2. GMS Elimination Training Chiang Mai 14 th August 2015 Deyer Gopinath ENGAGING COMMUNITIES

3. Assess Rapid assessment - PRA, FG, IDI, RDS on malaria/health - Coverage and utilization [bed net, hammock net, repellent] - availability and access [early diagnosis and treatment ] - mobility patterns [temporal- spatial] BCC strategy mobility pathway: - Social network (eg. among and within mobile groups) - mobile vendors - private sector (informal and formal) - outreach: malaria post, mobile clinics etc - work site workforce - transit sites (border towns/villages, shops etc) residence**: - VMW/VHW/VMV/VHV at place of origin [pre departure] village healer - village TBA worksite: - PMW - worksite trained/untrained nurse/nurse-aid, paramedic - health worker BCC method - household/individual education [all at risk] - household/individual education [case based] - peer education - positive deviance Measure BCC indicators* FG=Focus Group; IDI= in depth interview; RDS= Respondent Driven Sampling; PMW: Plantation malaria worker [CNM, PSI Cambodia] *could include but not exclusive to these indicators: as in [1[: Source: Framework to Monitor and Evaluate Emergency Response to Artemisinin Resistance and Progress Towards Malaria Elimination in the Greater Mekong Subregion: ENGAGING COMMUNITIES

4. Intersectoral initiatives: LAO PDR experience: What has been tried, what worked and what not 1. Both ad hoc/responsive and planned engagement with major project developers to engage in malaria preventive and curative interventions among their workforce - mix responses 2. High level agencies engaged – Prime Minister’s office, provincial governors, major funders/donors/bilaterals/military - responsive, interested, complicated, needs a champion 3. Reaching out to multisectoral agencies – gov. planning bodies etc for related info, ie –forestry, planning and investment, labour, etc. Holistic’ approach to surveillance to include economic, social, population migration info etc for malaria planning - engaging but stops short of formal agreements/processes 4. Cross border stakeholder involvement - complicated, sensitive, some progress now with military

5.  Important to realize that there is no one-size-fits-all solution  Policies/Law - labour, migration, environment safeguards  Malaria elimination: strategies need to be not just responsive but more anticipatory (risk mitigation) – involving understanding of:the influence of land use change and:  Economic  Agricultural, and  Environmental planning bodies,  Requires current and anticipated dynamics of the local area (what are the social, economic and environmental determinants with the most significance to malaria?)  Access to malaria services – public-private partnerships (PPM)  A research, monitoring and evaluation component should be included.  The articulation of an endorsed and validated results framework with key indicators for monitoring multisectoral engagement activities Take home points