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C Picks 18 - Focus on Family Planning Communication Strategies and HIV Prevention Programmes Targeting Men

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18

C-Picks
Social and Behaviour Change Communication (SBCC)
Issue 18 | June 6 2011

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A collaboration between C-Change, supported by the United States Agency for International Development (USAID), and The Communication Initiative.

Focus on Family Planning Communication Strategies and HIV Prevention Programmes Targeting Men

C-Picks #18 highlights the implementation of national family planning/reproductive health (FP/RH) communication strategies. C-Change provided technical assistance in Malawi and Kenya to help the governments operationalise FP/RH communication strategies at national and district levels. In Malawi, C-Change provided technical support to the Ministry of Health's Health Education Unit, which led a participatory process with partners to develop the Guidelines for Family Planning Communication, and assisted its rollout to the district level. In Kenya, in collaboration with the Division of Reproductive Health of the Ministry of Public Health and Sanitation and partners, C-Change developed the Reproductive Health Communication Strategy Implementation Guide. Its purpose is to ensure coordination of SBCC in RH programming and to assist partners in operationalising the strategy throughout Kenya. USAID provided funding for these efforts.

The issue continues with examples of social and behaviour change communication (SBCC) initiatives and evaluations in the context of HIV prevention, men, and combating stigma. These include the Voluntary Medical Male Circumcision Communication Toolkit rolled out in Kenya by C-Change and partners; a report by C-Change on approaches to inform SBCC implementation and reduce HIV risk for sex workers and men who have sex with men (MSM) in Jamaica and The Bahamas; and six other initiatives and evaluations around this theme. The issue concludes with a description of two initiatives that integrate edutainment strategies into SBCC efforts for HIV prevention in Zambia and Africa-wide.




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In This Issue

IMPLEMENTING PARTICIPATORY FP/RH SBCC STRATEGIES at the NATIONAL LEVEL

1. Malawi - Guidelines for Family Planning Communication

2. Kenya - Reproductive Health Communication Strategy Implementation Guide

GENDER TRANSFORMATION: ASSESSMENT AND COMMUNICATION TOOLS

3. Voluntary Medical Male Circumcision Communication Toolkit

4. Global Best Practices: Effective Approaches to Inform SBCC Programming and Reduce HIV Risk for Sex Workers and MSM in Jamaica and The Bahamas

5. Promoting New Models of Masculinity to Prevent HIV among Men Who Have Sex with Men in Nicaragua

6. You're the Man/Kenya

7. Communication Challenges in HIV Prevention: Multiple Concurrent Partnerships and Medical Male Circumcision

8. Homosexuality and Homophobia in Senegalese Media Content and Analysis

9. Protection: A Film About Men and Condoms in the Time of HIV and AIDS

10. Lessons from the Front Lines: Effective Community-Led Responses to HIV and AIDS among MSM and Transgender Populations

ENTERTAINING STRATEGIES TO PREVENT HIV

11. Club Risky Business: A Zambian Television Series Challenges Multiple and Concurrent Sexual Partnerships through the One Love Kwasila! Campaign

12. It Begins with You




IMPLEMENTING PARTICIPATORY FP/RH SBCC STRATEGIES at the NATIONAL LEVEL

1. Malawi - Guidelines for Family Planning Communication

Malawi – Guidelines for Family Planning Communication C-Change provided technical support to development of Malawi's Guidelines for Family Planning Communication. The guidelines were developed in a participatory process by the Task Force on Family Planning Communication, led by Malawi's Health Education Unit. The document provides the framework for family planning communication programmes in the country and supports the objective of the National Reproductive Health Strategy: to promote through informed choice, safer reproductive health practices by men, women, and young people, including increased use of high-quality, accessible reproductive health services.

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2. Kenya - Reproductive Health Communication Strategy Implementation Guide

Kenya - Reproductive Health Communication Strategy Implementation Guide

The Reproductive Health Communication Strategy Implementation Guide provides the broad framework for communications that supports the implementation of Kenya's National Reproductive Health (RH) Strategy. This implementation guide seeks to facilitate the coordinated and systematic roll-out of the strategy at all levels and to stimulate dialogue. The guide also seeks to build and sustain institutional and multisectoral support towards the achievement of the Government of Kenya's RH/FP goals, through advocacy, behaviour change, and social mobilisation.


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BEHAVIOUR CHANGE: MEN and SEXUAL HEALTH

3. Voluntary Medical Male Circumcision Communication Toolkit

Voluntary Medical Male Circumcision Communication ToolkitDeveloped by C-Change and published in September 2010 as part of the Male Circumcision Task Force, this Toolkit provides a series of materials that build on Kenya's national communication strategy for voluntary medical male circumcision (VMMC) and guide its implementation in Kenya's Nyanza province. The guide follows the structure and sequence of C-Planning, a communication process used by C-Change. The kit includes, in PDF format: the guide, messages to various stakeholder leaders, a mobilisers' handbook, 3 posters, and a leaflet. C-Change emphasises that information be tailored to specific audiences. In addition, emphasis is placed on developing materials to address different information needs at different stages in the behaviour change process.

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4. Global Best Practices: Effective Approaches to Inform SBCC Programming and Reduce HIV Risk for Sex Workers and MSM in Jamaica and The Bahamas

Global Best Practices
This report on Global Best Practices to inform social and behaviour change communication (SBCC) programming in Jamaica and the Bahamas provides an overview of good and emerging SBCC responses to the HIV prevention needs of sex workers and men who have sex with men (MSM) from programmes in the United States, sub-Saharan Africa, India, Caribbean, and Latin America. The information is intended to support the design of programmes in Jamaica and the Bahamas and to inform the global knowledge-base for the development of SBCC strategies addressing these populations. C-Change will apply the findings from this report towards the provision of SBCC technical assistance to Government and civil society partners to improve the quality and reach of their response with these vulnerable populations.

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5. Promoting New Models of Masculinity to Prevent HIV among Men Who Have Sex with Men in Nicaragua

From the Case Study Series from USAID's AIDSTAR-One, this March 2011 case study describes the work of Nicaragua's Centro para la Prevención y Educación del SIDA (CEPRESI). It explores the strategies, successes, and challenges associated with CEPRESI's efforts to change perceptions of masculinity among the general population of Nicaragua - where societal norms stigmatise same-sex sexual activity and favour conformity to strict gender roles - and to educate MSM on HIV prevention and treatment. To cite one example, CEPRESI implements outreach activities for MSM to promote sexual behavioural changes in community-based settings, social networks, and community spaces. What has worked well: addressing the social drivers of HIV among MSM, combining large- and micro-scale interventions, recruiting and training sensitive and representative staff, collecting and using data for programme management and advocacy, and disseminating promising practices in the region.

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6. You're the Man - Cambodia

Launched by Family Health International (FHI) in 2009, this competitive television (TV) reality show aims to respond to the lack of HIV prevention programming for young men in Cambodia. The initiative was designed to address the challenge young men face to live up to competing models of what it means to be a real man: a strong commitment to the male social group, including heavy drinking and commercial sex, but also the masculine concepts of responsibility to the family, to female partners, and to leadership.

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7. Communication Challenges in HIV Prevention: Multiple Concurrent Partnerships and Medical Male Circumcision

This briefing note, published by Panos' Global AIDS Programme, presents a summary of findings from a pilot research project in Uganda in 2009. The broad objectives of the research were to: examine how contemporary communication approaches on HIV prevention, specifically multiple concurrent partnerships (MCP) and medical male circumcision (MMC); address social and structural drivers; and stimulate debate on some of the key communication challenges around HIV prevention. The findings suggest that there is a need to complement any roll-out of programmes on MCP and MMC with social communication programming that addresses the structural and social drivers of HIV. Technical interventions which do not take into account these social dimensions of HIV may not be very effective.

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8. Homosexuality and Homophobia in Senegalese Media Content and Analysis

This study, coordinated by Panos Institute West Africa in collaboration with the SAHARA Programme (Social Aspects of HIV/AIDS & Health Research Alliance) looks at how the Senegalese media is handling issues of homosexuality and homophobia, specifically analysing representations of homosexuals and the manner in which they are constructed by the media, as well as the media's positive or negative role in "discrimination against these persons". The results of the study will be used to strengthen media professionalism and responsibility in reporting on homosexual issues in a way that does not discriminate or stigmatise. It also seeks to propose recommendations that will form the basis of further debate and possible advocacy actions.

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9. Protection: A Film About Men and Condoms in the Time of HIV and AIDS

Produced by Sonke Gender Justice and Fireworx Media, this October 2010 documentary explores the ways in which men and boys in South Africa, Kenya, and Sierra Leone relate to and experience condom use. Accompanied by a facilitator's guide, the film explores why correct and consistent condom use remains a challenge for many men across the continent, despite the fact that condoms are widely available. The guide also suggests different ways to utilise the film and lists questions that can help focus discussion after viewings.

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10. Lessons from the Front Lines: Effective Community-Led Responses to HIV and AIDS among MSM and Transgender Populations

This July 2010 report from amfAR, The Foundation for AIDS Research, in partnership with The Global Forum on MSM & HIV (MSMGF), profiles efforts by small, grassroots community-based organisations worldwide that are leading work to provide HIV prevention, education, care, support, and advocacy services to men who have sex with men (MSM) and transgender people. Outlined here are recommendations highlighting major issues - among them, stigma and discrimination, resource needs, and the inclusion of MSM and transgender groups in planning and decision making - that must be addressed to ensure an effective and sustained community-based response to HIV among MSM and transgender people.

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ENTERTAINING STRATEGIES TO PREVENT HIV

11. Club Risky Business: A Zambian Television Series Challenges Multiple and Concurrent Sexual Partnerships through the One Love Kwasila! Campaign

This December 2010 report, published by AIDSTAR-One, presents an interactive case study of the 10-episode television programme Club Risky Business, broadcast on Zambian television in 2009. The series examined multiple and concurrent sexual partnerships (MCP) through the engaging stories of 3 male friends and their partners in the age of HIV; each lead character reflected attitudes and behaviours that formative research revealed to be common among men in Zambia. Anecdotal evidence suggests that the TV programme, which which was accompanied by a 6-month multimedia campaign, achieved broad penetration among the intended audience. Feedback also suggests that the series broke the silence around MCP, with viewers across age, gender, and socio-economic status eager to talk about how MCP affects them personally.

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12. It Begins with You

Launched by the 41 member companies of the African Broadcast Media Partnership Against HIV/AIDS (ABMP), It Begins With You is a pan-African HIV-public education campaign. Under the theme of "Imagine the Possibility of an HIV-Free Generation", the multi-year campaign uses targeted radio and TV public service advertisements (PSAs) and other complementary programming to encourage all Africans to consider what they can do as individuals, families, communities, and nations to stop the spread of HIV/AIDS. The campaign aims to use an inspirational/motivational creative approach. With the primary focus on young people and young women in particular, subsequent phases of the campaign aim to concentrate more specifically on the principal behaviours and attitudes, as well as social and economic factors, that drive the spread of HIV among these groups, including: gender inequity, sexual coercion (forced sex), AIDS stigma, and cultural taboos. C-Change provided technical assistance to ABMP on social and behaviour change communication and preventing-the-mother-to-child-transmission of HIV (PMTCT).

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C-Picks and SBCC

Please visit the C-Picks website for more resources and information about social and behaviour change communication (SBCC).

C-Picks continues to seek new knowledge and experiences in SBCC - case studies, strategic thinking, support materials, and other relevant documentation. Please contact cchange@comminit.com



SBCC E-magazine

C-Picks, supported by C-Change and implemented by The Communication Initiative, is an e-magazine that highlights social and behaviour change communication (SBCC) case studies, reports, analyses, and resources in the health sector (HIV and AIDS, family planning and reproductive health, malaria, and maternal and antenatal health).



FHI 360 has acquired the programmes, expertise, and assets of AED.



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Communication for Change (C-Change) is a USAID-funded project to improve the effectiveness and sustainability of social and behaviour change communication (SBCC) as an integral part of development efforts in health, environment, and civil society. C-Change works with global, regional, and local partners to apply communication approaches supported by evidence-based strategies, state-of-the-art capacity strengthening, and cutting-edge research. C-Change also works to strengthen the capacity of local organisations to incorporate SBCC in the planning, implementation, and monitoring of their programmes, thus ensuring sustained local knowledge and skills. Please visit the C-Change website. To contact C-Change, please email cchange@fhi360.org

The Communication Initiative (The CI) network is an online space for sharing the experiences of, and building bridges between, the people and organisations engaged in or supporting communication as a fundamental strategy for economic and social development and change. It does this through a process of initiating dialogue and debate and giving the network a stronger, more representative and informed voice with which to advance the use and improve the impact of communication for development. This process is supported by web-based resources of summarised information and several electronic publications, as well as online research, review, and discussion platforms providing insight into communication for development experiences. Please see The CI website. To contact The CI, please email info@comminit.com


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This publication is made possible by the support of the American people through the United States Agency for International Development (USAID) under the terms of Agreement No. GPO-A-00-07-00004-00. The contents are the responsibility of The Communication Initiative and the C-Change project and do not necessarily reflect the views of USAID or the United States Government.