Needs Assessment, strategy design, and planning

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Needs Assessment, strategy design, and planning

Module 3 28 September 2005
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Needs assessment, strategy design, and planning
Module 3 - Outline

• Objectives
• Assessing and analysing needs problem definition
• ACS strategy and planning steps in the planning
  matrix
• Exercise
• Mapping ACS at community level

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Your most convincing data is your own!
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Accurate Data

• TB data and analysis
• Epidemiology
• Situation analysis, Barriers, SWOT
• Data to inform ACS
• Socio-behavioural (Healthcare seeking patterns,
  KAP, socio-economic status, stigma, etc)
• Administration-/policy analysis (financial
  analysis, policy barriers, stakeholders analysis,
  power/influence, etc)
• Education-Media analysis (literacy rates, media
  penetration, advertisement, etc)

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KAP dataIndonesia Knowledge about TB

• Indonesia knows about TB (76) and people know
  TB is curable (85)
• Stigma is low (only 13 keep TB a secret if a
  family member had TB)
• But, People do NOT know treatment is free (only
  19)
• Misconceptions on TB dissemination thru
  drinks/food, air-pollution
• Only 16 can mention three or more correct
  symptoms

Source Indonesia KAP data, Dec2004, linked to
prevalence survey
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Health-seeking behavior if having TB symptoms,
Indonesian population has intention to go to
Source TB prevalence survey/ KAP study, Dec2004,
Central-Java respondents 1347
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Source of TB informationIndonesia Urban-Rural
differences
Source Indonesia KAP data, Dec2004, linked to
prevalence survey
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Source of TB informationGender differences
Literacy rates in Indonesia Male adults
92 (87 in 1990) Female adults 83 (73 in
1990) (2002 data Human Devt report)
Source Indonesia KAP data, Dec2004, linked to
prevalence survey
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Map potential TB Partnerships
Source NTP, Indonesia ACS Framework, May2005
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Stakeholders analysis
Source Indonesia KNCV, Aug2005
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Financial mappingDistrict analysis
Source Indonesia KNCV, Aug2005
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Defining the expected outcomes

• Outcome-focused questions
• What do you want?
• How many different ways are there to get there?
• What is the first thing you need to do now?

• Problem-focused questions
• What is the problem?
• Who or what caused it?
• How can you get away from this problem?

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Results-oriented objectives

• Specific
• Measurable
• Appropriate
• Realistic
• Time

Separate objectives Advocacy political
commitment Communications Knowledge Social
mobilization community from program objectives
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Advocacy, Communications, Social Mobilisation
Strategic Framework

• Social/ Political Environment
• Low Health/ TB awareness, investment, budget
  allocation
• ?Advocate political commitment

• Service Delivery System
• Low ACS capacity, tools/ educational materials
• Community support potential
• ?Healthcare provider capacity

TB Goals 05/15 Case-detection Cure MDGs
Advocacy, communication, Social mobilisation
Strategy
Research and MIS Baseline data (KAP, research),
Planning, management, and Monitoring and
Evaluation
Supporting Society Gerdunas, partnerships, commun
ity based DOTS

• Community and Individual
• Lack of public involvement for appropriate
  treatment seeking
• Lack of patient knowledge for treatment success
  (esp. hospital)
• ?Communicate Informed demand

Source NTP, Indonesia ACS Framework, May2005
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ME Framework
ACS Impact
ACS Process Activity Indicators

• Advocacy Outcomes
• Knowledge of politicians
• political commitment in policy and reports
• Coverage advocacy activities/campaigns

Increased budget allocations
Increased Suspect rates

• Communication Outcomes
• Knowledge of population
• Coverage IEC activities/ campaigns

Decreased Drop-out rates

• Social Mobilisation Outcomes
• Partners/communities joint action (NTP)
• Coverage partners/communities TB plans

Increased capacity
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Plan/ Design audience specific campaigns

• Determine needs and prioritize
• Utilize best available professionals
• Recruit, partners with NGOs/community
• Review present materials
• Develop story board/ outlines
• Pre-test and revise

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Planning matrix

• Who? Target Audiences
• What? Objective
• What? Message
• How? When? Where? Channel
• How? Messenger

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Planning process

• Analysis understand the issues and barriers to
  change
• Strategic Design objectives, audiences, message,
  channel
• Development, Pre-testing, Revision, and
  production
• Management, Implementation, and Monitoring
• Impact Evaluation
• Plan for continuity

3. Develop 4. Manage 5.
Evaluate
2. Strategic Design
1. Analysis