1. INDICATORS MADE EASY!!! Measuring the Success of social and behaviour change (SBCC) progarms

2. Nicol Cave nicolc@spc.int What are INDICATORS? THINGS or CHANGES you measure petrol gauge = INDICATOR of how much gas you have used/have left # STI tests done = INDICATOR of how much your audience has responded to your messages things you measure = outputs changes you measure = outcomes 3. Nicol Cave nicolc@spc.int indicators Who has seen the wind? Neither you nor I. But where the trees bow down their heads, The wind is passing by (The Wind, Chiristina Rosetti, 1830-1894) 4. Nicol Cave nicolc@spc.int INDICATORS already exist. cut & paste!!!! 5. Nicol Cave nicolc@spc.int GLOBAL INDICATORS (for HIV projects) INDICATOR SHORT VERSION % men & women 15 24 years received HIV (STI) test in last 12 months and who know their results Testing % men & women 15 24 years who have had sexual intercourse before the age of 15 years Sexual debut % men & women 15 24 years who have had sexual intercourse with more than one sexual partner in the last 12 months Multiple partners % men & women 15 24 years who have had sexual intercourse with more than one sexual partner in the last 12 months reporting the use of condoms during their last sexual intercourse Consistent condom use 6. Nicol Cave nicolc@spc.int LAYERS OF INDICATORS 1. By 2016, 5% increase in consistent condom use by sexually active young people 15 19 years in Suva-Nausori corridor. % youth reporting condom use at last sex. # of condoms distributed # IEC materials distributed # peer educators trained 2. By 2016, 20% increase in sexually active young people 15 19 years in Suva-Nausori corridor who have ever tested for STIs. % young people in S-N corridor tested for STIs and received results. # STI testing kits ordered & delivered to health centres # health centres reporting no stock-outs # young people visiting Hub Clinics 7. Nicol Cave nicolc@spc.int Indicators: COMMON SHC OUTPUTS # pamphlets produced & # distributed (by location) # outreach events & # people attended (age/gender/location) # of visits to FP service delivery point(s) # STI tests performed (age/gender/location) & received results # peer motivators (newly) trained & active # youth reached through group-based peer education talks (age/gender/geographic area) # condoms distributed & where, by whom These come from your ACTIVITIES These are insufficient what happened as a result of outputs? 8. Nicol Cave nicolc@spc.int Indicators: OUTCOMES (results) % new acceptors to modern contraception continuing with FP products = continuation rates of FP service acceptors % young people used condom at last sex % youth reporting intention to test for STIs as a result of seeing/hearing/reading campaign messages % of young people that can recall key campaign messages (message recall indicator) % youth reporting seeing/hearing campaign messages (reach/coverage indicator) These come from your OBJECTIVES 9. Nicol Cave nicolc@spc.int Indicators: IMPACT Impact Indicators measure the change in the problem, generally at population level, e.g.: YOUP PROJECT ONLY CONTRIBUTES TO IMPACT! Reduction in STI prevalence among youth Reduction in teenage pregnancy Increase in contraceptive prevalence rate (CPR) 10. Nicol Cave nicolc@spc.int MOST IMPORTANT SHC INDICATORS % audience who have adopted the behaviour promoted. % target audience (TA) recognize personal risk of behaviour (risk perception) % TA recall hearing or seeing campaign messages % TA with a specific attitude toward behaviour % TA feel confident could adopt promoted behaviour (skills) % TA who know of a product or service. % TA who intend to adopt the behaviour in the future. % TA who encouraged friends to adopt behaviour (advocacy) 11. Nicol Cave nicolc@spc.int Problem . What problem? PRE- KNOWLEDGE Mmmm, maybe I should do something. RISK PERCEPTION OK, let me try .PREPARATION That wasnt too bad, Ill try it again.ACTION This is part of my life nowMAINTENANCE I will help persuade others will be a champion for new behaviourADVOCACY STAGES OF CHANGE 12. Nicol Cave nicolc@spc.int STAGES OF CHANGE I dont know about STIs and how to protect myselfNOT AWARE Now I know about STI transmission & preventionAWARE Now I believe I can get an STI BELIEVE AT RISK I need to protect myself let me get some condomsPREPARE TO ACT Using a condom wasnt too bad, Ill try it again.ACT Using a condom is part of my life nowKEEP ACTING 13. Nicol Cave nicolc@spc.int PRIORITISE!!! many things can be measured, but not all measures are useful !! select indicators !! 2 most important outcome indicators 3 most important output indicators 14. Nicol Cave nicolc@spc.int CONTACT Nicol Cave Team Leader: Strategic Health Communication Public Health Division Secretariate of the Pacific Community (SPC) nicolc@spc.int 15. Nicol Cave nicolc@spc.int