Swiss Agency for Development and Cooperation Swiss Red Cross Kyrgyz-Swiss Health Reform Support Project Tobias Schüth The power of test kits: Inducing.

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Presentation transcript:

Swiss Agency for Development and Cooperation Swiss Red Cross Kyrgyz-Swiss Health Reform Support Project Tobias Schüth The power of test kits: Inducing change from below Tobias Schüth Kyrgyz-Swiss Health Reform Support Project

Swiss Agency for Development and Cooperation Swiss Red Cross Kyrgyz-Swiss Health Reform Support Project Tobias Schüth The power of test kits: Inducing change from below Objective: Exclusive selling of iodised salt through local dealers Strategy: Testing campaign of salt in all households with information on IDD Documentation of test results including the name of the dealer from whom salt was bought Contact with all local salt dealers demanding provision of iodised salt (consumer pressure) Provision of test kits to all dealers (winning dealers as allies)

Swiss Agency for Development and Cooperation Swiss Red Cross Kyrgyz-Swiss Health Reform Support Project Tobias Schüth The power of test kits: Inducing change from below The setting: 2 areas, 2 variations of one strategy 1) Jumgal rayon, 40,000 people, remote mountainous region of Naryn oblast 2) Remaining 4 rayons of Naryn oblast and Naryn city with 210,000 people

Swiss Agency for Development and Cooperation Swiss Red Cross Kyrgyz-Swiss Health Reform Support Project Tobias Schüth The power of test kits: Inducing change from below Two variations of one strategy 1)Jumgal rayon –Tests done by Village Health Committees and staff of Family Group Practices (FGP) –Test kits given to all dealers (kits for iodate salt only) 2)Naryn oblast –Tests done by Staff of Family Group Practices –No test kits to dealers

Swiss Agency for Development and Cooperation Swiss Red Cross Kyrgyz-Swiss Health Reform Support Project Tobias Schüth Testing campaign, Jumgal rayon

Swiss Agency for Development and Cooperation Swiss Red Cross Kyrgyz-Swiss Health Reform Support Project Tobias Schüth Testing campaign, Jumgal rayon

Swiss Agency for Development and Cooperation Swiss Red Cross Kyrgyz-Swiss Health Reform Support Project Tobias Schüth Testing campaign, Jumgal rayon

Swiss Agency for Development and Cooperation Swiss Red Cross Kyrgyz-Swiss Health Reform Support Project Tobias Schüth Testing campaign, Jumgal rayon

Swiss Agency for Development and Cooperation Swiss Red Cross Kyrgyz-Swiss Health Reform Support Project Tobias Schüth Testing campaign, Jumgal rayon

Swiss Agency for Development and Cooperation Swiss Red Cross Kyrgyz-Swiss Health Reform Support Project Tobias Schüth Testing campaign, Jumgal rayon

Swiss Agency for Development and Cooperation Swiss Red Cross Kyrgyz-Swiss Health Reform Support Project Tobias Schüth Testing campaign, Jumgal rayon

Swiss Agency for Development and Cooperation Swiss Red Cross Kyrgyz-Swiss Health Reform Support Project Tobias Schüth Testing campaign, Naryn oblast

Swiss Agency for Development and Cooperation Swiss Red Cross Kyrgyz-Swiss Health Reform Support Project Tobias Schüth Testing campaign, Naryn oblast

Swiss Agency for Development and Cooperation Swiss Red Cross Kyrgyz-Swiss Health Reform Support Project Tobias Schüth Testing campaign, Naryn oblast

Swiss Agency for Development and Cooperation Swiss Red Cross Kyrgyz-Swiss Health Reform Support Project Tobias Schüth Testing campaign, Naryn oblast

Swiss Agency for Development and Cooperation Swiss Red Cross Kyrgyz-Swiss Health Reform Support Project Tobias Schüth Testing campaign, Naryn oblast

Swiss Agency for Development and Cooperation Swiss Red Cross Kyrgyz-Swiss Health Reform Support Project Tobias Schüth Testing campaign, Naryn oblast

Swiss Agency for Development and Cooperation Swiss Red Cross Kyrgyz-Swiss Health Reform Support Project Tobias Schüth Testing campaign, Naryn oblast

Swiss Agency for Development and Cooperation Swiss Red Cross Kyrgyz-Swiss Health Reform Support Project Tobias Schüth The dealers and their salt

Swiss Agency for Development and Cooperation Swiss Red Cross Kyrgyz-Swiss Health Reform Support Project Tobias Schüth The dealers and their salt

Swiss Agency for Development and Cooperation Swiss Red Cross Kyrgyz-Swiss Health Reform Support Project Tobias Schüth The power of test kits: Inducing change from below Costs of initial testing campaign and one monitoring round

Swiss Agency for Development and Cooperation Swiss Red Cross Kyrgyz-Swiss Health Reform Support Project Tobias Schüth The power of test kits: Inducing change from below Conclusions The combination of a salt testing campaign in households and of involvement of dealers can dramatically increase consumption of iodised salt in a very short time. Provision of test kits to dealers can influence the kind of salt people consume The intervention is very low cost

Swiss Agency for Development and Cooperation Swiss Red Cross Kyrgyz-Swiss Health Reform Support Project Tobias Schüth The power of test kits: Inducing change from below Extension of the campaign March 03: initial testing campaign in Jalalabad oblast (800,000 population) Further oblasts until June 03