Initiating community conversations on safe abortion
Sparking dialogue
Presentation developed by PATH and Ipas
Major causes of maternal death
Hemorrhage25%
Sepsis15%
Eclampsia12%
Abortion13%
Obstruction8%
Other27%
World Health Organization (WHO). Mother Baby Package: Implementing Safe Motherhood in Countries. WHO/FHE/MSM/94.11. Department of Reproductive Health and Research, Geneva: WHO;1994.
Reflect critically
Save lives
Change norms
Change behavior
When people in defining their problems, they own the solutions too.
PARTICIPATE
When people to each other, they begin to identify common solutions.
TALK
The work of many hands.Communication is part of a larger program.
Supportive environment
Social change through communication
Socialmobilization
Advocacy
Communication
When individuals their behavior to improve their health, they become powerful influencers of their communities.
CHANGE
A communication strategy for a participatory process that improves access to safe abortion.
WANTED
1STEP
Consultation with institutional stakeholders
2STEP
Literature review
3STEP
Formative assessment
4STEP
Community stakeholder strategy design workshop
5STEP
Draft BCC strategy
Draft BCC strategy5STEP
• Key behavioral issues • Communication strategy rationale • Key audiences• Media channels • Behavior change and BCC objectives• Illustrative messages • Intervention processes • Communication materials
6STEP
Feedback from partners and stakeholders
7STEP
Finalizing the BCC strategy
8STEP
Planning for monitoring and evaluation
Key results of Nepal BCC strategy
Result 1Primary audiences
Program participants avoid unwanted pregnancy or make pregnancy choices without coercion.
Result 2Secondary audiences
Community and religious leaders endorse open dialogue on traditional norms and behaviors related to reproduction and abortion.
Result 3Implementing partners
Implementing partners conduct and monitor dialogue groups and magnet theater.
Result 4National policy
A replicable communication program that addresses access to safe abortion is established.
9STEP
Training in BCC skills that foster community dialogue
10STEP
Implementation
Reflect critically
Achieve results
Change norms
Change behavior
Reflect critically
Change norms
Change behavior
Savelives
Achieve results
THANKYOU
