FILM DISCUSSION CARD 2

OUTREACH PLANNING

WHAT IS OUTREACH PLANNING? Outreach planning is a process using various tools that facilitate individual level planning and follow up of service uptake, based on individual risk and vulnerability profiles of IDUs Outreach planning gives a visual picture of the site that a PE is managing. It helps to understand the reach of general & programme services (if started) among IDUs, identify and monitor problem areas

OBJECTIVES OF OUTREACH PLANNING To identify the number of IDUs at each site To estimate required risk reduction materials (like N/S & condoms) for adequate & uninterrupted supply To facilitate effective individual tracking vis-à-vis service access & behaviour modification To collect information for effective action plans To enhance participation of IDUs in programme planning

OUTREACH PLANNING TEAM Project Coordinator/ Project Manager ORW 1ORW 2ORW 3 PE 1 PE 2 PE 3 PE 4 PE 1 PE 2 PE 3 PE 4 PE 1 PE 2 PE 3 PE 4 IDU

KEY QUESTIONS TO CONSIDER How many IDUs are there in the target area? Can we reach all? How many regular injectors are there in the IDUs? Can we meet them according to their accessibility rather than on the basis of their risk/vulnerability? How many N/S or condoms do we need in a month to cover risk occasions? Does the outreach timing suit IDUs? Can we track each individual?

OUTREACH PLANNING PROCESS There are six basic stages in the outreach planning process 1. Social mapping 2. Spot analysis 3. Contact mapping 4. Risk/vulnerability assessment 5. Work plan 6. Individual level tracking (monitoring)

1. SOCIAL MAPPING A Social map is a map showing places: 1. where IDUs live (hotspots/congregation point /Injecting Sites etc.) and 2. where services for IDUs are available Purpose: To establish a dynamic understanding of IDUs for complete coverage through Outreach in the project site

SOCIAL MAPPING IS USEFUL TO: Learn about locations where IDUs live Identify places where IDUs often go (including work) and why they go there Identify which services are available for IDUs & their locations Services include: referral, health care, NSE, condom supply, ICTC, STI etc. Identify gaps in services for IDUs and their partners

DEVELOPING SOCIAL MAP Social mapping can be conducted as either a field or DIC activity by PE and ORW involving (IDU). The PM can act as facilitator of the process Social map should be updated regularly Inclusion of (IDU) in social mapping and discussions will ensure views of (IDU) are represented since they know better than outsiders

SAMPLE SOCIAL MAP

PRACTICE SESSION: Let each one of us make a social map of our area. (The community members are available to help make the map!)

2. SPOT ANALYSIS Once the social map is constructed, Spot Analysis is done to get further information regarding each site mapped. Hotspots mapping is done through Spot Analysis In Spot analysis, ORW leads his/her team of PE and key informants (IDU belonging to that hotspot) to the location to collect information

SPOT ANALYSIS – REQUIRED INFORMATION For Spot Analysis the following information needs to be collected: 1. Volume of clients (no of IDUs in the hotspot) 2. Profile of IDUs: age group, sex, typology (heroin/brown sugar/SP/pharmaceutical drugs, etc.) 3. Frequency of injections – daily, weekly, monthly 4. Timing of congregation/use

SAMPLE SPOT ANALYSIS TOOL

PRACTICE SESSION: Let’s do a spot analysis using the spot analysis tool Make 5 groups One person to act as ORW who will fill the Spot Analysis Format The others to act as PEs and provide information that needs to be filled Each group should have some community members too!

3. CONTACT MAPPING Refers to developing a detailed plan of each and every IDUs in each spot that the ORW or PE has in each spot. The spot analysis data can be used to derive number of IDUs in a particular hotspot The assigned PE/ ORW can then list out the number and names of all IDUs known by each ORW and PE of the assigned hotspot

CONTACT MAPPING- QUESTIONS TO ASK How many contacts in each spot? In which spot are the contacts limited? What are the reasons for limited contacts? What should be done in those locations where contacts are limited? Is there a duplication of names in the contact list?

SAMPLE CONTACT MAPPING TOOL

PRACTICE SESSION: Let’s do contact mapping using the contact mapping tool Make 5 groups One person to act as ORW who will fill the Contact Mapping Format The others to act as PEs and provide information that needs to be filled Each group should have some community members too!

4. RISK/ VULNERABILITY ASSESSMENT The risk/ vulnerability parameters should, at the minimum, include: 1. Types of drug injected 2. Frequency of injection 3. Sharing of N/S or other injecting equipment 4. Sexual behaviour: frequency of sexual intercourse, protected /unprotected sex 5. Sensitivity about disclosure (to family/ others about their drug use/sex work)

5. WORK PLAN A work plan helps to optimise scaled coverage by PE so as to address needs of the IDU Using information from the social mapping and risk/ vulnerability assessment of IDU, outreach teams should plan a week-on-week target for outreach to the IDU of each area

CONTD. These work plans should be documented in order to focus activities (by referring to them) in the following week Weekly plans should vary from week to week depending on the service uptake/ outreach patterns Weekly plans should tie into other activities designed to increase IDU engagement or service utilisation