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EVALUATION OF SMC SHORT TERM COMMUNICATION STRATEGY - BOTSWANA

EVALUATION OF SMC SHORT TERM COMMUNICATION STRATEGY - BOTSWANA . Presented by: Lesego Busang (ACHAP) Onkemetse C. Ntsuape (MOH). ACHAP Symposium - International AIDS Conference Washington DC, USA 23 rd July 2012. SMC Adopted as HIV prevention add-on strategy 2009

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EVALUATION OF SMC SHORT TERM COMMUNICATION STRATEGY - BOTSWANA

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  1. EVALUATION OF SMC SHORT TERM COMMUNICATION STRATEGY - BOTSWANA Presented by: Lesego Busang (ACHAP) Onkemetse C. Ntsuape (MOH) ACHAP Symposium - International AIDS Conference Washington DC, USA 23rd July 2012

  2. SMC Adopted as HIV prevention add-on strategy 2009 STCS Implemented since 2009 Evaluated in September/October 2011 Inform LTCS development Baseline Collaboration between MOH, ACHAP and PSI Introduction - Overview

  3. Cross-sectional study (September/November 2011) Quantitative 2,973 males and 375 females aged 15-49 years Qualitative approaches Focus group discussions (35 FGD’s) Key Informant Interviews (32 KII) Basis of sampling was 2011 Census Sampling Frame ensuring: Urban/Rural, geographical and circumcision prevalence representation Hence 7 health districts were sampled Methodology

  4. SMC helps reduce the chances of HIV infection (All FGD’s) • * It reduces infection rate but doesn’t mean that you won’t get infected with the virus. (Gaborone females) • SMC promotes hygiene (All FGD’s) • I take it that circumcision helps one be clean; foreskin accumulates dirt and other diseases (Kweneng females)

  5. Strive to achieve high levels of correct knowledge. Develop targeted messaging for identified gaps; ie for concerns on “pain/complications” and “believes” Use circumcised men to respond to perceptions on pain. Educate communities on use of local anesthesia to address pain. Explore use of non-surgical devices; iePrePex. Increase use of interpersonal communications. Promote other SMC benefits such as cleanliness. Develop/customize messages to local context. Strategically assign mobilizers to communities. Empower leaders on SMC facts (buy-in and cultural concerns). Pilot materials extensively before roll out. Recommendations

  6. THANK YOU Credits and Acknowledgements: Health Education Officers Districts Health Management Teams Community leaders Study Participants

  7. Evaluation Objectives • Establish the extent to which the objectives of the STCS were met; ie establish if • the general public is informed about the Government of Botswana/Ministry of Health/ position on SMC as an HIV prevention strategy. • men currently seeking SMC services at health facilities have adequate information on SMC • service providers at health facilities and the media personnel have capacity to disseminate and report correct and accurate messages on SMC and HIV prevention to the general public. • political and social leaders at all levels advocate for SMC. • SMC stakeholders effectively communicate facts on SMC in line with the SMC short term communication strategy. • Provide a baseline levels for the role out of SMC in Botswana • Provide Knowledge, Attitudes and Practice (KAP) levels.

  8. Conclusions Cont. • Generally the higher the knowledge levels the better the results;, regardless of whether the knowledge is on a negative factor or not; ie NO KNOWLEDGE of HCT as a requirement for SMC did not have negative impact on SMC uptake. • It is important to increase knowledge across all SMC facts. • Hence strive to achieve high levels of correct knowledge (deemed positive or negative knowledge), to take advantage of positive outcomes brought about by higher knowledge. • Fear for pain/complications/death is a key challenge that needs to be addressed. • Interpersonal communications are important vehicles for SMC message delivery and motivators to SMC. • However radio provides the best coverage. • Community leaders are willing to mobilize for the program but are not empowered.

  9. SAMPLE SLIDE 2 • Speaking at AIDS 2012 • What to think about? • Keep it simple • Larger text is easier to read • Single words rather than sentences • Bullet points are there to remind you, not to tell the whole story

  10. SAMPLE SLIDE 3

  11. SAMPLE SLIDE 4 • Credits and Acknowledgements • List credits and acknowledgements • Insert organization credits acknowledgements as opposed to individuals • Insert Organization logo’s where required and with the permission of the organizations being acknowledged.

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