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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]