Program Scope <strong>for</strong> community supportComponentReferral care Ensuring early transport of patientsof severe malaria to the correctreferral institution Helping the family avail ofgovernment schemes supportingcosts of transportation andtreatment*Scope <strong>for</strong> community monitoringDemanding and ensuring immediatecare <strong>for</strong> cases of severe malaria atinstitutionsEnsuring that untied funds at villageand subcenter levels under NRHM aremade available in a timely manner <strong>for</strong>poor families needing referral.Behaviour Change Communication (BCC)BCC has been defined as a process of learning that empowers people to take rational and in<strong>for</strong>meddecisions through appropriate knowledge; inculcates necessary skills and optimism; facilitates,stimulates pertinent action through changed mindsets, modified behavior and rein<strong>for</strong>ces the same.Simplicity, brevity, do-ability and relevance are the cornerstones of effective communication <strong>for</strong> behaviorchange. Clear messages, communicated through different, credible channels are most likely to bringabout change.Simple mass communication be<strong>for</strong>e IRS and bed net distribution rounds may consist of recruitment oflocal folk media, NGOs and CBOs to explain the benefits and use of IRS and bed nets to communities.About 3-6 months after the roll-out, even as early as during the first transmission season, a quick but<strong>for</strong>mal, independent assessment of the program interventions can be carried out in multiple locations, toidentify gaps in service availability, utilization and quality. Within a year of the roll-out of interventions,and be<strong>for</strong>e the second transmission season, a comprehensive BCC and Community Participation plancan be put in place, and assessed again during the transmission season to iron out the remainingwrinkles. During the first year, much of the monitoring of this activity will come from supervisory visits byPHC/MO, MPHW and MTS. Some of the assessments mentioned above can be conducted by the MTS.Receivers of BCC Villagers Housewives Mahila Mandals School children Small factory workers Opinion leaders and non-<strong>for</strong>mal leaders (Paramount importance)Media mixPosters, folders, hand bills, charts, flip charts, flip booklets, stickers, book markers <strong>for</strong> schoolchildren, postal prints, etc.Exhibition, folk dance, puppet show, drama, bhajan, kirtan, etc.Video quickies, video on wheels, cable TV, etc.Salient points to be covered in BCC79
Benefit of indoor insecticidal spray and precautions.Prevention of man made breeding places.Prevention of water storage <strong>for</strong> 7 days or more curtails mosquito breeding and malaria.Malaria vectors breed in clean water.Fever cases to contact FTD / DDC / Voluntary Link Worker <strong>for</strong> proper treatment.Malaria is confirmed by blood test only.Confirmation of malaria by tests is necessary <strong>for</strong> effective treatmentMalaria is more harmful to children and pregnant women-the fever cases should be tested soon.Advance notice on spray programme – 15 days be<strong>for</strong>e spray.Advance notice on spray - again 3 days be<strong>for</strong>e spray.Involve FTD / DDC / VLW / MPW to motivate community to accept spray.Peripheral workers to move with spray squads to achieve ≥ 80% coverage of rooms.Supervisory staff to motivate community to accept spray among refusals.Do not plaster sprayed walls within 12 weeks.80