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Transcript
Collecting evidence and
documenting best
practices in ACSM for
TB prevention and
control
Dr Netty Kamp
Chair, ACSM Subgroup
ACSM Subgroup meeting
30 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 strategy
2. Integrated ACSM Interventions
1) Advocacy
5) Social Mobilization,
Involve affected
communties
2) Group
communication
GOAL
4) Interpersonal
communication
3) Media
Communication
Assessment
Evaluation
Implement M&E
plan/survey and
adjust
Situation analysis: KAP/OR,
epidemiological data, Identify
target and risk groups and
stakeholders
Planning
Implementation
Operational Plan
Strategic Planning
Process ACSM
•Distribute materials
•Organize advocacy
events
•Organize networks
•Support campaigns
•Training Health workers
and others
•Problem and causal analysis
•Involving Stakeholders
•Communication Channels
analysis
•Objectives, Strategies,
Activities
•Partners/functions
•Channels, Focus
•Indicators M&E
• PLAN
• Desarrollo
Development
•Develop messages and materials
•Pretesting and revisions
•Distribution plan materials and
training plan
How improve effect?
1. Create a task force
2. Involve communities/NGOs, and other
stakeholders as early as possible and in
all steps
3. Good Analysis
4. Well designed interventions
5. M&E plan and documentation of steps
ACSM Best Practices
document
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
society
1.
2.
–
–
–
Involve CHWs and
(traditional) leaders in
detection and treatment
support.
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_communication/acs
mcl
• Join us:
[email protected]