 2008