Collecting evidence and documenting best practices in ACSM for TB prevention and control

Collecting evidence Collecting evidence and documenting and documenting best practices in best practices in

ACSM for TB ACSM for TB prevention and prevention and

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Collecting evidence Collecting evidence and documenting and documenting best practices in best practices in

ACSM for TB ACSM for TB prevention and prevention and

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Dr Netty KampDr Netty KampChair, ACSM Chair, ACSM SubgroupSubgroup

ACSM Subgroup meetingACSM Subgroup meeting30 Nov-1 Dec 200930 Nov-1 Dec 2009

Outline Presentation

1.What is the scope of ACSM?2.How to improve effect and

impact?3.Models of Best Practices

What is comprehensive ACSM?

1. Is crosscutting, covering all components Stop TB strategy2. Integrated ACSM Interventions

GOAL

1) Advocacy

2) Group communication

3) Media Communication

4) Interpersonal communication

5) Social Mobilization, Involve affected communties

•Problem and causal analysis•Involving Stakeholders •Communication Channels analysis

•Objectives, Strategies, Activities

•Partners/functions •Channels, Focus •Indicators M&E • PLAN

AssessmentAssessment

PlanningPlanningImplementationImplementation

•Develop messages and materials •Pretesting and revisions•Distribution plan materials and training plan

EvaluationSituation analysis: KAP/OR, epidemiological data, Identify target and risk groups and stakeholders

Operational Plan •Distribute materials•Organize advocacy events •Organize networks•Support campaigns•Training Health workers and others

Strategic Planning Process ACSM

• DesarrolloDevelopment Development

Implement M&E plan/survey and adjust

How improve effect?1. Create a task force2. Involve communities/NGOs, and other

stakeholders as early as possible and in all steps

3. Good Analysis 4. Well designed interventions5. M&E plan and documentation of steps

ACSM Best Practices ACSM Best Practices documentdocument

ACSM Best Practices ACSM Best Practices documentdocument

Process of selection• Open call for submission• Key criteria : measurable

outcome/impact, focused intervention

• Challenges

Enhance DOTS Services: Patient-centered approach

1. Organization of health services adapting to needs of patient and affected community

2. Improve inter-personal communication at the health service level

3. Increase access to diagnostic services through the facilitation of sputum sample transport

Enable empowerment of Patients and Communities

• Patient Clubs: mutual support, organize participatory IEC sessions, increase self esteem, reduce stigma

• Patient Association: rights based approach

Partner with affected communities and civil

society1. Involve CHWs and

(traditional) leaders in detection and treatment support.

2. Network with communities, commercial sector and local institutions to:

– Raise awareness– Reduce stigma– Support needs of

(vulnerable) patients

Improve supportive communication methodologies

• First step to empowerment: increase knowledge

• All ACSM interventions need appropriate communication strategies and materials as support

Measuring process and impact

• M&E system in place

• Formative and OR research

• Document models with evidence and share

(Publish, website etc)

Next steps• Finalize document and

disseminate to all partners• Continue to collect and showcase

ACSM best practice • Build Evidence: develop guidance

for M and E for ACSM• Revive web site and include online

best practices.

• ACSM Subgroup web site:

http://www.stoptb.org/wg/advocacy_communicatio

n/acsmcl• Join us:

stoptbacsm@who.int