PSI INTERVENTIONS REACH CHILDREN The Power of Communications. Muna Shalita (Safe Water Program Manager) Nov 2005

Transcription

1 PSI INTERVENTIONS REACH CHILDREN The Power of Communications Muna Shalita (Safe Water Program Manager) Nov

2 About PSI International non profit founded in 1970 Programs in more than 65 countries Uses social marketing of products and services to promote healthy behaviors Focused on achieving measurable health impact at SCALE 2

3 PSI Health Sectors Safe Water/Oral Rehydration Malaria Nutrition/Micronutrients HIV/AIDS Family Planning 3

4 Focus on Social Marketing. PSI employs private sector business principles to market and distribute needed health interventions Products and services are branded, attractively packaged and marketed via multiple channels Products/services are typically sold at affordable prices, but not given away: More highly valued and better used by consumers Providing profit incentive to distributors and retailers ensures availability Cost recovery enhances program sustainablilty 4

5 Global Burden of Unsafe Water Over 1 billion persons have no access to improved water sources Hundreds of millions more drink unsafe water from improved sources 5

6 What is Safe Water? Water that does not cause morbidity and/or mortality Especially in children under 5 Assumption that protected sources are safe water Often False! 6

7 What Contaminates Water? Four types of organisms: Bacteria Viruses Protozoa Helminths Organic materials and heavy metals including lead & arsenic 7

8 Post Source Contamination Collection Transportation Storage 8

9 Disinfection of water at the point of use is consistently the most cost effective intervention. The United Nations World Water Development Report,

10 PSI POU Interventions PuR PuR (P&G product) Launched in Haiti, Uganda and Pakistan Soon launching in Malawi and Kenya Powerful visual clue of treatment addresses turbidity w/ flocculent (iron sulfate) & removes metals PuR vs. SWS: a. More steps required for treatment b. Cost higher $ USD per family per day Over 500,000 sachets sold in less than one year in Uganda. 10

11 PSI POU Interventions SWS Safe Water System (SWS) Dilute sodium hypochlorite solution in bottle branded WaterGuard Sometimes paired with 20 liter vessel PSI first launched in Zambia 1998 (involved prior w/cdc pilot in Bolivia in 1997) Now implemented by PSI in 15 countries >16 million bottles sold to date 11

12 Benefits of SWS & PUR Evidence based intervention Prevents diarrhea (studies show at least 50% reductions) Provides protection in vulnerable zone between water collection and consumption Low cost, portable, rapidly implemented Readily accepted and effectively marketed Multi sectoral community mobilization facilitates adoption Benefits the poor, those not served by current infrastructure and last in line for future installations 12

13 Safe Water System Treat drinking water at the point of use Store treated drinking water safely Dilute sodium hypochlorite bleach Narrow mouthed, lidded vessels with spigots 13

14 Communications Interventions to Reach Children PSI/U PSI/U formed partnerships with selected organizations to reach target t audiences UPMA: - Communication through registered private Midwives clinics nationwide targeting pregnant women and caretakers of children < 5yrs. Key messages focus on Safe Water, Hygiene, Sanitation and Malaria prevention and control UNANM: - Communication through nurses and midwives at public health institutions nationwide focusing on Safe Water, Hygiene, Sanitation and Malaria prevention and control 14

15 Communications Interventions to Reach Children PSI/U Organized Women s s Groups: - To enhance community led interventions on Safe Water, Hygiene, Sanitation and Malaria prevention and control. (ie:homapak Home Based Management of Fever) Community Based Organizations (CBO( CBO s): - Training of peer educators to sensitize communities on good health practices and distribution of health products at grassroots level. * Target distribution (ie( ie: : PLWHA) * General distribution 15

16 Communications Interventions to Reach Children PSI/U Disadvantaged Children s s Homes: - Health Sensitization and Provision of health products (ie( ITN s & PUR) and communication materials (ie( ie: : Brochures, Instructional Posters etc.) * Sunrise Children s s Village (Entebbe & Lira) * Toro babies Home (Fort Portal) * Moyo Children s s Home (Moyo( Moyo) * Gertrude s s Children s s Home (Jinja( Jinja) 16

17 Communications Interventions to Reach Children PSI/U PUR SCHOOLS PROGRAM: - PSI/U together with P&G aims at reducing the occurrence of diarrhoeal disease among school going children (primary schools). - BCC techniques to promote correct and consistent treatment of water using P&G s s PUR point-of of-use water treatment product. 17

18 Communications Interventions to Reach Children PSI/U PUR SCHOOLS PROGRAM: - ACTIVITIES: * Training sessions for Teachers, Student peer educators and District Health Educators * Drama & Music competitive sessions * Education: use of IEC materials wooden tree boards. * M&E 18

19 PSI/U Joint Safe Water & Malaria Campaigns: UTMT PSI Uganda developed and adopted the Under the Mango Tree (UTMT) concept to communicate joint Safe Water and Malaria BCC messages to similar target audiences: Primary Target Group o Pregnant Women & Caretakers of children <5 Secondary Target Groups o Men with children <5 o Schools/school children o Community Health providers (CORPS) Selected High Risk Groups o People Living with HIV/AIDS o IDPs/Refugees o Informal Urban Settlement Residents 19

20 PSI/U Joint Safe Water & Malaria Campaigns - UTMT ACTIVITIES: - Sensitization of rural communities - Distribution of IEC materials including film shows - Pre & Post evaluation of community members - Sales of health products (ie( ie: ITN s & PUR) 20

21 PSI/U Joint Safe Water & Malaria Campaigns - UTMT Safe Water Activities Malaria Activities 14 21

22 PSI/U Joint Safe Water & Malaria Campaigns - UTMT ACHIEVEMENTS OF UTMT : - Activations in 8 districts nationwide, covering 760 villages - People reached: Over 60,000 (59% Women & Children) - Established Sales Outlets (Market priming) - Sales: PUR = Over 20,000 sachets ITN s = Over 2,000 22

23 PSI/U Joint Safe Water & Malaria Campaigns - UTMT UTMT PARTNERS: - Ministry of Health (DDHS) - Local Government Officials (LC( LC s) - Faith Based Organisations (FBO s) - Community Drug Distributors (CORPS) DURATION of UTMT : - Phase I = 8 months 23

24 Key Learnings from Experiences ( PSI/U) Health Sensitization: achieves greater impact if issues pertaining to Malaria and Safe Water are addressed in unison. (Fever) Partnerships: - Public Govt. bodies, Hospital, Schools - Private NGO s, Private Commercial Organisations, FBO s Community Led Interventions: : Through CBO s 24

25 Key Learnings from Experiences (PSI/U) Accessibility: : Hard to reach areas are usually those with the most needs. Increased costs compromise equity, (Fewer populations reached) Mobilisation: Minimum facilitation for public officials required due to volunteer fatigue.. (ie( ie: : cars without fuel) Pricing: Increased direct subsidies on commodities required - ITN s: : Subsidized nets in Kaberamaido generated increased sales (1,000 nets) as opposed to low sales for unsusidized nets (180 nets) 25

26 Population Services International Measurable 790,000 HIV infections prevented Health Impact Drives Everything 78,000 child deaths from malaria averted 6.1 million pregnancies averted 8.7 million diarrhea cases avoided We Do 8.4 million multivitamin pills marketed

27 7,000,000,000 PSIʹs Liters of Treated Water ,000,000,000 Liters of Treated Water 5,000,000,000 4,000,000,000 3,000,000,000 2,000,000,000 1,000,000, Thru Q3 Year

28 Conclusion We have affordable technologies that work. We know how to do it at scale. Funding is critical for the success of our programs. 28

29 Thank you 29