C-Change has been working with country programs on malaria prevention and more broadly with the Roll Back Malaria Partnership to build the strategic framework for malaria SBCC. The range of technical assistance extends from the development of national malaria communication strategies to capacity strengthening and direct support for community-level NGOs engaged in malaria prevention and control. At country levels, with support from the U.S. President's Malaria Initiative (PMI), C-Change has been working in Ethiopia, Kenya, and Mozambique to develop and strengthen SBCC programs that result in increased, consistent use of insecticide-treated nets, particularly for children under 5 and pregnant women, support for indoor residual spraying, prompt visits to a clinic at first sign of a fever; intermittent preventive treatment for pregnant women, and completed courses of malaria treatment.
Roll Back Malaria Partnership launches Strategic Framework for Malaria Communication in Arusha
Tanzania’s Minister of Health and Social Welfare, Dr Hussein Ali Mwinyi, announced the launch of the Strategic Framework for countries’ malaria control efforts, at the Roll Back Malaria East African Sub-regional Network (EARN) meeting in Arusha, Tanzania, on September 5, 2012:
“The Strategic Framework for Malaria Communication at the Country Level is the result of more than six years of work by countries, partners and other stakeholders to chart out a framework for better integrating communication into malaria control as well as chart out a research, implementation and evaluation agenda for the next five years."
Representatives from 13 countries in the East Africa region met to discuss the implementation of the partnership work plan, review all 13 of the subregion’s country roadmaps and identify bottlenecks and obstacles that could prevent countries from achieving goals.
“The Strategic Framework outlines clear priorities for strengthening country capacity, honing program strategies, and sharing best practices of evidence-based communication as part of our work to control, eliminate, and ultimately eradicate malaria. It provides for significant steps forward and for a change in both ambition and innovation in tackling malaria,” said Dr. Fatoumata Nafo-Traore, Executive Director, Roll Back Malaria.
Developed with a coalition of partners lead by C-Change and released in May 2012, this guide is designed to assist district health managers and NGO partners in plannng and implementing malaria SBCC activities at community levels. The guide ensures harmonization of communciation approaches and promotes seven essential malaria actions that fall into four categories: use of long-lasting insecticide-treated nets (LLINs), malaria case management, indoor residual spraying, and prevention of malaria during pregnancy. C-Change led the SBCC technical input for the guide, beginning with a one-day stakeholder's meeting in August 2011 and followed by unprecendented cooperation by more than 10 partner organizations.
A group of social and behavior change communication (SBCC)-implementing partners met in Nairobi, Kenya, July 26-27, 2011, for the 2nd consultative meeting on the development of a 5-Year Global Strategic Framework for Malaria SBCC at Country Level. This meeting formed part of a series of consultations that seek to develop guidelines on what constitutes best practice in SBCC at country-level and chart out the future research, implementation, and evaluation agenda for SBCC in malaria control and prevention.
When completed, the 5-Year Global Strategic Framework will provide: 1) a long-term strategic vision, goals, and objectives for SBCC; 2) guidance on what constitutes SBCC best practice; 3) a research agenda; and 4) resource needs over the next five years to Roll Back Malaria (RBM) partners, donor organizations, and national malaria control programs. Results of this meeting informed the draft of the framework to be finalized and distributed by the RBM Partnership.
More than 40 people from 12 countries were at the meeting.They included representatives from national malaria control programs, PSI, Malaria No More, JHU-CCP, the RBM Partnership Secretariat, ALMA, Mentor, regional and country-based NGOs Health Partners and Equip-Liberia. and the President’s Malaria Initiative (PMI).
C-Change's Work in Ethiopia, Kenya, Mozambique, and São Tomé and Principe
- In the Oromia region of Ethiopia, C-Change engaged families to take ownership of malaria prevention activities. Tools to support this effort include a flipchart of essential actions a household must take to prevent malaria, along with scorecards that help families chart how well they are protecting themselves from this endemic and dangerous disease. The tools were field-tested with families in rural villages and won wide acceptance.
- In Kenya, C-Change is working with the Division of Malaria Control and leading the SBCC technical input for the Essential Malaria Action Guide for Kenyan Families.
- In Kenya’s Western and Nyanza provinces, C-Change provided technical support to three NGOs—Merlin, PATH, and World Vision—to build the capacity of community health workers to be "behavior-change agents" and implement integrated, community-level, SBCC activities in malaria prevention. This work closely aligns with strategies and objectives of the PMI and Kenya’s National BCC Malaria Strategy. Read the Success Story.
- In Mozambique, C-Change is assisting the Ministry of Health to develop a national branding strategy for malaria prevention, one tailored to local culture and traditions.
- In São Tomé and Principe, C-Change built the SBCC capacity of the Ministry of Health and NGO malaria partners.
Soul Beat Africa: Malaria
C-Change, in partnership with The Communication Initiative (CI) Network, launched Soul Beat Africa: Malaria, a knowledge-sharing system supported by PMI and its partners that focuses on SBCC for malaria prevention, control, and treatment in Africa. The site provides a regional platform around which SBCC practitioners working in malaria can build a community of practice, share, and critique, via online forums. The site and a bi-monthly e-magazine feature examples of quality, effective SBCC information, including research findings, strategies, implementation reports, tools, multimedia products, and training opportunities. Those registering will join over 16,000 communications professionals throughout Africa, particularly in the 17 PMI-focused countries.
C-Change completed multi-year implementation in São Tomé and Principe to strengthen the capacity of Ministry of Health staff and NGO malaria partners to carry out SBCC for malaria prevention and control. The project provided training on developing and pretesting communication and media materials, creating public service announcements, and conducing formative research on barriers to malaria prevention and treatment.
C-Change worked with the National Center for Endemic Diseases (CNE) of the Ministry of Health and the Brazilian Corporation from 2008 to 2011 to strengthen in-country capacity and activities for malaria SBCC programs. C-Change organized several workshops and provided ongoing technical assistance to strengthen the capacity of local health personnel on SBCC concepts, such as pretesting and audience segmentation.
The assistance contributed to the development, design, pretesting and revision of brochures and posters targeted to the public and to health workers. A poster about newly formulated malaria medication for health workers was included, along with several posters for the general public on the importance of indoor residual spraying, sleeping under a treated bednet every night, and getting a free malaria test at the first sign of fever. Download the materials (in Portuguese) from C-Hub's PMI Special Collection.
Training and Webinars
Webinar on best practices for community-based malaria programs
- How is your program linked to a national strategy and how is it scalable?
- What are the key barriers to achieving positive malaria prevention and care behaviors and how are you using data to address those barriers?
- How are your interventions addressing these barriers?
The presentations are available on Slideshare:
C-Change provided technical assistance to MCP grantees who implement SBCC programming at community and household levels. Though the grantees are achieving measureable results in malaria prevention, they have limited opportunities to showcase their work and to interact with each other and global stakeholders. The webinar was an opportunitiy to promote cross-fertilization of promising approaches and methodologies. Participants included Save the Children, USAID, CDC, and International Forum for Public Health (IFPH).
Training for potential grantees of the Malaria Communities Program
Designing for Behavior Change—that was the title of a C-Change training workshop in Kenya in October 2009 for community-based organizations eligible for grants from the PMI’s Malaria Communities Program (MCP). The workshop’s goal was to orient participants to the tools and knowledge needed to use an evidence-based social and behavior change communication (SBCC) approach when developing communication strategies and interventions for malaria prevention.
The experiential training drew from the C-Modules: A Learning Package for Social and Behavior Change Communication. It included exercises, a case study that highlighted the building blocks of an SBCC strategy, and extensive group work and experience-sharing.
Participants were from 11 countries that experience heavy malaria burden: Angola, Ethiopia, Ghana, Liberia, Kenya, Malawi, Mali, Mozambique, Senegal, Uganda, and Zambia. Post-test evaluation scores indicated that the time was well spent.
Short-term technical assistance
- C-Change provided short-term technical assistance (TA) that strengthened the SBCC capacity of NGOs in Ghana and Liberia that work in malaria prevention and control, providing them with tailored feedback on their SBCC programming and assisting them to refine work plans.
- C-Change worked with Malawi's National Malaria Control Program to develop a final draft of the country's Malaria Communication Strategy.
- In 2008-2010, in partnership with the Government of Brazil, C-Change provided short-term TA to São Tomé and Príncipe's Ministry of Health to strengthen SBCC capacity to address malaria prevention and control. C-Change has carried out skills-building workshops and on-the-job training for ministry staff in conducting formative research and developing and pre-testing SBCC malaria-prevention materials. Local NGO staff working in malaria prevention participated in the training, along with media personnel.