DRAFT STRATEGIC PLAN FOR ADVOCACY, COMMUNICATION AND SOCIAL MOBILIZATION

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DRAFT STRATEGIC PLAN FOR ADVOCACY,
COMMUNICATION AND SOCIAL MOBILIZATION

• Joanne Carter, ACSM Chair
• 2 May 2005

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ACSM Strategy

• The overall ACSM strategy consists of 2 parts
• 1. Country-level strategic communication (incl.
  communication, social mobilization and advocacy)
• 2. Global advocacy for increased political
  commitment and resource mobilization

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Country-level strategic communication

• Section 1
• Country-level strategic communication
• Communication to bring about behavioural and
  social change
• Social mobilization to build a multi-sectoral
  response
• Advocacy to raise and sustain political and
  financial commitment

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Country-level strategic communication

• Strategic objectives
• To support and develop strategies to achieve key
  behavioural and social changes that will
  contribute to sustainable increases in case
  detection and cure rates.
• To provide guidance and TA for countries to
  develop strategic communication capacity
• To help strengthen civil society advocacy
  capacity and mobilization of a broad set of
  partners in support of TB control efforts in
  HBCs.
• To foster participatory planning, management and
  evaluation practices at regional, national and
  sub-national levels.

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Country-level strategic communication

• Key premises
• Based on recent meta-analyses in other public
  health communications fields, well planned and
  resourced strategic communication could increase
  and sustain TB case detection and cure rates by
  5-10 where quality services are assured.
• To achieve this outcome will require an estimated
  base investment of 5 of NTP budgets, and up to
  15 in complex situations of de-centralization,
  mobile populations, and high co-prevalence of
  TB-HIV, etc.

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Country-level strategic communication

• Strategic targets
• By end-2008, at least 15 HBCs will be
  implementing strategic ACS activities and
  generating data on their contribution to TB
  control
• By end-2012, all HBCs and WHO regions will be
  implementing strategic ACS activities and
  generating data on their contribution to TB
  control
• By end-2015, participatory strategic
  communication will be a fully developed core
  component of TB control programme planning.
• By ?, civil society advocacy partners/partnership
  s active in nearly all HBCs

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Country-level strategic communication

• Key assumptions
• 1. Partnership will help broker bilateral
  funding for global and regional level planning,
  TA, monitoring and evaluation
• 2. GFATM and bilaterals will provide bulk
  of funding for country-level ACS activities in
  short term and national governments increasingly
  in the longer term.
• 3. Scale-up of ACS activities will benefit
  from emphasis on innovative strategies like PPM
  and community-based DOTS that expand access to TB
  services.

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Country-level strategic communication

• Key risks
• Few studies that have calculated the cost of TB
  ACS activities, esp. in relation to impact
• Weak or nonexistent capacity in most HBCs at
  present to undertake strategic communication
• Resource constraints lead to underfunded and
  poorly done ACS with limited or no impact
• HIV/AIDS, malaria and other public health threats
  crowd out and dilute TB communication

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Country-level strategic communication

• Structure global level
• ACSM-WG subgroup
• Strategic guidance to Board and STAG
• Gathering input from all relevant partners
• Technical reviews, cost-effectiveness research
• Brokering role for TA to countries
• Development, testing and refinement of tools
• Dissemination of evidence, lessons learned
• Budget 1.1 million/year

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Country-level strategic communication

• Structure regional level
• Regional Strategic Communication Officers (SCOs)
  to ensure global-to-national linkages
• Workshops to present evidence, promulgate best
  practices and lessons learned
• Integration of ACS into WHO framework, country
  missions, regular regional and subregional
  meetings
• Budget 600,000/year

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Country-level strategic communication

• Structure national level
• National SCO and ACS Partnership/Task Force
• Participatory strategic communication planning
• Training for national and subnational staff
• Plan implementation in at least 5 areas of ACS
  activity
• Participatory monitoring and evaluation
• Budget 5-15 of NTP

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• Next Steps
• Flesh out plan for country level strategic
  communications May and June.
• Get broader input, esp. from country level
  program managers and affected communities.
• Further develop country level civil society
  advocacy and social mobilization strategies.

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Global Advocacy

• Section 2
• Global advocacy
• Creates the political accountability and
  social pressure required to mobilize new and more
  effective funding for TB efforts and to
  effectively shape policy agendas of key
  institutions

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Global Advocacy

• Achievements of GP1 - outcomes
• TB targets embraced by G8 and Commission for
  Macroeconomics and Health
• Put "T" in GFATM with 400 m from 2002-04
• 275 growth in annual aid for HBCs, from
• 80 m in 2002 to 220 m in 2005
• More than 80 m mobilized for GDF
• Recent statements of support from Mandela, AU,
  Commission for Africa on TB-HIV

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Global Advocacy

• Strategic vision
• To create and sustain the political will to
  mobilize full funding for GP2, to strengthen
  support for effective TB control policies at
  global, regional and national levels, and to
  mainstream involvement of patient and community
  voices in all aspects of TB control.

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Global Advocacy

• Major Objectives
• TB advocacy organizations or coalitions
  established and funded in all major donor
  countries.
• Increased capacity and coordination at global
  level to support global media outreach,
  development of advocacy materials, messages and
  campaigns and identification of global and
  national celebrity, patient and policy champions.
• Partnership buildingengage new partners and
  enhance web and electronic info sharing.

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Global Advocacy

• Next Steps
• Get broader input from ACS WG.
• Integrate with global advocacy components of
  other Working Group plans.
• ?? Attempt to better quantify contribution of
  global advocacy to resource mobilization.