1、ACQUIREs Supply-Demand-Advocacy Model in Action: Kenya Case Example End of Project Plenary Session September 17, 2008,Kisii IUCD Project Nakuru Community Postabortion Care Project (COMMPAC) Lessons Q&A and Discussion,Outline of Presentation,The Context: Trends in FP Modern Method Use 1984-2003,The S
2、DA Model in Action: Kisii IUCD Revitalization,Supply Sites readied: training, equipment and quality improvement Counseling training and clinical updates provided Providers trained in key campaign messages,Advocacy Male and female champions mobilized Engaged stakeholders in PNA National IBP agreement
3、 reached on IUCD,Demand Myths countered with correct IUCD information in mass media Local community groups engaged Male and female peer educators trained/ mobilized,Quality client-provider interaction,Demand,Supply,Advocacy,Increased Access, Quality and Use,Kisii IUCD Project Inputs,Stakeholder Meet
4、ing,CTU Trainings,IUCD Clinical Skills Training,CBD Agent and Peer Ed. Training,IUCD Campaign Launch,FP Counseling Training & TOT for CBD Supervisors,PNA,Results of synergy of SDA: Number of IUCDs inserted January 2005-2008,Supply,Demand,Advocacy,Inputs Ended,2nd IUCD Skills Training,Outline of Pres
5、entation,Kisii IUCD Project Nakuru Community Postabortion Care Project (COMMPAC) Lessons Q&A and Discussion,The SDA Model in Action: Nakuru/COMMPAC,Community Action Cycle Behavior and Social Change for PAC,Organize community for action,Identify priority Issues together,Plan Together,Act Together,Eva
6、luate Together,Nakuru, Kenya,Supply Private midwives trained in PAC 22 government providers trained in PAC, reinforcing FP messages,Advocacy Community development funds used to improve access to services Stakeholder meetings held Health advisory groups developed scheme for PAC supplies,Demand 26 com
7、munity groups use CAC process Messages on PAC issues disseminated by groups,Nakuru COMMPAC Project Input,Quality client-provider interaction,Demand,Supply,Advocacy,Increased Access, Quality and Use,Mapping for Results,26 Community groups,CAC Evaluation Activity,Social/Environmental Changes Involveme
8、nt of local leaders Resources targeted for PAC related structures Involvement and support of FBOs and other organizations More dialogue at meetings about FP and PAC MOH institutionalizes mechanism for purchasing MVA kits,Behavior Change People using services Communities developing funds Early disclo
9、sure of bleeding,BEFORE,AFTER,Piave community Njoro Health Centre Provincial Hospital No Services Poor Provider attitude Long waiting hours No PAC Kits Poor provider attitude 1 PAC trained provider,Piave community Njoro Health Centre Provincial Hospital 1PAC trained provider PAC services Less conges
10、ted 24hr service Good provider attitude Improved referrals Emergency drugs Community referral system 1 Pac kit Community health talks FP services Youth clinic,Poor road network: 25KM to a facility,Road repaired: 7KM to a facility,Achievements: Njoro Division,Kisii IUCD Project Nakuru Community Posta
11、bortion Care Project (COMMPAC) Lessons Q&A and Discussion,Outline of Presentation,Lessons,SupplyBasics Matter FP programs will only succeed if there are trained/skilled providers, commodities, equipment and supplies, and supervisionDemandMessage consistency across multiple channels enhances impact (
12、media, health providers, community, peers),Lessons,AdvocacyEngaging stakeholders and nurturing champions for FP creates an enabling environment for behavior/social changeKey Underlying PrinciplesPartnerships, gender, fundamentals of care, and data for decision-making must be woven into implementation from beginning,Quality client-provider interaction,Demand,Supply,Advocacy,Increased Access, Quality and Use,Questions and Discussion,
