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Mekong Infectious Disease Behavior Change and Communication (MID-BCC). Implemented by AED Funded by USAID Regional Development Mission Asia September 21, 2010. Achievements Oct 2009 – Sep 2010. MID-BCC Objective and Approaches.
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Mekong Infectious DiseaseBehavior Change and Communication(MID-BCC) Implemented by AED Funded by USAID Regional Development Mission Asia September 21, 2010
MID-BCC Objective and Approaches • Develop, refine and consolidate communication strategies that address the prevention and response to API, Malaria, and Dengue by: - Design and implement formative researchthat will probe barriers to infection control - Create targeted communicationsthat support behavior change interventions by partners among key target audiences - Strengthen sharing of epidemiological and programmatic information related to infectious disease prevention and control through partnerships and technology
MID-BCC Goal: Develop, refine and consolidate communication strategies that address the prevention and response to EID’s to target populations most at risk of infection across the GMS Objective 1: Design and implement formative research that will probe barriers to investigation and infection control Objective 2: Create targeted communications that support behavior change interventions by partners among key target audiences Objective 3: Training in the access and use of information sharing and communication materials on EID across the GMS • Participatory Action Research (PAR) • Special Studies in Cross-border sites • KAP (Phuket) • Gap Analysis • Coordinated site visit • Dissemination • Adapt and apply previous AHI materials to new XB sites • Translation of materials • Promote hotline in Laos PDR • Interpersonal communication events at Boat Festival, etc. • Participate in Laos PDR IEC task force • Participate in FAO cross border meetings • Regional USAID Avian influenza partners meeting in Bangkok • Village leader training in XB sites AHI • KAP Phuket – Burmese migrants for treatment and care seeking behaviors on Malaria and other ILI’s • Refine communication model with MOPH • Gap analysis with partners • Pre-testing • Produce key comm. materials for populations in Phuket, Trat, Koh Kong • Distribute to (Thai MOPH VBDB) and private sector such as owners/management of migrant camps at worksites • Conduct research workshop on comm. framework for malaria • Advocacy meetings with provincial health officials, local leaders and private sector gatekeepers at project sites • Develop GIS database Malaria • Use Phuket KAP to learn more about dengue recognition and treatment • Assessment of communication materials review and analysis • Utilizing formative research data from the Phuket KAP produce, develop and adapt dengue communication materials • Develop and review collaboration plans with national authorities (Thai MOPH, NAHICO) • Start discussion on GIS database • Participate in regional Dengue Meetings Dengue
MID-BCC Target Beneficiaries and Geographic focus • “High risk” populations who are particularly vulnerable to being exposed to and infected by API, Malaria, and Dengue along the “cross-border sites” of the Greater Mekong Sub-region.
MID-BCC Geographic Focus Cross-border Sites in GMS Countries • Thailand – Laos • Lao PDR – Vietnam • Lao PDR – China • Thailand – Cambodia Thailand • Phuket * Location of MID-BCC Sites selected in close coordination and collaboration with USAID, GMS-RID and FAO Source: ADB
IR 3 Access Increased to Strategic Information • Conduct research workshop with MOPH Vector Borne Disease Bureau and USAID and GMS-RID on a communication framework for malaria
IR 3 Access Increased to Strategic Information • Community-based Participatory Action Research(PAR) • Mukdahan, Thailand • Chiang Rai, Thailand • Savannakhet, Lao PDR • Rapid Ethnographic Appraisal • Trat, Thailand • Chiang Rai, Thailand • KAP Study among Burmese Migrants and Local Population • Phuket, Thailand (Sep – Nov 2010)
IR 3 Access Increased to Strategic Information • Assessment of communication research conducted on malaria and literature reviews • Development meetings with BIOPHICS on GIS platform
IR 4 Enabling Environment Strengthened • 68 officials from GMS countries were trained by MID-BCC on communication skills that are essential in response to an outbreak. • Reviewed currently existing malaria strategy with MOH in Lao PDR
IR 4 Enabling Environment Strengthened • Conduct research workshop with MOPH Vector Borne Disease Bureau and USAID and GMS-RID on a communication framework for malaria • Advocacy meetings with provincial health officials, local leaders and private sector gatekeepers at project sites.
Challenges • Low literacy and ethnicity of target audiences such as Burmese migrants in Phuket or Theum-speaking Laos in Savannakhet requires careful planning and deployment of communication strategy. • Mobility of traders and migrant populations require interventions that are simple, flexible and easily deployed • The “bleed-over” of radio and television programming across borders can confuse messages unless synchronized, requiring multi-government agreement on behavior goals
Challenges: TMI • TMI = Too much information • Too many messages • Messages not orchestrated • Dilutes the message • Misses opportunities • Creates overlaps and gaps
