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The C-Change Community Conversation Toolkit on HIV Prevention: A Catalyst for Community Dialogue and Action Integrated Approaches, Local Answers
Presenters: Sarah Meyanathan, Maclean SosonoJuly 22, 2012
C-Change is…
• C-Change is a five-year USAID funded initiative,
• with the mission to improve the effectiveness and sustainability of health and development communication for long term change
• by influencing underlying social norms = SBCC
Background and Development
• Response lacks interactive HIV prevention material for adults with lower literacy
• Materials developed through participatory process – using Action Media methodology in South Africa
• Adapted to local contexts in 7 countries in 10 languages
• Complements existing HIV prevention activities through triggering local actions with dialogue
Community Conversation Toolkit
Example of Toolkit Implementation and Evaluation
Phase I: • Identified 4 CBO partners in
Malawi and Zambia to facilitate dialogues w/ 23 existing community groups
• Orientation of CBO leadership on toolkit, community dialogues and monitoring
• Training of CBO staff and 49 existing peer educators
• Recorded toolkit use, individual & group action
Phase II & III: • Over 80+ discussions recorded
with groups such as: – Community Leaders– PLHIV (various groups)– Middle class men– Women in small businesses– Youth in higher learning
institutions (20+)• Final analysis of actions and
potential programmatic implications
• External evaluation ongoing
Example: Local Actions from Malawi
• CBO partner: Friends of AIDS Support Trust (FAST)– Covers population of 50,000
in 88 villages– 14% prevalence rate– Literacy rate 42%
• Dialogues held with: bicycle taxi operators, discordant couples, ex-sexual cleansers, tested couples, and local leaders
Community Leaders
• Before, meetings on prescribed topics & messages
• Now, deepened dialogue on harmful cultural practices & issues of GBV raised by community
• As a result of the dialogues:– Developed workplan, divided
into small groups, traveled to other communities
– Speaking out at funerals– Advocating for modification of
practices while retaining tradition
– FAST secured additional funds
Shapa Boys (Bike Taxi Operators)
• Before, campaign meetings & trainings
• Now, raised issues of their own risks--clients offering sex in exchange for payment; GBV in the wider community
• As a result of the dialogues: – Talk to their spouses about risk &
being faithful– Carried out dialogues with church
members, market goers, hairdressers, other Shapa Boys, welders
– Counseled clients sitting behind them– Distributed condoms
Lessons Learned
• Toolkit elicits individual and community actions = promotes community ownership of local responses = sustainable actions
• Important to conduct dialogues with existing programs, community structures/ hierarchies and in local languages
• Peer educators are now facilitators instead of message presenters
• Outcomes of toolkit interventions are local, but process can be scaled to address HIV-related issues in other contexts