Developing BCC Strategy under NRHM

1
Developing BCC Strategy under NRHM

• Some State Experiences

2
Experiences from NRMH planning processes in

• Himachal Pradesh
• Haryana ( only 8 districts)
• Meghalaya
• Tripura
• Sikkim

3
NRHM Key features

• Community Participation
• Behaviour Change Communication
• Promotion of Home-based health care
• Generate demand for services
• making health providers more responsive and
  accountable to clients

4
State and District Action Plans under NRHM -
Meghalaya

• Decentralized Participatory Process from village
  to State
• Need based
• Strategization at Block level by Block Core Group
• Publicity and advocacy support at District and
  State level.

5
Assisting Communication Change Agent

• Development of BCC toolkit based on the formative
  assessment
• Develop guidelines and instruction manual on
  communication skills development / training
• A-V material to support communication skills
  training
• Facilitators guide to train BCC implementers on
  the use of toolkit

6
Media Channel Analysis
7
Areas of Focus

• Newborn Care
• Adolescent Reproductive Health
• Women Health
• Quality of service
• Utilization of Institutional care

8
Tripura
Dharmanagar
Kailashahar
Kamalpur
North
Khowai
Agartala
Dhalai
West
Sonamura
South
Belonia
Sabroom
9
COMMUNICATION UNIT
Public Relations Positive argument Perception Corr
ection
Mass Media Awareness Immediacy Image
Direct Communication/ Internal Communication Persu
asion Source credibility Q/A
Evaluation
Monitoring
Response Device
Stakeholder
Feedback
10
TRIPURA

• External Professional Support sought
• for development of BCC Strategy based on
  formative research and village data
• Implementation
• Bottom-up planning covering all villages
• Active involvement of PRIs and ADC
  (Tribal)
• Indecisiveness at state level

11
Haryana

• Largely campaign mode
• Awareness building on on-going newer schemes
• BCC for service providers still neglected
• Weak link between community and health system (
  ASHA or VHSC)
• Strong in State level planning and management

12
Himachal Pradesh

• Institutional support through PARIKAS at all
  levels including village
• Strong training support communications skills
• Region specific approach
• Developed through consultative process with
  districts