COMBI Mexico Presentation E. Hosein

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    WMC, TUNIS

    Communication-for-Behavioural-

    Impact (COMBI)

    World Health Organization Mediterranean Centre

    for Vulnerability Reduction (WMC), Tunis

    Dr Everold Hosein, Communication Advisor

    1st Meeting of the Subgroup on Advocacy, Communication

    and Social Mobilization at Country Level

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    WMC, TUNISOverview of COMBI

    WMCWHOs international centre for socialmobilization, training, and operational researchcoordinates COMBI programmes, now present inover 40 countries worldwide.

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    WMC, TUNIS

    COMBI in Action

    Sri Lanka

    IndiaNepalAfghanistan

    PhilippinesaosMalaysia

    Bangladesh

    SudanNicaraguaGuatemala

    UkraineMoldova

    Lymphatic Filariasis Dengue Fever Leprosy Tuberculosis Malaria HIV/AIDS Other

    Ghana

    MozambiqueZanzibarTanzania

    Kenyaganda

    Burkina FasoMyanmarBelize

    BrazilCosta Rica

    Dominican RepublicCubaEl SalvadorHonduras

    Indonesia

    ThailandCambodia

    BahamasSt. LuciaBarbadosTrinidadand Tobago

    SurinamecuadorPanama

    Venezuela

    Bolivia

    Liberia

    Angola

    Kazakhstan

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    What is COMBI?

    COMBI is carefully planned and monitored

    social mobilization directed at the task of

    mobilizing all societal and personal influences

    on an individual and family to prompt

    individual and family action with respect tospecific healthy behaviours.

    COMBI is social mobilization with a

    behavioural bite.

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    Planning Principle #1

    COMBI Mantra #1:

    Do nothing.

    make no posters, no t-shirts, no

    pamphlets, no videos, no caps, etc

    do nothing,

    until one has set out specific, precisebehavioural goals orobjectives.

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    Planning Principle #2

    COMBI Mantra #2:

    Do nothing.

    make no posters, no t-shirts, no

    pamphlets, no videos, no caps, etcdo nothing

    until one has carried out a situational

    market analysis in relation topreliminary behavioural

    goals/objectives.

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    HICDARM: GETTING THE

    BEHAVIORAL RESULT

    First, we H ear about the new behavior

    then, we become I nformed about it

    and later

    Convinced that it is worthwhile.

    __________________________________________________________________________________________________________

    In time, we make the D ecision to do something about our conviction

    and later we take

    Action on the new behavior

    We await next R e-confirmation that our action was a good one

    and if all is well, we M aintain the behavior

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    Other Tools for the Situational

    Marketing Analysis

    Force Field Analysis

    SWOT Analysis

    DILO (Day in the Life Of)

    MILO (Moment in the Life Of)

    TOMA (Top of the Mind) Analysis

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    WMC, TUNISTHE FOUR CS

    C= Consumer Need/Want/Desireand Related Product/Service/Behavior. (No longer the P for Product.)

    We do not sell a product/service/behaviour

    We offer a solution to your Need/Want/Desire

    We do not create Needs/Wants/Desires; we

    respond to what is there; if latent, we bring to the top-of-the mind.

    C = Cost in relation to benefit/value and in relationto the Competition. (No longer theP for Price)

    Not just price; but time, effort, etc.

    Reducing cost by incentives affects cost/value ratio

    Increasing value by brandingaffects cost/value

    C = Convenience to get product or

    service or to carry out behaviour.(No longer the P for Placement)

    C = CommunicationIntegrated, Engaged Communication

    Using the Five-Point Star Blend of Communication Interventions

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    COMBIs five integrated

    communication actions

    1. Administrative Mobilization/

    Public Relations/Advocacy

    2. CommunityMobilization

    3. Advertising4. Personal selling/

    Interpersonal

    communication

    5. Point-of-service-promotion

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    Capacity in social mobilization should be

    built horizontally and vertically

    Involve key personnel responsible

    for social mobilization planning,

    implementation and management

    Build on existing infra-structure

    Promote public-private sectorpartnerships

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    WMC, TUNISCOMBI Guide

    For health planners, programme

    managers, NGOs, and other agencies

    Offers comprehensive and innovative

    managerial insight to planning social

    mobilization and communication for

    behavioural impact

    Provides many examples of what has

    and what has not worked

    Introduces readers to 10 steps of

    COMBI planning

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    TB COMBI Kerala/India Results

    Partial Implementation; based on dataprovided by the State TB Programme

    Impact Assessment Sputum Examinations:

    Quarter # 1, 2003:45, 497 patients getting sputum test.

    Quarter #1, 2004:

    54, 808 patients getting sputum test

    Government reported result: 20 % increase.

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    WMC, TUNISSome lessons learnt

    Well-researched behavioural goals focus efforts and results in clear,

    consistent messages

    Strategic planning is a pre-requisite to materials production and

    communication training

    Implementation commitment

    Organizational restructuring

    Working with competent local advertising agencies

    Good possibilities for private sector partnership and support

    May or may not need external personnel in implementation

    Fosters two-way dialogue between communities and

    services/organizations improves community-organization

    relationships