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Dr. M. MUNAWAR KHAN
                          MBBS. DPA. MAS. MRSH.
                 (BCC) BEHAVIOR CHANGE COMMUNICATION
                             Coordinator


ENHANCED SINDH HIV/AIDS CONTROL PROGRAM Karachi SINDH
                      Pakistan




             Communication Component of SACP
    I&I Depot Rafique Shaheed Road, Near JPMC Cant, Karachi
                                                              2
3
ENHANCED HIV/AIDS CONTROL PROGRAM SINDH   4
Name of the Project
   Enhanced HIV/AIDS Control Program

          Executing Agency
Health Department Govt. of Sindh Pakistan

             Time Period
      2011- to 2014 (Three Years )
Goal
• To contain the spread of HIV/AIDS
  among the general population to less
  than 1%
• To ensure adequate provision of
  services and facilities to the affected
  individuals, families and communities
  be creating enabling environment by
  2014.
ROLE OF BEHAVIOR CHANGE
         COMMUNICATION (BCC)
•   ↑ Knowledge
•   Stimulate community Dialogue.
•   Promote essential Attitude change.
•   Reduce Stigma and discrimination.
•   Create demand for information and services.
•   Advocate.
•   Promote services for prevention, care & Support.
•   Improve skills and sense of self-efficacy.
POLITICAL                                                   Families
            GOVERNMENTAL                  Community
                               NON-           Groups        Of PLWHA
                           Governmental
                                          Peoples leaving
                                          with HIV/AIDS     Of IDU
                                              Sex              Of
                                                            SEX WORKERS
                                             Workers

                                             Injecting
                                            Drug Users




            Behavior Change Communication Channels
Current Situation of HIV/AIDS in Sindh

• Sindh Province has unique position in
  the country due to Karachi being most
  populous city of Pakistan with population
  more than 12 Million.
• People from all parts of country come to
  Karachi for employment opportunities
  and better diagnostic and treatment
  facilities.
                                              10
Current Situation Conti….

• Large population of immigrant workers,
  Injecting Drug Users, Sex workers,
  Truckers, & Prisoners.
• Above high risk populations frequently
  move from smaller towns to big cities.
• More challenges for HIV/AIDS prevention
  in Sindh than rest of the country/Pakistan.
• Sindh has reported maximum number of
  HIV/AIDS cases in the country/Pakistan.
                                              11
Current Situation Conti….




• First outbreak among Injecting Drug Users
  was identified in Larkano Sindh Pakistan in
  June 2003, subsequently increasing
  number of IDUs are being tested +ve for
  HIV in Sindh.



                                                12
Project Objectives
 To control the incidence of HIV among Most at Risk Population
  (MARPs) especially Injecting Drug Users (IDUs) and Male Sex
  workers (Hijras/MSM).

 To place the time tested tools of prevention to hold the
  concentrated epidemic in, and halt the progress in MARPs and
  bridging population

 To Reduce and Reverse the level of stigmatization of people
  living with HIV by creating supportive system and conducive
  environment to have a happy life and easy access to medical
  and social services.
Project Objectives
 To coordinate a multisectoral, comprehensive and
  sustainable response to HIV that is based on
  evidence, transparency and accountability and
  involves the various line ministries, the civil
  society and the main target beneficiaries (the
  PLHIV and the most at risk groups).

 Identify the gaps for future Resource mobilization
  integration from development partners like
  GFATM, for long term sustainability of programs
  and interventions
BCC
ACIVITIES
Advocacy,
  Communication
        &
Social Mobilization
ACIVITIES
 Component-1
  ADVOCACY
Component-1
          ADVOCACY:-
• Advocacy is a combined effort of a group of
  Individuals or organizations to persuade
  influential individuals, groups and organizations
  through various activities to adopt an effective
  approach as quickly as possible.

• Advocacy is about identifying a problem in a
  community, coming up with a solution to
  that problem, establishing strong support for
  that solution and providing an effective
   implementation plan.
Advocacy is about identifying a
                  problem




Provincial Dialogue Sindh Karachi Pakistan.   District Task Force Sukkur Sindh Pakistan
Advocacy is about identifying a
            problem




District Task Force Larkano at DCO office Larkano Sindh Pakistan -2012
Advocacy:                cont..........


• Advocacy plan will serves 2 purposes:
• Firstly, advocacy to decision makers
  (politicians, senior public officials) facilitates
  the conduct of existing programs and in
  planning for newer programs.
• Second: is to facilitate key groups (Those
  described above, as well the general public at
  large) in understanding the need for HIV
  prevention.
Advocacy/Communication and Social
            Mobilization
Activities/ Targets:


• 15- Publicity Bill Board
• 55- Campaign Vinyl Publicity Posters on Public
      Transport
• 30- Publicity Hoardings (Rental/ Permanent)
• 10- Campaign I.E.C. Material (Promotional)
• 45- Campaign Social Mobilization Committee 5
      unit per District( Manual, M&E Manual etc
ACIVITIES
  Component-2

Communication
Component-2
       Communication
• "sending, giving, or exchanging information
  and ideas," which is often expressed verbally
  and nonverbally.
• Verbal communication is the act of speaking
  by using words. Examples of this include using
  different forms of language (i.e., written,
  voice, sign language).
• This form of communication can be taken for
  granted..such as saying regretful things and
  opening your mouth before thinking about
  what you are saying.
• Non-verbal communication is the act of
  speaking without using words. Examples of
  this include facial gestures ,body language,
  legs shaking, nervousness, and the impression
  you give to others with your appearance
  (dress, body image, body odor).etc.
• Both non-verbal and verbal communication
  are both used on a daily basis. In that regard,
  it's important to use communication carefully
  and with love. Communication can either hurt
  or heal
Vinyl Publicity Posters on Public
            Transport




Community Mobilization Campaign WORLD AIDS DAY 2012
Communication and Stigma
         Reduction ((Campaign))
• 9- Awareness event at religious festivals (urs)
• 24- Awareness events for community and
      religious leaders
• 30- Awareness events for uniformed personnel
• 12- Awareness events for Health Sector Professionals
• 15- Awareness events for Media Personnel
• 12- Coordination with other line departments,
      ministries and donor agencies
• 15- Special Events (5 in a year),Health Days
• 3- World AIDS Day
Awareness event at religious festivals
         (urs) BHIT SHAH




 During Annual URS of Shah Abdul Latif Bhitai ( Bhit Shah ) Sindh Pakistan
Awareness event at religious festivals
           (urs) SEHWAN SHAREEF




During Annual Carnival (Urs) of Hazrat Lal Shahbaz Qalandar Sehwan Shareef Sindh Pakistan
Awareness Events for
         Community & Religious Leaders




Religious Leaders belonging to Muslims, Christians', Hindus and Sikh Karachi Sindh Pakistan
Awareness Events for
         Community & Religious Leaders




Religious Leaders belonging to Muslims, Christians', Hindus and Sikh Larkano Sindh Pakistan
Awareness events for uniformed
                 personnel




        Officers of Junior Brigade               Officers of Sindh Police
SACP Office Meeting Room Karachi Sindh   Police Training School Larkano Sindh Pakistan
Awareness events for uniformed
                 personnel




Officials of Rangers at Omar Kot Sindh Pakistan   Officials of Traffic Police at Karachi
Awareness events for uniformed
                personnel




Officers of CPLC Karachi at Police Training School Garden Karachi Range Sindh Pakistan
Awareness events for Media
                  Personnel




Media Personnel Larkano Sindh Pakistan   Media Personnel Benazirabad Sindh Pakistan
Awareness events for Media
                      Personnel




Media Dialogues' with People Leaving With HIV/AIDS at Pearl Continental Hotel Karachi Sindh
Coordination with other line
          Departments, Ministries




Ministry of Industries &   Information & Technology Department Sindh Pakistan
ACIVITIES
  Component-3

 Mobilization
Component-3

       Mobilization
• social mobilization means mentally setting of
  human beings for achieving a goal,

• while community mobilization means specific
  group of people readiness to achieve the
  desire   levels of    goals   and    aims.
Social Mobilization
• Advocacy Seminar for politicians to obtain the
  political commitment.
• Mass media messages such as talk
  shows, short messages of 5 minutes, short
  serials tele/doc, film on issues of High risk
  groups for direct and indirect community
  approaches. (with Airtime) on WAD Day.
• Mobile Resource Center for social
  mobilization and Community awareness.
Social Mobilization
                    Activities
• 5-   Advocacy Seminar for politicians to obtain the
       political commitment.

• 10- Campaign Mass media messages such as talk
      Shows, short messages of 5 minutes, short serials
      tele /doc, film on issues of High risk groups for
      direct and indirect community approaches.
      (with Airtime) on WAD Day

• 3- Campaign Mobile Resource Center for Social
     Mobilization and Community awareness.
Special Events, Health Days




World Health Day Walk at Sea View Karachi Sindh Pakistan
Special Events, Health Days




Health Expo at Expo Center Karachi Sindh Pakistan
World AIDS Day




World AIDS Day Walk’s Karachi Sindh Pakistan
World AIDS Day




Mega Event Cricket Match b/w1- Health department,2- Show Biz and3- Peoples Leaving with HIV
                             to show the Solidarity with PLHIV
Specific Groups of Peoples




  Show Biz          PLHIV
Mobile Information Resource Unit
• Mobile information resource centre is
  proposed to be developed for the
  community awareness. This will work
  under BCC component and will be the
  part of the Information resource Centre
  located at Provincial Implementation unit
  with digital library of 23000 on line
  journals (attached with DUHS). It will
  adopt innovative approaches like
  Telefilms, short plays and puppet shows
48

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( BCC )Behavior Change Communication Activity at SACP by Dr Munawar Khan SACP

  • 1. 1
  • 2. Dr. M. MUNAWAR KHAN MBBS. DPA. MAS. MRSH. (BCC) BEHAVIOR CHANGE COMMUNICATION Coordinator ENHANCED SINDH HIV/AIDS CONTROL PROGRAM Karachi SINDH Pakistan Communication Component of SACP I&I Depot Rafique Shaheed Road, Near JPMC Cant, Karachi 2
  • 3. 3
  • 4. ENHANCED HIV/AIDS CONTROL PROGRAM SINDH 4
  • 5. Name of the Project Enhanced HIV/AIDS Control Program Executing Agency Health Department Govt. of Sindh Pakistan Time Period 2011- to 2014 (Three Years )
  • 6.
  • 7. Goal • To contain the spread of HIV/AIDS among the general population to less than 1% • To ensure adequate provision of services and facilities to the affected individuals, families and communities be creating enabling environment by 2014.
  • 8. ROLE OF BEHAVIOR CHANGE COMMUNICATION (BCC) • ↑ Knowledge • Stimulate community Dialogue. • Promote essential Attitude change. • Reduce Stigma and discrimination. • Create demand for information and services. • Advocate. • Promote services for prevention, care & Support. • Improve skills and sense of self-efficacy.
  • 9. POLITICAL Families GOVERNMENTAL Community NON- Groups Of PLWHA Governmental Peoples leaving with HIV/AIDS Of IDU Sex Of SEX WORKERS Workers Injecting Drug Users Behavior Change Communication Channels
  • 10. Current Situation of HIV/AIDS in Sindh • Sindh Province has unique position in the country due to Karachi being most populous city of Pakistan with population more than 12 Million. • People from all parts of country come to Karachi for employment opportunities and better diagnostic and treatment facilities. 10
  • 11. Current Situation Conti…. • Large population of immigrant workers, Injecting Drug Users, Sex workers, Truckers, & Prisoners. • Above high risk populations frequently move from smaller towns to big cities. • More challenges for HIV/AIDS prevention in Sindh than rest of the country/Pakistan. • Sindh has reported maximum number of HIV/AIDS cases in the country/Pakistan. 11
  • 12. Current Situation Conti…. • First outbreak among Injecting Drug Users was identified in Larkano Sindh Pakistan in June 2003, subsequently increasing number of IDUs are being tested +ve for HIV in Sindh. 12
  • 13. Project Objectives  To control the incidence of HIV among Most at Risk Population (MARPs) especially Injecting Drug Users (IDUs) and Male Sex workers (Hijras/MSM).  To place the time tested tools of prevention to hold the concentrated epidemic in, and halt the progress in MARPs and bridging population  To Reduce and Reverse the level of stigmatization of people living with HIV by creating supportive system and conducive environment to have a happy life and easy access to medical and social services.
  • 14. Project Objectives  To coordinate a multisectoral, comprehensive and sustainable response to HIV that is based on evidence, transparency and accountability and involves the various line ministries, the civil society and the main target beneficiaries (the PLHIV and the most at risk groups).  Identify the gaps for future Resource mobilization integration from development partners like GFATM, for long term sustainability of programs and interventions
  • 16. Advocacy, Communication & Social Mobilization
  • 18. Component-1 ADVOCACY:- • Advocacy is a combined effort of a group of Individuals or organizations to persuade influential individuals, groups and organizations through various activities to adopt an effective approach as quickly as possible. • Advocacy is about identifying a problem in a community, coming up with a solution to that problem, establishing strong support for that solution and providing an effective implementation plan.
  • 19. Advocacy is about identifying a problem Provincial Dialogue Sindh Karachi Pakistan. District Task Force Sukkur Sindh Pakistan
  • 20. Advocacy is about identifying a problem District Task Force Larkano at DCO office Larkano Sindh Pakistan -2012
  • 21. Advocacy: cont.......... • Advocacy plan will serves 2 purposes: • Firstly, advocacy to decision makers (politicians, senior public officials) facilitates the conduct of existing programs and in planning for newer programs. • Second: is to facilitate key groups (Those described above, as well the general public at large) in understanding the need for HIV prevention.
  • 22. Advocacy/Communication and Social Mobilization Activities/ Targets: • 15- Publicity Bill Board • 55- Campaign Vinyl Publicity Posters on Public Transport • 30- Publicity Hoardings (Rental/ Permanent) • 10- Campaign I.E.C. Material (Promotional) • 45- Campaign Social Mobilization Committee 5 unit per District( Manual, M&E Manual etc
  • 24. Component-2 Communication • "sending, giving, or exchanging information and ideas," which is often expressed verbally and nonverbally. • Verbal communication is the act of speaking by using words. Examples of this include using different forms of language (i.e., written, voice, sign language). • This form of communication can be taken for granted..such as saying regretful things and opening your mouth before thinking about what you are saying.
  • 25. • Non-verbal communication is the act of speaking without using words. Examples of this include facial gestures ,body language, legs shaking, nervousness, and the impression you give to others with your appearance (dress, body image, body odor).etc. • Both non-verbal and verbal communication are both used on a daily basis. In that regard, it's important to use communication carefully and with love. Communication can either hurt or heal
  • 26. Vinyl Publicity Posters on Public Transport Community Mobilization Campaign WORLD AIDS DAY 2012
  • 27. Communication and Stigma Reduction ((Campaign)) • 9- Awareness event at religious festivals (urs) • 24- Awareness events for community and religious leaders • 30- Awareness events for uniformed personnel • 12- Awareness events for Health Sector Professionals • 15- Awareness events for Media Personnel • 12- Coordination with other line departments, ministries and donor agencies • 15- Special Events (5 in a year),Health Days • 3- World AIDS Day
  • 28. Awareness event at religious festivals (urs) BHIT SHAH During Annual URS of Shah Abdul Latif Bhitai ( Bhit Shah ) Sindh Pakistan
  • 29. Awareness event at religious festivals (urs) SEHWAN SHAREEF During Annual Carnival (Urs) of Hazrat Lal Shahbaz Qalandar Sehwan Shareef Sindh Pakistan
  • 30. Awareness Events for Community & Religious Leaders Religious Leaders belonging to Muslims, Christians', Hindus and Sikh Karachi Sindh Pakistan
  • 31. Awareness Events for Community & Religious Leaders Religious Leaders belonging to Muslims, Christians', Hindus and Sikh Larkano Sindh Pakistan
  • 32. Awareness events for uniformed personnel Officers of Junior Brigade Officers of Sindh Police SACP Office Meeting Room Karachi Sindh Police Training School Larkano Sindh Pakistan
  • 33. Awareness events for uniformed personnel Officials of Rangers at Omar Kot Sindh Pakistan Officials of Traffic Police at Karachi
  • 34. Awareness events for uniformed personnel Officers of CPLC Karachi at Police Training School Garden Karachi Range Sindh Pakistan
  • 35. Awareness events for Media Personnel Media Personnel Larkano Sindh Pakistan Media Personnel Benazirabad Sindh Pakistan
  • 36. Awareness events for Media Personnel Media Dialogues' with People Leaving With HIV/AIDS at Pearl Continental Hotel Karachi Sindh
  • 37. Coordination with other line Departments, Ministries Ministry of Industries & Information & Technology Department Sindh Pakistan
  • 38. ACIVITIES Component-3 Mobilization
  • 39. Component-3 Mobilization • social mobilization means mentally setting of human beings for achieving a goal, • while community mobilization means specific group of people readiness to achieve the desire levels of goals and aims.
  • 40. Social Mobilization • Advocacy Seminar for politicians to obtain the political commitment. • Mass media messages such as talk shows, short messages of 5 minutes, short serials tele/doc, film on issues of High risk groups for direct and indirect community approaches. (with Airtime) on WAD Day. • Mobile Resource Center for social mobilization and Community awareness.
  • 41. Social Mobilization Activities • 5- Advocacy Seminar for politicians to obtain the political commitment. • 10- Campaign Mass media messages such as talk Shows, short messages of 5 minutes, short serials tele /doc, film on issues of High risk groups for direct and indirect community approaches. (with Airtime) on WAD Day • 3- Campaign Mobile Resource Center for Social Mobilization and Community awareness.
  • 42. Special Events, Health Days World Health Day Walk at Sea View Karachi Sindh Pakistan
  • 43. Special Events, Health Days Health Expo at Expo Center Karachi Sindh Pakistan
  • 44. World AIDS Day World AIDS Day Walk’s Karachi Sindh Pakistan
  • 45. World AIDS Day Mega Event Cricket Match b/w1- Health department,2- Show Biz and3- Peoples Leaving with HIV to show the Solidarity with PLHIV
  • 46. Specific Groups of Peoples Show Biz PLHIV
  • 47. Mobile Information Resource Unit • Mobile information resource centre is proposed to be developed for the community awareness. This will work under BCC component and will be the part of the Information resource Centre located at Provincial Implementation unit with digital library of 23000 on line journals (attached with DUHS). It will adopt innovative approaches like Telefilms, short plays and puppet shows
  • 48. 48