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Prachar Project Dissemination, 19th Sept’ 05
Pathfinder International
India Country Program
Funded by: Bill & Melinda Gates FoundationDavid & Lucile Packard Foundation The Flora Foundation & an anonymous donor
Urban Rural Community Based School Based
•Prachar Project•Tigris Project•Safe Abortion and
post abortion care program
Pathfinder International, Prachar Project, BiharPathfinder International, Prachar Project, BiharPathfinder International, Prachar Project, Bihar
Promoting Change in Reproductive Behavior Promoting Change in Reproductive Behavior Bihar, IndiaBihar, India
The Prachar The Prachar
ProjectProjectSupported by the David and Lucile Packard Foundation
Prachar Project
189, Ground Floor,
Patliputra Colony, Patna- 800 013
Tel. 0612-2275290/1, 2276870/1
e-mail: pracharproject@sify.com, sam_pathfinder@yahoo.com
Prachar Project Dissemination, 19th Sept’ 05
Prachar Project ObjectivesPrachar Project Objectives• Change social attitudes and norms that
hinder change in reproductive behavior
• Change reproductive behavior of adolescents and young couples
• Build capacity of partner NGOs in adolescent and youth focused RH/FP programming
Pathfinder International, Prachar Project, Bihar
Prachar Project Dissemination, 19th Sept’ 05
Project Area Project Area
NGO Partners:NGO Partners: 3030
Districts:Districts: 3 3
Blocks:Blocks: 1717
Villages:Villages: 552 552
Population:Population: 636,803 (22%)636,803 (22%)
Adolescents &Adolescents &
Young couplesYoung couples: : 96,241 (15.1%)96,241 (15.1%)
Timeframe (Phased Implementation)
Nalanda June 02- June 05 36 monthsNawada Sept. 02- June 05 33 months Patna Mar. 03- June 05 27 months
Pathfinder International, Prachar Project, Bihar
Prachar Project Dissemination, 19th Sept’ 05
Project GeographyProject Geography
Operations in 5 districts in Phase-II
Welcome to Prachar Project, Pathfinder InternationalPathfinder International, Prachar Project, Bihar
Prachar Project Dissemination, 19th Sept’ 05
ProjectProject PartnersPartners
• 19 Partners involved in implementing community based interventions:
Build rapport with community; reach subgroups with behavior change communication using group meetings, home visits, and street theatre; mobilize adolescents and newly weds to attend specialized training sessions
• 10 Partners providing specialized training to specific sub-groups at the community level in these intervention areas:
12 to 14 year old girls; 15 to 19 year old boys and girls; newly wed couples; cultural teams; and traditional birth attendants
• 1 Partner providing technical training and assistance to staff of NGO Intervention and Training Partners
Pathfinder International, Prachar Project, Bihar
Prachar Project Dissemination, 19th Sept’ 05
Patna
Nalanda
Nawada
Prachar Project Dissemination, 19th Sept’ 05
Project Project GeographyGeography
6,36,803 people
Phase-I
552 villages
Welcome to Prachar Project, Pathfinder International
Phase-II additional 4 NGO intervention Partners & 12 NGO Training Partners (NTPs)
Pathfinder International, Prachar Project, Bihar
Prachar Project Dissemination, 19th Sept’ 05
Intervention ApproachesIntervention Approaches
1.1. Change behavior through communicationChange behavior through communication
2.2. Achieve Impact and effect sustainable changeAchieve Impact and effect sustainable change
3.3. Implement in phasesImplement in phases
4.4. Structure the Implementation processStructure the Implementation process
5.5. Build capacity to implementBuild capacity to implement
6.6. Improve access to RH servicesImprove access to RH services
7.7. Monitor vigorouslyMonitor vigorously
8.8. Provide technical supportProvide technical support
Welcome to Prachar Project, Pathfinder InternationalPathfinder International, Prachar Project, Bihar
Prachar Project Dissemination, 19th Sept’ 05
LIFE STAGE SPECIFIC
COMMUNICATION
Audience SegmentationAudience SegmentationCommunication for Behavior ChangeCommunication for Behavior Change
Pathfinder International, Prachar Project, Bihar
Prachar Project Dissemination, 19th Sept’ 05
Address men and women concurrently, though separately
Provide each segment with life stage specific information, skills, messages Using multiple media to reinforce messages
Emphasize informed and conscious decision making on child bearing
Segment Specific CommunicationSegment Specific Communication
Communication for Behavior ChangeCommunication for Behavior Change
Welcome to Prachar Project, Pathfinder InternationalPathfinder International, Prachar Project, Bihar
Prachar Project Dissemination, 19th Sept’ 05
CommunicatorsCommunicators
Change Agents and members of cultural teams:
members of the community
believe in program messages
seen as credible communicators
communicate with comfort and confidence on RH & sexual issues
knowledgeable about contraception, RTI/STI
Trainers
travel in to the village from outside
high levels of education & thoroughly trained
specialized communicators on technical issues
Welcome to Prachar Project, Pathfinder InternationalPathfinder International, Prachar Project, Bihar
Prachar Project Dissemination, 19th Sept’ 05
30 Villages
3-5 km radius
30,000 population
Structured ImplementationStructured ImplementationA Typical Intervention AreaA Typical Intervention Area
Welcome to Prachar Project, Pathfinder InternationalPathfinder International, Prachar Project, Bihar
Prachar Project Dissemination, 19th Sept’ 05
Cluster 1 Cluster 2 Cluster 3
10 villages
10K pop
AccountabilityEffective planning and implementationEffective supervision and monitoringSystematic and extensive coverage
One Cluster level team for
Structured ImplementationStructured ImplementationOrganization of fieldOrganization of field
Welcome to Prachar Project, Pathfinder InternationalPathfinder International, Prachar Project, Bihar
Prachar Project Dissemination, 19th Sept’ 05
Project Manager
Cluster Supervisor 1
Cluster Supervisor 1
Cluster Supervisor 3
4 Female Change Agents
2 Male Change Agents
A team of 23 per intervention area
Structured ImplementationStructured ImplementationOrganization of teamOrganization of team
ProjectAccountant
Welcome to Prachar Project, Pathfinder InternationalPathfinder International, Prachar Project, Bihar
Prachar Project Dissemination, 19th Sept’ 05
Capacity Building of Partner NGOsCapacity Building of Partner NGOs
Multi stage training to ensure progressively greater competence
The ApproachThe Approach
Clarify values and beliefs and build conviction in program messages
Emphasize development of technical skills and competence
Develop comfort in communicating on sexual heath issues
Facilitate transfer of learning from classroom to field through technical
support visits in field
Welcome to Prachar Project, Pathfinder InternationalPathfinder International, Prachar Project, Bihar
Prachar Project Dissemination, 19th Sept’ 05
Capacity Building of Partner NGOsCapacity Building of Partner NGOs
Reproductive and Sexual Heath – technical knowledge
Key AreasKey Areas
Effective communication on contraception, reproductive and sexual
heath matters
Management Information Systems – record keeping and reporting
Conducting effective group meetings and home visits
Work planning, monitoring & supervision
Accounting & Administrative systems
Welcome to Prachar Project, Pathfinder InternationalPathfinder International, Prachar Project, Bihar
Prachar Project Dissemination, 19th Sept’ 05
Improving Access to ServicesImproving Access to Services
Village Retail Outlets
Depot holders
HLL/Janani
MCH clinic
PHC /Sub-Center
Civil Surgeon
Outside Providers
Dais
RMPs
Infertility Clinics
Training Institutions NGO partner
Welcome to Prachar Project, Pathfinder InternationalPathfinder International, Prachar Project, Bihar
Prachar Project Dissemination, 19th Sept’ 05
ConclusionsConclusions
1. Performance, Coverage as planned and as per the norm
2. Enabling & Supportive environment established
3. Strengthened the capacity & skills
4. Improved Knowledge & Attitude which has resulted in behavior change
5. Community based resources developed for sustainability
Welcome to Prachar-Ethiopia Team (5th - 9th December 2005)Welcome to Prachar Project, Pathfinder InternationalPathfinder International, Prachar Project, Bihar
Prachar Project Dissemination, 19th Sept’ 05
ConclusionsConclusions
1. Performance, Coverage as planned and as per the norm
2. Enabling & Supportive environment established
3. Strengthened the capacity & skills
4. Improved Knowledge & Attitude which has resulted in behavior change
5. Community based resources developed for sustainability
Welcome to Prachar-Ethiopia Team (5th - 9th December 2005)Welcome to Prachar Project, Pathfinder InternationalPathfinder International, Prachar Project, Bihar
Prachar Project Dissemination, 19th Sept’ 05
• Training NGOs In project Intervention processProgrammatic, Management & financial and Technical
• Training to service providersformal (e.g. Doctors, Nurses etc) Informal (e.g. Dais, RMPs etc.)
• Areas of SpecializationContraception Safe abortion Post Abortion CareSTI & Syndromic Management
Capacity Building on RH/FP/HIV
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