1. Overview of Advocacy, Communication, and Social Mobilization

2. Session Objectives Define advocacy, communication, and social mobilization. Explain the objectives and targets of each approach. Describe how ACSM activities support TB control objectives.

3. What is Advocacy? Advocacy is a broad set of coordinated efforts designed to: Place TB higher on the political agenda. Strengthen government commitment to implement or improve TB control policies. Increase and sustain financial and other resources.

4. Advocacy Changes:policies, programs, funding, political commitment, media coverage. Targets:decision-makers, community leaders, people with influence, media. Successes:helpful policies, better programs, more funding, more discussion of TB among politicians, positive coverage of TB in media.

5. Advocacy Example In Region X, placing DOTS centers in rural health clinics helped improve patient adherence to treatment. However, funding for the program was ended. To regain financial support, a number of local program staff and community activists met with current donors to request continued funding.

6. Advocacy Activities Lobbying Partnership meetings Parliamentary debates Political events Official memoranda Petitions Letter/Email campaigns

7. What is Communication? Communication includes activities designed to: 1. Improve knowledge:  TB disease (symptoms, curability).  TB control services (diagnosis, treatment). 2. Change attitudes and behaviors:  Health providers.  Clients (current, potential).  Community/Family members.

8. Communication Changes:knowledge, attitudes, behaviors. Targets:patients, providers, communities, policymakers, opinion leaders, service providers, nongovernmental organizations. Successes:improved knowledge and/or attitudes that lead to a new or different behavior (positive for TB control).

9. Communication Example Study results in Country C showed that 60% of people older than age 40 could not identify the correct symptoms of TB. To fill knowledge gaps related to TB, posters and brochures were developed to highlight TB symptoms, ways to prevent TB, and where to go for help.

10. Communication Activities Brochures, posters Media campaigns Special events 1:1 health counseling Trainings, presentations Brand logos, promotional giveaways

11. What is Social Mobilization? Social mobilization builds alliances, engages stakeholders, and increases community participation to: Bring visibility and a sense of urgency to an issue. Give a push or add momentum to communication and advocacy efforts. Help people/officials/media realize that TB issues are important and urgent.

12. Social Mobilization Changes:participation, commitment, political will. Targets:communities, policymakers, individuals. Successes: increased issue exposure, more people involved, increased energy.

13. Main Mobilization Approaches ActivitiesTargetsApproach Lobbying, meetings National policymakers, government officials, or agencies Political/Government mobilization Community meetings, mass media, celebrity events, World AIDS Day Local political, religious, social leaders; NGOs; women’s groups; etc. Community mobilization Meetings, mass media National or international companies (to carry appropriate messages, product labeling) Corporate mobilization Trainings, support groups, mass media TB patients, family members Client mobilization

14. A, C, and SM Work Together ACSM is three interconnected strategies: Communication Advocacy Social Mobilization

15. Case Example

16. ACSM Supports NTP Objectives Case Detection Improve quality of laboratory monitoring. Increase public knowledge of TB symptoms and where to seek care. Provide high-quality TB diagnosis and DOTS referral through public/private partnership. Treatment Completion Reduce treatment defaults by 20%. Expand community DOTS programs to all regions. Increase political commitment and funding for TB.

17. Key Points Advocacy aims to increase political and financial commitment to TB prevention and care Communication aims to improve knowledge, attitudes, and practices around TB. Social mobilization aims to create urgency and motivate action and commitment. When interlinked, ACSM activities can address multiple TB control challenges.