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UPHOLD Project. USAID-funded 5-year project in 34 districts Goal Improved health, longer & more productive lives Approach Integrates primary education, HIV/AIDS & health Partners Government, district governments, CSOs & private sector partners, communities. SUDAN. Yumbe. Moyo. Kitgum.
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UPHOLD Project • USAID-funded 5-year project in 34 districts • Goal • Improved health, longer & more productive lives • Approach • Integrates primary education, HIV/AIDS & health • Partners • Government, district governments, CSOs & private sector partners, communities
SUDAN Yumbe Moyo Kitgum Adjumani Arua Kotido Pader DEMOCRATIC REPUBLIC CONGO Gulu Moroto Lira Nebbi Apac Katakwi Nakapiripirit Masindi Kaberamaido Soroti Kumi Hoima Kapchorwa Nakasongola Sironko Pallisa Kamuli Kiboga Mbale Bundibugyo Kibaale Kayunga Luwero Tororo Iganga Fort Portal Bugiri Jinja Mubende Kabarole Kyenjojo Busia KAMPALA Mayuge Mukono Wakiso KENYA Kamwenge Kasese Mpigi Sembabule Masaka Bushenyi Mbarara Kalangala Rukungiri Rakai Kanungu Ntungamo Kabale Kisoro TANZANIA RWANDA Project Districts
Illustrative Sector-specific BCC Activities EDUCATION HIV/AIDS HEALTH • Teacher Talk • Radio programs • to support training • Reminder materials on ethics • Couple counseling • Abstinence • commitment cards • Yellow Star branding • Health worker • newsletter • Radio talk shows on FP Creating Advocates & Securing Resources • Improved Use • of Services & • Other Key Practices • Family dialogue • Gender-based violence • Ownership of services • Improved • Service • Delivery • Manager and provider attitudes & • relations with consumers • LC Advocacy packages • Radio journalist • workshops • Innovations newsletter • Incentives and awards • Consumer advocacy tools • Radio listening clubs • MDD • Parent Talk radio • Couple and family • dialogue tools Illustrative Integrated BCC Activities
Coordination with other Activities • BCC supports other behavior change activities: • Training • Community mobilization • Service delivery improvement • Policy / advocacy
Social Transformation Themes at the Community Level • Dialogue and decision-making within couples, households and communities • Sexual and gender-based violence (SGBV) • Client-provider relationships • Community-based access to services
Community BCC Activities • Mass media • Radio Listening Clubs • Traditional media • Music, Dance and Drama • IPC • Local Council Advocacy Orientations • Counseling for child feeding; Support groups, etc.
Radio Listening Clubs • Bi-monthly radio programs, supported by print materials for local leaders to learn, discuss and plan community actions • 2,000+ clubs active • Variety of topics, such as: • Family planning • HIV Counseling & Testing • Supporting community-based health workers And more!
Radio Listening Clubs • Content: • Information & strategies for leaders / communities to support improved practices in community members • Based on action research(where possible) • Delivery: • *Hosted by popular presenters (DJs) • English and local languages • 15 min of letters and call in time • Some entertainment The Teeth which bite together are the ones that chew meat!
Music, Dance & Drama • National troupe trained and supported 200 local drama troupes (as seen in Last King of Scotland!) • 14 “scripts” on health, HIV/AIDS & primary education topics : Local troupes adapt names, places, some content • Local troupes perform for NGO activities & on request for events
Music, Dance & Drama • Content: • Information on the topic & dilemmas to provoke discussions about solutions to support improved practices in community members • Based on action research (where possible) • Delivery: • Local languages • Edutainment • *Performances followed by facilitated community dialogue to reflect & plan actions
800 Local Council Leaders oriented to advocate for health, HIV/AIDS & primary education Local Council Leaders Advocacy
Local Council Leaders Advocacy • Content: • Information & strategies for leaders / communities to support improved practices in community members • Life-cycle packaging: child, adolescent, adult • Positioned as supporting voters • Delivery: • Simple facts with cartoons • Local languages
Counseling • Child health in community: feeding, treatment of illnesses, preventive behaviors (ie, immunisation, hygiene, FP) • 500 communities and counting • Volunteers with tools including ‘negotiation counseling’ cards, community monitoring sheets
Counseling • Content: • Individual tailored counseling & follow up • Counseling cards have: • Assessment of current practices and context • Discussion of recommended behaviors • Agreement on 1-2 small steps to try in next month • Delivery: • Simple facts with cartoons • Pictorial recommendations on 1 side