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Final Report F I N A L R E P O RT 2 0 1 0 - 2 0 1 5 DO POVO AMERICANO MOÇAMBICANOS ME AMERICANOS JUNTOS NA LUTA CONTRA O HIV/ SIDA PEPFAR Acknowledgements First of all we would like to thank the USAID team, for allowing us to execute this project. We have received great technical support from our respective AORs and activity managers. We would like to mention especially Sereen Thaddeus, Branca Cruz and Alyssa Leggoe. We also thank our main partner Fundação para o Desenvolvimento da Comunidade (FDC) for being an integral part of this project. We thank all partners and CBO's that have been contributing to this project. A special mention has to be made about the support we received from different government entities and from Parliament. Without the support of CNCS and MISAU, this project would not have gotten the same results. And lastly we want to thank the whole CCP team in Baltimore and at the Maputo Field office. Acknowledgements First of all we would like to thank the USAID team, for allowing us to execute this project. We have received great technical support from our respective AORs and activity managers. We would like to mention especially Sereen Thaddeus, Branca Cruz and Alyssa Leggoe. We also thank our main partner Fundação para o Desenvolvimento da Comunidade (FDC) for being an integral part of this project. We thank all partners and CBO's that have been contributing to this project. A special mention has to be made about the support we received from different government entities and from Parliament. Without the support of CNCS and MISAU, this project would not have gotten the same results. And lastly we want to thank the whole CCP team in Baltimore and at the Maputo Field office. INDEX Executive Summary 5 1. PACTO OVERALL OBJECTIVES AND APPROACH 8 2. COMMUNITY-DRIVEN HIV PREVENTION AND UPTAKE OF SERVICES 10 3. DEMAND GENERATION FOR HIV SERVICES 19 1. Integrated Mass Media and Community Campaign on Multiple Sexual Partners and Related Risk Behaviors: "Andar Fora é Maningue Arriscado" 2. Demand Generation Campaign for Medical Circumcision 3. Securing sustainability, technical capacity and commitment among media partners to continue producing high impact TV Health programming 4. mHealth Referral System 4. YOUTH IN ACTION 1. SensaSons: Lyrics Contest and Youth Music Festival 29 2. Tchilling Saudável: Sports for Life 3. 100% Kool: Youth-led Radio 4. Avante ESH: Safe School Program 5. Avante Jovens: Out-of-School Youth 5. GENDER BASED VIOLENCE INITIATIVE 1. Gender mainstreaming in PACTO interventions 33 2. Partnership with HOMEN (Homens pela Mudança-Men for Change): Conversa de Homens Tool 3. Communication Tools for support of GBV victims - "How to Support the Victims of Sexual Violence" 4. Campaign against Sexual Harassment in the Workplace 5. 16 Days of Activism against GBV Campaign 6. HEALTH COMMUNICATION 39 1. Malaria 2. Tuberculosis 3. Nutrition, Water and Sanitation 4. Family Planning (FP) 7. STRENGTHENING CAPACITY FOR SOCIAL AND BEHAVIOR CHANGE 43 COMMUNICATION 1. Leadership: a systematic approach to Social and Behavior Change Communication - based on evidence and impact of actions 2. Training of public, private and civil society institutions 8. RESEARCH, MONITORING AND EVALUATION 1. Research studies 46 2. SEMPRE 3. PACTO's qualitative impact evaluation 9. LESSONS LEARNED 50 10. PERSPECTIVE FOR THE FUTURE 5 1 ACRONYMS AND ABBREVIATIONS 5 3 INDEX Executive Summary 5 1. PACTO OVERALL OBJECTIVES AND APPROACH 8 2. COMMUNITY-DRIVEN HIV PREVENTION AND UPTAKE OF SERVICES 10 3. DEMAND GENERATION FOR HIV SERVICES 19 1. Integrated Mass Media and Community Campaign on Multiple Sexual Partners and Related Risk Behaviors: "Andar Fora é Maningue Arriscado" 2. Demand Generation Campaign for Medical Circumcision 3. Securing sustainability, technical capacity and commitment among media partners to continue producing high impact TV Health programming 4. mHealth Referral System 4. YOUTH IN ACTION 1. SensaSons: Lyrics Contest and Youth Music Festival 29 2. Tchilling Saudável: Sports for Life 3. 100% Kool: Youth-led Radio 4. Avante ESH: Safe School Program 5. Avante Jovens: Out-of-School Youth 5. GENDER BASED VIOLENCE INITIATIVE 1. Gender mainstreaming in PACTO interventions 33 2. Partnership with HOMEN (Homens pela Mudança-Men for Change): Conversa de Homens Tool 3. Communication Tools for support of GBV victims - "How to Support the Victims of Sexual Violence" 4. Campaign against Sexual Harassment in the Workplace 5. 16 Days of Activism against GBV Campaign 6. HEALTH COMMUNICATION 39 1. Malaria 2. Tuberculosis 3. Nutrition, Water and Sanitation 4. Family Planning (FP) 7. STRENGTHENING CAPACITY FOR SOCIAL AND BEHAVIOR CHANGE 43 COMMUNICATION 1. Leadership: a systematic approach to Social and Behavior Change Communication - based on evidence and impact of actions 2. Training of public, private and civil society institutions 8. RESEARCH, MONITORING AND EVALUATION 1. Research studies 46 2. SEMPRE 3. PACTO's qualitative impact evaluation 9. LESSONS LEARNED 50 10. PERSPECTIVE FOR THE FUTURE 5 1 ACRONYMS AND ABBREVIATIONS 5 3 Executive Summary The Johns Hopkins Center for Communication Programs (CCP) and FDC (Fun- dação para o Desenvolvimento da Comunidade-Community Development Foundation) implemented the USAID-funded project PACTO--Prevenção Activa e Comunicação Para Todos or Active Prevention and Communication for All--between October 2010 and December 2015 in the three provinces of Southern Mozambique (Maputo City, Maputo Province and Gaza) with the highest HIV prevalence. The project conducted social and behavior change communication (SBCC) interventions focused on HIV prevention and uptake of services and on combatting gender-based violence (GBV) and long term capacity strengthening of public, private and civil society institutions. In 2014, the PACTO project received the mandate from USAID to integrate other health priorities into the project, incorporating themes such as malaria, tuber- culosis, hygiene, nutrition, water and sanitation and family planning. Social and Behavior Change Communication: Community Dialogue Qualitative research conducted under the Health Communication Partnership Associate Award (2007 - 2010) uncovered an underlying desire for change in the way men and women related to each other, and in the way young peo- ple learned about sex and about what it means to be a man or a woman. The country was fertile ground for a Mozambican adaptation of the African Trans- formation (AT) community dialogue series aimed at changing gender norms. Tchova Tchova Histórias de Vida (TTHV-Moving Forward Life Stories) has become a genuine social movement, achieving a scale (156,906 people rea- ched) and impact unmatched by any other AT adaptation. With technical sup- port from the University of California, San Francisco, PACTO added the Positi- ve Prevention (PP) community tool for people living with and affected by HIV, reaching 77,943 people. Conversa de Homens (Conversation among Men), developed in partnership with the local NGO HOPEM, has reached 8,944 men. It aims to encourage male involvement in order to contribute to more balanced relations between men and women, to engage men in promoting health, to reduce the occurrence of gender-based violence against young and adult women, and to promote male circumcision, condom use and HIV tes- ting. Avante Famílias (Go Families!), adapted from the regional Go Girls! Initi- ative set of tools, focused on improving communication skills among young people and adults to be able to address difficult issues in relation to sexuality, HIV/AIDS, sexual abuse and harassment. This tool was implemented from 2011 to 2013 in all communities covered by PACTO, reaching 14,606 parents and guardians. PACTO F I N A L R E P O RT | 5 Executive Summary The Johns Hopkins Center for Communication Programs (CCP) and FDC (Fun- dação para o Desenvolvimento da Comunidade-Community Development Foundation) implemented the USAID-funded project PACTO--Prevenção Activa e Comunicação Para Todos or Active Prevention and Communication for All--between October 2010 and December 2015 in the three provinces of Southern Mozambique (Maputo City, Maputo Province and Gaza) with the highest HIV prevalence. The project conducted social and behavior change communication (SBCC) interventions focused on HIV prevention and uptake of services and on combatting gender-based violence (GBV) and long term capacity strengthening of public, private and civil society institutions. In 2014, the PACTO project received the mandate from USAID to integrate other health priorities into the project, incorporating themes such as malaria, tuber- culosis, hygiene, nutrition, water and sanitation and family planning. Social and Behavior Change Communication: Community Dialogue Qualitative research conducted under the Health Communication Partnership Associate Award (2007 - 2010) uncovered an underlying desire for change in the way men and women related to each other, and in the way young peo- ple learned about sex and about what it means to be a man or a woman. The country was fertile ground for a Mozambican adaptation of the African Trans- formation (AT) community dialogue series aimed at changing gender norms. Tchova Tchova Histórias de Vida (TTHV-Moving Forward Life Stories) has become a genuine social movement, achieving a scale (156,906 people rea- ched) and impact unmatched by any other AT adaptation. With technical sup- port from the University of California, San Francisco, PACTO added the Positi- ve Prevention (PP) community tool for people living with
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