Setting BCC Objectives By: RAO Nebrida (PHANSuP)

Training on Behavior Change Communication to Improve

Access to and Utilization of MNH and TB Services Norfil Training Center I 21-23 November 2011

BCC Guiding Principles

1. BCC should be integrated with project goals from the start.

2. Formative BCC assessments should be done – ID needs and barriers.

3. Involve target population and key project stakeholders.

4. A variety of linked communication channels is more effective.

5. Pre-testing is essential for developing effective BCC materials.

6. M&E should be part of the BCC design.

7. BCC strategies and messages should be positive and action oriented.

Iterative steps in developing a BCC plan... http://w

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Longos Audience Profile: Mother Longos Pregnant Already Gave Birth

Age 26.53 years old 28.61 years old

Civil Status Live-in (68.57) Kasal (47.4)

Education High school (56.9) High School (73.5)

Religion Catholic (90.3) Catholic (94.7)

Income Wala (94) Wala (97)

Source of Income Pagtitinda (27.78) Pagtitinda (5.3)

CCT/4Ps Hindi (81.9) Hindi (52.6)

Monthly Total Income PHP 0-500 (60.7) PHP 0-500 (50)

Tubig sa loob ng bahay 48.6 50

Tubig mineral 38.9 31.6

Toilet, de buhos 76.4 71.1

Garbage disposal Truck (75) Truck (84.2)

Electricity 94.4 89.5

Gadgets TV (77.8) TV (73.7)

Celphone (38.9) Celphone (39.5)

Philhealth, wala 83.3 76.3

Voter participation Yes (51.4) Yes (57.9)

Longos Pregnant Already Gave Birth

Should plan family, yes 94.4 97.4

Should space children, yes 94.4 100

Using family planning, none 95.8 60.5

Type of FP method Pills (15.8) DMPA (15.8)

Availed of antenatal care 71.9 97.4

Place of antenatal care BHC 39.6

Reasons for inadequate prenatal care Walang pera, 12.5 Walang bantay-bata, 9.7 Malayo, 8.3

Preferred and actual birth attendant Midwife, 41.7 (pref) Midwife, 36.1 (actual)

Preferred and actual birth delivery Govt hosp 34.7 (pref) House 44.7 (actual)

Reason for not having post-natal No money 11.1

Practice of breastfeeding Yes 59.7 Yes 87.5

Complete immunization Yes 64 Yes 63.3

Why incomplete immunization No time 6.9

Housemate or neighbor with TB Yes 12 Yes 17

Catmon Audience Profile: Mother Catmon Pregnant Already Gave Birth

Age 27.5 years old 31.03 years old

Civil Status Live-in (71.4) Live-in (52.9)

Education High school (51) High School (30)

Religion Catholic (94.4) Catholic (91.2)

Income Wala (64.4) Wala (67.9)

Source of Income Pagtitinda (70.6) Pagtitinda (71.4)

CCT/4Ps Hindi (63.1) Oo (68.8)

Monthly Total Income PHP 6,000 (19.7) PHP 6,000 (21.4)

Tubig sa loob ng bahay 43.7 23.5

Tubig mineral 28.2 44.1

Toilet, de buhos 60.6 52.9

Garbage disposal Truck (56.3) Truck (46.2)

Electricity 84.8 76.5

Gadgets TV (70.4) TV (70.6)

Celphone (40.8) Celphone (32.4)

Philhealth Meron (52.5) Wala (66.7)

Voter participation Yes (52.24) Yes (65.4)

Catmon Pregnant Already Gave Birth

Should plan family, yes 98.6 100

Should space children, yes 98.6 97.1

Using family planning, none 97 63.6

Type of FP method Pills (2.8) Pills (17.6) DMPA, condm (5.9)

Availed of antenatal care 88.6 50

Place of antenatal care BHC 81

Reasons for inadequate prenatal care Walang pera, 4.2 Walang bantay-bata, 4.2

Preferred and actual birth attendant Midwife, 60.6 (pref)

Preferred and actual birth delivery Lying-in 39.4 (pref) Bahay 59.1 (actual)

?? Bahay 62.1 (actual)

Had post-natal check-up 55.6 73.5

Why no post-natal Walang maiwan sa bata 28.6 Normal ako/no need 21.4

Walang maiwan sa bata 25 Normal ako/no need 25

Place of post-natal BHC 73.7 BHC 92

Practice of breastfeeding Yes 66.7 Yes 87.1

Why no breastfeeding: wala akong gatas 33.3 8.8

Complete immunization Yes 85.1 Yes 69

May kapitbahay na may TB Yes 18.2 Yes 24.1

Tonsuya Audience Profile: Mother Tonsuya Pregnant Already Gave Birth

Age 26.45 years old 28.79 years old

Civil Status Live-in (62.7) Live-in (55.9)

Education High school (59.7) High School 73.5)

Religion Catholic (95.5) Catholic (94.1)

Income Wala (65.7) Wala (67.6)

Source of Income Pagtitinda (13.4) Paglalabada (8.8)

CCT/4Ps Hindi (56.7) Oo (58.8)

Monthly Total Income PHP 0-500 (19.4) ???

Tubig sa loob ng bahay 40.3 26.5

Tubig mineral 31.3 35.3

Toilet, de buhos 86.6 88.2

Garbage disposal Truck (92.5) Truck (97.1)

Electricity 85.1 82.4

Gadgets TV (71.6) TV (64.7)

Celphone (50.7) Celphone (32.4)

Philhealth Wala (52.2) Meron (55.9)

Voter participation Yes (44.8) Yes (70.6)

Tonsuya Pregnant Already Gave Birth

Should plan family, yes 98.5 97.1

Should space children, yes 98.5 94.1

Using family planning, none 95.5 35.3

Type of FP method Pills (1.5) Pills (20.6) IUD (17.6)

Availed of antenatal care 88.1 17.6

Place of antenatal care Lying-in/Birthing clinic (44.8)

Reasons for inadequate prenatal care Walang oras , 4.5 Tinatamad, 3.0

Preferred and actual birth attendant Midwife, 71.6

Preferred and actual birth delivery Lying-in 64.2 (pref) Bahay 25.7 (actual)

Bahay 29.4 (actual) Lying-in 47.1 (actual)

Had post-natal check-up 64.2 79.4

Why no post-natal Walang maiwan sa bata 5.9 Walang oras 6.0

Walang oras 5.9

Place of post-natal BHC 41.8 BHC 58.8

Practice of breastfeeding Yes 71.6 Yes 88.2

Why no breastfeeding: wala akong gatas 1.5 5.9

Complete immunization Yes 70.1 Yes 88.2

May kapitbahay na may TB Yes 18.5 Yes 24.24

RUP Performance Indicators = Behavior Change Goals

Objective Maternal and Neonatal Health Tuberculosis

1. Increase ACCESS

1.1 Number of women with at least 4 pre-natal visits.

1. 1 Number of TB symptomatics undergoing diagnostics and examinations

1.2 Number of women with post-partum visit. 1.2 Number of symptomatics identified

1.3 Number of new FP acceptors.

1.4 Number of children early initiated with breastfeeding

1.5 Number of children with FIC

2. Increase UTILIZATION

2.1 Number of deliveries in health facility 1.1 Number of symptomatic suspects accessing sputum exam.

2.1 Number of pregnant women given TT

immunization

1.2 Number of TB patient whose treatment is supervised by volunteer.

2.2 Number of pregnant women with IFA

supplementation

2.3 Number of women exclusively

breastfeeding

2.4 Number of pregnant women with dental

check up

2.2 Number of current users of FP methods

BCC Issues (Samples) Determinant MNH TB

1. Opportunity Kulang sa personnel and facilties. Kulang sa personnel and facilities (Cat).

IFA nearly expired (Ton). Long process, delayed result of TBDC (Ton); mahabang pila (Lon).

Delayed lab result (Ton). No TBDC facility (Ton).

Long schedule : 6-9 months (Ton), Financially unstable health facility (Lon).

No ordinance na dapat magpatingin sa BHC (Cat)

Malayo ang center (Lon).

Not all FP methods available (Lon).

Mahabang pila (Lon).

2. Ability Stigma on young mothers. Stigma on TB patients.

Transient EPI (Ton). Walang pamasahe (Lon).

Unaware of schedules (Lon).

3. Motivation “Tamad” pumunta sa center. “Tamad” pumunta sa center.

Kulang sa kaalaman; don’t know importance (Cat).

After 4 months, patient stopped the treatment (Lon).

Laziness to bring child for FIC (Ton). Tinatamad ang nanay painumin ng gamot ang anak (Lon).

Maternal health complications; increasing cases of measles, etc (Ton).

Increasing cases of TB infection (Ton).

No interest for prenatal (Cat).

BCC Objectives (Samples)

Objectives Target Audience

1. Mga nanay magkusa na pumunta sa health center

Mga nanay (primary); husbands/partners (secondary)

2. Patients to adhere to their treatment/schedule

Mga nanay (MNH- primary); mga may TB (primary); husbands/partners (secondary)

3. Make health as priority in budget allocation

Local leaders (primary); voters (secondary)

4. Promulgate supportive policies, ordinances and regulations to address health determinants

Local leaders (primary); voters (secondary)

5. ???

What’s not ‘maganda’ here???!!!