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Key Communication Signs to Use in Premises of Health Facilities

Monitoring and Evaluation of Action Plan: Assignment Submission

Details of Monitoring frame : Assignment

Objective 1 :
At the end of 2011, with respect to HIV status; Declare and display targeted central level public hospital, and peripheral health care centers zero discrimination area

Target Audience for action:
Hospital Administration (Primary)
Media and General Public (Secondary)

Objective level target 1 :
At the end of 2011, there will be
-2 Central Hospitals declared zero discrimination area

Activities:

Activity 1:
Hold meeting with Chief of DPHO
Indicator:
No. of meetings held
Activity Level Targets:
Five meeting held in DPHO regarding the issue
Data Source:
Meeting minute

Activity Two:
Hold orientation program for management committee members
Indicators:
No. of management committee members reached through orientation program
Activity Level Targets:
40(20*2) Hospital management committee members participated in orientation program
Data Source:
Participants attendance sheet


Activity 3:
Build consensus and make sign the hospital law for zero discrimination commitment
Indicators:
Signed document on Zero discrimination policy
Activity Level Targets:
Zero discrimination policy signed
Data Source:
Policy document


Activity 4:
Involve media to create positive pressure
Indicators:
Meeting minutes
Activity Level Targets:
Media persons consistently present in meeting
Data Source:
Meeting minute


Activity 5:
Provide short training to unit head of the hospitals
Indicator:
No. of unit heads reached
Activity Level Targets:
10 unit heads of two hospitals (5*2) will get short training on enforcing the policy on zero discrimination
Data Source:
Hospital observation note
Monitoring timeline:
Each months report reflect the progress


Objective level target 2 :
At the end of 2011, there will be
-10 Illaka Level Health Post and 10 VDC Level subhealth post of one target district declared zero discrimination area


Target Audience for action:
District Public Health Office Staffs (Primary)
Health Facility Level Staffs (Primary)Media and General Public (Secondary)

Activity1:
Hold meeting with Chief of DPHO
Indicators:
No. of meetings held
Activity Level Targets:
Five meeting held in DPHO regarding the issue
Data Source:
Meeting minute

Activity2:
Hold meetings with targeted HP and SHP in charges
Indicators:
No. of meeting held with HP and SHP in charges
Activity Level Targets:
Three meetings held with in charges with leadership from DPHO
Data Source:
Meeting minute



Activity3:
Conduct an orientation program for representatives of DPHO and HP and SHP staffs
Indicators:
No. of participants received orientation
Activity Level Targets:
20 Participants received the orientation program
Data Source:
Orientation log book and participant attendance sheet


Activity4:
Signing and circulate the policy by DPHO
Indicators:
Signed document
Activity Level Targets:
Policy of DPHO singed and circulated to targeted 20 health facility
Data Source:
DPHOs record and cc copy to the implementing agency


Activity5:
Display sings of Zero discrimination areas
Indicators:
No. of health Facility displaying signs
Activity Level Targets:
20 Health facility display the Zero discrimination sings for visibility
Data Source:
Observation note in signs


Activity6:(Cross cutting with Objective 1:Activity 4. Single resource will be used):
Create positive pressure through media orientation on reporting the discrimination related issue at health facilities
Indicators:
No. of media personnel oriented
Activity Level Targets:
20 Local and national media will participate in orientation program
Data Source:
Orientation log book and attendance sheet



Monitoring timeline:
Each months report reflect the progress



Evaluation Plan:

1.Midterm evaluation at June,2011.
2. Final Evaluation on Janary,2010 after completion of the activities at December,2011.


Note for Mentors and Colleagues:
I have dropped my objective no.3 &4 of my action plan. Please understand accordingly.

.................X........................X..................


Key Message:

1. Welcome Love, Care and Support
Waive Bye Bye to Discrimination


2.Curse is discrimination not HIV

3. Discrimination is Punishable;Don't become a criminal

4. God treats equally, so shall we

5. Equal treatment, right of everyone,

(See Key IEC signs in next Blog)

Assignment Submission: Campaign on Zero Tolerance of Discrimination against HIV and AIDS

General Objective
Build a society with an equal respect of all the human beings irrespective of their disease condition and status to contribute a peaceful and healthy society.

Specific Objectives
At the end of 2011, with respect to HIV status;
-Declare and display targeted central level public hospital, and perpheral health care centers zero disricimination area
-Enforce targeted service centers to treat equally during recruitment and serving the clients

Targets:
At the end of 2011, there will be
-2 Central Hospitals declared zero discrimination area
-10 Illaka Level Health Post and 10 VDC Level subhealth post of one target district declared zero discrimination area
-Zero cases of discrimination with respect to HIV status in job opportunities in recruiting and selection process in the targeted district
-Zero cases of discrimination( as of reported in media or admin.body ) of public services ( at the government service centres: hospitals, public health office, local development office, adminstration office at district level) with respect to HIV status

Strategies
-Political commitment
-Administrative commitment
-Mobilize social, political and religious leaders
-Create healthy pressure through media campaign
-Ensure visibility of zero tolerance of discrimination against HIV status
-Linking existing structure of GON and civil societies to ensure sustainability of program ( ART, PMTCT, VCT and RH/STI programs)
-Involvement of the concerned groups in program planning, implementation and monitoring
-Focus on young people through school based child clubs and community based child clubs
-Linking child clubs with Paralegal committees of VDCs for scaling up at national level

Focus areas :
-Social structure: utilize the existing structure
-Education: link with existing education system
- Health Infrastructure: utilize the existing structure
- Income and Basic need fulfillment opportunity
- PLHA's right to be free from violence : existing laws



Opportunities
-Constitution of Nepal
-HIV/AIDS policy of Nepal
-Local governance and municipality acts for taking activities at local level to born resources locally
-Grant guidelines at DDC and VDC level to design and implement local level small and low cost activities
-More than dozens of FMs and National Newspapers
-Equity and access project and social mobilization focus by Ministry of Health of Nepal and its district health/public health offices

Problem Tree : Change Sigthed and Targeted

1.Which of the causes are you most interested in trying to change? Why?

I would like to go for economic discrimination to target for immeidieate change. Since, there is fluid political situtation which is deteriorating all the sociodemographic interventions. Currently, we can focus on what the legal document is already stating.
Interim constitution of Nepal has stated health as human right. So, it is states' responsibility to focus on the health needs of the citizens irrespective of economic status of citizen,
So, current social protection frame will enable at a minimum to state on the issue.

2. Which of the causes would be easiest for you to influence with your available time and resources? Why?
Economic discrimination at health facilities can mostly be eradicated as it has strong legal frame suupported by constitution of Nepal. It would not be so easy but ;
-strong media campaign,
-Local political support
- Anti discrimination office policy
- Zero tolerance for discrimination

are the some of the feasible interventions that we can do immediately.

HIV and Human Right Issues in Nepal.

Street Drama: Powerful Tool to Raise Awareness

Photo is taken on April 2008 in Kolti of Bajura District (Farwestern Nepal). The street drama was led by local youth club and was related to Uterine prolapse and HIV awareness.

Script was provided by professionals and local words were used in Nepali scripts so that it would reach more people. Same program was repeated in two more districts

Bajura District: This district is not linked to road services todate. Plane is irregular from Nepalgunj. Usually flies once a week to Kolti( eastern area of Bajura). From Kotli, one has to walk full day to reach district headquarter. To reach vehicles, One day walk (more tan 10hrs) is necessary to get bus from Budhbagar of Achham District.