1. Community led SBCC
Using Gatekeepers to catalyze contraceptive use by Women and Girls in underserved pastoralist communities
Before I start the presentation I would like to say that it is a snapshot of the social change work we are doing, there is obviously a great deal of work that has been done by all partners and Exp beyond the work in this presentation.

2. Project Consortium
Lead Partner

3. Key Objective
Increased family planning uptake and use amongst rural Women of reproductive age and adolescent Girls through mainly the private sector

4. Background
Project covers 21 counties in Kenya – 7 low prevalence counties were identified for social change.
Exp covers, Turkana, West Pokot, Samburu, Kajiado & Narok
Beliefs and values of Pastoralist communities are deeply rooted.
These cultural values are closely guarded
Gender bias is pronounced
Leadership sets and maintains social norms
These communities are geographic with limited external influence.

5. Background…cont’d
Social change is built through a top-down advocacy approach.
Building support of key opinion leaders and influencers
Using these influencers to cascade change to gatekeepers
Gatekeepers then support change which moves social norms to create an enabled environment empowering Woman and Girls

6. Social change objectives
To create an environment where family planning can be discussed and adopted openly across demographic segments
To improve uptake of modern family planning methods among rural women and adolescent girls.
To strengthen beneficiary voice through community empowerment

7. Exp Indicators
Number of men, traditional and religious leaders reached and the percentage of those that pledge support for FP
Percentage of women and adolescents who attend an FP forum and then become a FP user

8. Tools & Design

9. Theory of Change

10. Sixth SenseTM Intervention

11. Design & Implementation process
Evidence building
Top down advocacy
Gatekeeper engagement
Community engagement
Demand creation
Measurement at all stages

12. Pre-exposure survey
Building evidence of need of the target, namely Women and adolescent Girls
Exp identified 4 key actions Women wanted their husbands and partners to do to support them
Allow them to use modern FP methods
Pay for FP methods used by their partners
Allow them to leave home for FP services
Discuss FP with their peers (other men)
These 4 actions were translated into the pledges the Men and natural leaders as Gatekeepers promised to do

13. Rationale: Opinion Leader engagement
Leadership in communities, especially rural, are the originators of social norms
Whether reinforcing old cultural ‘truths’ or evolving new ways of doing things.
Exp’s ‘top down’ advocacy approach is designed to build ownership of the intervention
OL pledges is the next step in ‘ownership’, leaders are taking on the role of changing their community
Exp trained OL’s to host forums

14. Gatekeeper engagement
Exp identified mainly Men as the key ‘Gatekeepers’ of the desired behaviour.
Using OL’s to ‘champion’ new norms, cascading them to Men, the Men would then become the custodians of the new behaviour
OL’s conducted cascade forums with men
Pledges by men translated into action and an improved environment

15. Community engagement The enabled environment empowered Women and Girls
Exp simultaneously started demand creation amongst Women and Girls resulting in increased levels of adoption of modern FP methods

16. M&E/Measurement Data obtained from: Activity participation registers
Pledge certificates and pledge registers
Periodic post exposure surveys
Accountability managed by Palladium

17. Results 9,206 reached in 2015; 8,325 made pledges (90% pledge rate).
15,332 pledges made in 2016 out of 15,809 reach (96% pledge rate)
65% FP uptake by women reached through community forums
7,157 pledges achieved from 9,151 in 2017 (78% Pledge rate)

18. Richard Burns & Gordon Achola
Thank you
Richard Burns
&
Gordon Achola