Communicate for Health Annual Report: Year 2
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Transcript of Communicate for Health Annual Report: Year 2
1 Communicate for Health Annual Report: Year 2
Communicate for
Health Annual Report:
Year 2
Project dates: November 10, 2014 – November 30, 2019
Reporting Period: October 1, 2015 – September 30, 2016
Draft submission date: October 10, 2016
Cooperative Agreement No: AID-641-A-15-00003
2 Communicate for Health Annual Report: Year 2
Table of Contents
Table of Contents .................................................................................................................................. 2
Acronyms and Abbreviations ................................................................................................................ 3
Executive Summary ............................................................................................................................... 5
Overview of Communicate for Health in Ghana ................................................................................... 7
Social and Behavior Change Communication and Media (ER1) ............................................................. 9
Capacity Building (ER2) ....................................................................................................................... 28
Development of One Local SBCC Organization to be a Recipient of USAID Funding (ER3) .................. 38
Monitoring and Evaluation .................................................................................................................. 42
Partnerships and Coordination ........................................................................................................... 49
Overview of what to expect in Year 3 ................................................................................................. 58
3 Communicate for Health Annual Report: Year 2
Acronyms and Abbreviations AMEP Activity Monitoring and Evaluation Plan
BCS Behavior Change Support
CADP Change Agent Development Program
CARE Cooperative for Assistance and Relief Everywhere
CAT Capacity Assessment Tool
CBO Community-Based Organization
C-Change Communication for Change Project
CCF Change Challenge Fund
CRS Community Radio Station
DHIMS 2 District Health Information Management System 2
FAA Fixed Amount Award
FHD Family Health Division
FP Family Planning
GCRN Ghana Community Radio Network
GMCSP Ghana Maternal & Child Survival Project
GHS Ghana Health Service
GOG Government of Ghana
HDHC Healthy Districts and Healthy Communities
HP Health Promotion
HPD Health Promotion Department
HPNO Health, Population, and Nutrition Office
HPTO Health Promotion Technical Officer
HQ Headquarters
HR Human Resources
ICC-HP Inter-agency Coordinating Committee for Health Promotion
IO Information Officer
IPs Implementing Partners
IPC Interpersonal Communication
IT Information Technology
4 Communicate for Health Annual Report: Year 2
IVR Interactive Voice Response
LLIN Long-lasting Insecticide-treated Net
M&E Monitoring and Evaluation
MCH Maternal and Child Health
MECOP Monitoring and Evaluation Community of Practice
MMDA Metropolitan, Municipal and District Assemblies
MOH Ministry of Health
NGO Non-Governmental Organization
PEPFAR President’s Emergency Plan for AIDS Relief
PMI President’s Malaria Initiative
PPE Personal Protective Equipment
PPME Policy, Planning, Monitoring, and Evaluation
PSA Public Service Announcement
RHPO Regional Health Promotion Officer
SBCC Social and Behavior Change Communication
SHOPS Strengthening Health Outcomes through the Private Sector
SPRING Strengthening Programs in Nutrition Globally
THPA Top Health Promoter Award
TOCAT Technical and Organizational Capacity Assessment Tool
TOHPz Technical Officers for Health Promotion
UNICEF United Nations Children's Fund
USAID United States Agency for International Development
USG United States Government
WASH Water, Sanitation, and Hygiene
WHO World Health Organization
5 Communicate for Health Annual Report: Year 2
Executive Summary The USAID Communicate for Heath project was awarded to FHI 360 on November 10, 2014. The
present document summarizes activities, results, and challenges of Year 2 (YR 2) of the five-year
project. Communicate for Heath is working with the Government of Ghana (GOG), Ghana Health
Service Health Promotion Department (GHS/HPD), local Ghanaian partners, and international
development partners to 1) Improve behavior change in family planning (FP), water, sanitation, and
hygiene (WASH), nutrition, maternal and child health (MCH) and malaria prevention and case
management; 2) Strengthen the capacity of GHS/HPD to effectively coordinate and deliver social and
behavior change communication (SBCC) campaigns; and 3) Develop and strengthen the capacity of
one SBCC local organization to receive direct USAID funding. Year 2 of the project saw major
progress towards all three of Communication for Health’s Expected Results (ERs).
Improved behaviors that increase demand for key interventions (ER 1)
In Year 2 the project launched the refreshed GoodLife, Live it Well campaign. The campaign
embraces a Life Stage approach, addressing in an integrated fashion the perspectives and concerns
of four key audience segments. Participatory Action Media workshops in four regions provided a
solid formative research base for messages, concepts, and materials. The refreshed brand
emphasizes collective responsibility for health and empowers different audiences to make health
“an everyday thing”—a habit that can bring happiness and peace of mind.
To prepare for the launch, television and radio “teasers” were broadcast in English and local
languages across six national television, five national radio and 19 regional radio stations.
Orientation and planning meetings were carried out in all ten regions of the country with 1,299
participants. On July 28, Ghana’s Health Minister, Hon. Alexander Segbefia, oversaw the national
launch, which was attended by over 700 dignitaries, stakeholders and community members and was
covered heavily by both electronic and print media. A post-launch press conference received further
substantial coverage. On September 20, the project organized a GoodLife, Live it Well celebration in
Tamale for the northern regions of the country which was attended by over 800 people. Television
and radio spots, ten posters, a brochure, cue cards, and multiple other media were distributed in
connection with the GoodLife launch. Since the national launch and regional rollouts, broadcast of
campaign radio and television advertisements have continued to air on primetime and peak-time
programs such as morning shows, brunch, drive, news bulletins, soap operas, and print adverts have
run in major newspapers.
Communicate for Health also participated in other key media activities in YR 2. These included
broadcast of a family planning advocacy video documentary entitled Ghana on the Rise: Investing in
Population and Development, or ENGAGE, on national TV (produced by the National Population
Council (NPC) with support from the Population Reference Bureau). The project worked with UNICEF
to raise public awareness about cholera and funded air time for messages. The project is also
working with the NPC, Department for International Development (DFID), and Palladium on
integration of new GoodLife messages into the popular Ghanaian soap opera series entitled You Only
Live Once, or YOLO. Not counting national news coverage, 43,771 TV and radio spots, programs and
interviews were aired during this reporting period.
6 Communicate for Health Annual Report: Year 2
Finally, the project continued work with the GHS/HPD to update the National Health Communication
Information Resource Centre. More than 20 organizations have contributed materials on a range of
health topics. A platform for the inventory has been created.
Improved HPD technical and organizational capacity (ER 2)
The first week-long Change Agent Development Program (CADP) designed to strengthen the
technical capacities of select national, regional, and district-level staff was conducted for 23 SBCC
practitioners in June of 2016. Pre- and post-training results showed significant improvements in total
scores. The Set for Change (SfC) program was also launched in YR 2. The first cohort of ten Technical
Officers for Health Promotion (TOHPz) were drawn from the district levels of the GHS. In additional
three HPD staff completed a three-month internship program with the creative agency, Mullen
Lowe. Finally, process was made towards establishing the Change Challenge Fund (CCF), a
performance-based award to be made available to 10 to 15 CAPD or SfC graduates to apply their
learning in real program settings. The final draft of the CCF guidelines has been shared with HPD for
their inputs. The CCF will be launched in YR 3.
Improved technical and organizational capacity of one local SBCC organization (ER 3)
In June 2016 the project conducted a two-stage competitive process to identify a local Ghanaian
SBCC organization that will assume increasing technical and managerial responsibility for the project
and will eventually transition to direct USAID funding. The Head of the HPD participated in reviewing
the candidates. Based on predetermined selection criteria, the procurement committee agreed
provisionally on a winning applicant, pending the outcome of a pre-award assessment and
concurrence by USAID/Ghana.
Monitoring & Evaluation
Communicate for Health finalized the project’s Activity Monitoring and Evaluation Plan (AMEP) and
is awaiting approval by USAID. In December a working group including the project, Ghana Health
Service Health Promotion Department (GHS/HPD), Family Health Division (FHD), and Policy Planning,
Monitoring and Evaluation (PPME) incorporated new SBCC indicators and data collection
tools/registers into the national web-based District Health Information Management System 2
(DHIMS 2)—a major achievement for Ghana. In February, the project completed the first of its
planned mobile phone feedback surveys using interactive voice response (IVR) to assess audience
recall of media messages. Amendments were approved for a mobile cohort survey to be launched in
YR 3. A data quality assessment (DQA) was conducted by a team from USAID/HPNO and Evaluate for
Health in June. The DQA resulted in several recommendations that will be followed up on in YR 3.
Partnerships and coordination
In addition to the GHS and HPD, other partners that the project is actively working with include
Systems for Health, SPRING, RING, VectorWorks, Evaluate for Health, NPC and UNICEF. Activities
ranged from support for SBCC coordination at the national level and in the Northern Region,
collaboration with WASH for Health on a draft strategic plan and materials, collaboration with
VectorWorks on a school-based Long Lasting Insecticide-treated Net (LLIN) strategy, and major
support for national health celebrations. These included multiple events for World Malaria Day,
Child Health Week, World Breastfeeding week, and National Family Planning Week. Communicate
for Health also supported work to further progress on the National Newborn Health Strategy and
Action Plan.
7 Communicate for Health Annual Report: Year 2
Overview of Communicate for Health in Ghana
INTRODUCTION
On November 10, 2014, USAID-Ghana awarded FHI 360 and its consortium of partners (VOTO
Mobile, Creative Storm Networks, and Ghana Community Radio Network) a five-year $18 million
cooperative agreement to implement USAID’s Communicate for Heath project (C4H). The project
seeks to improve the health and well-being of Ghanaians through a broad range of “above the line”
mass media communication campaigns coupled with intensive capacity building programs.
Communicate for Health is working with the Government of Ghana (GOG), the Ghana Health Service
Health Promotion Department (GHS/HPD), local Ghanaian partners, and international development
partners to improve behavior change in family planning (FP), water, sanitation, and hygiene (WASH),
nutrition, maternal and child health (MCH), and malaria prevention and case management. In Year 3,
HIV/AIDS will be added as a technical area. The project is responsible for strengthening the capacity
of the GHS/HPD to effectively coordinate and deliver social and behavior change communication
(SBCC) and health promotion (HP) campaigns,1 as well as developing and strengthening the capacity
of one local organization to receive direct USAID funding. The project builds on USAID’s legacy of
improving health and nutrition in Ghana, including support for improved health communication in
the country.
This document describes activities and results for the second year (YR 2) of the project—October 1,
2015, through September 30, 2016. Project activities, life-of-project (LOP) mandatory results, and YR
2 outputs are presented by Activities and Sub-Activities.
COMMUNICATE FOR HEALTH RESULTS FRAMEWORK
Communication for Health’s results framework is based on the theory of change model. The
framework outlines how inputs and activities will contribute to outputs, intermediate results,
expected results, and impact (Figure 1). Key inputs to achieving Expected Result #1: Improved
behaviors that increase demand for key interventions, are FHI 360’s Life Stage Approach including
launch of a refreshed GoodLife, Live it Well brand (including the rollout and scale-up of integrated
health campaigns); collaboration and coordination of partners; and individual and organizational
capacity to strategically plan, implement, monitor, and evaluate SBCC activities. SBCC messages will
be better targeted at key audiences, and reach and frequency of messages will be increased.
Communicate for Health will monitor changes in key behavioral determinants—specifically
knowledge, skills, intention to act, and active seeking of health information. Improvements in health
determinants will provide indications of whether the project is on target to achieve Expected Result
#1. Increased demand—combined with improvements in availability of quality health services
(achieved through partners)—will provide the foundation for increased use of services, healthier-
home-based practices, and ultimately improved population health outcomes.
1 The terms SBCC and HP are used interchangeably in this report. Although the scope of the methodologies is not the same, both terms are used in Ghana to describe broad behavior change efforts and activities.
8 Communicate for Health Annual Report: Year 2
Communicate for Health’s approach to sustainable capacity strengthening will facilitate year-on-year
improvements in key technical and organizational domains of both the HPD and the selected local
organization. These improvements will contribute to achieving Expected Result #2: Strengthening
HPD capacity, and Expected Result #3: Building the capacity of one local SBCC organization to
effectively coordinate and deliver SBCC campaigns. Together, the three Expected Results will be
synergistic: improved capacity of the HPD and the local SBCC organization will directly serve as
inputs for achieving Expected Result #1 and will contribute to sustaining related impact beyond the
life of the project.
The project works closely with other USAID implementing partners (IPs) including Systems for
Health, WASH for Health, Evaluate for Health, Strengthening Health Outcomes through the Private
Sector (SHOPS), the Maternal and Child Survival Project (MCSP), SPRING, RING, VectorWorks, as well
as with UNICEF. Other GHS bodies including the National Population Council (NPC), National Malaria
Control Program (NMCP), and various departments of the Family Health Division (FHD), including
Nutrition and Reproductive and Child Health (RCH) and the Public Health Division (PHD) have also
become important partners. Demand creation and use of health services including antenatal care
(ANC), FP, immunizations, malaria case management, and use of products such as ORS/Zinc and long
lasting insecticide treated nets (LLINs) will ultimately result in improved health outcomes for the
country.
FIGURE 1 Communicate for Health Results Framework
9 Communicate for Health Annual Report: Year 2
Social and Behavior Change Communication and Media (ER1)
BROADCAST OF MALARIA, FAMILY PLANNING, WASH AND DIARRHEA
COMMUNICATION MATERIALS
Prior to the launch of the refreshed GoodLife brand, Communicate for Health worked closely with
the HPD to broadcast TV and radio spots inherited from the previous BCS project on Malaria, FP,
WASH, and Diarrhea. A total of 1,481 spots were aired during prime time on major national radio
(767 spots) and TV (714 spots) during the month of June, 2016 ensuring exposure to messages
throughout the country. Audiences for the various media houses vary. Some of the stations transmit
in English while others transmit solely in local languages. (See Table 1 for details.) In addition, 2,041
radio and TV spots were aired in October and November, 2015 free of charge in support of the
project by various media houses. The cost share of this coverage is valued at $825,389 representing
31 percent of the total $2,700,000 in cost share that the project is expected to generate by 2019.
MEDIA HOUSE LANGUAGE(S) TRANSMITTED BROADCAST PERIOD TOTAL # OF SPOTS AIRED
National Radio
PEACE FM Twi June 2016 220
JOY FM English June 2016 284
STARR FM English June 2016 140
Radio Ghana/ OBONU
English, Twi, Ga, Ewe June 2016 123
Sub-total 767
National Television
GTV English, Twi, Ga, Ewe June 2016 57
UTV Twi June 2016 114
ADOM TV Twi June 2016 155
JOY NEWS English June 2016 155
JOY PRIME English June 2016 155
VIASAT 1 English June 2016 21
TV3 English June 2016 63
Sub-total 714
TV and Radio (All) English, Twi, Ga, Ewe Oct. – Nov., 2015 2,041
TOTAL SPOTS 3,522
SECTION 1
TABLE 1 National media coverage of Malaria, FP, WASH, and Diarrhea spots
10 Communicate for Health Annual Report: Year 2
OVERVIEW OF THE GOODLIFE, LIVE IT WELL STORY
GoodLife, Live it Well is a GHS health behavior change initiative
first introduced in 2010 in the Greater Accra, Central, and
Western Regions in partnership with USAID. At the time it was
first launched, GoodLife was a multimedia campaign that
encouraged self-reflection about what makes life “good,” linking
personal happiness to the practice of healthy behaviors. It
positioned health as a personal responsibility for happiness and
wellbeing. The initial GoodLife campaign consisted of TV and
radio spots, print media and a game show. An impact evaluation
conducted in 2014 showed modest improvements in Antenatal
Care (ANC) attendance, the proportion of children sleeping under
LLINs, and the proportion of respondents who washed their
hands with soap before preparing food.
After six years, the campaign needed an upgrade—a new look, feel, tone, and emotion—to be
consistent and recognizable, connecting with broad sections of the Ghanaian population.
Building on the original framework, and working closely with the GHS/HPD, Communication for
Health held numerous stakeholder consultations with the GHS at the national and regional levels,
with UNICEF, USAID, USAID Health IPs including Systems for Health, SPRING, WASH, RING—as well
as with communities during pretesting.
YR 2 began with formative research for the refreshed brand and ended with a major national launch
of the new GoodLife campaign in July and regional celebration in September. All aspects of the
process were strongly collaborative—involving government and other key stakeholders as well as
traditional leaders and communities. Details of this process are provided in the sections that follow.
The refreshed GoodLife, Life it Well brand is based on a Life Stage Approach, including the rollout
and scale-up of integrated health campaigns, that are based on
the perspectives and target the specific health concerns of four
population segments:
Parents/caregivers of children under five years
Adolescent boys and girls aged 15–17 years
Pregnant women and their partners (pregnant couples)
Young people and adults in relationships aged 19–35 years
Other Life Stages or sub stages may be considered over time as
needed.
GoodLife, Live it Well draws under its canopy all of the GHS
health interventions including FP, MNCH, nutrition, malaria,
WASH, HIV/AIDs, and diseases of pandemic potential. The
Good Life then: Generic Poster.
11 Communicate for Health Annual Report: Year 2
refreshed GoodLife brand is a trusted friend, faithful companion, and a guide that empowers
different audiences, households, families, and communities to make health “an everyday thing”—a
habit that can bring good health, happiness, peace of mind, and long life once an individual makes
the healthy life choices promoted by the brand.
Key stakeholders had regular and active input into the development of the refreshed brand. Settings
for this input included two Senior GHS Management meetings, District Director meetings in all ten
regions, the FHD Annual Retreat, the GHS Annual Performance Review Meeting, the Annual National
HPO Conference, and the National GHS Senior Management Conference. Other fora where the
refreshed brand concepts and logo were presented as they evolved included meetings with senior
staff at UNICEF and USAID, three USAID COP meetings, and with the ICC-HP and the USAID IP SBCC
Coordination Committee in Northern Region. Although the process was lengthy, lasting more than
ten months, it generated keen interest in the meaning of the refreshed brand and indisputable
ownership by the GHS.
PARTICIPATORY FORMATIVE RESEARCH
Communicate for Health conducted formative research for the refreshed brand from October
through December, 2015. The project carried out four Action Media Workshops in the first quarter
of YR 2 to develop audience-specific health communication messages and concepts based on the
priority GoodLife Life Stages. Action Media is participatory approach that engages audiences in
developing prototype communication messaging and campaign materials by gaining insights into the
realities of audience lives, their hopes, and their aspirations for the future.
The process took place in
phases and began with a
meeting in Accra on October
26, 2015, with 32 staff from
Communicate for Health,
GHS/HPD and FHD, SPRING,
Palladium, Creative Storm
Network, VOTO Mobile, GCRN,
and Mullen Lowe, during which
the Life Stages concept and
Action Media methodology
were introduced. This was
followed by a two-day Trainer
of Trainers (TOT) on the Action
Media approach, theory, and
methodology by Dr. Warren
Parker, an experienced
HIV/AIDS and Public Health
Communications Specialist
based in South Africa.
Over about two-and-a-half months the combined teams conducted Action Media Workshops in the
four regions using a structured process and standardized protocol. Each of the four-day workshops
engaged approximately 15 participants from a specific Life Stage population segment. The GCRN
Action Media Workshop participants in Tamale performing a dance to stamp out open defecation.
12 Communicate for Health Annual Report: Year 2
leveraged its vast network of community radio stations in the regions to select the participants.
Participants were engaged in critical thinking and problem-solving activities, which led towards the
development of communication concepts and resources relevant to bringing about change in
relation to health and social issues. This was achieved through a combination of sequenced
discussions supported by games, role-plays, energisers, and large group and small group discussions.
Workshop regions, dates, and Life Stage groups were as follows:
Tamale, Northern (November 2–6): Parents/caregivers of children under five
Wenchi, Brong Ahafo (November 30–December 4): Adolescent boys and girls aged 15–17
years
Winnega, Central (December 8–11): Pregnant women and their partners (pregnant couples)
Mepe, Volta (December 14–19): Young people and adults in relationships aged 19–35 years
The teams prepared preliminary reports on the results of the workshops. These were further
analyzed and synthesized in January of 2016 by Dr. Parker. The consolidated reports, known as the
Communicate for Health Life Stage Briefing Books, will serve as the key references for all
Communicate for Health programming—including new content for the GoodLife, Live it Well
campaign. The briefing books outline the context of communication for each Life Stage, principles
and values, communication approach, and include a matrix detailing priority health outcomes,
audiences, concepts, and recommended media.
The draft reports and briefing books have been widely distributed to GHS/HPD, Creative Storm,
GCRN, NPC, and have informed content for the YOLO series (see below) and documentaries under
production with Creative Storm Networks. Integrated cue cards and messaging for pregnant couples,
newborn care, caregivers of under-fives, adolescents, and young adults in relationships (which are
due to be printed in YR 3) were also informed by the reports.
THE REFRESHED GOODLIFE BRAND
Key underlying themes and concepts emerging from the formative
research included “peace of mind,” happiness, and the collectivist nature
of the Ghanaian people to care for one another. The refreshed brand
embraces a new idea of turning health behavior into habits and translates
known health knowledge into “simple doable actions” such as … the
regular and consistent use of insecticide treated nets; ensuring children
are fully immunized by their first year of life to ensure their steady growth
and development; and immediate breastfeeding within 30 minutes after
delivery as well as practicing exclusive breastfeeding for the first six
months of life and introducing the right foods at the right time to children
at six months. The new GoodLife is thus about actions that lead
individuals, families, and communities to make the right choices at every stage to protect personal
health and the health of others. Beyond linking personal happiness to the practice of healthy
behaviors, the new GoodLife highlights the community perspective of collective responsibility.
A brand manifesto has been developed to provide a framework for the GoodLife integrated
communications. Also being finalized is a GoodLife brand manual that will serve as a guide for all
13 Communicate for Health Annual Report: Year 2
stakeholders engaged in SBCC around the refreshed
integrated GoodLife campaign. With the refreshed
GoodLife launch (see story below) all stakeholders are
encouraged to use the refreshed logo on any new SBCC
materials and tools being developed with the GHS.
GOODLIFE TEASER CAMPAIGN
Prior to the national launch, a “teaser campaign”
featuring radio, TV, and the press was debuted in mid-
July to create awareness for the impending campaign
when the refreshed logo would be “revealed” and
explained. One 45-second TV and radio teaser was
produced and broadcast in English and four local
languages across five national and 19 regional radio
stations. Overall a total of 1,000 TV teaser spots were
aired on five national TV stations, while 1,500 radio
teaser spots were broadcast. At the regional level the
teasers were broadcast in the Western, Central, Northern, and Volta Regions (see Table 2 below).
Media houses reported receiving calls from listeners requesting more information about the new
campaign and the release date. Strategic placement of advertisements with various print media for a
two-week period around the launch complemented the radio and TV advertisements. Three-quarter
page and full-color advertisements were also placed weekly in the various national newspapers
including the Daily Graphic, Mirror, Graphic, Showbiz, and Daily Guide.
BROADCAST OF TEASER SPOTS BY AREA NUMBER OF TEASER SPOTS AIRED
National Television Stations 1000
National Radio Stations 1500
Western Region 1200
Northern Region 1000
Central Region 800
Volta Region 800
TOTAL 6300*
NB: *The figures in the table were arrived at based on certified transmission certificates submitted by media houses
TABLE 2 GoodLife Teaser spots aired on National Television, National Radio, and Regional Radio
The Manifesto is an integral piece of the GoodLife Brand Book
14 Communicate for Health Annual Report: Year 2
NATIONAL LAUNCH OF THE REFRESHED GOODLIFE, LIVE IT WELL BRAND
The national launch of the Refreshed GoodLife, Live it Well brand was held at the National Theatre
on July 28 in Accra. Ghana’s Health Minister, Hon. Alexander Segbefia, launched the refreshed brand
on behalf of Ghana’s President, His Excellency John Dramani Mahama, and called on Ghanaians to
embrace the new GoodLife to improve their health and wellbeing. The new refreshed GoodLife Logo
was unveiled in 3D fashion (watch video) to an estimated audience of about 700 people. Unveiling
the GoodLife logo, Ambassador Robert P. Jackson reiterated the commitment of the Government
and people of the United States of America to Ghana and praised Ghana’s Ministry of Health for the
collaboration that has seen improvements in the health status of Ghanaians over the last decade
(watch launch video).
Participants included high profile personalities and dignitaries, diplomats, Ministers of State,
traditional leaders, celebrities, the Parliamentary Caucus on Health, health workers, students from
health training institutions, representatives of Metropolitan, Municipal and District Assemblies
(MMDAs), Ghana Education Service, nurses, midwives, women leaders, civil society groups, and
school children. Others included representatives of USAID IPs, and the Country Representatives for
UNICEF, UNFPA, and World Vision.
Ms. Susan Namondo Ngongi, UNICEF Representative for Ghana and Nana Ama Enyiamba III, Queen
Mother of Mankessim traditional area made statements in support of the new GoodLife. (See
Successes and Lessons Story No. 1 at the end of this section.) Performing sketches on Life Stages,
the National Theatre Group thrilled the audience with innovative renditions of the different Life
Stage contexts and key behaviors associated with each.
The launch event was covered by both electronic and print media. In particular, one of Communicate
for Health’s media partners, JOY News, streamed a two-hour live television coverage of the event.
The launch was also streamed live on social media at multitvworld.com and myjoyonline.com.
The following television stations covered the event: GTV, JOY News, Adom TV, UTV, TV Africa, TV3,
Viasat 1, Metro TV, GH One TV, Kessben TV, and Light TV. More than 20 radio stations covered the
event: Peace FM, Joy FM, Adom FM, Starr FM, Citi FM, GBC Radio, 3 FM, Radio Gold, Oman FM,
Kasapa FM, Asempa FM, Radio Universe, Atinka FM, Bryt FM, Marhaba FM, Justice FM, Mercury FM,
Lateinu FM, and Radio France Internationa. Numerous popular national dailies covered the event
and produced feature articles and opinion editorials: Daily Graphic, Ghanaian Times, GNA, Finder,
Financial Post, Public Agenda, Ghanaian Observer, Daily Guide, Independent Newspaper, and New
Independent. Interviews with the Director General of the GHS, the Minister of Health, and the
United States Ambassador were also included in the news coverage following the event.
POST GOODLIFE LAUNCH ACTIVITIES
National Level
Following the successful launch of the refreshed GoodLife, Live it Well brand, a press conference was
organized at the Accra International Press Centre on August 12 to sustain campaign momentum and
allow the media to gain a deeper understanding of the key concepts underlying the brand and the
rollout strategy. The conference was attended by the Deputy Director General of the GHS, the
Director of Public Health, the Chief of Party (COP) and Deputy COP of Communicate for Health, and
attended by close to 100 participants including journalists from 47 electronic and print media
15 Communicate for Health Annual Report: Year 2
houses. The Deputy Director General of the GHS, Dr. Gloria Quansah-Asare, addressed the media
and responded to questions.
TV and radio coverage was provided by GTV, UTV, TV Africa, TV3, Viasat 1, Metro TV, GH One TV,
Kessben TV, Light TV, Peace FM, Starr FM, Citi FM, GBC Radio, 3 FM, Radio Gold, Oman FM, Kasapa
FM, Asempa FM, Radio Universe, Atinka FM, Bryt FM, Marhaba FM, Justice FM, Mercury FM, Lateinu
FM, and Radio France International. Print coverage was also supplied by the Daily Graphic, Ghanaian
Times, GNA, Finder, Financial Post, Public Agenda, Ghanaian Observer, Daily Guide, Independent
Newspaper, and New Independent.
Celebration of GoodLife, Live it Well
in Tamale
On September 20, a GoodLife, Live it Well
celebration was organized in Tamale for the
northern regions of the country as a follow-on
to the Accra launch. The event afforded an
opportunity for the GHS and the many USAID
IPs, UNICEF, NGOs, and community leaders in
the area to celebrate the launch. Over 800
participants attended the event including
health workers, development partners,
traditional leaders, students, women’s groups,
and health directorates from the three
northern regions. Ms Akua Kwateng-Addo,
Director of the Health, Population and
Nutrition Office (HPNO) at USAID, underscored
the relevance of GoodLife and called on all
stakeholders to embrace GoodLife to improve
the health indicators for the northern sector.
Media houses covering the event included GTV,
TV3, Radio Savanna, Radio Justice, Bishara
Radio, Zaa Radio, Filla FM, North Star FM, Atinka FM, Ridge FM, Ghanaian Times, and Daily Graphic.
The Tamale event was also streamed live on Radio Savana and Justice FM in Tamale.
New GoodLife Media
For the campaign launch, a 60-second GoodLife TV commercial and radio spot were produced in
English and translated into four local Ghanaian languages. Eight-thousand sets of eight posters each
featuring different Life Stages and core intervention areas including malaria, FP, RH and adolescents,
ANC, breastfeeding, complementary feeding, newborn care, and regular checkups were developed
and printed. In addition, four thousand copies of two posters featuring “healthy living” and “health
services with a smile” were also produced. By the end of September 2016, 7,500 of the Life Stage
posters and all of the healthy living and health services posters had been distributed nationwide.
Other materials developed included brochures and Life Stage cue cards. In order to effectively
promote the new brand, items including T-shirts, baseball caps, car stickers, lapel badges and
buttons, and flexy and pull-up banners were developed for distribution at the launch and during
GoodLife rollout orientations in all ten regions. Approval for the mounting of 42 billboards across the
country was also received in YR 2 and these will be mounted in October of 2016 (including 14 in the
16 Communicate for Health Annual Report: Year 2
Greater Accra Region, four in the Ashanti Region, four in the Central Region, six in the Western
region, eight in the Northern Region, and another six in the Volta Region).
National, Regional and District Rollout of the Integrated GoodLife, Live it Well Brand
As part of the GoodLife, Live it Well refreshed brand campaign rollout, orientation and planning
meetings were carried out in all ten
regions of the country. Over a four-
week period, 18 two-day meetings
were organized, each with 59 to 74
participants. The work was carried
out in close collaboration with
Systems for Heath, UNICEF, and
other regional partners to enhance
opportunities to coordinate mass
media efforts, community
mobilization, and interpersonal
communication activities led by other
partners.
In total, 1,299 participants were
oriented on the refreshed GoodLife,
Live it Well approach and
communication materials across the
ten regions of Ghana. The
participants included Regional and District Directors of Health Services, District Disease Control
Officers, District Public Health Nurses, District Nutrition Officers, District HPOs, and TOHPz (See
Table 3.)
Participants embraced the refreshed GoodLife, Live it Well campaign with enthusiasm and are ready
to roll it out to all levels by integrating it into their ongoing and planned activities. GoodLife, Live it
Well materials were distributed during the meetings for onward distribution to health facilities,
networks, and community- based groups.
Broadcast of GoodLife, Live it Well TV and Radio
Since the national launch and regional rollouts, broadcast of campaign radio and television
advertisements have continued to air on primetime and peak-time programs such as morning
shows, brunch, drive, news bulletins, and soap operas and print adverts have run in major
newspapers. The spots began airing in English and four local languages immediately after the launch
on July 28 and continued through September 30.
Major national television stations broadcasting the 45-second GoodLife reveal TV advertisements
included five national TV, six national radio, and 19 regional radio stations. Translations of the reveal
communication are underway to commence airing in other local Ghanaian languages. Tables 4 and 5
show details about the TV and radio broadcasts.
REGION MALE FEMALE TOTAL
Greater Accra 37 119 156
Ashanti 81 78 159
Brong Ahafo 83 69 152
Central Region 69 74 143
Eastern Region 88 75 163
Northern Region 54 56 110
Volta Region 63 82 145
Western Region 75 45 120
Upper East 48 27 75
Upper West 52 24 76
Total 650 649 1299
TABLE 3
Participants of the regional GoodLife, Live it Well orientations and rollout (by region and sex)
17 Communicate for Health Annual Report: Year 2
MEDIA HOUSE LANGUAGE(S) TRANSMITTED TOTAL # OF SPOTS AIRED
National Radio
PEACE FM Twi 1,250
JOY FM English 1,708
STARR FM English 1,140
GBC –Radio Ghana/Obonu English + Twi, Ga, Ewe, Dagbani 940
National Television
GTV English + Twi, Ga, Ewe, Dagbani 449
UTV Twi 684
Multi TV
Adom TV
Joy News & Joy Prime
Twi
English 4,593
Viasat 1 English 492
TV3 English 450
TOTAL 11,706*
NB: *The figures in the table were arrived at based on certified transmission certificates submitted by media houses
MEDIA HOUSE LANGUAGE(S) TRANSMITTED TOTAL # OF SPOTS AIRED
Northern
Radio Savanna Dagbani + English 1480
Radio Justice Dagbani + English 1315
Bishara FM Dagbani + English 1250
North Star FM Dagbani + English 1200
Gbantambo FM Dagbani + English 920
Central
Radio Central Twi + English 600
Ahomka FM Twi + English 600
Eagle FM Twi + English 600
Cape FM Twi +English 600
Western
Twin City Radio Twi + English 1472
ROK FM Twi 2080
Skyy Power Twi + English 650
Good News FM Twi + English 1600
Volta
Volta Star Ewe + English 900
Lorlornyo FM Ewe + English 1750
Jubilee FM Ewe + English 2532
Victory FM Ewe + English 1200
TABLE 4 GoodLife reveal campaign: national radio and TV stations
TABLE 5 GoodLife reveal campaign: regional radio stations
18 Communicate for Health Annual Report: Year 2
MEDIA HOUSE LANGUAGE(S) TRANSMITTED TOTAL # OF SPOTS AIRED
Upper East
Radio Upper East English 720
Upper West
Upper West Radio English 720
TOTAL 22,189*
NB: *The figures in the table were arrived at based on certified transmission certificates submitted by media houses
Other Key Media Coverage
Family Planning
Partner coordination meetings with the National Population Council (NPC) intensified during the
year to identify opportunities to contribute to the Ghana Family Planning Costed Implementation
Plan and to expand the reach of the GoodLife brand. As part of this collaboration, during June,
Communicate for Health placed the 15-minute version of a FP advocacy video documentary entitled
“Ghana on the Rise: Investing in Population and Development” or ENGAGE, on national TV. The
video was produced by the NPC with support from the Population Reference Bureau. It was aired
ten times in June and complemented by a total of seven live TV interviews on FP with GHS
spokespeople identified by the NPC. Five live radio interview discussions were also broadcast. The
live talk shows created a unique opportunity for callers to validate information and clarify any
doubts or misconceptions surrounding FP services.
MEDIA HOUSE DOCUMENTARIES
BROADCAST
LANGUAGES FAMILY PLANNING
INTERVIEWS CONDUCTED
National Television
GTV 3 English 2
ADOM TV 2 English 1
JOY NEWS 2 English 1
JOY PRIME 1 English 1
VIASAT 1 1 English 1
TV3 1 English 1
Sub-total 10 7
National Radio
PEACE FM - English 1
JOY FM - English 1
STARR FM - English 1
RADIO GHANA - English 1
OBONU - English 1
Sub-total 5
TOTAL 10 12
TABLE 6 National media coverage of the ENGAGE documentary
19 Communicate for Health Annual Report: Year 2
Cholera
During the month of May, at the request of the Minister of Health and USAID, Communicate for
Health and UNICEF worked together to raise public awareness about cholera and promote
preventive action. UNICEF developed an entertaining animated TV program shortly under five
minutes on cholera, featuring WASH messages. It was broadcast 32 times during prime time.
Coverage details are included in Table 7 below.
NATIONAL TELEVISION STATION LANGUAGE TOTAL # OF PROGRAMS AIRED
GTV English 5
ADOM TV English 6
JOY NEWS English 6
JOY PRIME English 6
VIASAT 1 English 4
TV3 English 5
TOTAL 32
You Only Live Once (YOLO)
Other discussions with NPC included collaboration on the popular Ghanaian soap opera series
entitled You Only Live Once, or YOLO—an entertaining TV series for adolescents and young adults
with information on FP and adolescent RH. The first two seasons aired in 2015 and 2016 (13
episodes each) were developed by the NPC with Farm House Productions and with support from
DFID and technical assistance from the Palladium Group. Communicate for Health is currently
working closely with the NPC, DFID, and Palladium on the integration of new GoodLife messages into
Season 3. While Seasons 1 and 2 were exclusively about young people and RH, the new season
introduces GoodLife messages on nutrition, use of LLINs, washing hands with soap under running
water, condom use, and avoiding risky behaviors like alcohol and drug abuse. Communicate for
Health has contracted with Farm House Productions for the next 13 episodes; broadcasting on GTV
and TV3 is being picked up by MTN.
The premiere of Season 3 took place on August 19 and 20 at the Accra Mall, Silver Bird Cinemas, and
included broadcasts of the GoodLife, Live it Well reveal TV spot, personal testimonies by YOLO stars
about the importance of GoodLife and protecting your dreams, and interviews by the Communicate
for Health COP and NPC Director. More than 6,000 people attended the two days of premieres.
During Seasons 1 and 2, YOLO was reported to receive more than 2 million hits per week on social
media. A similar response is expected for Season 3.
ENGAGEMENT OF NEW REGIONAL RADIO STATIONS
To expand and intensify the broadcast of radio spots and programs in the regions, the Communicate
for Health Media Team worked closely with national and regional HPOs to negotiate for broadcast
time with prominent radio stations in the USAID focus regions. In April 2016, the Media Team and
HPD staff traveled to target regions to ensure strong regional radio coverage of health issues
including the refreshed GoodLife campaign messages, particularly in the local languages. Hands-on
TABLE 7 Media houses broadcasting cholera documentary in May
20 Communicate for Health Annual Report: Year 2
technical assistance was provided to HPOs on how to negotiate with the media for airtime and radio
programming. The visit resulted in engaging 19 regional radio stations to provide comprehensive
platforms for the broadcast of radio spots, PSAs, and other platforms for interactive interview
discussions. The stations are being successfully monitored by the regional HPOs.
RESOURCE OF SBCC MATERIALS—PAST AND PRESENT
The GHS/HPD has maintained a National Health Communication Information Resource Centre over
many years. However, maintenance and updating of these materials has been inconsistent over
time, and technology is now available to make materials more easily accessible to both government
and nongovernmental SBCC professionals all over the country. Updating of this important archive is
timely. Joint work by the HPD and Communicate for Health began in March of 2015 and significant
progress was made in YR 2. More than 20 organizations have contributed materials on a range of
health topics. A platform for the inventory has been created and updating and promoting of the
contents will become a continuous process going forward. (See Successes and Lessons Story No. 2
on page 27.)
Summary Table of Expected Result #1:
Life of Project Mandatory Results/Activities Major Year 2 Outputs/Progress and Achievements
Life of project mandatory result:
Improved behavior changes: FP, WASH, nutrition, MCH, malaria prevention and case management
ACTIVITIES MAJOR Y2 OUTPUTS ACHIEVEMENTS
Activity 1.1 Expand distribution of new and existing technically accurate BCS/GHS/UNICEF- produced social and behavior change communication materials and tools
An updated database and catalogue for 2016 of all SBCC and health promotion materials created and available at the national and regional levels
Expanded initial list of 108 IE&C/SBCC materials collated by HPD and from other NGOs to a total of 200 materials. Twenty organizations were contacted in this process. Inventory covers topics such as adolescent health/FP, MCH, breastfeeding, nutrition, WASH, HIV/AIDS, Ebola, and intestinal worms. Formats include posters, leaflets, flipcharts, brochures, stickers, radio and TV spots, and videos on You Tube. Where access was not possible, contents were described and contact details provided. Materials are currently saved on an external hard drive and will be available along with the UNICEF inventory. The inventory will be linked to Health Compass as well as the GHS webpage.
Coordinated plan for reprinting the Child Health Record Book for use in USAID priority regions developed with Systems for Health, HPD, and FHD; an estimated 313,057 record books are needed
The FHD is currently working with JICA to produce a new combined Maternal Health Record Book and Child Health Record Book. JICA approached Communicate for Health in YR 2 for technical assistance and is interested in working with HPD on the design. The new MCH Record Book will contain GoodLife, Live it Well messages. This activity is expected to be completed in YR 3.
21 Communicate for Health Annual Report: Year 2
Life of project mandatory result:
Improved behavior changes: FP, WASH, nutrition, MCH, malaria prevention and case management
ACTIVITIES MAJOR Y2 OUTPUTS ACHIEVEMENTS
Plan developed to broadcast relevant SBCC and health promotion spots and programs produced by partners on FP, nutrition, MCH, and malaria
Regional and national HP staff negotiated and secured airtime with 19 regional radio stations including Volta (4), Western (4), Central (4), Northern (5), Upper East (1), and Upper West (1). Not including the news and special media coverage for national celebrations (i.e. National FP Week, World Malaria Day) at least 43,771 spots, programs and interviews were aired on 6 national TV, 5 national radio, and 19 regional radio stations. Programs broadcast include retained BCS and the refreshed GoodLife, Live it Well commercials, UNICEF-produced cholera documentaries, FP ENGAGE video documentaries, and live interviews. First episode of the YOLO season 3 series was premiered. Communicate for Health played a pivotal role in reviewing the scripts for the episodes to reflect the GoodLife, Live it Well thematic areas as well as maintain the focus of the YOLO TV series, which promotes healthy sexual reproductive lifestyles among adolescents. This activity is being carried out in collaboration with FHD, NPC, Palladium Group, and DFID. Supported 7 monthly GHS engagements with the media. Themes included 1) Healthy Lifestyles, 2) Preventing harmful use of alcohol, 3) Tuberculosis: “Let’s Stop TB Now” 4) Malaria: “End Malaria for Good, Invest in Malaria,” 5) Child Health Week: “Good Life, Start it Right,” 6) World Breastfeeding Week, 7) National FP Week: Family Planning- “it's your life, take control! It's an everyday thing.”
Activity 1.2 Expand and roll out the GoodLife, Live it Well brand and create an integrated health campaign a. Conduct a
series of design workshops to develop the overall strategic plan
b. Develop creative brief for Good Life,
At least 3 stake holder engagement workshops or meetings completed
Held at least 25 stakeholder consultations with GHS Senior Directors, Family and Public Health Divisions, USAID Health IPs, and UNICEF to review and endorse creative executions for the refreshed GoodLife, Live it Well brand.
Strategic plan including creative briefs for refreshed GoodLife Campaign produced
Pretested 3 creative concepts developed in YR 1 with rural and urban audiences in 4 regions (Northern, Greater Accra, Volta, and Ashanti). Of the 3 concepts (GoodLife as a Kit, Companion and as a Guide), Companion received an overwhelming endorsement followed by GoodLife as guide. A blend of the two preferred concepts (companion and guide) were adopted for the refreshed campaign.
Brand Book for the refreshed Good Life brand produced
Brand Book including manifesto was produced and pretested and is nearing finalization. Brand Book has the endorsement of the Honorable Minister of Health, the Director General of the GHS, and ICC-HP Chair.
22 Communicate for Health Annual Report: Year 2
Life of project mandatory result:
Improved behavior changes: FP, WASH, nutrition, MCH, malaria prevention and case management
ACTIVITIES MAJOR Y2 OUTPUTS ACHIEVEMENTS
Live it Well brand refresh
c. Develop creative briefs for Life Stages Framework
Life Stages framework developed
Four action media workshops were conducted with four life stage audiences (parents/caregivers of under-fives, adolescents, pregnant women and their partners, young adults in relationship). Workshops were conducted by teams comprising HPD, Communicate for Health, Mullen Lowe, and Ghana Community Radio Network (GCRN). Prior to this, teams underwent a two-day TOT with consultant Warren Parker in Accra. Four summary reports, four life stage briefing books, and a consolidated briefing book to inform all communication and messaging for each of the four main life stages are available. “The elderly” was identified by the GHS as a potential additional life stage.
Activity 1.3 Refresh and reposition the Good Life, Live it Well brand including Life Stages
Audience-tested refreshed brand package (key messages for each audience, brand identity, logo, tagline, and color scheme) and brand guidelines developed
Three logo executions were developed and tested along with interventions. A solid-edged, geometric design curved like a leaf was preferred to other executions. Original colors of green, white, and gold of logo were maintained. Green represents life, wellness, growth, health, vitality; gold represents optimism, happiness, and wealth; and white represents serenity, peace, victory, and purity. A blend of two pretested creative teasers “Moments” and “# It's an everyday thing” connected well with target audiences, especially youth. Campaign slogan and tag line is “It’s an #everydaything.” Refreshed GoodLife, Live it Well brand is now an overarching brand for all SBCC and HP activities of the GHS and partners.
Activity 1.4 Facilitate integrated health campaign development
Existing BCS Good Life branded health communication materials and other technically sound UNICEF and HPD materials reproduced
Retained BCS video and audio clips were aired between October and November 2015 and June 2016 while awaiting the launch of the refreshed brand. In total 3,522 spots were aired. Participants (including 4 Regional HPOs) in a GCRN workshop held in March, 2016, selected scenarios in the Trigger Sketch Manual produced by BCS to begin drafting scripts for a community radio drama series. Scenarios selected included risk of unplanned pregnancy, men's involvement in contraceptive use, parent–child communication about sex, misconceptions about contraceptives, family planning, and teenage pregnancy. One thousand copies of Trigger Sketch Manual have been reprinted and approximately 920 distributed as part of GoodLife rollouts.
Audience–tested integrated campaign concept and materials developed
To date, 10 poster types, two TV reveals in English and Twi, and radio jingles in 5 languages (English, Twi, Ewe, Ga, and Dagbani) have been developed and are being aired/published/disseminated. In consultation with GHS Program Managers, HPD, and USAID, cue cards have been developed with integrated messages tailored to each of the 4 main life stages including newborn care and will be ready for print in YR 3. To date 68,000 posters have been printed;
23 Communicate for Health Annual Report: Year 2
Life of project mandatory result:
Improved behavior changes: FP, WASH, nutrition, MCH, malaria prevention and case management
ACTIVITIES MAJOR Y2 OUTPUTS ACHIEVEMENTS
64,000 were distributed during regional rollout and launch activities.
Project website, Facebook site, and related social media developed
Creative Storm began work on developing a social media platform connected to the GoodLife, Live it Well brand. These sites will be active in YR 3.
New materials disseminated through mass media, new media, and community channels
Refreshed GoodLife teaser and reveal materials were aired on radio and television on primetime and peak-time slots such as morning shows, brunch, drive, news bulletins, soap operas, and other major health and social programs that attract huge listenership and viewership. A 45-second GoodLife reveal TV advertisement was aired in English and Twi across 5 national TV stations while a similar radio advertisement was broadcast on 6 national radio stations and 19 regional radio stations in English, Twi, Ga, Ewe, and Dagbani. Also airing is the GoodLife jingle. In total, 28 GoodLife teasers and reveal press advertisements were strategically placed in Ghana’s top ranked newspapers for massive circulation and readership. Full-page color and half-page advertisements have been placed in the Daily Graphic, Mirror, Graphic Showbiz, Ghanaian Times, and Daily Guide GCRN has begun working on translating the GoodLife reveal materials into 9 different languages. These will be aired on 10 community radio stations located in USAID priority regions.
Audience-tested campaign tool kits available through websites and other knowledge management mechanisms
Work was initiated on campaign tool kits in YR 2 with Creative Storm Network. Full implementation to be carried out in YR 3.
Support tools (e.g., dramas, stories, technologies, collaborations) developed
Creative Storm prepared four 60 second stories for radio and TV on nutrition, reproductive health and malaria to begin airing in YR 3. Documentaries have been developed on new born care and exclusive breastfeeding, to be shown on the Maternal Health Channel. An advocacy documentary on malaria to enhance domestic financing of the Malaria Control Program was produced with support from Communicate for Health. All of these materials will be officially approved by the GHS and USAID before broadcasting in YR 3.
Campaign toolkits integrated into activities of core and Implementing Partners existing
Systems for Health Regional Program Managers and SBCC and CHPS Community Mobilization Advisors participated in the regional rollouts in the five priority USAID focus regions to kick start integrating campaign messages into its core activities
24 Communicate for Health Annual Report: Year 2
Life of project mandatory result:
Improved behavior changes: FP, WASH, nutrition, MCH, malaria prevention and case management
ACTIVITIES MAJOR Y2 OUTPUTS ACHIEVEMENTS
community–based networks
WASH for Health, SPRING, Systems for Health, UNICEF, GMCSP, RING and other resource partners combine community level IPC and national mass/new media channels with links to services and interactive feedback mechanisms
No activities took place in in YR 2. Planned for YR 3.
Activity 1.5 Support campaign rollout and scale-up at national, regional, district, and community levels
Campaign launched utilizing various platforms
A national launch of the upgraded GoodLife, Live it Well campaign was held at the National Theatre, Accra, on July 28th 2016. The launch was conducted by the Honorable Minister for Health, Alexander Percival Segbefia, and attended by about 700 people, including the US Ambassador, His Excellency Robert P. Jackson, USAID Deputy Director, the Director of HPNO, the Director and Deputy Director General/GHS, Country Representatives of UNICEF and UNFPA, heads of sector ministries, departments and agencies, representatives of IPs and NGOs, traditional and religious leaders, health workers, Queen Mothers, and organized groups such as market women, faith-based women’s associations, and school children. The refreshed GoodLife, Live it Well brand was celebrated in the Northern region on September 20th 2016 and was attended by over 800 people including high-profile traditional leaders, Regional and District Directors of GHS from the three regions of the north, USAID IPs, UNICEF, World Vision, Catholic Relief Services, ACDEP, women’s associations, and faith-based organizations. Senior managers from USAID, UNICEF and GHS headquarters were in attendance. Ten regional rollout orientations were held for 1,299 District Directors of Health Services, District Disease Control Officers, District Public Health Nurses, District Nutrition Officers, and District Health Promotion Officers/Focal Persons. Participants embraced the refreshed GoodLife, Live it Well campaign with a high level of enthusiasm, developed rollout plans, and have begun integrating these into planned activities. Facilitators for the regional rollouts underwent a one-day national TOT prior to the regional events. A national press event was organized post launch to brief the media about the rationale and key message content of the GoodLife brand. It was addressed by the Deputy Director
25 Communicate for Health Annual Report: Year 2
Life of project mandatory result:
Improved behavior changes: FP, WASH, nutrition, MCH, malaria prevention and case management
ACTIVITIES MAJOR Y2 OUTPUTS ACHIEVEMENTS
General, GHS, and attended by over 100 officials from MoH, GHS and 47 media houses including print, radio, and TV. Three post launch interviews (2 TV and 1 radio) were also conducted by COP/DCOP and the Public Relations Officer of GHS and aired on the national news.
Activity 1.6 Crowdsourcing audience feedback
Cohort study and cross sectional survey conducted
A mobile cross-sectional feedback survey conducted in January and February of 2016 assessed audience recall of a TV and radio blitz in 2015 of spots (on family planning, malaria, ORS-Zinc, and handwashing) inherited from the previous BCS project. Audience feedback will inform content and programing improvements. The survey showed good overall awareness of the previous GoodLife campaign (61% of those surveyed), a high recall of messages on malaria (81% of those), handwashing (79%), ORS-Zinc (71%), and FP (66%). Messages were also effective in driving information-seeking and -sharing for malaria (59% and 61% respectively), and for handwashing (61% and 60%) but not as well for ORS-Zinc (45% and 50%) and FP (48% and 38%). Lessons learnt from the cross-sectional survey informed changes to the mobile cohort survey protocol. Approvals were obtained from the GHS Ethic Review Committee and FHI 360 Protection of Human Subjects Committee and the mobile cohort study will start in October 2017.
26 Communicate for Health Annual Report: Year 2
Successes and Lessons
Story 1: Traditional Leaders Embrace GoodLife, Live it Well
Introduction: In Ghana, traditional authorities are
highly respected figures and community members look
up to them as role models. Previous campaigns in the
country have engaged traditional leaders (Chiefs and
Queens) as champions for behavior change in their
communities particularly at the local policy level.
In past years, traditional leaders played key roles in the
Life Choices and Love Life Compassion campaigns.
Communicate for Health is also engaging this group in
the promotion of the refreshed GoodLife brand. They
were involved right from the concept development
stage, through pretesting of content and materials, to campaign launch and roll out. Many have
demonstrated exceptional enthusiasm and commitment to the GoodLife brand and activities.
During concept and materials development:
During the concept development stage,
traditional leaders generated the drive for
adoption of GoodLife as a “companion” and as a
“guide.” During the field testing of materials, a
respected Muslim cleric, Sheik Elliasu, offered
valuable inputs and also offered to personally
embark on community sensitization exercises. Subsequently a supply of laminated posters was
delivered to the Northern Region to support the efforts of ten Muslim, Christian, and traditional
leaders who are using the materials to promote GoodLife messages to their constituents.
During National Launch and celebration in Tamale: Many traditional leaders including chiefs and
queens attended the national launch of the refreshed GoodLife, Live it Well campaign in Accra on
July 28 and celebration on September 20. In Accra, two queens thrilled the audience with
statements on behalf of all traditional leaders. These were laced with facts and logic about malaria
prevention, breastfeeding, and complementary feeding, along with handwashing with soap. The
Communicate for Health project and its partners will continue to engage these powerful leaders to
improve the reach and impact of programming.
“Washing of hands is good to prevent diseases that we can see. I told my friends to wash their hands especially when they visit the toilet.”
– Traditional leader
“I sleep in a mosquito net and wash hands so many times so when I got pregnant, I did not fall sick. I am strong. Malaria used to worry me but now I am ok. I sleep under treated net.”
–Traditional leader
27 Communicate for Health Annual Report: Year 2
Successes and Lessons
Story 2: Creating a Foundation for the Media Resource Center — The SBCC Inventory
One of the main goals of the GHS/HPD is the
revitalization of the National Health
Communication Information Resource
Centre. Key to this is the development of an inventory of SBCC materials in Ghana—an archive of
materials developed in the country recently and over time.
Reviewing and expanding the collection. Work began to update the inventory in March 2015. HPD
collated a list of 108 information, education and communication (IE&C) materials already in stock.
Materials from the previous BCS project were reviewed with stakeholders from GHS, USAID, USAID
IPs, and Civil Society Groups during a two-day workshop in YR 1 and subsequently added to the
inventory. Participants determined which of the materials should be retained, retained with
modification, or retired.
Communicate for Health expanded the inventory to include SBCC materials developed by other
NGOs in Ghana. By the end of March 2016, 20 organizations had been visited and 92 materials
added to the collection. Many of the partner organizations commented on the need for such a
resource in Ghana and were enthusiastic to have their materials included.
Topics covered by the SBCC inventory: Currently the
inventory covers a wide range of health topics including
adolescent health, prevention of malaria, maternal and
child health, breastfeeding, sexual and reproductive
health/family planning, nutrition, WASH, HIV & AIDS, Ebola,
and worms. Formats include virtually every medium, such
as posters, leaflets, brochures, stickers, radio spots, TV
spots, videos, and links to videos on YouTube. Where access
to materials was not possible due to copyright, the content
was described and contact details provided. UNICEF is
planning to develop an inventory of its own materials. Once
developed, the two inventories will be available through the
resource centers.
Future development: Now that a format and platform for
the inventory have been established, it will require
continuous updating and expansion as new materials are
created. A joint team of HPD and Communicate for Health
staff will update the collection on regular basis.
Communicate for Health also plans to explore the possibility of linking up with Health Compass, a
website of SBCC resources managed by USAID’s Health Communications Collaborative Project (H3C).
The collection will be an important piece of the upcoming HPD Resource Center based at Korle Bu as
well as the virtual hubs in the regions.
Sample material profile pages
28 Communicate for Health Annual Report: Year 2
Capacity Building (ER2)
CAPACITY BUILDING
SUPPORT PROGRAM
OVERVIEW
“Learning by doing” is an
essential aspect of
Communicate for Health’s
capacity building approach
with the HPD to increase its
effectiveness in coordinating
and delivering SBCC
campaigns. Joint efforts
between the project and the
HPD team were initiated in YR 1
and expanded in YR 2. Key activities included development of the SBCC training program in areas
such as monitoring and evaluation, conduct of Action Media Workshops, and launch of job
training/internships for HPD staff with project partners. These activities were complemented with
structured and tailored capacity development programs—namely the Change Agent Development
Program (CADP) and the Set for Change (SfC) Action Learning Sets.
Organizational and individual capacity assessments conducted in July of 2015 (YR 1) provided the
basis for rolling out Communicate for Health’s capacity building strategy with the HPD. Highlights of
priority areas identified that were incorporated into the CADP and SfC curricula included the
following:
Knowledge of relevant SBCC theories and models for situation analysis and program design
Development and design of comprehensive communication strategies
Tailoring message design and programming for different audience segments
Development of SMART communication objectives
Basic principles of how to develop effective messages and materials
Data collection and analysis of M&E data for improved SBCC planning
Documentation of best practices
Structural challenges highlighted by the assessments included the following:
Non-recognition of the TOHPz by the District Health Management Team (DHMT)
Conflict between roles of TOHPz and other line officers such as the Community Health
Nurses, Field Technicians, and Technical Officers who have been performing health
promotion duties over the years
SECTION 2
HPD interns help develop the brand at the creative firm, Mullen Lowe.
29 Communicate for Health Annual Report: Year 2
Need to reposition HPD at the regions and districts and provide clarity about job roles and
responsibilities (including HPO job descriptions)
Need for basic equipment such as office desks and chairs, computers, printers, a
photocopier, scanners, and digital cameras
Based on these findings, an overall capacity building plan was developed and implementation was
kick-started in YR 2. In addition to the CADP and the SfC Action Learning Sets, the plan includes
identification of free online courses, support to individuals in creating personal development plans,
stretch assignments, internships/practicums, peer mentoring, and various post-training supports for
CADP and SfC graduates—including mobile phone messages, prompts to act and reminders,
refresher tips, quizzes, and games to reinforce particular skills or actions on the job. The Change
Challenge Fund (described below) is also an important element of the plan.
THE CHANGE AGENT DEVELOPMENT PROGRAM (CADP)
The CADP is a one-week intensive program designed to fill identified capacity gaps and to strengthen
the individual technical capacity of select national, regional, and district-level staff. It consists of
technical presentations followed by questions and discussion, use of case studies, and practical
group exercises. Content includes SBCC theory, formative assessment, how to work effectively with
the media, community and social mobilization, working with community radio, use of mobile
technology, and leadership and personal development skills. Participatory approaches and the
integration of health priorities (current and emerging) in SBCC campaigns are important areas of
focus.
The CADP curriculum is standardized and supported by participant and facilitator manuals.
The first CADP training was held June 27 to July 1, 2016, at Dodowa in the Greater Accra Region. The
program was facilitated by the Senior Organizational Capacity Development Specialist of
Communicate for Health, an experienced external consultant, and a range of local Ghanaian SBCC
practitioners, academics, and staff of Communicate for Health and GHS/HPD.
Participation was competitive and 23 out of 25 selected HP practitioners completed the training (See
Table 7 on the next page.) The program was launched by Dr. Patrick Aboagye, Director, GHS/FHD,
and supported by Mrs. Grace Kafui Annan, Head of the HPD, and the Communicate for Health
Project Chief of Party (COP). Certificates were awarded by Dr. Gloria Quansah Asare, the Deputy
Director General of the GHS. Graduates were charged to mentor colleagues who could not
participate in the training.
Participants were evaluated using standard assessment tools in order to measure improvement in
their individual competencies as well as gauge the relevance, delivery, and understandability of the
new course. Pre- and post-training results showed significant improvements in participants’ total
scores (with a maximum possible of 30 points), ranging from 10 percent to 40 percent (See Figure 2
on page 31.)
30 Communicate for Health Annual Report: Year 2
NAME REGION LEVEL TITLE
Esther Adu Greater Accra National Health Educator
Mercy Uzoma Tetteh Greater Accra National Health Educator
Naa Afaale Sackley Dagadu Greater Accra District Technical Officer
Pearl Dzordzordzi Greater Accra District Technical Officer
Felix Akudugu Greater Accra District Technical Officer
Vida Ntiwaa Gyasi Greater Accra Municipal Health Educator
Robin Appiah Ashanti District Health Educator
Emmanuel Opoku Ashanti District Technical Officer
Eric Kofi Oduro Amankwah Brong Ahafo District Health Educator
Matthew Kobina Okor
Ahwireng Central Regional Deputy Chief Health Educator
Sally Baaba Owusu Addo Eastern District Health Educator
Mohammed Naeem Kpedau Upper East District Health Educator
Fatima Mohammed Northern District Technical Officer
Janet Kulah Northern District Technical Officer
Rahinatu Yakubu Northern Regional Health Educator
Daniel Bomfeh Western Regional Health Educator
Maakpe John V. Upper West Regional Health Educator
Edward Beyereh Upper West District Technical Officer
Edwina Kpintaatoobo Upper West District Technical Officer
Bawakyillenuo Julius
Ngmentiere Upper West District Technical Officer
Eunice Teah Volta Regional Health Educator
Happy Alornu Volta District Technical Officer
Matilda Atsrim Volta District Technical Officer
Shine Gavey Volta District Technical Officer
Damba Mayebi Sampson Volta District Technical Officer
TABLE 8 Selected CADP Applicants by Region
31 Communicate for Health Annual Report: Year 2
Overall, participants rated the program highly in terms of appropriateness of content, delivery, and
understandability.
The program has received
overwhelming endorsement by
and support from the leadership
of the GHS. The Deputy Director
General and Director, FHD, made
a passionate appeal for the
program to be offered to other
health cadres at the forefront of
health service delivery to enable
them to lead and undertake
stronger and more effective
SBCC programming.
THE SET FOR CHANGE PROGRAM
The Set for Change (SfC) program was also launched in YR 2. The program is designed for TOHPz and
consists of four two-day sessions spread over six to eight months.
The program is structured to help this new cadre of HP staff develop strategies and tactics to
operate effectively in a complex environment, have the ability to deal with problems/challenges as
they arise, learn to think critically, be proactive, and develop self-awareness and confidence about
their own approaches and effectiveness.
SfC is a form of ‘peer to peer’ learning and capacity building that combines three main components:
An action learning set process
Technical assistance inputs to fill gaps
0
5
10
15
20
25
30
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23
PR
E A
ND
PO
ST T
EST
SC
OR
ES
PARTICIPANT
PRE POST
Dr. Patrick Aboagye (front row center), Director of Family Health Division, GHS, with participants during the opening ceremony of the first CAPD.
FIGURE 2 CADP first cohort pre- and post-training assessment scores
32 Communicate for Health Annual Report: Year 2
Personal development to improve individual effectiveness and promote continuing
professional development
The first cohort of ten TOHPz were drawn from the district levels of the GHS. They met for an initial
session July 4 and 5, 2016, at Dodowa. They elected to focus first on the following technical areas:
SBCC principles and practices and current trends
Theoretical underpinnings of SBCC and the steps to develop, implement, and monitor an
effective SBCC approach
Social mobilization
How culture and tradition shape us and influence what we do (with special emphasis on the
spirit child belief of the people of Kassana Nankana in the Upper East Region of Ghana)
How to work effectively with the media
Working with mobile technology in health promotion
The remaining sessions for the first cohort of SfC participants will be held in the first quarter of YR 3.
Two additional cohorts of ten TOHPz will also meet in YR 3.
THE INTERNSHIP PROGRAM
In YR 2 three HPD staff completed a three-month internship program with Mullen Lowe, the creative
agency working with Communicate for Health and the GHS/HPD to refresh the GoodLife, Live it well
brand. The internship appointments allowed HPD staff to have direct experience working with a
professional creative firm on brand development and materials design. The interns reported that the
program was very useful—particularly the hands-on experience with the GoodLife campaign
development, photo shooting, pretesting, and graphic design.
A draft internship manual and guidelines have been developed and shared with HPD for final inputs.
The manual will provide an overall framework for future internships with additional Communicate
for Health sub recipients, including Creative Storm Network, GCRN, and VOTO Mobile. The
structured internship program will begin in the first quarter of YR 3. Adjustments so that HPD staff
can work part time on the internship program while continuing with routine work schedules at HPD
are being explored for the future.
THE CHANGE CHALLENGE FUND (CCF)
Progress was made in YR 2 towards establishing the Change Challenge Fund (CCF). The CCF is a
competitive performance-based opportunity to be made available to 10 to 15 CADP or SfC graduates
so they can apply their learnings in real life settings. Successful applicants will each receive up to
about six thousand Ghana Cedis (GHS 6,000) for one year to conceive of, develop, and implement
small-scale innovative SBCC activities at the district or regional level to support the national
GoodLife, Live it well campaign. The funds will be disbursed to beneficiaries through the Fixed
Amount Award (FAA) for the HPD/FHD of GHS.
The final draft of the CCF guidelines has been shared with the HPD for their inputs. The CCF will be
launched in YR 3 and will also be offered through the end of the project.
33 Communicate for Health Annual Report: Year 2
THE INTER-AGENCY COORDINATING COMMITTEE FOR HEALTH
PROMOTION (ICC-HP)
Coordination of health promotion strategies and plans at the national level is critical to ensure
coverage and quality of campaigns and other activities, to avoid duplication of efforts, and to
maximize potential impact with available resources. Working through the HPD, Communicate for
Health has collaborated with UNICEF and WHO to reconstitute and revitalize the national Inter-
Agency Coordinating Committee for Health Promotion (ICC-HP), centered at the HPD.
The Committee was formally re-launched in Accra in YR 2 on October 7, 2015. It is chaired by
Professor Audrey Gadzekpo, Dean of the School of Information and Communication Studies, the
University of Ghana–Legon. Vice chairperson is Dr. Mrs. Gloria Quansah-Asare, Deputy Director
General of the GHS.
The ICC-HP has since held four meetings to discuss and take key decisions that affect and champion
the course of HP in Ghana. Examples of activities and decisions taken in YR 2 include the following:
Adoption of the terms of reference of the revitalized ICC-HP. The terms of reference
describe the mandate of the ICC-HP, its overall responsibility, composition of membership,
and duration of the tenure of office of the chairperson and the vice chairperson and the key
roles of the committee.
Approval of the National Health Promotion Policy (NHPP), a document that sets forth the
policy framework for health promotion practice in Ghana.
Approval of the National Health Promotion Strategy (NHPS), which serves as a guide and
blue print for the key strategies and approaches to health promotion practice in Ghana.
Establishment of a task team to support the HPD to finalize the costing of the National
Health Promotion Strategy, including identifying SBCC work underway or completed with
other ministries, departments, and partners so that complementary activities and synergies
are strengthened and duplication avoided. The launch and dissemination of the final NHPP
and NHPS will take place in YR 3.
Reviewing and providing input into the refreshed GoodLife, Live it well brand including its
official endorsement.
CAPACITY BUILDING WITH COMMUNICATE FOR HEALTH PARTNERS
To date, capacity building with the project’s local partners has focused on supporting them to
comply with the terms of their sub-awards, especially in meeting special award conditions. This has
included assistance in developing accurate timesheets to track staff level of effort, requesting and
liquidating project funds in a timely manner, updating or completing finance and administration
policy manuals, and tracking cost share, among other investments.
In the second quarter of YR 2, Communicate for Health organized a Finance, Administration, and
Grants Management training for GCRN to provide guidelines for managing their sub-award. The
training also offered GCRN with the opportunity to address special award conditions (SACs) in their
sub-award. FHI 360 and USAID financial rules and regulations were presented.
34 Communicate for Health Annual Report: Year 2
Summary Table of Expected Result #2:
Life of Project Mandatory Results/Activities Major Year 2 Outputs/Progress and Achievements
Life of project mandatory result:
HPD capacity strengthened for effectively coordinating and delivering social and behavior change communication and health promotion campaigns
ACTIVITIES MAJOR Y2 OUTPUTS PROGRESS AND ACHIEVEMENTS
Activity 2.1 Conduct health promotion capacity assessment of HPD
Finalized HPD capacity
strengthening plan
Capacity assessment completed with 22 staff. Information used
to determine training needs and capacity strengthening plan.
On-line courses for
TOHPz facilitated and
supported by free access
Free on-line courses will be made available to the CADP
beneficiaries on Health Compass in YR 3.
HPD supported to
conduct gender
integration assessment
of HP programs in three
regions
Still under discussions to commence in YR 3.
Activity 2.2 Strengthen leadership, repositioning, and rebranding
Institutional vision and
brand identity developed
Formal launch of Health
Promotion Policy and
National Strategy and
Action Plan for Health
Promotion
This is work is now planned as part of the Fixed Award Amount (FAA) with FHD/HPD for YR 3. A draft Health Promotion Policy and Strategy were presented at GHS annual regional review meetings. HPD was tasked to finalize the costing of the Strategy. The launch is planned to coincide with opening of the renovated HPD offices at Korle Bu in YR 3.
M&E Framework and formalized routine M&E indicators and data collection tools developed
Indicators for health promotion were incorporated into the national web-based DHIMS 2. (See 2.4 for more information.)
Activity 2.3 Improve national, regional, and district coordination of health promotion
Improved health
promotion coordination
through re-launch of the
ICC-HP at national level
Regional and district HP officers oriented on stakeholder engagement and community mobilization
The national ICC-HP has held four meetings. The 4th ICC-HP meeting took place in June and was well attended with all stakeholder agencies represented including the Deputy Director General of GHS who doubles as the vice chairperson of the committee. In YR 3 it is planned that this activity will be included in the FAA with FHD/HPD. Support to strengthen and/or establish regional ICC- HPs in Volta, Western, and Greater Accra regions are planned as part of FAA with FHD/HPD in YR 3.
35 Communicate for Health Annual Report: Year 2
Life of project mandatory result:
HPD capacity strengthened for effectively coordinating and delivering social and behavior change communication and health promotion campaigns
ACTIVITIES MAJOR Y2 OUTPUTS PROGRESS AND ACHIEVEMENTS
Activity 2.4
Develop a robust
monitoring and
evaluation
framework for
national,
regional, and
district health
promotion
Finalized M&E
framework with
formalized routine M&E
HP indicators, data
collection, and
supportive supervision
monitoring tools for
national, regional, and
district HP activities
HPD M&E framework with routine HP M&E indicators and data collection tools were finalized and are awaiting USAID approval before printing. DHIOs and TOHPz were trained on HP data collection tools, forms, and indicators. In total, 310 TOHPz and DHIOs were trained from Ashanti, Brong Ahafo, Volta, Western, and Greater Accra Regions. Participants were introduced to DHIMS 2 and the new HP forms customized for the platform, including tools for aggregating data collected on a monthly and quarterly basis and for generating pivot tables and charts. UNICEF supported a national TOT for Regional HPOs and HIOs. For DHIOs, TOHPz and sub-district staff, trainings were conducted in Upper East, Upper West, Northern, Eastern and Central Regions. All 10 regions have now received the essential DHMIS 2 training for DHIOs and TOHPz.
HP activities and indicators reported in DHIMS 2 and used for improved management decisions
Reporting in DHIMS 2 will commence in YR 3 following printing of registers and opening of the platform for entry.
Activity 2.5 Establish a Change Agent Development Program for the HPD staff
CADP curriculum and
program materials &
tools (e.g., gender
integration, working with
the media, participatory
community radio,
creative health campaign
development and
delivery, motivational
message design,
community mobilization
and M&E) drafted using
adapted C-Change
modules as appropriate
The CADP curriculum and program materials and tools (including the facilitators manual, participant manual, and the overall capacity building support plan) were developed and utilized for the first workshop held in YR 2. In addition, motivational messages to reinforce learning will be sent to each participant from time to time. A task order with VOTO Mobile is under development in this regard for YR 3.
CADP delivered to 25
successful applicants at
national and regional
levels and to 35 TOHP
(55 total)
Twenty-three out of 25 selected HP practitioners participated in
the CADP in YR 2.
36 Communicate for Health Annual Report: Year 2
Life of project mandatory result:
HPD capacity strengthened for effectively coordinating and delivering social and behavior change communication and health promotion campaigns
ACTIVITIES MAJOR Y2 OUTPUTS PROGRESS AND ACHIEVEMENTS
Free online courses and
programs for continuing
professional
development accessed
and utilized
Free on-line courses will be made available in YR 3 to the CADP beneficiaries who can access other capacity building programs to complement the CADP.
Stretch “on the job”
internship placements
under the guidance and
support of technical
experts, partners, and
creative agencies
Three HPD staff completed a three-month internship program with Mullen Lowe. A well-structured internship program that will provide the overall framework for implementation is being developed and will commence in YR 3.
Performance-based grant program for Change Agents designed and launched
Change Challenge Fund (CCF) guidelines were drafted and shared with the HPD for final inputs. The mechanism for implementing the CCF will be an FAA with FHD/HPD, to be launched in YR 3.
Activity 2.6 Establish six independent “Set for Change” Action Learning Sets for TOHP
Two cohorts of “Set for Change” (SfC) action learning sets, each involving 10 TOHP for 4 sessions (1.5 days each) held 6 weeks apart
Ten TOHPz are participating in the first SfC cohort: one meeting was held in YR 2 and the remaining 3 will be held in YR 3.
Activity 2.7 Initiate a Change Agent Challenge Fund for performance-based grants
Performance-based
Change Agent Challenge
grants disbursed to 12–
15 successful applicants
Functional Change Agent Challenge Fund review board established
To be initiated in YR 3. (Opportunity to be given to 12–15 participants who present innovative proposals.) To be initiated in YR 3. Final draft of the Change Challenge Fund (CCF) guidelines has been shared with the HPD for final inputs.
Activity 2.8 Develop tools to support community mobilization
Community mobilization tools to support engagement and leverage national media campaign efforts
To be actively pursued in YR 3 in collaboration with Systems for Health and UNICEF.
Activity 2.9 Develop SBCC resource centers
Computer- and mobile-optimized SBCC resource centers at Korle Bu and five regions
A platform for the SBCC inventory has been created with 200 HP/SBCC materials. The center at the HPD office at Korle Bu and virtual hubs in the five USAID focus regions will be created in YR 3.
37 Communicate for Health Annual Report: Year 2
Life of project mandatory result:
HPD capacity strengthened for effectively coordinating and delivering social and behavior change communication and health promotion campaigns
ACTIVITIES MAJOR Y2 OUTPUTS PROGRESS AND ACHIEVEMENTS
Space for resource center at Korle Bu under renovation. Basic equipment such as desk top computers for virtual hubs to be procured in YR 3.
Activity 2.10 Develop Health Promotion Awards
Criteria for Best Healthy District, Best Healthy Community, and Top Health Promoter Awards finalized Award Best Healthy District, Best Healthy Community, and Top Health Promoter; publicly acknowledge these
Criteria for award drafted and to be finalized in YR3.
38 Communicate for Health Annual Report: Year 2
Development of One Local SBCC Organization to be a Recipient of USAID Funding (ER3)
OVERVIEW
In YR 2 the Cooperative Agreement was modified with regard to Expected Result 3 so that the
project is now required to develop the capacity of one local SBCC organization instead of two (both
an SBCC organization and a social marketing organization) as initially required. Over time it is
expected that the identified organization will assume increasing technical and managerial
responsibility for the project and will eventually transition to direct funding from USAID/Ghana. It
will collaborate with other project partners (Creative Storm Network, VOTO Mobile, and GCRN),
GHS, HPD, UNICEF, and other health IPs to continue the development of The GoodLife, Live it Well
branded programming and communications.
TENDER FOR AND IDENTIFICATION OF THE LOCAL SBCC ORGANIZATION
In June 2016, the project prepared a solicitation request for applications/expression of interest
(RFA/EOI) to identify an appropriate local Ghanaian-owned and -operated SBCC organization. The
competitive process took place in two stages. Each candidate first provided its company profile,
staffing structure, an overview of its governance and management, its strategic orientation and
partnership approach, and references from previous projects. Those short-listed were then asked to
give oral presentations.
Candidates were required to minimum requirements outlined below.
1. The organization must be Ghanaian-owned and –operated according to the following criteria:
It must be organized under the laws of Ghana
It must have its principal place of business in Ghana
At least 75 percent of the organization’s senior staff as well as at least 75 percent of its total
staff must be citizens or lawfully admitted permanent residents of Ghana
At least 51 percent of the members of the organization’s Board of Directors must be citizens
or lawfully admitted permanent residents of Ghana
SECTION 3
39 Communicate for Health Annual Report: Year 2
2. The organization should have demonstrable and current experience in at least two of the
following areas:
SBCC and brand development and management
Quantitative and qualitative market and audience research
Creative design, graphic arts, and materials development
3. The organization should have a track record of timely delivery of similar tasks and deliverables as
indicated above.
The project received 14 applications in late July of 2016 that met the minimum requirements. Three
finalists were then asked to give oral presentations in August outlining an SBCC campaign of their
own design and linked to the Good Life, Live it Well brand, along with a budget.
In order to ensure greater ownership in the selection process, the Head of HPD participated with the
project in reviewing the candidates and their presentations. Based on predetermined selection
criteria (See box below), the procurement committee agreed provisionally on a winning applicant,
pending the outcome of a pre-award assessment and concurrence by USAID/Ghana.
The contracting process is underway and will be concluded in the first quarter of YR 3.
ENGAGING THE LOCAL SBCC ORGANIZATION IN FY 2017
FHI 360 envisions the role of the selected SBCC organization will take shape in two phases. The first
phase will focus on forming the partnership, assessing technical and institutional capacity, and
developing a plan to enhance those capacities. The second phase will concentrate on developing,
producing, and distributing SBCC programming relevant to the Communicate for Health project.
Phase 1
FHI 360 will facilitate self-assessments of the
organizations capacities utilizing the C-Change SBCC-
Capacity Assessment Tool, which considers five areas: 1)
situation analysis; 2) strategy development; 3) materials
development; 4) implementation; and 5) monitoring and
evaluation. In addition, an institutional self-assessment
utilizes the Institutional Development Framework—an
asset-based approach that also considers an institution’s
governance, human, management, financial, and external
resources.
FHI 360 and the SBCC organization will then develop an
action plan outlining mutual investments over a three- to
six-month period designed to capitalize on identified
strengths and address priority weaknesses. Activities will
include classroom-style workshops, on-the-job trainings,
apprenticeships, and other action learning activities. The
goal will not be to “remake” the organization from the
Final Selection Criteria for Local SBCC Organization
Stage 1: Application
1. Technical capacity and expertise (30 percent)
2. Past experience (30 percent) 3. Proposed partnership approach for
working with the Communication for Health consortium, UNICEF, and the GHS/HPD (40 percent)
Stage 2: Oral Presentation
1. Technical quality and feasibility of proposed SBCC campaign (50 percent)
2. Presentation materials and style (40 percent)
3. Budget (10 percent)
40 Communicate for Health Annual Report: Year 2
ground up, organize countless training workshops, or embed staff over the long term. Rather, FHI
360 will enhance capacities that are already there, strengthen what is needed, and empower the
organization to carry out work under the project.
During this phase FHI 360 and the SBCC organization will also modify the initial sub agreement to
include a multi-year grant with a ceiling amount of up to 2,000,000 Ghana Cedis to develop,
produce, and distribute original SBCC programming in collaboration with the GHS/HPD, USAID and
other stakeholders.
Phase 2
In phase 2 the organization will take the lead in SBCC programming on a range of health issues
including FP, MCH, malaria, nutrition, WASH, and/or reproductive health. The formats for this
programming will be determined based on the core competencies and competitive advantages of
the local SBCC organization and could include:
Radio: radio dramas, edu-entertainment formatted programs, documentaries, PSAs, news
shows, and panel discussions
TV: edu-entertainment formatted programs, documentaries, PSAs, news shows, game
shows, and panel discussions
Print: billboards, flip charts, posters, job aids, patient flyers, handbills, toys, and games
Social media: Facebook, What’s App, SMS, IVR, and Twitter
Community animation: Community health talks, street theater, and health fairs
Training: Training of front line health care workers in community mobilization skills, SBCC,
and or other related health promotion-focused topics.
41 Communicate for Health Annual Report: Year 2
Summary Table of Expected Result #3:
Life of Project Mandatory Results/Activities Major Year 2 Outputs/Progress and Achievements
Life of project mandatory result:
HPD capacity strengthened for effectively coordinating and delivering social and behavior change communication and health promotion campaigns
ACTIVITIES MAJOR Y2 OUTPUTS PROGRESS AND ACHIEVEMENTS
Activity 3.1 Identify two organizations for capacity building
Comprehensive strategy and selection process developed for recruiting a local SBCC organization for intensive capacity building
Cooperative agreement with USAID modified to focus energy and resources on developing capacity of 1 local SBCC organization. RFA/expression of interest was developed and advertised in national dailies for prospective organizations to apply. A bid Evaluation Committee comprising FHI 360/Communicate for Health and HPD was formed; proposals were reviewed jointly based on criteria established in the RFP. In all, 14 firms submitted bids and 13 applications were evaluated. Three local SBCC organizations were shortlisted for the second stage of the selection process. Of the three that progressed to the final stage, the lead organization was determined to be ProLink in a joint bid with Infinity 970. Selection is being finalized pending final negotiations, completion of a pre-assessment, and final concurrence from USAID.
Activity 3.2 Conduct organizational assessments
Baseline assessment of local SBCC organization completed
To be conducted in YR 3.
Activity 3.3 Build capacity of organizations
Organizational and capacity-building plan and scoring criteria completed for demonstrated competencies
To be conducted in YR 3.
Activity 3.4 Develop and implement exit strategy that empowers local governance and organizations
To be developed in YR 3.
42 Communicate for Health Annual Report: Year 2
Monitoring and Evaluation
THE ACTIVITY MONITORING AND EVALUATION PLAN (AMEP):
The Communicate for Health Monitoring and Evaluation (M&E) team finalized the project’s Activity
Monitoring and Evaluation Plan (AMEP) in the third quarter of YR 2 and is awaiting its approval by
USAID. The revised plan reflects input provided during YR 1 by stakeholders (including GHS Program
Officers and HPD) in setting targets for key indicators and addressing recommendations made by
Evaluate for Health and USAID. Enhancements include: 1) provision of underlying assumptions for
each indicator; 2) numerators and denominators where applicable; 3) routine HP indicators for
inclusion in the District Health Information Management System (DHIMS); 4) data collection
instruments; 5) a performance data table tracking achievements against targets; and 6) Performance
Indicator Reference Sheets (PIRS).
CROSS SECTIONAL FEEDBACK SURVEY
In February of 2016 the project completed the first in a series of planned mobile phone feedback
surveys using interactive voice response (IVR) to assess audience recall of media messages. (See also
Successes & Lessons Story # 3) The initial survey was designed to assess audience response to a blitz
of the airwaves in YR 1, from July to September 2015, consisting of TV and radio spots inherited from
the previous Behavior Change Support (BCS) project. (Some stations continued to air spots in
October and December at no cost to the project.) Messages focused on FP, malaria, ORS-Zinc, and
handwashing. The survey also elicited information on most trusted source of health information and
preferred TV and radio stations. Audience feedback was used to inform content improvements and
management decisions on programming. A total of 675 audience members were sampled in the five
USAID priority regions. Respondents comprised youth aged 18–24, young adults aged 25–35, and
pregnant women and women with children under five—the key Life Stage audience segments.2 The
survey showed good overall awareness of the previous Good Life campaign brand (61 percent of
those surveyed), and high recall of messages on malaria (81 percent), handwashing (79 percent), and
ORS-Zinc (71 percent)—all of which exceeded the 70 percent recall targets set. Messages regarding
FP achieved somewhat lower recall (66 percent). (See Figure 3 on the next page.) Among those who
recalled messages, these were effective in driving information seeking and sharing especially for
malaria (59 percent sought information and 61 percent shared information) and for handwashing
(61 percent and 60 percent, respectively). Messages for ORS-Zinc were somewhat less effective (45
percent sought information and 50 percent shared information) as were messages regarding FP (48
percent sought information and 38 percent shared information). Only about one-third of all
respondents reported visiting a health care provider as a result of hearing or seeing the campaign in
the past two months. (However, many of the messages focused on home behaviors and did not
require visiting a clinic.) (See Figure 4.)
2 NOTE: To limit survey length, Life Stage groups for youth and young adults received handwashing and FP question sets while pregnant women and females with child under 5 were randomly asked two of the four topical question sets.
SECTION 4
43 Communicate for Health Annual Report: Year 2
The survey findings were disseminated at different fora including USAID M&E Community of Practice, Knowledge Management Group, monthly joint HPD/Communicate for Health staff meetings, and training of Regional HPOs and IOs. Survey findings regarding preferred TV and radio stations informed selection of stations that were engaged for airing messages in some regions.
MOBILE COHORT SURVEY
A mobile cohort survey was initially designed in YR 1 to measure exposure over time to GoodLife,
Live it Well campaign messages and assess progress towards changes in behaviors and related
determinants. Initial approval was obtained and amendments were submitted to the survey in 2015
and 2016. Both the FHI 360 Protection of Human Subjects Committee (PHSC) and the GHS Ethics
Review Committee reviewed proposed modifications to the protocol and instruments and both
FIGURE 3 Recall of previous GoodLife, Live it Well campaign messages among target audiences
70 70 70 70 7061
8171
7966
0
20
40
60
80
100
GoodLife(N=502)
Malaria(N=72)
ORS-Zinc(N=62)
Hand Washing(N=407)
Family Planning(N=378)
TARGET ACHIEVED
FIGURE 4 Actions taken after campaign exposure
(N=239)
(N=254)
(N=246)
(N=277)
(N=292)
(N=281)
(N=51)
(N=56)
(N=52)
(N=44)
(N=44)
(N=44)
0 10 20 30 40 50 60 70
Shared Information
Sought Information
Visited Provider
ORS-ZINC MALARIA WASH FAMILY PLANNING
NOTE: See footnote on previous page for explanation of Ns.
NOTE: See footnote on previous page for explanation of Ns.
44 Communicate for Health Annual Report: Year 2
granted their approvals. The primary changes were to enroll male partners of pregnant women and
mothers with children under five as an additional cohort; revision of the sample size of each Life
Stage cohort downwards from 2,000 to 1,400; reduction of follow-up surveys from two to one; and
revision of the data collection instruments following inputs from GHS program managers and WASH
for Health.
The amendments were informed by lessons learned from the mobile feedback survey described
above. In that survey, numerous calls had to be placed to fill required samples using Random Digit
Dialing (RDD). A contract has been signed with VOTO Mobile to launch the study in October 2016.
DATA QUALITY ASSESSMENT (DQA)
A data quality assessment (DQA) was conducted by a team from USAID/HPNO and Evaluate for
Health in June 2016 to assess the project’s M&E systems for data collection, data management, data
processing, and reporting. The DQA process measures five elements: validity, reliability, integrity,
precision, and timeliness. In June the process focused on two indicators:
Percent of audience who recall hearing or seeing a U.S. Government (USG)-supported FP/RH
message (obtained from IVR surveys)
Number of target audiences reached with SBCC activities (obtained from DHIMS 2)
The DQA resulted in three major recommendations:
Develop a user-friendly relational database to ensure data integrity. Discussions were
initiated with Evaluate for Health on database options for implementation in YR 3.
Improve representativeness of IVR surveys through inclusion of adolescents under 18 years
of age, if possible, or explore alternate survey methods to measure reach and recall with this
audience segment. Alternate methodologies (such as special surveys with adolescents) are
being explored.
Address under-reporting in feedback surveys by flagging survey completion at the point of
last closed-ended question rather than eliciting suggestions for survey improvements.
Subsequent audience feedback surveys will be revised accordingly.
HEALTH PROMOTION M&E SYSTEM
In YR 1, Systems for Health, Evaluate for Health, Communicate for Health, GHS/HPD, FHD, and PPME
formed a technical working group to begin the process of designing and developing a robust M&E
framework, indicators, and data collection tools for SBCC in Ghana and incorporating these into
DHIMS 2. (See also Successes & Lessons story No. 4.) This group met at least twice monthly between
June and September of 2015. In YR 2 the team continued to review and finalize routine SBCC
indicators and data collection tools/registers and their respective data dictionaries. In October and
November of 2015 these tools were pretested in four regions, modified, and finally incorporated
into the national web-based DHIMS 2 in December 2015. This was a historic step for SBCC in Ghana.
To date few countries have incorporated SBCC indicators in their regular health information systems.
In January, UNICEF organized a TOT for regional HPOs and IOs and they in turn have facilitated
district level trainings for a total of 310 district officers (Technical Officers for HP/Focal Persons and
45 Communicate for Health Annual Report: Year 2
HIOs). These sessions provided
hands-on training on data entry,
editing, validation, and basic
analysis, including creation of
pivot tables and charts. In five
regions (Ashanti, Brong Ahafo,
Western, Volta, and Greater
Accra) the project piggybacked
these district-level with GoodLife,
Live it Well rollout orientations.
The distribution of trainees by
region is presented in Figure 5.
Systems for Health Regional
Officers participated in the
training of district officers in their
focal regions and are expected to
support implementation
beginning in YR 3.
Communicate for Health will contribute to printing the registers to facilitate the initiation of data
gathering and reporting. In YR 3 Communicate for Health will look at opportunities to support
training in the new indicators and collection processes for sub-district and facility level staff and
other levels, as appropriate. Meetings between the project, Systems for Health, and the HPD have
also discussed how to integrate SBCC content into ongoing GHS coaching visits.
STRATEGIC INFORMATION/M&E WORKSHOP
The Communicate for Health Senior M&E Advisor participated in the annual FHI 360 Global Strategic
Information (SI)/M&E Technical Workshop in Senegal in late May of 2016. The five-day workshop
brought together 53 participants and nine facilitators representing 24 country offices and discussed
key SI/M&E approaches implemented by FHI 360 and partners in different countries. The project
M&E Advisor presented on the topic Mobile Phone Monitoring and Evaluation for the Communicate
for Health Integrated Health Program. Lessons learned during the workshop will benefit the project
and in particular will feed into development of a routine DQA strategy for the project.
HPNO MONITORING AND EVALUATION COMMUNITY OF PRACTICE (MECOP)
MEETINGS AND TRAININGS
Staff of Communicate for Health and the HPD participated in quarterly MECOP meetings addressing
a range of topics and contributing to broad M&E capacity strengthening. Invitations for these
meetings went only to USAID HPNO IPs; however, Communicate for Health ensured the participation
of the HPD. Communicate for Health had the privilege of hosting one of these meetings in November
2016, on the theme Performance Management: Target Setting, Data Demand, and Use. Both the
project and HPD staff also participated in a three-day training on a cloud-based mapping platform,
ArcGIS Online, organized by Evaluate for Health and focusing on techniques for map production
using mock data.
ASHANTI69
BRONG AHAFO62
VOLTA69
WESTERN56
GREATER ACCRA54
FIGURE 5 District officers trained on HP data collection tools by region
46 Communicate for Health Annual Report: Year 2
Successes and Lessons
Story 3: Incorporation of HP Tools and Indicators into DHIMS 2
An important goal of the HPD for several years has been to incorporate SBCC indicators into the
DHIMS 2. Creating a systematic approach for collecting and analyzing these data—and using them to
improve programing and target the use of limited resources—has been a challenge. Communicate
for Health has been working with Evaluate for Health; Systems for Health; UNICEF; GHS/Policy
Planning, Monitoring, and Evaluation (PPME); and GHS/FHD toward this goal. Capping approximately
seven months of intensive work, the project and UNICEF jointly funded a “Boot Camp” in Koforidua
in the Eastern region from December 14–17, 2015 to incorporate the HP indicators into DHIMS 2.
The result was definitions of 33 HP/SBCC indicators,
22 of which will be captured routinely on a monthly
or quarterly basis by health staff at the facility and
district levels and entered into the DHIMS 2
platform. Highlights include the following:
Proportion of trainings conducted by HPD
Proportion of HP personnel/focal persons
trained on HP protocols and guidelines
Number of proposals for funding SBCC activities submitted
Number of meetings organized to review HPD performance indicators
Number of monitoring/supervisory visits conducted
Number of evaluations conducted by HPD for key health behaviors
Number of target audiences reached with SBCC activities
Number of media houses engaged to undertake health promotion activities
Number of programs and messages aired/published by media houses
The number of SBCC events/ programs jointly held with partners
Number of active Health Promotion Champions (HPC)
Proportion of activities in the action plan implemented by HPCs
While these indicators are primarily concerned with capacity building and SBCC processes, behavior
indicators will also be collected via surveys on an as-needed basis. A data collection tool has been
created for this purpose, focusing on Percentage of community members practicing desired
behaviors in health areas: Child Health, FP, RH, Nutrition, Adolescent and Reproductive Health,
HIV/AIDS and Mental Health.
The Boot Camp concluded with a presentation to multiple stakeholders including regional officers on
the HP M&E framework, data collection tools, and a demonstration of the DHIMS 2 platform.
Yvonne Ampeh, the M&E focal point for HPD was nominated by the Head of HPD as the Best Worker
for HPD for the year 2015 for her hard work and contribution towards this accomplishment.
Data will be validated, analyzed, and reported during GHS meetings, including regional performance
reviews and FHD retreats, to inform decision making.
“It has been a long journey but finally we are now convinced that we have HP [SBCC] tools that can be reported monthly and quarterly to help make decisions which are data driven.”
–PPME staff member
47 Communicate for Health Annual Report: Year 2
Successes and Lessons
Story 4: Evidence-based Programming Using Mobile Technology— The VOTO Mobile Survey Experience
Why use mobile phones for surveys? Traditional methods
of data collection and processing are usually resource- and
time-intensive. Complex logistical arrangements are needed
to train data collectors, print tools, transport and supervise
field workers, hire staff for data entry and analysis, and
create systems to ensure data quality. In an effort to
streamline this process, with the challenge of not being
resourced for face-to-face or household level data
collection, Communicate for Health partnered with VOTO
Mobile in January and February of 2016 to conduct a cross-
sectional survey using mobile phones with interactive voice
response (IVR) technology.
The approach was considered especially promising because Ghana has a high mobile phone
penetration. In December 2015, according to the Ghana National Communication Authority, the
country had 18 million phone subscribers, or about 66 percent of Ghanaian citizens. (The Pew
Research Center reported somewhat higher mobile phone penetration rates in 2014, with 83
percent of Ghanaians surveyed saying they own a mobile phone.)
The purpose of the survey was to gauge audience reach and feedback on the original BCS Good Life,
Live it Well campaign messages aired by the project. VOTO is a Ghana-based technology startup and
social enterprise that helps clients share information and gather feedback through interactive SMS
or voice calls in local languages.
The technology involved placing phone calls to participants with pre-recorded voice instructions and
questions that can be answered through key pad presses on their own mobile phones. Participants
do not incur airtime charges.
In the cross-sectional survey, random digit dialing (RDD) sampling was employed to generate
potential Ghanaian mobile phone numbers. Since data entry was accomplished directly by the
survey participants using their mobile phones, data entry and coding errors were minimized.
Reaching Life Stage audiences and filling sample quotas. The survey was fielded in two waves: from
January 14–21, and from February 24–March 2, 2016. Response rate was monitored during the first
phase and certain adjustments were made. Altogether 9,801 respondents selected a language to
begin the survey, of which 2,249 completed demographic information. (A 20-30 percent response
rate is considered in line with other reports of RDD response rates.)
Among these, 855 respondents were “eligible” for the survey (i.e., they fell into the four Life Stages)
and 675 of those (or 79 percent) completed the survey.
As part of the survey design, participant quotas were established before survey launch to ensure
minimum samples of audiences across the four Life Stages (males 18–35, females 18–35, females
with children under 5 and pregnant women) as well as regions (Central, Greater Accra, Northern,
VOTO Staff transcribing participants’ audio feedback.
48 Communicate for Health Annual Report: Year 2
Volta, and Western). In total, 176 out of the 198 required quota slots were filled. Some quota sizes,
especially those for males, were oversubscribed (63 percent were male and 37 percent were
female). Quotas for pregnant women and caregivers of under-fives as well as persons living in two
regions (Northern and Volta) were the hardest to fill and these audiences remained under
represented at the time of data analysis (See Table 9 below).
Communicate for Health has been in discussions with USAID about the best way of ensuring that
minimum samples for regions and Life Stages will be met in future surveys.
DESCRIPTION QUOTA
SIZE # FILLED
WAVE 1A # FILLED
WAVE 1B* TOTAL FILLED
% FILLED
Females with a Child under age 5 from Central region 8 4 2 6 75%
Females with a Child under age 5 from Greater Accra region
17 18 0 18 106%
Females with a Child under age 5 from Northern region 8 1 2 3 38%
Females with a Child under age 5 from Volta region 8 4 2 6 75%
Females with a Child under age 5 from Western region 8 4 2 6 75%
Female Young Adults from Central region 4 5 0 5 125%
Female Young Adults from Greater Accra region 8 9 0 9 113%
Female Young Adults from Northern region 4 2 2 4 100%
Female Young Adults from Volta region 4 1 1 2 50%
Female Young Adults from Western region 4 2 1 3 75%
Female Youth from Central region 4 2 2 4 100%
Female Youth from Greater Accra region 8 9 0 9 113%
Female Youth from Northern region 4 3 1 4 100%
Female Youth from Volta region 4 1 3 4 100%
Female Youth from Western region 4 4 0 4 100%
Male Young Adults from Central region 4 5 0 5 125%
Male Young Adults from Greater Accra region 9 10 0 10 111%
Male Young Adults from Northern region 4 5 0 5 125%
Male Young Adults from Volta region 4 5 0 5 125%
Male Young Adults from Western region 5 6 0 5 120%
Male Youth from Central region 4 5 0 5 125%
Male Youth from Greater Accra region 9 10 0 10 111%
Male Youth from Northern region 4 5 0 5 125%
Male Youth from Volta region 4 5 0 5 125%
Male Youth from Western region 5 6 0 6 120%
Pregnant Females from Central region 8 5 3 8 100%
Pregnant Females from Greater Accra region 17 14 3 17 100%
Pregnant Females from Northern region 8 2 1 3 38%
Pregnant Females from Volta region 8 0 5 5 63%
Pregnant Females from Western region 8 8 0 8 100%
* Quotas over filled in Wave 1b are not reported
TABLE 9 Participation of Life Stage and Regional Audiences in the two Mobile Survey Waves
49 Communicate for Health Annual Report: Year 2
Partnerships and Coordination
COLLABORATION AND COORDINATION WITH PARTNERS
In YR 2, Communicate for Health continued to strengthen collaboration among a range of partners in
pursuit of common SBCC goals. In addition to working closely with the GHS and HPD in all matters,
the project worked regularly with Systems for Health, SPRING, RING, SHOPS, VectorWorks, Evaluate
for Health, NPC, NMCP and UNICEF. Activities ranged from support for SBCC coordination, materials
development and pretesting, strategic planning, and monitoring and evaluation to consultative
meetings, document exchange and review, experience sharing, and leveraging of resources to carry
out joint activities with the GHS.
MONTHLY JOINT PLANNING AND COORDINATION MEETINGS WITH HPD
Joint monthly planning and coordination meetings with HPD have continued to drive project work
plan activities. Fifteen meetings have been held since the start of the project, including one in the
last quarter and six meetings in total during YR 2. Staff of Communicate for Health and of the HPD
alternate taking minutes; these are reviewed and used as references during subsequent meetings.
Over the last two quarters, meetings focused on planning for the launch and regional rollout of the
refreshed GoodLife brand, launch of the CBSP for HPD, the Korle Bu office renovations and co-
location, and efforts to strengthen the ICC-HP at the national and regional levels. The joint meetings
have further consolidated the working relationships between Communicate for Health and the
GHS/Heath Promotion Department.
NORTHERN REGION USAID IPS COORDINATION MEETINGS
Three IP SBCC coordination meetings were held in Tamale in YR 2. Participating IPs included SPRING,
RING, Systems for Health, WASH for Health, and Communicate for Health. The meetings were
hosted in turns by the various IPs and coordinated by the Northern Regional GHS/HPD. Partners
discussed strategies for implementing activities, common challenges, and shared lessons learned.
Communicate for Health updated members on progress made on the GoodLife refresh and contracts
signed with the Northern regional radio stations. Recommendations were made on how partners
can collectively utilize the airtime. IPs mapped out cross-cutting areas and prioritized areas of SBCC
support to work with the RHPO and TOHPs based in the region. The last meeting, held September 14
and hosted by Communicate for Health, focused on updates and preparations for the GoodLife
celebration recently held in Tamale and discussions about the upcoming GoodLife brand book.
COORDINATION WITH SYSTEMS FOR HEALTH
Communicate for Health delivered print-ready versions of the IPC job aids to Systems for Health and
the Institutional Care Division of the GHS to facilitate their trainings of facility staff on infection
prevention and control. The materials included job aids on hand hygiene, alcohol hand rub,
SECTION 5
50 Communicate for Health Annual Report: Year 2
preparation of chlorine, and Personal Protective Equipment (PPE). The project also worked with
Systems for Health to develop talking points for the GHS on why sufadoxin pyrimethamine (SP) is
important for pregnant women and worked to carry out World Malaria Day activities at the national
level and in the USAID focus regions. Along with GCRN, the two projects collaborated to create
demand for services offered at the Community-Based Health Planning and Services (CHPS)
compounds and to promote optimal behaviors for FP, MCH, WASH, nutrition, and malaria
prevention and case management.
COLLABORATION WITH WASH FOR HEALTH
Two project teams participated in a Behavior Change Communication (BCC) Strategy formulation
workshop organized by Global Communities—a USAID-funded Water, Sanitation, and Hygiene
(WASH) for Health Project. The results of the workshop fed into the development of a draft BCC plan
for WASH that proposed BCC materials required, a range of activities to be undertaken, and training
needs of key groups, which has subsequently been circulated to partners for comment.
WORKING WITH VECTORWORKS
Communicate for Health participated in two workshops featuring message development for Vector
Works’ School based LLIN distribution strategy with the NMCP. Communicate for Health made
inputs on both the LLIN distribution and BCC strategy documents. Upon the request of VectorWorks,
Communicate for Health provided support for printing half of the 60,000 posters promoting regular
LLIN use, which were distributed to primary schools throughout the country as part of a school
based net distribution campaign.
SUPPORT FOR 2016 WORLD MALARIA DAY PRESS BRIEFING AND CELEBRATIONS
Working with the National Malaria Control Program (NMCP) and Creative Storm Network, the
project supported the development of a 30-minute malaria advocacy video documentary entitled
Domestic Financing of Malaria—Role of Corporate Ghana, as well as a 6-minute abridged version.
The documentary highlights the economic costs of malaria in Ghana and why the private sector
should invest in national efforts to prevent and curb the disease—particularly given dwindling donor
funding. (See also Successes and Lessons: Story #5)
As part of activities leading to the commemoration of the 2016 World Malaria Day Celebration on
April 25, Communicate for Health provided an extensive platform for media coverage, particularly in
USAID focus regions. The project coordinated pre-event publicity announcements and a total of 28
PSAs and ten interview discussions were held on various national radio stations including Radio
Ghana, Peace FM, Joy FM, Starr FM, and Obonu FM. A total of 32 PSAs including 11 interviews were
conducted across several national television stations including GTV, UTV, Adom TV, Joy News, TV3,
and Viasat 1.
The World Malaria Day press briefing attracted over 150 participants, including traditional leaders,
school children, women’s groups, and health professionals, as well as the key members of the press.
Journalists from six television stations including GTV, Adom TV, Joy News, UTV, Metro TV, and Viasat
1; five national radio stations including Joy FM, Peace FM, Adom FM, Starr FM, and Oman FM; and
the national newspapers covered the event. NMCP Program Manager, Dr. Constance Barte-Plange
51 Communicate for Health Annual Report: Year 2
provided an overview of malaria in the Ghanaian context. She highlighted some key interventions
employed by the NMCP to address malaria such as LLIN distribution and promotion; Indoor Residual
Spraying; and Track, Test, and Treat for malaria case management. Communicate for Health
supported HPOs in USAID focus regions to replicate the celebrations in their respective regions. The
project provided communication support for interactive radio discussions and PSAs. In Western
Region, 40 PSAs and eight interactive radio discussions on World Malaria Day were held on ROK FM,
Twin City Radio, Good News Radio, and Skyy FM. In the Central Region, 80 PSAs were broadcast
including eight interviews on Radio Central, Ahomka FM, Eagle FM, and Cape FM. In the Volta
Region, eight interactive interview discussions were held on Volta Star Radio, Jubilee Radio,
Lorlornyo FM, and Victory FM.
SUPPORT FOR 2016 CHILD HEALTH WEEK CELEBRATION
Communicate for Health also provided support to FHD for Child Health Promotion Week, May 9–13,
2016, with the production and printing of 23,000 GoodLife, Start it Right posters and 23,400
brochures on child health. A total of 15 posters and 400 brochures were used by the GHS during the
celebration and the remainder were given to the FHD for distribution to the regions and districts.
Extensive publicity was provided on five national radio stations: Uniiq FM, Joy FM, Peace FM, Starr
FM, and Obonu FM. Collectively these stations broadcast 50 PSAs and encouraged people to take
advantage of all the free services available for young children (immunizations, baby weighing, and
vitamin A). HPOs also collaborated with Ghana Community Radio Network to replicate Child Health
Promotion Week programming on ten Community Radio Stations in Greater Accra, Northern, Volta
and Central Regions.
SUPPORT FOR 2016 WORLD BREASTFEEDING WEEK
A press briefing on World Breastfeeding Week was held July 25, 2016, at Cleaver House, Accra. The
theme for the celebration was Breastfeeding: A Key to Sustainable Development. Mrs. Eunice Sackey,
the GHS Program Coordinator for Breastfeeding, presented on the current situation of breastfeeding
in Ghana.
A number of media houses covered the event: UTV, GTV, VIASAT1, TV Africa, TV3, Metro TV, and
Multi TV—which also operates on Adom TV and Joy News. The press briefing was also covered by
the following radio stations and print media houses: Joy FM, Adom FM, Peace FM, Radio XYZ, Radio
Ghana, Kasapa FM, Daily Graphic, Ghanaian Times, GNA, The Finder, Public Agenda, and GhanaWeb.
COMMEMORATION OF 2016 FAMILY PLANNING WEEK AND PRESS BRIEFING
Communicate for Health supported the celebration of the 2016 Family Planning Week. The
celebration took place in the Central region and was commemorated on September 26 in Accra. The
commemoration was organized to coincide with the GHS monthly press briefing and was on the
theme: “Family Planning-it's your life, take control! It's an everyday thing.” The ceremony was
attended by 164 participants and received wide media coverage. The project provided support in the
form of GoodLife brochures and posters featuring FP and rental of the venue. Other USAID partners
also participated and mounted stands, displayed their FP products, and promoted their services.
52 Communicate for Health Annual Report: Year 2
5TH ANNUAL NATIONAL NEWBORN STAKEHOLDERS CONFERENCE
The 5th Annual Newborn Stakeholders conference was held in Accra from July 26 to 28 on the
theme; “Save me from ASPHYXIA: Help me Breath, Help me Live.” The goal of the conference was to
assess progress being made on the National Newborn Health Strategy and Action Plan 2014 – 2018
and chart the way forward. The event also served as an opportunity to discuss progress on the
Ghana National Newborn and Child Health Advocacy and Communication Strategy (2015 – 2019).
About 200 participants were present including Regional Health Directors and heads and
representatives of various governmental and non-governmental organizations, academia,
development partners, private sector, journalists, and civil society organizations working in the area
of newborn care. Communicate for Health contributed to the planning and organization of the
workshop by printing and mounting poster displays from all ten regions on newborn care issues and
progress being made as well as the production of the conference program and banner. A short skit
on newborn care and asphyxia presented by a local theatre troupe as part of the opening ceremony
was likewise supported by the project.
ADDITIONAL COORDINATION WITH GHS AND RELATED PROGRAMS
Communicate for Health provided ongoing technical assistance to the NMCP as part of its regular
SBCC technical working group and Resource Mobilization technical group. It was actively engaged in
the review of the NMCP’s malaria communication strategy. The project continued to be an active
participant in the FHD Newborn Sub-committee. Due to its strong collaboration with the GHS,
Communicate for Health was invited to present at this year’s Annual Health Sector Performance
Review—a national event organized with all ten regions held each April—as well as the annual
retreat of the FHD, held in May.
OTHER EVENTS, MEETINGS AND PRESENTATIONS
Drama Scriptwriting Workshop with GCRN
Communicate for Health participated in a Drama Scriptwriting Workshop organized by GCRN from
May 9 to 13, 2016, at the Institute of Local Government Studies. The purpose was to discuss and
finalize the radio drama series drafted to address teenage pregnancy at the community level, as
identified in a GCRN design workshop the previous quarter.
CO-LOCATION HIGHLIGHTS
Rehabilitation of Korle Bu Health Promotion Department Office Building
In March 2016 USAID approved a modification to the Cooperative Agreement allowing the project to
carry out construction on the GHS/HPD office building at Korle Bu. A competitive process was
conducted to identify a contractor in the second quarter of the year and a contract was awarded in
April. The Ghana Environmental Protection Agency (EPA) also completed an environmental impact
assessment at the site and approved the rehabilitation works. A report is being prepared by the EPA
for submission to USAID. Three project site meetings have been held following joint inspections of
the work in progress. The GHS/HPD staff and staff of the GHS Estates Department responsible for
supervising the construction have all expressed satisfaction with the progress and quality of work.
53 Communicate for Health Annual Report: Year 2
Rehabilitation should be completed on schedule by November. It is expected that staff of
Communicate for Health will co-locate with their counterparts at Korle Bu by December (See Table
10 below.)
DATE ACTIVITY RESPONSIBILITY
August 15 Mid review of rehabilitation work FHI 360 & GHS
November 30 Rehabilitation completed Contractor/GHS Estates/ Quantity Surveyor (QS)
December 10 Official hand over Contractor & GHS/FHI 360
December 15 Project staff co-locate at Korle Bu COP and Deputy COP, Communicate for Health
The co-location team includes the project’s Deputy COP and the Senior Organizational Development
Specialist as well as two senior members of the HPD. The team advises Senior Management on
important actions needed to ensure a smooth transition prior to, during and after co-location and
provides regular documentation of the status of the Korle Bu office environment as part of the HPD
work condition assessment.
CONTRACTS AND GRANTS MANAGEMENT
Fixed Amount Award (FAA) with GHS/HPD
Mr. Keith Aulick, FHI 360 Technical Advisor for Leadership and Capacity Development, has been
working with the HPD on behalf of the project to develop a Fixed Amount Award (FAA) that will
enable HPD to take on stronger leadership of activities indicated in the Communicate for Health
work plan. HPD developed and submitted a draft program description, output summary, budget, and
budget notes for the FAA, with technical assistance to be provided onsite at the HPD office.
Thus far technical assistance to develop the FAA technical narrative, milestones, and detailed budget
has been provided over nine sessions, each lasting approximately three hours. Topics to date have
included how to develop a program description, how to develop output-based project budgets, how
to write budget notes, and developing and negotiating new project agreements. In contrast with
traditional grants, FAAs require a great degree of detail including cost justification and verification.
To assist with this, job aids have been develop allowing HPD to estimate with a high degree of
accuracy the fuel required to travel anywhere in Ghana and a methodology for estimating fuel prices
up to 12 months in the future. Facilitation and coaching efforts have included traveling with the HPD
team to obtain quotes for bus travel.
The FAA will be submitted to USAID for approval in the coming quarter.
A capacity strengthening plan centered around FAA administration will also be completed in the
comping quarter. The capacity strengthening agenda, now under development in consultation with
TABLE 10 Updated schedule for rehabilitation of Korle Bu office building and co-location plan
54 Communicate for Health Annual Report: Year 2
leaders from HPD and FHD, will likely include key compliance measures required under FAAs,
documenting and reporting milestone achievements, and an orientation to programming at USAID
Ghana. The plan will offer training and performance support to staff involved in activity planning,
award management, and reporting for two to three staff from both HPD and the FHD.
CHALLENGES AND OPPORTUNITIES
Key challenges and opportunities encountered during YR 2 are highlighted below.
Challenges
Differences in operational systems and procedures between GHS/HPD and FHI 360: The HPD,
Communicate for Health’s main GOG partner, has a different system of accountability and
stewardship of resources. The HPD is currently required to follow FHI 360’s administrative structures
and systems for disbursing and retiring funds for project activities. Although there were challenges
in the beginning, improvements have been made during the year and more effort will be made in YR
3. In YR 2, Communicate for Health developed a standard operating procedures manual to clarify
procedures and provided at least two orientation sessions to HPD staff.
Coordination with other GHS/FHD Departments and Divisions: The scope of Communicate for
Health’s work requires effective coordination and engagement of different sectors and units within
the GHS (such as Nutrition, MNCH, FP, EPI, Disease Surveillance, and Safe Motherhood). However,
HPD staff believe that Communicate for Health activities fall within their specific mandate and are
reluctant to include other divisions and departments in various activities (e.g., in training
workshops). While HPD has focal points for various technical areas, direct participation of other
technical units and departments is critical to ensure accurate content of SBCC strategies, messages
and materials. Development of the GoodLife materials has been particularly challenging in this
regard. Over the next several months more attention will be given to ensure the involvement of key
managers within the FHD and Public Health Division of the GHS so that common goals for SBCC
capacity building are achieved.
Opportunities
Korle Bu Renovation: The goal of co-location for the GHS and FHI 360 will be achieved with
completion of Korle Bu renovations. The building renovation presents a great opportunity to
improve the current HPD work environment and morale, as well as relations among the GHS,
Communicate for Health, and USAID. Deputy Chief Health Promotion Officer, Alhaji Abu Sufyan had
this to say about the renovations: “Now co-location will be a reality; the auditorium will bring in
needed revenue to enhance our work and the resource center once completed will help raise the
visibility and profile of the Health Promotion Department.”
USAID IPs and other Partners Enthusiasm for GoodLife: Feedback received from various USAID IPs
as well as UNICEF and other stakeholders has demonstrated broad goodwill toward embracing the
refreshed GoodLife, Live it Well brand as the hallmark for future GHS health communications.
UNICEF has pledged support for the new brand while Systems for Health, PSI, VectorWorks,
MalariaCare, WASH for Health, SPRING, RING, and others have all endorsed the refreshed GoodLife
logo as well as teasers and reveal materials. RING has expressed interest in integrating the GoodLife
concepts and messages in their work on promoting good governance and livelihood development
with district and local authorities in northern Ghana.
55 Communicate for Health Annual Report: Year 2
Use of Mobile Technology (IVR) for Conducting Surveys: The project is blazing a new path with the
use of mobile technologies using IVRs to collect data for health. Different institutions including the
GHS, Evaluate for Health, and the USAID MECOP have requested the project’s Senior M&E Advisor to
present and share the Communicate for Health experience. In the first quarter of YR 3,
Communicate for Health will launch the first mobile cohort survey, applying lessons learned in the
cross sectional survey and ensuring high quality data for monitoring program performance. The
project will also explore opportunities for sharing this experience internationally during upcoming
SBCC conferences and webinars and presentations at USAID Washington.
56 Communicate for Health Annual Report: Year 2
Successes and Lessons
Story 5: Production of Advocacy Documentary for Domestic Financing of Malaria Control Program
A stunning documentary and an
hour-long radio program—both
developed by Communicate for
Health’s partners—are ensuring
that malaria messages are
reaching diverse audiences.
Investing to Tackle the Economic Burden of Malaria. Many people know that malaria is the biggest
killer in Ghana and leading cause of mortality in children under five years and morbidity among
pregnant women. However, fewer people are aware that (in 2014), the economic cost of malaria to
businesses in Ghana was $6.6 million.
To support efforts by the GHS to enhance domestic financing of the NMCP, Communication for
Health contracted with Creative Storm Networks (CSN) to produce a 30-minute documentary film—
Ending Malaria for Good—to make a strong case for private sector support towards the goal of a
malaria–free Ghana. Volta Region and Northern Region, two regions with extremely high incidence
of malaria, were selected for filming. Most of the high profile interviews of business leaders,
including Prince Kofi Amoabeng, President of UT Holdings and Dr. Joyce Aryee, former CEO of Ghana
Chamber of Mines, were filmed in Greater Accra.
One of the highlights of production was aerial
filming of the famous rice farms in Volta Region.
Drone technology was used to capture the
expansive farms, which unfortunately are also
conducive to massive mosquito breeding. In
Northern Ghana, the documentary focused on
human stories to highlight the socio economic
impact of malaria on ordinary citizens.
Preventing Malaria through Community Radio and Popular Engagement. Communicate for Health’s
partner GCRN worked with ten community radio stations (CRS) to produce an hour-long program on
the theme End Malaria for Good; Invest in the Future. The program focused on the following
themes: 1) malaria kills, 2) prevent malaria and protect your family by sleeping under a treated net,
and 3) when you are sick get tested for malaria and get appropriate treatment at the nearest CHPS
compound or health facility.
The program used authentic stories and featured community voices, especially those of Most
Affected and Well Informed Persons (MAWIPs) including nursing mothers, pregnant women,
children, health workers and GHS Malaria Focal Persons. In telling the stories, communities took
ownership of the process by featuring their own songs, proverbs, and local sounds.
The messages were backed by malaria jingles that were originally sponsored by UKAID and adapted
for use by the community radio stations (CRSs). The program flowed in a logical way based on
researched facts and materials (notes and audio recordings) and included two vox-pop interviews
57 Communicate for Health Annual Report: Year 2
(with GHS/HPD staff and community members) and a 6-minute drama. The drama emphasized the
need to sleep under an LLIN and to seek care from a health facility. The story featured a child who
does not sleep under a treated net, falls sick, and is sent to a faith healer. Finally, the child is taken
for health care at the clinic where desperate measures are taken and the dying child is saved.
Community members who phoned into the program on Radio Breezy expressed anger at the
husband who sent his sick child to a faith healer instead of the hospital. One community member
said, “This man did not exhibit the mark of a good father” and suggested that continuous education
and counseling would help the public to handle such issues appropriately.
On one radio station (Radio Ada) resource persons explained the benefits of using an LLIN and how
one should handle and take care of the net. Listeners then called in and stated that they now
realized that the nets they were using had expired long ago. This revelation was brought to the
attention of the Ada East District Disease Control Officer (Mr. Tetteh Onumah) who promised on live
radio that the district would ensure that the problem was fixed quickly. True to his word, the district
has begun distributing new LLINs to the communities within the Ada East District.
All ten CRSs carried out the Malaria Day Program as planned. Radio Dayi, however, went a step
further and organized a quiz contest for school children and clean-up exercises in some listening
communities. The station also distributed LLINs to communities and crowned the Malaria Day
celebrations with a durbar. They worked in partnership with the GHS and three organizations (Check
Health Services, Women for Peace, and Alliance Health Network) to obtain 500 LLINs; 400 of these
were distributed freely to children under five in eight communities in the Volta region and the
remaining were given out as prizes to community members who answered questions correctly
during phone-in discussions.
REGION/ STATION BROADCAST DISTRICTS/ MUNICIPALS LANGUAGE
Greater Accra
Radio Ada Ada East, Ada West, Ningo Prampram Dangbe
Radio Emashie Ga West Ga
Radio LaTeNu La Dade-Kotopon, Ledzokuku-Krowor Ga
Central
Radio Arise Twifo-Atti-Morkwa, Twifo-Heman-Lwr Denkyira Twi
Radio Breezy Ajumako-Enyan-Esiam Fante
Radio Peace Efutu, Gomoa East, Gomoa West, Ekumfi, Mfantseman Fante
Volta
Radio Dayi North Dayi, Kpando, South Dayi, Afadjato Ewe
Northern
Radio Lom Bunkpurugu, Yunyoo
Radio PAD Gonja West, Central Gonja, North Gonja, Bole, Sawla-Tuna Kalba, Bole
Gonja
Radio Simli Tolon, Kumbungu, Savelugu, Nanton Dagbani
TABLE 11 Community radio stations, broadcast coverage by district, and language of broadcast
58 Communicate for Health Annual Report: Year 2
Overview of what to expect in Year 3
Below are key highlights of proposed activities for YR 3.
1. NEW GOODLIFE, LIVE IT WELL TV, RADIO AND PRINT MATERIALS
BASED ON LIFE STAGES:
During YR 3, Communicate for Health will prioritize the development of new GoodLife, Live it Well
TV, radio, and print materials for key Life Stages. These will be distributed to the five USAID priority
regions and districts. In the first quarter of the year the project will begin developing targeted
integrated messages, phase out the old BCS programming, and develop additional tools and
materials for each Life Stage audience.
The project will facilitate two GoodLife workshops to engage regional stakeholders, technical
managers in the FHD and Public Health divisions of the GHS, as well as BCC advisors of USAID IPs in
the development of new materials and tools. Materials such as posters, flip charts, job aids, games,
sketches, stories, and proverbs will be adapted for audiences in the northern and southern sectors.
The project will explore the possibility of adapting the Community Conversational toolkit for HIV
(initially developed for the FHI 360 C-Change project) to the Ghanaian context. Materials
development will continue to be rooted in human centered design.
The project will work with UNICEF and other USAID IPs to complete the review and creation of an
online inventory of existing SBCC and community mobilization tools and training materials.
Communicate for Health will also collaborate with the NPC, the Palladium Group, DFID, and the FHD
to develop and produce new episodes of YOLO–You Only Live Once programming that promotes
GoodLife, Live it Well messages and It’s an #everydaything interventions.
Working with partners Creative Storm Networks, GCRN, and VOTO Mobile, Communicate for Health
will create a strong and vibrant social media platform to promote the GoodLife messages. The
project will work with VOTO Mobile and Human Network International (HNI)/AIRTEL to expand the
existing mobile technology platform that delivers tailored messages to Life Stage audiences via IVR
and SMS, linking them to services with interactive feedback mechanisms through alerts and
reminders.
In YR 3, Communicate for Health will create three new documentaries and nine 26-minute Maternal
Health Channel programs to build awareness and support the operationalization of the National
Advocacy, Communication, and Social Mobilization Strategy for Newborn and Child Health, the
Family Planning Costed Implementation Plan (2016–2020) and the National Nutrition Strategy.
SECTION 6
59 Communicate for Health Annual Report: Year 2
Finally, the project will provide technical assistance to JICA and work with the HPD to redesign the
maternal and child health record booklets.
2. HIV/AIDS PROGRAMMING:
Beginning in YR 3, Communicate for Health will carry out work in collaboration with the PEPFAR
team to produce HIV/AIDS programming. The project has been asked to offer technical assistance in
two main areas:
Coordinate with the USAID Strengthening the Care Continuum Project to review and update
a core set of SBCC HIV materials with reference to 90-90-90 and Test & Start frameworks, as
well as the standard operating procedures for Key Populations (KP). The project will work
with key stakeholders to conduct a systematic review of existing SBCC materials for
HIV/AIDS and update these as appropriate.
Conduct Action Media Workshops to explore rural community perspectives on KP related to
the HIV care continuum—with emphasis on community support, access to services, and
stigma and discrimination. At least six Action Media Workshops will be conducted with
participants drawn from the HIV priority focus regions of Ashanti, Brong Ahafo, Eastern,
Western, and Greater Accra regions. The results will be documented and a summary report
prepared with recommendations for dissemination at appropriate fora.
3. CONTINUATION AND BROADENING OF THE HPD CAPACITY BUILDING
SUPPORT PROGRAM (CBSP):
Building on the work started in YR 2, Communicate for Health will work with the GHS/HPD to
continue with the CADP and SfC Action Learning Sets for remaining cohorts, intensify and accelerate
implementation of the Change Challenge Fund, establish an award scheme for Healthy Districts and
Healthy Communities, and a Top Health Promoter Award . The Change Challenge Fund will be
launched in YR 3. The project will work with staff of the FHD to facilitate training for regional HPOs in
SBCC and on social and digital media.
4. INTENSIFY SBCC COORDINATION AND ENGAGEMENT WITH
PRIORITY REGIONS:
In YR 3, Communicate for Health will intensify collaboration with IPs working in the focus regions.
The project will establish mechanisms for regular meetings to share ideas and join forces on the
rollout of the GoodLife, Live it Well messages. Work in the Northern Region will be
expanded/strengthened to other regions through collaboration with Systems for Health, MCSP,
SPRING, RING, Peace Corps, and HealthKeepers to ensure messages and materials (including tools
for IPC and community mobilization) reach the sub district and community levels for use by
Community Health Officers, Community Health Nurses, and TOHPz. Such collaboration will
complement Communicate for Health’s above the line media campaigns with local initiatives that
build demand for health services and create an enabling environment for SBCC at the community
and household levels. The role of the HPOs will be emphasized. The project will support
development of a plan to strengthen capacities of the HPOs and TOHPs and help devise innovative
ways to resource their activities. Communicate for Health will lead the process to integrate the
60 Communicate for Health Annual Report: Year 2
national and regional HPD offices into the IPs’ work plans, to ensure HPD is properly positioned to
support the SBCC agenda of various IPs working in the focus regions.
5. CO-LOCATION WITH HPD
The proposed renovations works are expected to be completed by October. Following the
completion and inauguration and/or ribbon cutting ceremony expected in November, the
Communicate for Health staff will co-locate at Korle Bu which will deepen joint planning and
integration of the teams.
6. NEW SBCC LOCAL ORGANIZATION ENGAGED
Communicate for Health will formally engage the selected local SBCC NGO in capacity building and
SBCC activities once USAID concurrence and approval have been received. The project will begin the
process of conducting a capacity assessment and institutional strengthening while simultaneously
working with the organization, together with HPD, to roll out the GoodLife, Live it Well campaign
particularly in the five USAID focus regions.