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PSI/India
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Program
Focus: |
HIV/AIDS, reproductive
health, child
survival |
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Target
Regions: |
PSI's social marketing activities span
22 States and Union Territories throughout India as well as the
national highway system. These interventions include extensive work
on HIV/AIDS/STIs, maternal and child health, and family planning
social marketing campaigns. |
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Target
Population:
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HIV/AIDS: high risk groups such as informal and formal port workers,
commercial sex workers and their clients, as well as truckers
and their assistants
Maternal and child health: children, parents of young children,
and women of reproductive age
Family planning: families, women of reproductive age and their
husbands
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| 2006 Estimated Health Impact: |
Unintended pregnancies averted: 876,000
(explained)
* numbers reflect programs which are not nationwide
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Products:
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Rishta female condom since 2005
ACT 1 STI kit since 2004
Preventol emergency contraception since 2004
Key Clinic Network of physicians providing improved STI
services since 2004
Safewat safe water system since 2002
Vitalet-Preg iron-folic acid since 2002
New Born clean delivery kits since 2002
Saadhan voluntary counseling and HIV testing centers
since 2002
Depo-Provera injectable contraceptives since 2001
KamaSutra condoms since 2000
Neotral Orange oral rehydration solution
since 1998
Masti condoms since 1998
Mala-D oral contraceptives since 1997
Neotral oral rehydration solution since 1995
Pearl oral contraceptives since 1991
Deluxe Nirodh condoms since 1988
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Local
Collaboration: |
PSI collaborates widely in the development and implementation
of its social marketing programs. PSI works closely with the central
government, especially NACO and the Ministry of Health and Family
Welfare to develop good policy for support of behavior change
programming. At state and district level our leadership works
closely with Commissioners for Health and the State AIDS Control
Societies. Community-based organizations and other NGOs are important
partners in the deepening and increased reach of social marketing
interventions and linkages to key services such as Care and Support
for those affected by HIV/AIDS. In its rural programs for promotion
of birth spacing and good maternal/child health practices, PSI
forms partnerships with Panchayat Raj Institutions, with local
medical providers and with retailers who carry and promote PSI
products.
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Current
Donors: |
The Bill & Melinda Gates Foundation
British Department for International
Development (DFID)
The Federal Republic of Germany through
KfW Entwicklungsbank (the German development bank)
Government of India, Ministry of Health & Family Welfare,
Contraceptive Social Marketing Programme
The Hewlett Foundation
The Packard Foundation
State Innovations in Family Planning Services Agency
United States Agency for International Development (USAID)
U.S. Centers for Disease Control and Prevention
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Project Activities and Highlights
PSI/India's Family Health Program (FHP) is improving the health of underserved
communities in eight states of India through programs that reduce unintended
pregnancies, decrease maternal and child mortality and morbidity and
slow the spread of HIV/AIDS.
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HIV/AIDS
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The Family Health Program
FHP works to slow the spread of HIV/AIDS through a project to promote condom
use in West Bengal and Orissa. PSI/India raise sawareness of
HIV/AIDS and increase the acceptability of condom use among high-risk
groups,
including truckers, commercial sex workers and migrant laborers and their
families. Communication activities include condom use demonstrations,
folk shows, video shows and interactive games followed by question and
answer sessions and billboards that normalize condom use and debunk misconceptions
about condoms. The program ensures the availability of quality, affordable
condoms in places that are frequented by the high-risk groups and also
in rural areas which otherwise lack access to reliable condoms. |
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Operation Lighthouse (OPL)
(OPL) deploys a set of integrated communication, advocacy and service provision
strategies to decrease the spread of the HIV/AIDS epidemic among vulnerable
groups, focusing activities in 12 major port communities in India. In
order to prevent HIV/AIDS, OPL focuses on desired behaviour change outcomes
in the areas of increased condom usage, partner reduction, increased
STI treatment and increased usage of voluntary counseling and testing
(VCT) services. The program includes targeted communication activities,
mobile or conveniently-located VCT facilities for vulnerable populations,
and a ground-breaking mass media campaign targeted to men in Mumbai.
Three principles guide the OPL approach:
Targeting When achieved, targeting allocates scarce resources to activities
that promise the highest impact among those likely to contract and
transmit the virus. This concept is upheld in designing all of OPL's
activities, from communications to counseling.
Integration In an integrated approach mass media, mid-media and
inter-personal communications are designed to inform, motivate and
create demand for services and products, which include phone help-lines,
STI and VCT services and condoms.
Information Changing behavior is an iterative process, demanding
an ever-expanding base of knowledge across a wide range of topics,
including beliefs and habits, socio-cultural characteristics affecting
gender and empowerment, patterns of migration and sexual behavior.
Over time, steady production, analysis and use of good information
feeds into continuous program improvement. |
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Social Marketing and Social Franchising as Part of the AVAHAN
Program
PSI/India implements a five year program to promote safer
sexual practices and good STI treatment-seeking among male clients
of sex workers in Andhra Pradesh, Karnataka, Maharashtra and
Tamil Nadu. In addition, PSI is making condoms easily available,
affordable and well-promoted along national highways.
The core of PSIs contribution to this program is its intensive communication,
franchising and distribution activities in 100 carefully selected locations
where HIV prevalence and risk behavior is known to be highest. We estimate
that our activities will reach over 5 million clients of sex workers
in these areas. Rigorous monitoring and evaluation will measure regularly
the effectiveness of the project in bringing about consistent condom
use, correct STI treatment seeking and patronage of Key Clinics.
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Mumbai HIV/AIDS Targeted Intervention
PSI/India's HIV/AIDS prevention activities target the high-risk
behavior groups of sex workers, their clients, and long-haul
truck drivers at major termini and along national highways. The
Mumbai project works intensively with 6,000 sex workers in red-light
areas of Mumbai and vast numbers of men at risk.
PSI/India's Mumbai project includes four integrated components: personal
contact with sex workers; reaching male clients; social marketing of condoms;
and a medical and rehabilitation center. The latter is located in the heart
of the red light district and provides a variety of medical services, including
treatment of STDs and tuberculosis, referrals to hospitals and well-baby
care. The rehabilitation center provides employment opportunities for the
sex workers outside of the brothels, skills training, help with opening
bank accounts, and literacy classes.
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Reproductive Health
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Family Planning
FHP recognizes that a couple's ability to determine the number
and timing of their children is an integral part of maternal and
child health. PSI/India works to increase the practice of birth
spacing by creating informed demand and providing a reliable supply
of quality, affordable contraceptive products in eight states in
Northern India: Masti condoms and Pearl oral contraceptive
pills are made available in over 1,600 towns and over 57,800 villages
through the distribution network of 980 stockists and 275-strong
sales force in the eight states. |
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PSI/India is addressing a key gap in Indias population
program the adoption of birth spacing contraceptive methods by
men and women in rural areas. Current initiatives raise awareness
and confidence in the methods and benefits of birth spacing, and
increase social support for the use of condoms and pills through
mass media, wall art, folk shows, video shows, interactive games
and women's group meetings in 3,268 villages in rural Rajasthan,
Madhya Pradesh and Chhatisgarh. |
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PSI/India's mobile nukkad-natak (street theatre) teams and video
vans have crisscrossed 11 districts in rural Jharkhand, reaching
over 4,000 villages with key messages on the why, when and how
of birth spacing.
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In the state of Rajasthan, which has one of the highest maternal
mortality rates in India, and where 350,000 induced abortions
are recorded per year, PSI/India implements a social marketing
project for emergency contraception (EC). The project raises awareness
of EC through billboards, press advertisements and community outreach;
it improves access to EC through regular detailing of doctors
and chemists; and it promotes a supportive policy and social environment
for EC in collaboration with other health organizations in India.
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Maternal Health
The Family Health Program markets several nutritional products
designed to safeguard the health of women and children. These
include Vitalet PREG, an iron- folic acid supplement to
prevent anemia among pregnant women and are marketed in some
of India's highest-need states: Rajasthan, Uttaranchal, Uttar
Pradesh, Madhya Pradesh, Chhatisgarh, Jharkhand, West Bengal
and Orissa.
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Child Survival
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Safe Water
Diarrheal disease is one of the leading causes of early childhood
mortality in India, where many families lack access to clean drinking
water. FHP is working to lower the incidence of diarrheal diseases
and related child mortality through a program that covers coastal
districts in the state of Orissa and selected urban slums in the
state of Uttaranchal. This initiative aims to increase local knowledge
of proper drinking water practices and their impact on health,
and to provide improved access to water disinfectant. A comprehensive
behavior change campaign, consisting of radio and television ads,
street theater, wall paintings and product use demonstrations
is timed to coincide with the rainy season, when risk of water
contamination is highest. PSI/India's brand of water disinfectant,
Safewat, is sold in a 100-ml plastic bottle, sufficient to create
1000 liters of safe drinking water.
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Child Nutrition
The Family Health Program markets several nutritional products designed
to safeguard the health of women and children. These products include
Neotral, oral rehydration salts for the treatment of diarrheal disease
in children.
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PSI/India's network of Saadhan voluntary
counseling and testing (VCT) centers provide professional
and discreet services. Mobile VCT vans target hard-to-reach
groups such as commerical sex workers and truckers.
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