Food Security & Nutrition Network Social & Behavioral Change Task Force Meeting #9

1. Food Security & Nutrition NetworkSocial & Behavioral Change Task Force Meeting #9 February 3, 2012

2. Agenda • Report on TOPS Training / FSN Network Meeting (Jennifer Peterson, 10 mins) • The FSN Network Website and You (Natalie Neumann, 30 mins) • Review of Underweight Reduction Projects (Sarah Bauler, 20 mins) • Status Reports (15 mins): • Introductory documents on 5 SBC Tools • Draft SBC Guidance document (for FFP) • DBC manual review (and ms-DBC trainings) • SBCTF Work Plan Creation (15 mins)

3. Report on TOPS Training / FSN Network Meeting • Maputo, September 2011 • Jen Peterson’s report • June 2011 TOPS Training / FSN Network Meeting Heads-up

4. TOPSTechnical and OperationalPerformance SupportProgram for FFP Grantees Promoting excellence in food security programming Food Security and Nutrition Network Training Workshop Maputo, Mozambique 19 – 23 Septembre 2011 Strengthening the capacity of Title II Implementing Partners

5. Agenda Day 1 & 2 – Technical Discussions: Nutrition, Agriculture, M&E Day 3 – Working in consortia, conservation agriculture, food quality issues, agriculture and nutrition integration, WFP household surveys, CARE groups, trigger indicators, Behavior change communications, and PM2A (MCH rations) Day 4 – Discussion between donors and NGOs, the influence of grandparents and fathers on the nutrition of young children, value chains and the vulnerable, beneficiary monitoring, Ag/NRM and Nutrition Behavior Change Communication, food security and gender, CMAM, local purchases for food distribution, Village Savings and Loans (VSL), monitoring the quality of behavior change methods. Day 5 – Partner Capacity building, networking and closing.

6. Working in Consortia Respect Learning Info exchange Integration Transparency Flexibility Team Work Efficiency Cooperation Standards Communication Vision

7. Working in Consortia Recommendations Best Practices Budgeting resources for technical workshops, field visits and subsequent monitoring, meetings, After Action Review, tool development, and learning Be accountable for information sharing Make sure field staff are participating in the « buy-in » Establish common principals Use FFP/USAID regulations as a foundation for best practices Develop conflict solving mechanisms Decentralize with clear and common standards Communication protocol and mechanisms A good MOU

8. How to create a Network Establish the rules of the game Define the identity, goal and name for the group Identify leaders for each role and responsibility Identify sources of technical interest and champions Create an action plan Program the next steps and a communication plan.

9. TOPS Regional Networks • Local network (regional) created during this workshop: • Conservation Agriculture • Trigger Indicators • Agriculture – Nutrition/ Health (AGNUTH) • Capacity building of local partners • Help us keep them alive!

10. Dialogue between NGOs and Donors What NGOs appreciate about FFP: “Collaboration between donors and NGOs is essential to achieve our objectives” (Rina, LOL participant). Site visits, support Flexibility Resources and tools, even in the context of financial constraints Long term financing (5 years) Norms and standards Networking opportunities Focus on results, accountability and data quality Financial standards The focus on food security

11. Dialogue between NGOs and Donors What donors appreciate about NGOs: We work in the most difficult areas, with the most vulnerable people Expertise, creativity and innovation Multidisciplinary Advocacy for what counts Flexible, responsive to changes Involvement of state structures to ensure sustainability Local capacity building Efficient/cost-effective Accountable Community mobilization for action

12. Dialogue between NGOs and Donors Donor Expectations NGO Expectations Quality data Sharing best practices and Success Stories Participation in Working Groups Consultative, participatory processes Coordination between donors Participation in developing national policies Sectoral approaches « basket funding » Respecting Monterey Principals Transparency, communication

13. Designing for Behavior Change Using the QIV checklist Be positive! Provide feedback Start with improvements made Ask staff to start with an auto-evaluation (how do you think you did?) Be specific and objective Non-verbal Communication Opportunity to ask questions at the end Links to the training required/the future

14. Design for Behavior Change « The Behavior Change sessions were particularly interesting! » (Faly, LOL) • How to monitor the effectiveness of our communications? • Mini KPC (knowledge, practices coverage survey) • QIV checklist (to encourager staff, monitoring, improve the quality!) • Comparison to norms, standards • Exit polls • Spot checks • Pre and post test • Quality Assurance (Partnership defined quality)

15. Testimonials “Exchanges between the participants from different countries helped me to self-evaluate what I was doing back at home, so I can make improvements if necessary.” (Rina, LOL) “The TOPS workshop allowed me to improve my M&E skills, acquire Community Workers Evaluation Tools and a better vision of the monitoring process, and a better understanding how to read results and identify factors that influence behavior in a person or group.” (Faly, ADRA) “I appreciated the way that the training was undertaken, with more than 100 people, with maximum participation, and a rich discussion” (Aime, CARE)

16. Why should your staff attend TOPS workshops? They are fun! Well organized, interactive, and participatory. You learn a lot! The sessions on DBC and M&E were particularly appreciated. You are exposed to new ideas and state of the art practices, and have an opportunity to discuss practical implementation issues with other MYAP actors. They are integrated! Gender and communication were treated in each technical session, and links between agriculture and nutrition were constantly identified and reinforced. You meet new people and develop important contacts to continue technical discussions and seek advice after the workshop (formal and informal networks). It really helped Madagascar staff to think outside the box, get off the island, and innovate. They are more open to new ideas now that they see how other programs are passing them by! Your MYAP will be a better MYAP as a result of your participation in TOPS.

17. Thank you Maputo!

18. The FSN Network Website and You Natalie Neumann, CORE Group

19. Review of Underweight Reduction Projects Sarah Bauler, Samaritan’s Purse

20. Review of High Performing Underweight Reduction Projects: • Determine common SBC strategies and other elements used in high performing CSHGPs • Were there common tools, activities and strategies used in the high performing projects that resulted in these particular projects having more success in lowering underweight than other CSHGP projects?

21. On behalf of the SBC Task force, thank you to the following SBCTF members who participated in writing up the reviews of the final evaluations of the high performing CSHGPs. They are as follows: • IRC/Rwanda: Adugna Kebede • IEF/Malawi: Diane DeBernardo • CARE/Ethiopia: Tom Davis • WRC/Cambodia: Terry Laura • HAI/East Timor: Paul Freeman • MCDI/Benin: Alison Prather • SAWSO/SA: Phil Moses

22. Selection criteria used to determine high performing CSHGPs in underweight is as follows: • Cut-off for selection was all projects with both baseline and final underweight data that showed a reduction of underweight of 12 points or more.   • Average reduction in stunting in food security projects is about 2 points per year.  For this data, the average reduction in underweight was 5.5 points, and the third quartile was 11.4 points.   • Projects were selected that were in the top quartile in terms of underweight reduction, 12 points or greater. 

23. Common themes in the reviewers’ overall impression of high performing CSHGPs: Establishment of volunteer networks and support groups to improve health behaviors • Utilized the Care Group Model to mobilize communities and achieve remarkable behavior change (WR/Cambodia) • Utilized Mother to Mother Support Groups (MTMSG) to target mothers, especially pregnant and lactating mothers, to adopt new behaviors (CARE/Ethiopia) • Utilized an impressive array of volunteer networks (i.e. community members, local leaders, committee members, government officials) to expand coverage and improve health-related behaviors. Also used breastfeeding support groups. (IEF/Malawi) • Health education by community volunteers (IRC/Rwanda) • Volunteer CHWs, also called “front-line health agents”, were trained in adult education and BCC techniques (MCDI/Benin) • Supported/strengthened East Timor’s newly developed community health volunteer program (HAI/East Timor)

24. Common themes in the reviewers’ overall impression of high performing CSHGPs-cont.Focused on Key Influencers to promote behavior change • Utilized Ethiopian Church leaders and confessors that transmitted health messages after each church services and performed routine home visits targeted P/L women (CARE/Ethiopia) • Utilized Church Leaders to participate in community assessments, drama performances, developing of the FP film (HAI/East Timor) • MBCC (Male Behavior Change Communication Specialists) were used to reinforce health messages promoted by the WHEs. Also used Health Center staff and Village Leaders to also strengthen the role, respect and value of the WHEs (WR/Cambodia) • Traditional Leaders and DEC Leaders trained on HIV/AIDS were utilized to educate community members (IEF/Malawi)

25. Side note: Review of BA studies that identified Key Influencers of selected behaviors • Key influencers were organized into following groups: husbands, grandmothers/grandfathers, cousins, mother-in-laws, family members, most people, medical staff, and neighbors/friends • Overall, husbands were more likely to be an important influencer of a maternal behavior (as compared with other groups like grandmothers).

26. Approval / Disapproval by Different Groups on Selected Behaviors: Barrier Analysis Studies, Various Organizations (and Degree of Association)

27. Common themes in the reviewers’ overall impression of high performing CSHGPsStrong linkages between project activities and the MOH to improve health service delivery • Strengthened and supported the health system linkages between the MOH and the community (WR/Cambodia) • Increased available health services by strengthening the links between community and health facilities (IRC/Rwanda) • Strengthened the health system through capacity building, management and logistical support (CARE/Ethiopia) • Partnered with the MOH to build the capacity of their newly developed community mobilization program called SISCa (HAI/East Timor) • Utilized Health Zone Directors to train Regional Health Center staff to improve quality of care at health facilities (MCDI/Benin)

28. Common themes in the reviewers’ overall impression of high performing CSHGPsUtilized Positive Deviants to Promote Behavior change • Use of Model Mothers by the “identification and publicizing” of mothers who exemplified desired CS behaviors (CARE/Ethiopia) • Used the VISA (Visit Identify Sensitize Accompany) Mother Approach which utilized mothers currently practicing desired behaviors as peer educators for other mothers (MCDI/Benin)

29. Common themes in the reviewers’ overall impression of high performing CSHGPsUse of Health Committees/Health Councils • Feedback Committees composed of the CG Leaders and Village Leaders met with MOH staff to provide health updates (WR/Cambodia) • Health Associations consisting of volunteer CHWs and MOH health center staff met monthly (IRC/Rwanda)

30. Common SBC Products and tools used in high performing CSHGPs—not much consensus. • Doer/non-doer analysis (barrier analysis) (MCDI/Benin) • BEHAVE Model (MCDI/Benin, IEF/Malawi) • Positive Deviant studies/PD/Hearth (IEF/Malawi, CARE/Ethiopia) • Child health cassette recorded messages/radio messages/films (CARE/Ethiopia, IRC/Rawanda, HAI/East Timor) • Leaflets/posters/counseling cards (CARE/Ethiopia, IEF/Malawi, HAI/East Timor, WR/Cambodia) • Street drama/puppetry/stories/games (HAI/East Timor, WR/Cambodia, IEF/Malawi)

31. Status Reports • Introductory documents on five key methods • PDQ: Done … comments? • Barrier Analysis: Done … comments? • Care Groups: Done … comments? • QIVC (pending) • To put to a vote soon. • Draft SBC Guidance document (for FFP): Comments? Additional review? • DBC manual review (and Ms-DBC trainings) -- ongoing •  Jose Thekkiniath • Sarah Bauler • Elizabeth Arlotti-Parish • - Lauren Erickson (partial) • - Nancy Keith (pending) • - Mary DeCoster (pending, traveling) • * Ms-DBC Training: Niger, Burundi, Eth, DC (3/12-17), Uganda

32. SBC TF Workplan Creation Time permitting, go through format. Finish filling out in next meeting.

33. Thanks for your participation!!