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Ychr Project

 
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Khurram Owais Shah



Joined: 07 Nov 2007
Last Visit: 09 Oct 2010
Posts: 45
Location: Karachi
PostPosted: Thu Apr 30, 2009 12:21 pm    Post subject: YCHR Project Reply with quote

Project Screener: Shay de Silva
Project Team: Waqas Ali Satti, Izhar Siddiqui, Farooq Waraich
Evaluation Committee: Tarim Wasim, Mansoor Qureshi, Nosheen Ali
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Mansoor J. Qureshi



Joined: 03 May 2009
Last Visit: 17 Apr 2010
Posts: 2
Location: Chicago, IL
PostPosted: Mon May 04, 2009 11:33 pm    Post subject: Question on effectiveness Reply with quote

Hi all, I know Khurram's e-mail said to respond by May 3, so I apologize if this response is too late to be helpful.

Given the project's focus on low-income areas, it seems possible that the spread of Hepatitis C is being driven as much by lack of options as lack of education. The proposal seems to acknowledge the possibility: "It has been observed that sometimes people have knowledge about the infection but they fail to adopt consistent preventive practice and become infected."

Q: Will an awareness campaign prevent people from visiting unhygienic barbers or patronizing unlicensed doctors if those are their only options?

One way to answer this would be to hear the NGO's thoughts on how feasible the campaign's recommendations are for low-income populations, e.g. the residents of Kot Lakhpat. Another way to determine potential effectiveness is to see if this type of campaign has worked to reduce infection rates for a similar population.
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Nosheen Ali



Joined: 03 May 2009
Last Visit: 05 May 2009
Posts: 1
Location: Mountain View, CA
PostPosted: Tue May 05, 2009 2:30 am    Post subject: Response to YCHR proposal Reply with quote

Hi all,

Apologies for the delay in responding...hope the comments are still relevant.

I am curious to know some more details about the project:

1) Has YCHR conducted a needs assessment of sorts (even if semi-structured) to gauge what is the incidence of Hepatitis in Kot Lakhpat? Or of other diseases? While the disease is a big problem in slum/low-income settlements, it would be good to get a better sense if the NGO has done a preliminary investigation regarding the prevalence of the disease in their site, and in general, about health indicators in their site. If they have, it would be good to attach it with the proposal.

2) The government has an extensive Lady Health worker program, it has district health officers, and other infrastructure responsible for community health. While it leaves much room for improvement, in my experience, i have found that it's good to involve government officials, get their buy-in and also learn from their experience. I am wondering that if the campaign has a broader net, instead of just schools, what the awareness-raising impact would be? For example, could a workshop be conducted for Lady health workers and other private/public health professionals in the community who may not always be up-to-date on the disease prevention and cure? I see that YCHR has previously worked with government institutions/hospitals as well, and I'm curious to know more details on collaboration for this project.

3) Evaluation of the campaign is important, and depends on the means of mobilization used. I'm not sure if powerpoint material is the best way for widespread transmission of ideas, instead of more catchy, locally-appropriate content. Do residents mostly speak in punjabi? Why not make a pubjabi story and stage it? Information retention is facilitated through some means and not others, and whatever the NGO chooses, I do feel that an evaluation study post- the campaign should go to schools/residents and ask them a) causes b) symptoms c) treatment of Hepatitis d) where and how to get treatment, and get results. This is fairly measurable.

4) It would also be good to involve local medical practitioners and drug sellers to see/guide them about the dangers of shared needle use.
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Tarim Wasim



Joined: 28 Jan 2005
Last Visit: 17 Apr 2011
Posts: 160
Location: San Francisco
PostPosted: Sat May 09, 2009 11:17 pm    Post subject: Reply with quote

Team,

I agree with all the questions/suggestions from Nosheen. In general, I see three main areas (outlined below) that the project team should push on during their interactions with the NGO in the first phase. We should analyze the executational details of the project once we are comfortable with the answers to these.

Best,
Tarim

ps: I am attaching an Excel version of the proposed budget that I put together in case it is helpful for others.

1. How will we get comfortable with the true impact of this campaign on HCV incidence?
a. What is the baseline awareness in the community? Were there other campaigns run by the govt or NGOs that may already have disseminated information?
b. Is there any research showing the impact of awareness on HCV incidence / fatality rates? For example, how much does awareness really change behavior?

2. Are there more cost effective ways of spreading awareness?
a. Are YCHRís efforts better spent convincing local TV/radio/newspaper outlets to spread the message as a community service? The could have a much greater impact and ROI.
b. Why the proposed mix of materials? The leaflets have a 100x lower cost per unit than booklets. Isnít the message simple enough to fit on a leaflet?
c. Wouldnít it better to train teachers, LHVs or other community actors who have ongoing interactions or influence with the community to create a longer-lasting impact here (e.g. teachers could agree to spend one class ever year on HCV awareness)?

3. How much preparation work has YCHR already done?
a. What are the key messages they intend to disseminate?
b. Are the schools and community members enthusiastic about participating in the workshops or volunteering?
c. Has YCHR already lined up the volunteers who will go door-door to 1,000 households, or are they expecting to recruit them at the workshops?
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Farooq Waraich



Joined: 15 Feb 2009
Last Visit: 17 May 2009
Posts: 3
Location: Lahore
PostPosted: Sun May 10, 2009 7:04 am    Post subject: Reply with quote

This project was initially screened by Shay, and below are her initial questions to the NGO along with their responses,

Thanks,
Farooq


"Q.1: Are there any plans in place for continuing to educate people in the region after this project ends?

A: About the question regarding continuing or sustainability of the project, the process of continuing to educate people is in-build in the project activities. The implementing organization is treating it as a pilot project and it would enable the organization in planning the execution of the awareness campaign at a much wider scale in future. The volunteers and the people who would attend the capacity building workshops would be encouraged to continue the process of educating people about HCV and they would refer to the resource material that would be developed during the course of implementation of the proposed project.

However, it is not possible to assess the scale of the outreach of awareness after the completion of the project activities. It can be assumed safely that those who would work with the organization as volunteers would be encouraged to continue the process of spreading awareness and an attempt could be made to bring them together in the form of an awareness spreading forum. Thus, we can add the activity of setting up an awareness spreading forum, but it would not be possible to develop a list of activities for the proposed forum at this point in time.



Q.2: How will you determine the success of the project?

A: As for how will the success of the project be determined, the organization has developed a workplan and the outputs mentioned therein would determine the level of success of the project. The workplan is attached herewith for your perusal. "
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Farooq Waraich



Joined: 15 Feb 2009
Last Visit: 17 May 2009
Posts: 3
Location: Lahore
PostPosted: Thu May 14, 2009 6:24 am    Post subject: Responses to our initial evaluation questions fom YCHR Reply with quote

Folks,

Please find attached a list of questions sent to YCHR along with their responses, for consideration prior to the first project call.

Thanks,
Farooq
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Waqas Satti



Joined: 17 May 2009
Last Visit: 11 Dec 2009
Posts: 4
Location: Karachi
PostPosted: Sun May 17, 2009 5:39 am    Post subject: Project Summary Form Reply with quote

Hi all,
Attached please find the project summary form for todays call. Thanks.
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Tarim Wasim



Joined: 28 Jan 2005
Last Visit: 17 Apr 2011
Posts: 160
Location: San Francisco
PostPosted: Mon May 18, 2009 12:57 am    Post subject: Reply with quote

Just a quick update on the call today:

All project team members and 2 of 3 EC members attended. Nosheen could not join because of personal reasons. There was broad consensus amongst the team that while the project most likely has merit, it is not a great fit for ADP's criteria. There were two primary issues discussed:

1) Difficult to develop a view on expected social return of the project
- No baseline survey on HCV incidence or awareness in the Koth Lakhpat community
- No empirical data on impact of awareness on bad behaviors and disease incidence

2) Hard to measure the impact created post-funding
- No established link between awareness and disease incidence
- Hard to measure changes in behavior without an expensive survey
- HCV can reside in the body for several years before showing symptoms

Since YCHR has indicated that there are several pressing needs in this community (illiteracy, unemployment, sanitation), the team felt that it was best to ask if there are other projects with more tangible/established ROI that they would like us to consider.

Farooq will deliver the message to YCHR this week.

Thank you to the project team for their excellent work here.

Best,
Tarim
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