UPHOLD Project

• USAID-funded 5-year project in 34 districts

– Goal• Improved health, longer & more productive lives

– Approach• Integrates primary education, HIV/AIDS & health

– Partners• Government, district governments, CSOs & private

sector partners, communities

Project Districts

Masindi

Nakasongola

Kasese

Hoima

Kibaale

Kiboga Luwero

Apac

Mukono

KAMPALAMubendeKabarol

e

Nebbi

Arua

Gulu

Adjumani

Kabale

Mbarara

Rakai

Sembabule Masak

a

Kalangala

Iganga

Busia

Mbale

Tororo

Kapchorwa

Pallisa

Kumi

Katakwi

Moroto

Kotido

Kitgum

Soroti

Lira

Mpigi

Bushenyi

Rukungiri

Kamuli

Ntungamo

Moyo

SUDAN

KENYA

TANZANIA

RWANDA

Kamwenge

Kyenjojo

Kayunga

Kanungu

Yumbe

Pader

Sironko

NakapiripiritKaberamaido

Bugiri

Mayuge

DEMOCRATIC REPUBLIC CONGO

Kisoro

Wakiso

Jinja

Bundibug

yoFort Portal

HIV/AIDS HEALTH

•Teacher Talk•Radio programs to support training

•Reminder materials on ethics

•Couple counseling•Abstinence

commitment cards

•Yellow Star branding•Health worker

newsletter•Radio talk shows on FP

•LC Advocacy packages•Radio journalist

workshops•Innovations newsletter

•Incentives and awards•Consumer advocacy tools

•Radio listening clubs•MDD

•Parent Talk radio•Couple and family

dialogue tools

Creating Advocates &

Securing Resources

Improved Service Delivery

• Manager and provider attitudes &relations with consumers

Improved Useof Services &

Other Key Practices• Family dialogue

•Gender-based violence• Ownership of services

EDUCATION

Illustrative Sector-specific BCC Activities

Illustrative Integrated BCC Activities

Coordination with other Activities

• BCC supports other behavior change activities:

►Training►Community mobilization►Service delivery improvement►Policy / advocacy

Social Transformation Themes at the Community Level

• Dialogue and decision-making within couples, households and communities

• Sexual and gender-based violence (SGBV)

• Client-provider relationships

• Community-based access to services

Community BCC Activities

• Mass media– Radio Listening Clubs

• Traditional media– Music, Dance and Drama

• IPC– Local Council Advocacy Orientations– Counseling for child feeding; Support groups, etc.

Radio Listening Clubs

• Bi-monthly radio programs, supported by print materials for local leaders to learn, discuss and plan community actions

• 2,000+ clubs active

• Variety of topics, such as:• Family planning• HIV Counseling & Testing• Supporting community-based

health workersAnd more!

Radio Listening Clubs• Content:

– Information & strategies for leaders / communities to support improved practices in community members

– Based on action research (where possible)

• Delivery:– *Hosted by popular presenters (DJs)– English and local languages– 15 min of letters and call in time– Some entertainment

The Teeth which bite together are the ones that chew meat!

Music, Dance & Drama• National troupe trained and supported

200 local drama troupes (as seen in Last King of Scotland!)

• 14 “scripts” on health, HIV/AIDS & primary education topics : Local troupes adapt names, places, some content

• Local troupes perform for NGO activities & on request for events

Music, Dance & Drama• Content:

– Information on the topic & dilemmas to provoke discussions about solutions to support improved practices in community members

– Based on action research (where possible)

• Delivery:– Local languages– Edutainment– *Performances followed by facilitated community

dialogue to reflect & plan actions

Local Council Leaders Advocacy

• 800 Local Council Leaders oriented to advocate for health, HIV/AIDS & primary education

Local Council Leaders Advocacy

• Content:– Information & strategies for leaders /

communities to support improved practices in community members

– Life-cycle packaging: child, adolescent, adult

– Positioned as supporting voters

• Delivery:– Simple facts with cartoons– Local languages

Local Council Leaders Advocacy

Counseling

• Child health in community: feeding, treatment of illnesses, preventive behaviors (ie, immunisation, hygiene, FP)

• 500 communities and counting

• Volunteers with tools including ‘negotiation counseling’ cards, community monitoring sheets

Counseling

• Content:– Individual tailored counseling & follow up– Counseling cards have:

• Assessment of current practices and context• Discussion of recommended behaviors• Agreement on 1-2 small steps to try in next month

• Delivery:– Simple facts with cartoons– Pictorial recommendations on 1 side

THANK YOU