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ACQUIRE’s Supply-Demand-Advocacy Model in Action: Kenya Case Example End of Project Plenary Session September 17, 2008

ACQUIRE’s Supply-Demand-Advocacy Model in Action: Kenya Case Example End of Project Plenary Session September 17, 2008. Outline of Presentation. Kisii IUCD Project Nakuru Community Postabortion Care Project (COMMPAC) Lessons Q&A and Discussion .

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ACQUIRE’s Supply-Demand-Advocacy Model in Action: Kenya Case Example End of Project Plenary Session September 17, 2008

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  1. ACQUIRE’s Supply-Demand-Advocacy Model in Action:Kenya Case ExampleEnd of Project Plenary SessionSeptember 17, 2008

  2. Outline of Presentation • Kisii IUCD Project • Nakuru Community Postabortion Care Project (COMMPAC) • Lessons • Q&A and Discussion

  3. The Context:Trends in FP Modern Method Use 1984-2003

  4. The SDA Model in Action:Kisii IUCD Revitalization Kisii

  5. Kisii IUCD Project Inputs • Supply • Sites readied: training, equipment and quality improvement • Counseling training and clinical updates provided • Providers trained in key campaign messages • Demand • Myths countered with correct IUCD information in mass media • Local community groupsengaged • Male and female peer educators trained/mobilized • Advocacy • Male and female champions mobilized • Engaged stakeholders in PNA • National IBP agreement reached on IUCD Increased Access, Quality and Use • Demand • Myths countered with correct IUCD information in mass media • Local community groupsengaged • Male and female peer educators trained/mobilized • Supply • Sites readied: training, equipment and quality improvement • Counseling training and clinical updates provided • Providers trained in key campaign messages Quality client-provider interaction Supply Demand Advocacy • Advocacy • Male and female champions mobilized • Engaged stakeholders in PNA • National IBP agreement reached on IUCD

  6. Results of synergy of SDA: Number of IUCDs inserted January 2005-2008 FP Counseling Training & TOT for CBD Supervisors 2nd IUCD Skills Training IUCD Campaign Launch IUCD Clinical Skills Training Stakeholder Meeting CBD Agent and Peer Ed. Training CTU Trainings PNA Inputs Ended Supply Demand Advocacy

  7. Outline of Presentation • Kisii IUCD Project • Nakuru Community Postabortion Care Project (COMMPAC) • Lessons • Q&A and Discussion

  8. The SDA Model in Action: Nakuru/COMMPAC Nakuru

  9. Community Action Cycle Behavior and Social Change for PAC Identify priority Issues together Organize community for action Evaluate Together Plan Together Act Together Nakuru, Kenya

  10. Nakuru COMMPAC Project Input • Supply • Private midwives trained in PAC • 22 government providers trained in PAC, reinforcing FP messages • Demand • 26 community groups use CAC process • Messages on PAC issues disseminated by groups • Advocacy • Community development funds used to improve access to services • Stakeholder meetings held • Health advisory groups developed scheme for PAC supplies Increased Access, Quality and Use • Supply • Private midwives trained in PAC • 22 government providers trained in PAC, reinforcing FP messages • Demand • 26 community groups use CAC process • Messages on PAC issues disseminated by groups Quality client-provider interaction Supply Demand Advocacy • Advocacy • Community development funds used to improve access to services • Stakeholder meetings held • Health advisory groups developed scheme for PAC supplies

  11. Mapping for Results CAC Evaluation Activity 26 Community groups

  12. Social/Environmental • Changes • Involvement of local leaders • Resources targeted for PAC related structures • Involvement and support of FBOs and other organizations • More dialogue at meetings about FP and PAC • MOH institutionalizes mechanism for purchasing MVA kits • Behavior Change • People using services • Communities developing funds • Early disclosure of bleeding

  13. Achievements: Njoro Division Poor road network: 25KM to a facility Piave community Njoro Health Centre Provincial Hospital No Services Poor Provider attitude Long waiting hours No PAC Kits Poor provider attitude 1 PAC trained provider BEFORE Road repaired: 7KM to a facility Piave community Njoro Health Centre Provincial Hospital 1PAC trained provider PAC services Less congested24hr service Good provider attitude Improved referralsEmergency drugs Community referral system1 Pac kit Community health talks FP services Youth clinic AFTER

  14. Outline of Presentation • Kisii IUCD Project • Nakuru Community Postabortion Care Project (COMMPAC) • Lessons • Q&A and Discussion

  15. Lessons Supply Basics Matter – FP programs will only succeed if there are trained/skilled providers, commodities, equipment and supplies, and supervision Demand Message consistency across multiple channels enhances impact (media, health providers, community, peers)

  16. Lessons Advocacy Engaging stakeholders and nurturing champions for FP creates an enabling environment for behavior/social change Key Underlying Principles Partnerships, gender, fundamentals of care, and data for decision-making must be woven into implementation from beginning

  17. “More More More Services People Places” to in Increased Access, Quality and Use Quality client-provider interaction Supply Demand Advocacy

  18. Questions and Discussion

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