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Sylvie Cohen

Summary

Evaluation Challenges in Advocacy Communication, with special references to UNFPA's experience and HIV/AIDS


by Sylvie I. Cohen, UNFPA

cohen@unfpa.org

- as presented at the VIII International Communication for Development Roundtable, November 27 2001




Click here to download a Power Point Presentation of this document.




Social Change via Communication


Finding a winning and doable equation:


BCC + Advocacy + Social Mobilization + Education


Advocacy to Achieve Social Change


Differences [and complementarities] with the Communication for Social Change framework:

  • Thematic imperative: e.g., issue of HIV/AIDS prevention, access to care and destigmatization of vulnerable groups
  • Accountability imperative to achieve social change at an accelerated pace and at a large scale
  • Organizational imperative to build networks and coalitions

Advocacy: a programme vehicle to achieve social change and to contribute towards meeting the goals of the ICPD


Its overall purpose is to bring about an improved environment for sexual and reproductive health and rights, gender equity and sustainable population and development programmes.


What is advocacy communication?


Advocacy involves attempts to influence the political climate, policy and programme decisions, public perceptions of social norms, funding determinations, and community support towards specific issues, through a set of well planned and organised actions that are undertaken by a group of committed individuals and/or organisations working in concert.


  • Reproductive Health and Rights, with increasing focus on young people and displaced persons
  • Integration of Population issues in Development
  • Gender equity, women's empowerment and partnership with men
  • Partnership with the media and community leaders
  • Resource mobilization for RH/RR and POP

Advocacy as a key programme area


Advocacy is a relatively new programme area for most country offices and national partners, and there are differences of interpretations.


What advocacy actions consist of is not always clear at programme level


Can be interpreted as:

  • Public relations to promote a project or an organization
  • A component of global initiatives with more or less national or local specificities and ownership
  • A simple support function to the supply of services or to supportive policies, often through ad hoc activities such as special media events

Evaluation Challenge 1


To measure advocacy impact, there is a need to clarify what kind of social change we are aiming at and what aspects of social change can be achieved via advocacy communication interventions


Place of Advocacy in the BCC model


In the diffusion-based BCC model, advocacy as the ultimate step in the process of behaviour change. It is the final stage where the individual becomes an advocate that is needed for social mobilisation.


Adapted from Piotrow et al., JHU/CCP, 1997


For RH clients, speaking out in favour of condom use or VCT or access to quality treatment would validate their choices and sustains their commitment. As more and more people speak up, their behaviour becomes the community's social norm. Healthy behaviour becomes not just accepted but also expected.


Advocacy and/or Behaviour Change?


For instance, still some confusion between behaviour change communication at individual level, in service and school settings, and advocacy.


Some communication programmes assume that individuals have complete control over their risk factors and they ignore contextual or environmental factors over which people have no control.


Importance of contextual factors in HIV/AIDS prevention


This is true for instance for condom use and abstinence among young people and for women who often cannot negotiate sexual relationships


This is also true of gender-based violence and other harmful practices where much depends on men's socialization and circumstances that affect their perceptions of what constitutes masculinity [what Herdt calls a “sexual culture milieu”] and women' s access to safety nets


Evaluation Challenge 2


What constitutes such an enabling environment and how much can be changed through advocacy is often not explicated.


E.g., Advocacy often tends to focus on the policy and/or resource elements of the environment.


Which environment?


UNAIDS framework of the environment :


5 key contextual domains outside the control of individuals, that have a significant influence on HIV/AIDS-related health behaviours.

  • Government policy
  • Culture
  • Spirituality
  • Gender relations
  • Socio-economic status

UNFPA's four contextual domains that affect the population, RH and Gender practices of individuals and organisations:

  • Socio-cultural
  • Political
  • Institutional
  • Resource

Operationalizing the framework?…


We have defined the environment….


So what for communicators????


Two-way relation between advocacy and the environment



Work in progress


A common assessment framework is needed to evaluate advocacy projects.


Searching for a framework to:

  • plan and assess advocacy outputs
  • explain possible chains of result
  • discuss of different models and frameworks for advocacy
  • select possible output indicators and a set of tools and instruments that can be used for monitoring and evaluation. 

5 Result Domains of Advocacy





Synergy between different result areas


Can choose to work on all these result areas or components simultaneously or selectively


These results areas should not be viewed in isolation from each other.


Framework for Operationalizing Advocacy




Agreeing on theories of change


Exploring the set of arrows that link activities to outputs in results-based programming.


A participatory approach to design of strategies (Aspen Institute)


Reflecting on interventions


Thinking about change can/should be participatory


Allows to surface and negotiate the set of assumptions and to map out the pathways to change


Other challenges and complexities of monitoring and evaluating advocacy work


  • Collective nature of advocacy
  • Long term effects
  • Causal relationships between results and set of activities
  • Multiple advocacy outputs

What does this have to do with HIV/AIDS? Good advocacy process indicators needed


Beyond policy change: policy implementation for access to reproductive health services, economic empowerment; and


Beyond consensus building: community empowerment to change harmful norms such as GBV, double standards for women and young people sexuality, and stigmatization of PLWAs


Measuring the advocacy skills of civil society organizations


Creating positive cultural milieu such as supportive networks for young people


Partnering with men as policy-makers, community leaders, sexual partners and RH clients.


Acknowledging conflict of interests [men accepting to release power and benefits; negative attitudes of providers; property rights; resistance to the language of rights]




Placed on the Communication Initiative site January 16 2002
Last Updated January 28 2002

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