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Strengthening the Social Acceptance of Family Planning in the Philippines: a Communication and Advocacy Project Usald Contract No

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Strengthening the Social Acceptance of Family Planning in the Philippines: a Communication and Advocacy Project Usald Contract No Strengthening the Social Acceptance of Family Planning in the Philippines: A Communication and Advocacy Project USAlD Contract No. 492-C-00-02-00019-00 BEST AVAILABLE 0 I TABLE OF CONTENTS I Page PROJECT BACKGROUND 1 MAJOR ACCOMPLISHMENTS Project Organization and Start-Up Technical Management and Coordination Behavior Change Communication Component Advocacy and Social Mobilization Component Health Provider Component IMPLEMENTATION ISSUES AND ACTIONS TAKEN OR RECOMMENDED TECHNICAL ASSISTANCE ACTION POINTS FOR 2003 (Q4) AND 2004 ANNEXES: Workplan 2002-2003 Quarterly Benchmarks ARMM Concept Paper Local Grants Guidelines BCC Plan ASM Plan HP Plan Publicity and Quick Response Plan (Interim) Topline Report on Formative Research Creative Brief PROJECT BACKGROUND The Project, Strengthening Social Acceptance of Family Planning in the Philippines: A Communication and Advocacy Project, was awarded to the Academy for Educational Development (AED) as the prime contractor in collaboration with The Futures Group Inc. (TFGI), Center for Development and Population Activities (CEDPA) and Ketchum PR as subcontractors. The contract (USAID Contract No. 492-C-00-02-00019-00) covers a three-year period starting August 15,2002 with a one-year option. The goal of the project, commonly referred to as The Social Acceptance Project - Family Planning (TSAP-FP), is to achieve greater social acceptance of family planning as part of a healthy lifestyle. This goal (Intermediate Result No. 3) directly contributes to the USAID Philippine Mission's overall Strategic Objective of achieving a sustainable desired family size and improved health among Filipinos. The results envisioned to be realized by the project within the contract period are: 1) Increased communications adequately portraying family planning as a mainstream health intervention 2) Increase in the number of key segments of society advocating for use of family planning 3) Increased acceptance of family planning as part of the routine health service package The main target groups of the project are: - men and women of reproductive age - adolescents and young adults - opinion leaders and key injluentials - health providers h government service and indust~y-basedclinics To achieve these results, three interlinked strategies are being implemented by the project - Behavior Change Communication (BCC), Advocacy and Social Mobilization (ASM) and Health Provider (HP). Operationally, these strategies are called project components. The BCC component aims to reposition and popularize the concept of family planning as a way of life and encourage open public discussion of family planning. The ASM component aims to develop and sustain a critical mass of influential individuals and groups who will openly discuss FP and become FP advocates and champions. The HP component aims to develop and strengthen the capacity of health providers in government and private, industry-based health facilities to promote and provide accurate information on FP using evidence-based medicine (EBM). This Annual Report documents the major accomplishments of TSAP-FP for the period August 16,2002 to September 30,2003 leading to the realization of the project results. MAJOR ACCOMPLISHMENTS PROJECT ORGANIZATION AND START-UP 1. Movement to Office Space, Procurement of Vehicles, Furniture and Office Equipment completed by November 2002. The project moved to its office on the sth floor of the Ramon Magsaysay Center along Roxas Boulevard in Manila on October 7, 2002. All necessary office equipment, furniture and supplies were procured. Two project vehicles were purchased in November. Telephone lines and internet access were installed. 2. Recruitment of all Key Personnel completed by December 2002. Upon awarding of the contract by USAID, AED still had to recruit two key personnel - the Communication Advisor and Capacity-Building Specialist for Communication. By end-December 2002, the recruitment of these two staff was completed. 3. Project Management and Administrative Systems installed by December 2002. Management and financial guidelines as well as forms and systems for reporting were agreed upon by the project team. A Manual of Operations which contains operational and financial guidelines for activity implementation of the project was developed. TECHNICAL MANAGEMENT AND COORDINATION 1. Workplan for 2003 and Project Indicators, including Quarterly Benchmarks, Developed and Approved The first annual workplanning session was conducted with the project team and USAIDIOPHN from October 1 to 4,2002. A workplan for the period October 2002 to December 2003 was developed and subsequently approved (Annex I]. Revisions to the workplan included agreements with the Commercial Market Strategies (CMS) project regarding overlaps in advocacy activities targeting the business sector. Agreement was also reached with USAID on the indicators for the project, based on USAID Intermediate Result no. 3 and the component results defined in the USAID Request for Proposal for this project. The indicators for greater social acceptance are: - percentage of general public who strongly approve of FP practice - percentage of general public who have endorsed FP practice to others. For the BCC strategy, the indicators are: - percentage of target audience who have heard of messages portraying FP as valuable to their way oflife - number ofpositive and neutral vs. negative statements/discussions on FP made in key TV, radio programs and newspapers. For the ASM strategy, the indicators are: - number and type of key segments of society advocating for the use of FP - number of influential individuals from various sectors advocating for the use of FP. The indicators for the HP strategy are: - number of health and allied professional licensure examinations incorporating FP questions - percentage of health providers in public health facilities and industry clinics who have correct knowledge of speczjk FP nlethods - development and acceptance of appropriate protocols to ensure the integration of FP as part of the routine health service package. Quarterly benchmarks were discussed with and approved by USAID before the beginning of each quarter (Annex 2). 2. Agreement Reached on Project Areas, including special focus on the Autonomous Region for Muslim Mindanao (ARMM). Agreement was also reached during the annual workplanning session in October 2002 on project areas. For 2002 to 2003, TSAP-FP will focus its interventions on Metro Manila, the industrial areas of Calarnba, Laguna and Batangas (CALABA), Metro Cebu, Negros Oriental, Capiz and Bulacan. For 2004, it will initiate interventions in Metro Davao, Pampanga, the Bicol Region, Sarnar-Leyte and one province in ARMM while maintaining operations in the 2002-2003 project areas. In January 2003, USAID requested TSAP-FP to expand coverage and advance implementation of interventions to cover all five provinces and one city of ARMM. The project agreed to this request, subject to availability of future additional fimding should it be required. 3. ARMM Concept Paper Developed and Approved In January 2003, TSAP-FP developed a concept paper for ARMM (Annex 3). This concept paper outlines a plan to achieve social acceptance of family planning in ARMM and identifies similar interventions in BCC, ASM and I-P within the context of Islam. Considering that the major factor to low social acceptance of FP in ARMM is the perception that Islam is not supportive of FP, advocacy activities to get the involvement and active support of Muslim Religious Leaders in ARMM is key to the TSAP-FP ARMM strategy. 4. Small Grants Guidelines Developed and Approved The project has a budget allocated for small grants to sector-based or local advocacy networks to implement communication and advocacy activities for FP. During the first quarter of 2003, the small grants guidelines (Annex 4) were developed and subsequently approved by USAID on July 1,2003. These guidelines govern the implementation of the project's small grants program. As of end September 2003, two grants were approved for funding. 5. Strategic Plans for Behavior Change Communication, Advocacy and Social Mobilization and Health Provider Components Developed and Approved Each of the components developed a strategic plan which describes the component thrusts, specific target groups and planned activities for 2003 to 2005. Each plan also describes the linkage of the component with the other components. The strategic component plans were officially approved by USAID on the following dates: July 2,2003 (BCC Plan), July 24,2003 (ASM Plan) and September 30,2003 (HP Plan). On Annexes 5, 6 and 7, respectively, are the approved plans. 6. Agreements Reached with USAIDlCTO on USAID Monitoring Agreement was also reached with the CTO/USAID on USAID monitoring of the Project. A monthly CTO update with key project staff is being held every second Friday of each month to discuss issues during the preceding month and planned activities for the succeeding month. A schedule of TSAP-FP activities is also submitted to the CTO at the beginning of each month. Quarterly meetings at the end of each quarter are held to discuss benchmarks for the succeeding quarter and achievements during the preceding quarter. BEHAVIOR CHANGE COMMUNICATION (BCC) COMPONENT Intermediate Result 3.1 - Comnrunications adequately portraying FP as important to the way of life of the target audience increased as measured by the : - Percentage of target audience who have heard of messages portraying FP as valuable to their way of life; and, - Number of positive
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