A. Outreach Planning

FILM DISCUSSION CARD 2

OUTREACH PLANNINGWHAT 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 PLANNINGTo 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--vis service access & behaviour modification

To collect information for effective action plans

To enhance participation of IDUs in programme planning

OUTREACH PLANNING TEAMProject Coordinator/ Project ManagerORW 1ORW 2ORW 3PE 1PE 2PE 3PE 4PE 1PE 2PE 3PE 4PE 1PE 2PE 3PE 4IDUIDUIDUKEY QUESTIONS TO CONSIDERHow 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 processSocial mappingSpot analysisContact mappingRisk/vulnerability assessment Work planIndividual level tracking (monitoring)1. SOCIAL MAPPINGA Social map is a map showing places: where IDUs live (hotspots/congregation point /Injecting Sites etc.) and 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 locationsServices include: referral, health care, NSE, condom supply, ICTC, STI etc.Identify gaps in services for IDUs and their partners

DEVELOPING SOCIAL MAPSocial 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 INFORMATIONFor Spot Analysis the following information needs to be collected: Volume of clients (no of IDUs in the hotspot)Profile of IDUs: age group, sex, typology (heroin/brown sugar/SP/pharmaceutical drugs, etc.)Frequency of injections daily, weekly, monthlyTiming of congregation/use

SAMPLE SPOT ANALYSIS TOOL

PRACTICE SESSION: Lets do a spot analysis using the spot analysis tool

Make 5 groupsOne person to act as ORW who will fill the Spot Analysis FormatThe others to act as PEs and provide information that needs to be filledEach group should have some community members too!

3. CONTACT MAPPINGRefers 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: Lets do contact mapping using the contact mapping tool

Make 5 groupsOne person to act as ORW who will fill the Contact Mapping FormatThe others to act as PEs and provide information that needs to be filledEach group should have some community members too!

4. RISK/ VULNERABILITY ASSESSMENTThe risk/ vulnerability parameters should, at the minimum, include:

Types of drug injectedFrequency of injectionSharing of N/S or other injecting equipmentSexual behaviour: frequency of sexual intercourse, protected /unprotected sexSensitivity about disclosure (to family/ others about their drug use/sex work)

5. WORK PLANA 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

Houses

Paddy Field

KPs

Hot Spot area

Injecting site

PHC

HillsPondPondWay to KeirenphabiWay to Takmu Pat Sendra Tourist homeKeibul Tourist Centre & Rest HouseWay to Thanga VillageKeibul Forest OfficeWay to MoirangkhunouSWARASATI HIGH SCHOOLKEIBUL HIGH SCHOOL

Keibul Lamjao National ParkChingmei Bazar

LOKTAK LAKESOCIAL MAPKEIBUL VILLAGE