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BEHAVIOUR CHANGE COMMUNICATION FRAMEWORK Patricia Russell Regional Behaviour Change Communication Officer North-East Regional Health Authority March 18, 2009 BEHAVIOUR CHANGE COMMUNICATION • is a multi-level tool working at the individual, couple, family, community, organisational and environmental levels) for: – promoting and sustaining risk reducing behaviour – by distributing tailored health messages in a variety of communication channels. BEHAVIOUR CHANGE COMMUNICATION FAMILY COUPLE COMMUNITY INDIVIDUAL ORGANISATION ENVIRONMENT PREVENTION MESSAGES • Abstinence Mek • Use a condom every time you have sex • Be in the know; Get Tested • Support persons living with HIV/AIDS • Pinch, Leave an inch and roll COMMUNICATION CHANNELS • Electronic Media: – – – – – – Radio Television Internet Cell phones/ipods Cds Dvds • Print Media – – – – – – Brochures Pamphlets Fliers Posters Billboards Newspaper COMMUNICATION CHANNELS • Interactive Sessions • One-on-one • Drama/role play BEHAVIOUR CHANGE COMMUNICATION (BCC) 2009 & BEYOND • Strategies targetted at risk assessment not at giving information (risk includes both personal risk practices and social vulnerability that increases risk). • Building Condom negotiation skills • Building Self Efficacy • Theory Based Interventions • Evidence Based Interventions • Closer attention to M&E SUSCEPTIBILITY & RISK • In order to get individuals, communities or populations to change they must first recognize that they are susceptible. • Risk perception is key to motivating behaviour change. • Changing behaviours require: – – – – understanding the basic facts adopting key attitudes learning a set of skills and being given access to appropriate products and services. BEHAVIOUR CHANGE COMMUNICATION (BCC) 2009 & BEYOND The BCC strategy provides the framework: • Designing, implementing, monitoring and evaluation of interventions conducted by the Parish teams and their partners. • Interventions focus primarily on the reduction of risk behaviours that contribute to the spread/onset of any disease. • Interventions are directed at specific audiences. TARGET GROUPS • • • • • Adolescents (15 – 24) Young adults (25 – 49) Sex Workers Men who have sex with men Persons living with HIV/AIDS (PLWHA) RISK BEHAVIOURS • • • • • Multiple sex partners Incorrect & inconsistent condom use Early initiation of sex Sex during symptomatic STI period Not seeking Treatment for STIs INTERVENTION GUIDELINES • Have been developed for each high risk group. (will be distributed) • Outreach Tools: • • • • • Risk Knowledge Survey Accepting Attitude Assessment Booth Evaluation Form Outreach Registration Testing Form Registration Form BEHAVIOUR CHANGE COMMUNICATION • We see • We feel • We Change BEHAVIOUR CHANGE COMMUNICATION We can help people to see by providing: • Compelling • Eye-catching • Dramatic situations This helps the target group to visualize problems, solutions and/key steps to solve problems BEHAVIOUR CHANGE COMMUNICATION • Seeing the new behaviour hits the emotion. • Visualization provides useful ideas that hit people at a deeper level than surfacing thinking. STRATEGIES FOR MANAGING BEHAVIOUR • Identify the behaviour to be changed • Determine the barriers • Take steps to remove or reduce barriers • Involve clients in planning the change • Involve significant others in the change plan • Recognize that change takes time The best time to plant a tree is twenty years ago The next best time is now - African Proverb