A Resource for Demand Creation and Promotion of Voluntary Medical Male Circumcision (VMMC) for HIV Prevention

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A Resource for Demand Creation and Promotion of Voluntary Medical Male Circumcision (VMMC) for HIV Prevention Dan Rutz Division of Global HIV/AIDS Centers for Disease Control and Prevention September 28, 2012 Presentation content may or may not reflect official US Government positions or policy.

Presentation Outline Toolkit Objectives Project Partners Development Process Toolkit Structure

VMMC Demand Creation Toolkit Objectives Provide guidance and tools to develop a demand creation campaign Mobilize specific target audiences Create tailored community-based communications campaigns Provide communication materials and templates for multiple channels Mass Media, including print and broadcast Interpersonal communication materials Materials for secondary target audiences such as religious leaders, business leaders, and women Toolkit designed to be accessible for those without communications or community mobilization background

Project Partners CDC collaborated with experts in multiple fields RTI International Provided expertise in health communication, global health, and HIV/AIDS Population Services International (PSI) Provided health communication, topic- and country-specific expertise Other organizations, including JHPIEGO, USAID, PEPFAR

Toolkit Development Stages Informed by needs of national VMMC task forces, Ministries of Health, implementing partners Collection and review of existing VMMC demand creation materials Consultation with experts in the field to identify best examples Ongoing collaboration between CDC, RTI, and PSI to develop framework and language Field testing in three target countries Final revisions Release of toolkit

VMMC Demand Creation Toolkit Structure Section 1- Introduction Background information on HIV and the science behind VMMC How to use the toolkit Section 2- Planning and Implementation Follows the five steps of the Health Communication Partnership s P- Process: Situation Analysis, Strategic Design, Development and Testing, Implementation and Monitoring, and Evaluation Tools for completing P-Process steps Case studies to highlight key decisions and concepts Section 3- Materials Gallery and Templates Samples of existing VMCC Demand Creation Materials Easy to use templates for developing new materials

VMMC Demand Creation Toolkit and the P-Process Section 2- Planning and Implementation This section is made up of five steps that parallel those found in the New P-Process, as developed by The Health Communication Partnership (HCP) Reference: The Health Communication Partnership

STEP 1: Situation Analysis Situation Analysis uncovers current status, progress, and problems in critical areas. Information, steps and tools for completing Situation Analysis, including assessing current laws and policies, previous work done, and available resources for demand creation Tools include: VMMC Program Status Tool and VMMC Policy Analysis Tool Audience Analysis: the process of defining and describing target audiences Information and steps on how to identify primary target audiences, secondary target audiences, and factors that influence these audiences Guidance and tools for assessing target audiences Tools include: Primary and Secondary Audience Analysis Tools

STEP 2: Strategic Design Strategic Design: Designing a communication strategy for the target audience Steps and questions to consider when designing a strategy Aspects to consider for message development Guidance on selecting channels of communication Case studies on successful campaigns Strategies on how to match supply with demand Tools include: Communication Channels Selection Tool

STEP 3: Development and Testing Development and Testing: Using information from Situation Analysis and Strategic Design to create materials Steps for developing original materials Guidance for modifying existing materials Instruction in refining materials through pre-tests and broader field tests Advice on materials production, promotion and distribution

STEP 4: Implementation and Monitoring Implementing the campaign Partner and target audience engagement Coordinating mass media with interpersonal communication Engaging news media Use of social media Monitoring the campaign Developing a real-time assessment and response plan Monitoring news stories and other response to events that undermine demand for VMMC

STEP 5: Evaluation Evaluation: How well a program achieves objectives Explanation of formal evaluation plan options Case studies of previous VMMC campaigns evaluations Tips on applying evaluation findings

Section 2 Tools Section 2 contains tools to assist with each step of demand creation campaign planning Demographic Information Age: 15-18 19-24 25-49 50 + Reassign to Secondary Target Audience VMMC Primary Audience Analysis Tool Target Audience: Men Eligible for VMMC In order to achieve maximum influence, VMMC demand creation messaging must be built on an understanding of the audience, with messages tailored to meet their unique needs and barriers to accepting VMMC services. This instrument is to assist in collecting key, descriptive information and insights from members of target audience groups concerning VMMC services. It can be used either directly as an interview tool in collecting audience information or as a template for developing a customized data collection instruments for interviews, focus groups, and surveys. Note: Prior to use, customize this instrument by adding or deleting specific questions Marital Status: Single never married Married Divorced Widower Circumcision Status: Uncircumcised Circumcised Type Age Reassign to Secondary Target Audience Medical Traditional Tell me about your experience being circumcised? Residence at Birth: Urban Peri-urban Rural Religion: Christian Muslim Other None What are your religions views on circumcision? Highest Education Level Completed: None Primary (grammar school) Secondary (high school / trade school) Tertiary (college / advanced training)

Section 3: Materials Gallery and Templates Examples of existing demand creation materials Easy to use templates for developing new materials, including several new sample (untested) messages for older (>25 year old) and married men; and women, including wives/ partners

Example Uganda VMMC campaign poster placed above men s room urinals

Example Comic book from Zambia, describing VMMC benefits, process and procedure

Example Schedule of mobile phone text messages for VMMC clients, showing appointment reminders and words of encouragement

Toolkit Formats VOLUNTARY MEDICAL MALE CIRCUMCISION (VMMC) DEMAND CREATION TOOLKIT Hard Copy Electronic, e.g. CD-ROM On-line Resource Links

A Resource for Demand Creation and Promotion of Voluntary Medical Male Circumcision (VMMC) for HIV Prevention Dan Rutz Division of Global HIV/AIDS Centers for Disease Control and Prevention September 28, 2012 Presentation content may or may not reflect official US Government positions or policy.