Detailed Mechanism Funding and Narrative

Years of mechanism: 2010 2011

Details for Mechanism ID: 9911
Country/Region: Botswana
Year: 2010
Main Partner: Makgabaneng
Main Partner Program: NA
Organizational Type: NGO
Funding Agency: HHS/CDC
Total Funding: $500,000

Context Makgabaneng is a behavior-change Setswana-language education-entertainment radio serial drama (RSD) designed to support the nation's HIV prevention and mitigation goals. Makgabaneng combines drama with community-based reinforcement activities to encourage safer HIV-related behaviors (such as delaying initiation of sex, being faithful, avoiding cross-generational sex, accessing services and providing support to people living with HIV/AIDS). Makgabaneng uses the Global Reproductive Health communication strategy framework: modeling and reinforcement to combat HIV/AIDS that has been developed by CDC's Division of Reproductive Health.

Goals and Objectives To promote safe sexual and reproductive health behaviors among 10 - 49- year-old Batswana

Specific Goals - To promote regular listenership (one or more times each week) - To provide 10 to 49 year-olds with accurate information about HIV, STDs, reproductive health, HIV mitigation, and people living with HIV/AIDS support, and to dispel misinformation through Makgabaneng interpersonal reinforcement activities - To promote uptake of national HIV/AIDS services (adherence to care and treatment of HIV/AIDS, TB, STI's and other opportunistic infections) among 10 to 49 year-olds - To contribute to the increase in the number of 10 to 49 year-olds reporting adoption of preventative behaviors

Major Activities Makgabaneng will: - Produce, deliver and broadcast 104 highly entertaining episodes annually of an HIV-prevention behavior-change radio soap opera targeting 10 to 49 year-olds. 60% of the scenes will be about abstinence and faithfulness, and 40% about health-services utilization and other forms of prevention (i.e. service uptake, condom use, VCT's, isoniazid prevention therapy, TB prevention and therapy, prevention of mother to child transmission of HIV, dangers of alcohol abuse). - Evaluate feedback (phone calls and listeners' letters etc). - Write, produce, distribute and discuss 20,000 copies of Teen Mag three times a year (once a term) to 29 schools in the target areas. - Record and assess feedback to Teen Mag (phone calls and letters etc). - Conduct four youth-health fairs promoting utilization of health services in four localities targeting 3,000 adults and out-of-school youth. - Hold a school rally at each of 29 schools in the target districts three times a year to reach a total of 20,000 students. - Hold listening and discussion groups (LDGs) in the target districts to reach 2,000 adults and out-of-school youth. - Produce and use mass-media campaigns to promote service utilization using four epilogues and seven trailers. - Produce the late-night interactive chat show: Makgabaneng Extra

Target Population 10 to 49 year-old Batswana

Geographic Coverage Regions where Radio Botswana 1 and Radio Botswana 2 are broadcast

Supporting Health Goals and System Strengthening Makgabaneng has subcontracted with Botswana National Youth Council (BNYC) to drive implementation of in- and out- of school youth interventions, and with Humana People to People (HPP) for LDGs, home visits and follow-ups. New BNYC and HPP field officers will be trained using a tailor-made manual. Refresher trainings will be conducted on an annual basis. Workshops and meetings will strengthen implementation capacity.

Cross-Cutting Areas Makgabaneng is involved in the Family Health International project Makgabaneng is involved in the Johns Hopkins University Go Girls Initiative project (a nine month project) Makgabaneng has submitted a proposal to the National AIDS Coordinating Agency for Multiple Concurrent Partnership intervention in Francistown and Selebi-Phikwe (a twelve month project). Makgabaneng is developing a proposal on Alcohol and Drug abuse for submission to the Ministry of Trade and Industry for funding with a view to expand Makgabaneng youth Interventions to other areas. Makgabaneng collaborates with other service-providers for specialized service such as VCT. Enhancing Sustainability The bulk of Makgabaneng's new five-year strategic plan (2010 -2015) deals with sustainability beyond the current funding.

Monitoring and Evaluation (M&E) Makgabaneng will: - Review M&E Activity Plan and framework with Makgabaneng's departments - Discuss RSD outcomes at all levels with Makgabaneng staff - Review and update reporting tools with subcontractors - Discuss scheduling of LDGs with HPP officers - Conduct routine Technical Advisory Committee meetings (every six weeks) and Program Officers' meetings to ensure improved story quality and accurate information - Conduct staff meetings to ensure improved service quality, and learning and sharing among departments. - Conduct field visits to assess implementation by field officers, and provide feedback on implementation progress. - Assess listener understanding of the Makgabaneng drama among target communities (in school and in the community) - Assess listenership of the Makgabaneng Late Night Talk Show - Identify capacity-building opportunities for evaluation in the form of local or regional short trainings. - Produce monthly, quarterly, semiannual and annual reports.

Funding for Sexual Prevention: Abstinence/Be Faithful (HVAB): $250,000

10.P.AB01: Makgabaneng - Radio Serial Drama - 250,000.00

Makgabaneng has been successful in developing a radio serial drama series that has gained the attention of Batswana in both rural and urban settings. Recognizing the need to provide additional follow-up to the messages provided during the radio broadcast, Makgabaneng developed community-based interpersonal activities that clarify and reinforce key messages in the drama. In FY10, Makgabaneng will: a) Conduct health fair events at community gathering areas for youth between the ages of 15 and 29 in the four districts of Tutume, North East, Gantsi and Kgalagadi. These events consist of information sharing through stalls and drama performances as well the provision of health services, such as voluntary HIV counseling and testing and diabetes screenings. b) Conduct school rallies to increase the interest of students aged 12 to 18 years. The rallies conducted in the selected districts will encourage students to discuss issues contained in the drama and apply them to their own lives. c) Distribute Teen Magazine to students in junior and senior secondary schools in the four target districts to reinforce key messages. d) Develop, produce and air 104 episodes of the radio serial drama targeting 10-49 year olds in areas where Radio Botswana is broadcast. Makgabaneng staff will also conduct feedback sessions on in-school activities with teachers and Listening and Discussion Groups (LDGs). In-school activities include holding a rally at assembly time where the entire student body is present to converse about the show's issues. Classroom sessions are also held for discussions on the radio serial drama. LDGs are held in communities to discuss topics broadcast on the radio serial drama. Other activities include home listening visits and listening spots. Field staff make occasional visits to certain students' homes to reinforce messages in the radio serial drama. Listening spots are additional radio spots produced and aired to discuss certain HIV related topics in depth. The field staff discuss these listening spots during classroom rallies and sessions as well as at LDGs.

Funding for Sexual Prevention: Other Sexual Prevention (HVOP): $250,000

10.P.OP01: Makgabaneng - Radio Serial Drama - 250,000.00

Makgabaneng has been successful in developing a radio serial drama series that has gained the attention of Batswana in both rural and urban settings. Recognizing the need to provide follow-up to the messages provided during the radio broadcast, Makgabaneng developed community-based interpersonal activities that clarify and reinforce key messages in the drama, such as listening and discussion groups (LDGs). LDGs are held in communities in two districts where Makgabaneng works. In FY10, Makgabaneng will introduce transitional characters to the drama who will show listeners the different life encounters that expose people to various health risks and consequences and how characters resolve these as they move towards more desirable behaviors. Epilogues to the show will continue to be aired, which educate listeners about HIV-related issues, including voluntary counseling and testing and adherence to medications. Public service announcements will be made through Radio Botswana as part of the strategy to inform the public about how to access services and about upcoming events such as road shows and health fairs held by Makgabaneng. Health fairs are held in the two focus districts to bring people preventive health screenings, including HIV, cholesterol and blood sugar testing. Road shows are held two to three times a year and include the voice actors reciting their scenes during these events. Makgabaneng Extra is a late night call in talk show hosted two to three times a week. Listeners are able to call in over the phone or send text messages, allowing for an interactive session about the show.

Cross Cutting Budget Categories and Known Amounts Total: $410,000
Education $150,000
Gender: Gender Based Violence (GBV) $60,000
Human Resources for Health $200,000
Key Issues Identified in Mechanism
Addressing male norms and behaviors
End-of-Program Evaluation