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<strong>MEASURE</strong> <strong>Communication</strong><br />

<strong>Final</strong> <strong>Report</strong><br />

June 30, 2004<br />

<strong>Population</strong> <strong>Reference</strong> Bureau<br />

and<br />

Academy for<br />

Educational Development


<strong>Population</strong> <strong>Reference</strong> Bureau<br />

1875 Connecticut Ave., NW • Suite 520<br />

Washington, DC 20009-5728<br />

Telephone: (202) 483-1100<br />

Fax: (202) 328-3937<br />

AED<br />

Academy for Educational Development<br />

1825 Connecticut Ave., NW<br />

Washington, DC 20009<br />

Telephone: (202) 884-8700<br />

Fax: (202) 884-8844


<strong>MEASURE</strong> <strong>Communication</strong><br />

<strong>Final</strong> <strong>Report</strong><br />

June 30, 2004<br />

<strong>Population</strong> <strong>Reference</strong> Bureau<br />

and<br />

Academy for<br />

Educational Development<br />

USAID Agreement number HRN-A-00-98-000001-00


Table of Contents<br />

Introduction and Lessons Learned ......................................................................... 1<br />

Background ............................................................................................................. 1<br />

Lessons Learned ...................................................................................................... 1<br />

Results Framework and Evaluation Approaches .................................................... 5<br />

Results Framework.................................................................................................. 5<br />

Monitoring and Evaluation Approaches................................................................ 5<br />

Country Work............................................................................................................. 7<br />

Cambodia .............................................................................................................. 10<br />

India ....................................................................................................................... 11<br />

Kenya...................................................................................................................... 13<br />

Global Activities ....................................................................................................... 13<br />

Publications ........................................................................................................... 13<br />

Innovative Uses of Electronic Media ................................................................... 16<br />

Policy Information Services.................................................................................. 17<br />

Media ......................................................................................................................... 18<br />

The Network Approach ........................................................................................ 18<br />

International Conferences .................................................................................... 19<br />

Access to Information ........................................................................................... 19<br />

Impacts .................................................................................................................. 20<br />

Capacity Building..................................................................................................... 22<br />

Training Programs ................................................................................................ 22<br />

Impacts .................................................................................................................. 23<br />

Policy <strong>Communication</strong> Techniques........................................................................ 26<br />

Workshop Materials.............................................................................................. 26<br />

Master’s Course ..................................................................................................... 26<br />

Framework............................................................................................................. 26<br />

Presentation Guidelines ........................................................................................ 26<br />

<strong>Population</strong>, Health, and the Environment ............................................................ 27<br />

Goals and Objectives............................................................................................. 27<br />

Activities ................................................................................................................ 27<br />

Impacts .................................................................................................................. 29<br />

Gender ....................................................................................................................... 31<br />

PRB’s Work With IGWG....................................................................................... 31<br />

Endnotes.................................................................................................................... 47<br />

Figure 1 <strong>MEASURE</strong> <strong>Communication</strong> Framework.................................................................... 6<br />

Figure 2 Countries in Which <strong>MEASURE</strong> <strong>Communication</strong> Worked........................................ 8<br />

Table 1 Summary of <strong>MEASURE</strong> <strong>Communication</strong> Budget FY98-FY04 ................................. 1<br />

Table 2 Pre- and Post-Test Workshop Results (Four Provinces in Cambodia) .................. 10<br />

Table 3 Copies of International Publications Requested, by Region................................... 14<br />

Table 4 Top 10 Developing Countries Requesting International Publications................... 14<br />

Table 5 Organizations That Requested 1,000 or More Copies<br />

of <strong>MEASURE</strong> <strong>Communication</strong> Publications ....................................................... 15<br />

Table 6 <strong>Report</strong>ed Uses of <strong>MEASURE</strong> <strong>Communication</strong> Publications................................... 17<br />

Box 1 Overview of <strong>MEASURE</strong> <strong>Communication</strong> Activities.................................................. 2<br />

Box 2 Overview of <strong>MEASURE</strong> <strong>Communication</strong> Country Work......................................... 9<br />

Attachment 1 <strong>MEASURE</strong> <strong>Communication</strong> Results Framework..................................................... 33<br />

Attachment 2 Global Publications Produced Under <strong>MEASURE</strong> <strong>Communication</strong> ....................... 35<br />

Attachment 3 Media Articles From 1/1/1997 to 7/31/2003............................................................ 37<br />

Attachment 4 Women’s Edition Participants 1998-2003................................................................ 38<br />

Attachment 5 Conferences to Which PRB Sponsored Journalists ................................................. 39<br />

Attachment 6 Policy <strong>Communication</strong> Workshops & PRB <strong>Population</strong> Policy<br />

<strong>Communication</strong> Fellows by Year.......................................................................... 40<br />

Attachment 7 IGWG Publications Under <strong>MEASURE</strong> <strong>Communication</strong>......................................... 43<br />

Attachment 8 Project Staff FY98–FY04 ........................................................................................... 45


<strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

1<br />

Introduction and<br />

Lessons Learned<br />

Background<br />

<strong>MEASURE</strong> <strong>Communication</strong>, one of the five projects that<br />

comprised the USAID-funded <strong>MEASURE</strong>-I Program<br />

(“Monitoring and Evaluation to ASsess and Use REsults”), 1<br />

was initiated in October 1998 and concluded on March 31,<br />

2004. All of <strong>MEASURE</strong>-I’s projects shared the same strategic<br />

objective: To improve and institutionalize the collection<br />

and utilization of data for monitoring, evaluating, and<br />

making policy decisions. <strong>MEASURE</strong> <strong>Communication</strong> was<br />

implemented by the <strong>Population</strong> <strong>Reference</strong> Bureau (PRB),<br />

in collaboration with the Academy for Educational<br />

Development, through a cooperative agreement (HRN-A-<br />

00-98-000001-00) with the United States Agency for<br />

International Development (USAID).<br />

<strong>MEASURE</strong> <strong>Communication</strong> had a unique role in the<br />

<strong>MEASURE</strong> program. The project combined communication<br />

theory with an understanding of the dynamics of the<br />

policy process to enhance the use of <strong>MEASURE</strong> data in<br />

policies and programs. Key audiences for <strong>MEASURE</strong><br />

<strong>Communication</strong> included developing country policymakers<br />

and program managers in government agencies and<br />

non-governmental organizations (NGOs), international<br />

organizations, donors, educators, and the media. Box 1<br />

(page 2) provides a quick summary of the range and<br />

scope of the project’s activities. During the six-and-a-half<br />

years of the project, the budget totaled $24.6 million<br />

including a 22 percent match, significantly more than the<br />

8 percent match offered in the project proposal. In addition,<br />

the indirect rate dropped substantially over the life<br />

of the project, freeing more funds for project activities.<br />

Table 1 provides additional budget detail.<br />

<strong>MEASURE</strong> <strong>Communication</strong> accomplished a substantial<br />

body of work, made clear contributions to<br />

TABLE 1<br />

SUMMARY OF <strong>MEASURE</strong> COMMUNICATION<br />

BUDGET FY98–FY04<br />

PRB Personnel $5,989,681<br />

Contractual Services $3,991,218<br />

Printing and Dissemination $2,659,233<br />

Travel $2,493,475<br />

Other Direct Costs $531,171<br />

Indirect Costs $3,552,874<br />

Sub-Total (USAID portion) $19,217,652<br />

PRB Match $5,391,639<br />

Total Project Expenditures $24,609,291<br />

<strong>MEASURE</strong>-I’s strategic objective, and achieved the project’s<br />

specific intermediate results. Project evaluations<br />

highlight improved use of <strong>MEASURE</strong>-generated data for<br />

policies and planning in Cambodia, India, Kenya,<br />

Madagascar, and other places. Furthermore, based on a<br />

genuine commitment to individual and institutional<br />

capacity building, the project’s in-country partners and<br />

participants in the project’s many workshops have gained<br />

the skills to continue policy communications and datause<br />

activities. PRB’s innovative work with journalists created<br />

media leaders who will continue to cover the future’s<br />

major population and health stories. <strong>Final</strong>ly, the project’s<br />

extensive publications list and client-oriented system for<br />

responding to requests for publications and information<br />

contributed to the public debate on key population,<br />

reproductive health, maternal and child health, environment,<br />

and gender issues around the world.<br />

This report summarizes the activities and impacts over<br />

the six-and-a-half years of the project, drawing on the project’s<br />

extensive monitoring and evaluation database, semiannual<br />

and annual reports, and trip reports. This section<br />

presents the lessons learned for ways to enhance policymakers’<br />

access to and use of data and research. The sections<br />

that follow provide more detail on <strong>MEASURE</strong><br />

<strong>Communication</strong>’s results framework and evaluation<br />

approaches, followed by a description and assessment of<br />

each of the project’s main categories of activity: in-country<br />

work; global dissemination efforts; media; capacity building;<br />

policy communication techniques; population, health<br />

and the environment (PHE); and gender.<br />

Lessons Learned<br />

Over the life of the project, PRB staff learned a variety of<br />

important lessons about the dissemination process, working<br />

with the media, capacity building, and how to best<br />

communicate with policymakers to maximize the use of<br />

data and research in policy, planning, and programs.<br />

In-country programs<br />

● Including a communication specialist in the initial<br />

data collection design process leads to an increased<br />

focus on and resources for dissemination and data<br />

use activities. <strong>MEASURE</strong> <strong>Communication</strong>’s participation<br />

in several initial country assessment teams<br />

(Guinea, India, Kenya) improved local partner<br />

involvement and the design of dissemination strategies<br />

from the outset, and significantly increased the<br />

amount of resources allocated for data dissemination<br />

and use activities.<br />

● Using participatory approaches creates alliances<br />

and helps build consensus toward policy action.<br />

Bringing together multi-disciplinary teams to assist<br />

with the interpretation of research findings promotes<br />

a commitment to action. These participatory


2 <strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

settings also provide an excellent opportunity for<br />

stakeholders to explore which policies will be affected<br />

by new findings (thus “jumpstarting” the policy<br />

action process) and to identify measures for improving<br />

the policy environment.<br />

● Integrating policy advocacy activities into routine<br />

planning and management exercises increases the<br />

likelihood that data will be used. Brainstorming<br />

with planning teams to identify “best time” opportunities<br />

to reach audiences and affect change, such as<br />

linking data dissemination activities to routine planning<br />

and regulatory meetings, annual budgeting<br />

processes, or quarterly technical reviews, significantly<br />

increases the potential for findings to be used for<br />

program and policy improvements.<br />

● Promoting dialogue with members of key regulatory and<br />

decisionmaking bodies increases the likelihood that data<br />

will be used. Reaching special advisory or coordination<br />

groups that meet regularly to address PHN program and<br />

policy issues enhances data use. Examples of key groups<br />

include government reproductive health advisory boards<br />

and subcommittees, NGO coordination committees and<br />

consortiums, donor coordination groups, and professional<br />

association committees.<br />

●When communication and data collection teams work<br />

together the resulting synergies lead to more efficient<br />

use of human and financial resources. Examples include<br />

the development of integrated workplans and budgets<br />

that help Missions make more rationale budget allocation<br />

decisions from the outset, economies of time for Mission<br />

BOX 1<br />

OVERVIEW OF <strong>MEASURE</strong> COMMUNICATION ACTIVITIES<br />

In-country support: <strong>MEASURE</strong> <strong>Communication</strong> worked in 17 countries. The activities ranged from developing and<br />

implementing policy communications strategies (Jamaica), to multi-year efforts to support the use of data produced<br />

by other <strong>MEASURE</strong> partners (India, Cambodia, Kenya, Honduras, Madagascar), to support for other USAID<br />

efforts (Mexico, Brazil).<br />

Global dissemination: <strong>MEASURE</strong> <strong>Communication</strong> produced 36 new publications plus five annual updates of PRB’s<br />

World <strong>Population</strong> Data Sheet, all in multiple languages and many in multiple formats. (All of the formats and languages<br />

totaled 114 new materials.) The project distributed a total of 950,000 copies of materials, including<br />

requests for 344,000 copies from 150 countries, and roughly 40 percent of all entries on the mailing list. The project<br />

also responded to requests for 2,900 country briefing packets from USAID and cooperating agencies staff.<br />

Electronic dissemination: <strong>MEASURE</strong> <strong>Communication</strong> used websites and listservs as channels for reaching the project’s<br />

audiences. <strong>MEASURE</strong> <strong>Communication</strong> supported four websites and posted all project publications on<br />

www.prb.org. One product partially supported by <strong>MEASURE</strong> <strong>Communication</strong>, the World <strong>Population</strong> Data Sheet, is the<br />

most popular publication on PRB’s website. In 2002, 732,000 visitors clicked on the data sheet.<br />

Capacity building: Almost 500 individuals from 67 countries participated in 33 policy communication workshops.<br />

Of these, 278 participated in reproductive health workshops; 127 in population, health, and environment workshops;<br />

and 77 in Policy Fellows workshops (designed for developing country graduate students in the United<br />

States). The <strong>MEASURE</strong> <strong>Communication</strong> team also developed a master’s level course syllabus for policy communications,<br />

which was introduced into three developing country universities.<br />

Media: <strong>MEASURE</strong> <strong>Communication</strong> supported 34 seminars for 337 journalists from 35 countries. Participants of the<br />

workshops wrote over 1,200 media articles. The project also sponsored 128 journalists to attend 15 regional and<br />

international conferences. It is estimated that the project’s international media networks reach as many as 25 million<br />

readers and listeners.<br />

<strong>Population</strong>, Health, and Environment (PHE): The PHE program is designed to increase understanding of population<br />

and environmental linkages and improve environmental and health policies. <strong>MEASURE</strong> <strong>Communication</strong> supported<br />

14 publications and eight PHE capacity building workshops, as well as work with the media.<br />

Interagency Gender Working Group (IGWG): <strong>MEASURE</strong> <strong>Communication</strong> played a key role in the production and dissemination<br />

of a variety of IGWG products—CD ROMs, publications, discussion guides, and PowerPoint presentations.<br />

PRB managed the IGWG listserv and website; designed, edited, produced, and disseminated much of IGWG’s print<br />

materials; and developed promotional materials for the IGWG and related workshops and presentations.


<strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

3<br />

and local staff owing to joint team visits, and more<br />

timely dissemination of research results.<br />

● USAID Missions lack incentives for data use. Since<br />

USAID Mission result frameworks rarely include<br />

results that focus on data use activities, there are limited<br />

incentives for devoting resources to these activities<br />

in the field.<br />

Publications<br />

● Cross-country comparisons are valued. From a policy<br />

standpoint, users place high value on being able to<br />

compare their own country’s progress to others and<br />

on learning about approaches to issues and problems<br />

that have been tried elsewhere.<br />

● The publications had a wider range of end-uses and<br />

-users than those specified in the project’s results<br />

framework; USAID should support publications to<br />

reach these audiences. In addition to use for policy<br />

and program development, the materials were used in<br />

research, classroom teaching, training of nurses and<br />

other service providers, and community education in<br />

rural areas, where there is typically a dearth of information<br />

materials.<br />

● There is no “best” format or style for international<br />

publications. Key informant interviews revealed that<br />

some readers prefer shorter, more concise materials<br />

while others seek greater detail. Similarly, some prefer<br />

more data-oriented presentations while others appreciate<br />

stories and experiences. Also, readers differed on<br />

the importance of making publications visually<br />

attractive. Making each new publication available as a<br />

set of materials, or covering a single topic from multiple<br />

angles could be most effective for meeting the<br />

needs of diverse audiences.<br />

● Developing country users still want print materials.<br />

Increasing numbers of users are retrieving information<br />

via e-mail and the Internet, but the vast majority of<br />

audiences still prefer having print copies of materials<br />

for convenience, cost, and readability.<br />

Media<br />

● A series of media workshops that include the same<br />

journalists over time builds a deeper knowledge<br />

base and stronger commitment among the participants.<br />

This approach develops stronger and broader<br />

expertise on reproductive health among participants;<br />

bolsters relationships among journalists as they draw<br />

support from each other, strengthening their commitment<br />

to and coverage of the issues; and enables the<br />

journalists to gain respect and influence in their<br />

newsrooms and in their communities.<br />

● Support for high-level media networks creates leaders.<br />

By arming journalists with accurate and timely<br />

information and helping them to incorporate this in<br />

their news stories, PRB’s media work created leaders<br />

as well as media experts—leaders in local journalism<br />

communities as well as civil society. Some of the journalists<br />

moved on to serve in policymaking positions<br />

within their governments, while others move up in<br />

their journalism profession. Others were tapped by<br />

NGOs, businesses, and government officials to share<br />

their knowledge by serving on panels and facilitating<br />

workshops on reproductive health issues.<br />

● Networks that include journalists and policymakers<br />

open communication channels. PRB explored different<br />

models for its media work, most notably by<br />

including policymakers and other influential people<br />

in a network with high-level journalists. This model<br />

showed that mixing the two groups improves communication<br />

between them and, as a result, improves<br />

news coverage of important issues. Each learns how<br />

to talk to the other, clearing the way for more effective<br />

and accurate news reporting.<br />

Capacity building<br />

● Workshops can lead to institutional change<br />

if that is an explicit part of the curriculum.<br />

Dedicating structured time to discuss with participants<br />

how they can institutionalize new skills and<br />

concepts within their organizations can result in the<br />

official adoption of new approaches once they return<br />

home.<br />

● Creative funding approaches build sustainability<br />

and increase participant commitment. Requiring<br />

interested workshop candidates to try to find their<br />

own funding, but with the caveat that funding is<br />

available for a limited number of qualified applicants,<br />

significantly increases the likelihood that participants<br />

will come with their own funding and builds the sustainability<br />

of the training program.<br />

● <strong>MEASURE</strong> <strong>Communication</strong>’s capacity building<br />

approach strengthened the project’s partner universities.<br />

Establishing the training programs within<br />

credible regional universities and transferring workshop<br />

techniques to local faculty helps build the<br />

capacity and the reputation of each institution as a<br />

regional training center or “hub.”<br />

● Building a training team reduces the staff burden<br />

and adds to sustainability. Each regional university<br />

has one to two “star” faculty who often find themselves<br />

pulled in many directions. Building teams of<br />

faculty with the requisite skills over time helps reduce<br />

overload and ensures a “threshold’ of trained staff<br />

who can share the burden of conducting intensive<br />

two-week workshops or a semester course.<br />

● Using alumni to facilitate training is cost effective.<br />

Drawing on local or regional workshop alumni to


4 <strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

augment the number of university faculty trainers<br />

ensures an adequate number of facilitators for each<br />

workshop, maximizes investments, and strengthens<br />

South-to-South relationships.<br />

<strong>Population</strong>, Health, and<br />

the Environment (PHE)<br />

● The most valid and reliable research resides in each<br />

of the separate P-H-E areas, thus there is still a need<br />

to promote more interdisciplinary work on the linkages.<br />

Efforts to link the three fields have been stymied<br />

by the very diversity of the scientific disciplines<br />

involved. Each field has its own terminology, methodology,<br />

and priorities. Fortunately, there is a growing<br />

awareness that closer cooperation among scientists<br />

from different disciplines will help head off current<br />

and impending threats to human and environmental<br />

well-being.<br />

● A combined understanding of journalists’ needs and<br />

the complexities of PHE linkages must underpin<br />

efforts to help journalists make the PHE connection.<br />

Journalists face three important challenges in reporting<br />

on PHE stories. First, many reporters understand that<br />

environmental issues have demographic and health<br />

dimensions, but may be intimidated by the complexity<br />

of explaining these links. Second, reporters must have a<br />

news peg that gives them a premise for writing the<br />

story. PHE angles on a news story are often long-term<br />

and rarely offer a direct hook around which to frame a<br />

story. Third, given the vastness of the field and degree<br />

of technical specialization among researchers, it is difficult<br />

for journalists to determine the best resources and<br />

experts to consult. <strong>MEASURE</strong> <strong>Communication</strong>’s handson<br />

approach to working with journalists helped them<br />

overcome these challenges and improve the quantity<br />

and quality of PHE news coverage.<br />

Gender<br />

● Coordinated dissemination of key results from<br />

USAID special initiatives, like the Interagency<br />

Gender Working Group, facilitates network building<br />

and knowledge sharing among technical communities.<br />

<strong>MEASURE</strong> <strong>Communication</strong>’s series of IGWG<br />

publications documented the technical evolution of<br />

the IGWG knowledge community. The collective<br />

thinking moved from working to define gender and<br />

its role in reproductive health (RH) programming to<br />

the importance of documenting impact. The steady<br />

stream of papers served to emphasize the importance<br />

of USAID’s investment in gender-related activities.<br />

● Proactive publications management and dissemination<br />

of the technical work of USAID special initiatives<br />

can support important debates on USAID<br />

investment priorities. The final IGWG publication<br />

supported by <strong>MEASURE</strong> <strong>Communication</strong>—the “So<br />

What” paper—clearly identified the need for additional<br />

rigorous evaluation of the gender component in RH<br />

projects that have included gender. While <strong>MEASURE</strong><br />

<strong>Communication</strong> did not support the substantive development<br />

of the paper, by making the important content<br />

accessible and widely available, <strong>MEASURE</strong><br />

<strong>Communication</strong> helped support discussion within the<br />

USAID community of investment priorities.<br />

Monitoring and evaluation<br />

● Having a framework of the policy process that<br />

included the role of information in creating windows<br />

of opportunity for policy change helped the<br />

project design useful M&E approaches.<br />

● Effective, relatively low cost mechanisms exist to<br />

monitor policy communications activities.<br />

Establishing databases using commercially available<br />

software that allow staff to track activities and document<br />

impact significantly improves monitoring<br />

capacity, but it requires diligence by project staff to<br />

create and maintain the systems.<br />

● The project collected more information on publications<br />

than staff could usefully absorb, analyze, and<br />

respond to. The thousands of questionnaires<br />

returned with information on our audiences and<br />

their opinions, in multiple languages, created a burden<br />

for staff who had to enter these into our database<br />

and analyze for future use. In the future, PRB could<br />

use bounceback questionnaires only periodically, for<br />

publications that are particularly innovative or different<br />

(to find out how they are used) or for those that<br />

we hope to repeat in the future (to solicit suggestions<br />

for improvement).<br />

● Written questionnaires and telephone interviews<br />

both have advantages and disadvantages as data collection<br />

tools. Contrary to what PRB staff anticipated,<br />

bounceback questionnaires provided more specific<br />

examples of the use of particular publications (i.e., “we<br />

used it in developing our guidelines on gender”), while<br />

the interviews gave a broader perspective of how<br />

organizations use information over time, with fewer<br />

specific examples (in spite of probing), because of difficulty<br />

of recall. Key informant interviews also had a<br />

greater disadvantage of taking about six months to<br />

complete, with substantial staff time. Because questionnaires<br />

are far cheaper than interviews and the<br />

information is almost equally rich, periodic written<br />

questionnaires may be sufficient to find out how information<br />

is used and its potential for impact.<br />

● Establishing a comprehensive workshop follow-up<br />

program facilitated the documentation of impacts<br />

and strengthened commitment. By helping each participant<br />

establish goals, creating and maintaining an


<strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

5<br />

alumni listserv, sending out periodic reminders of participant<br />

objectives, and conducting follow-up evaluations,<br />

the team was better able to document training<br />

impacts, reinforce new concepts, and increase participant<br />

commitment to practicing effective policy communication<br />

techniques.<br />

Results Framework<br />

and Evaluation<br />

Approaches<br />

<strong>MEASURE</strong> <strong>Communication</strong> was guided by a results<br />

framework that evolved over the life of the project. This<br />

section briefly explains the project’s research-based<br />

results framework and the techniques staff used to monitor<br />

and evaluate activities. Specific impacts are highlighted<br />

in the activity sections that follow.<br />

Results Framework<br />

In FY01, <strong>MEASURE</strong> <strong>Communication</strong> developed a new<br />

results framework that better articulates the role of information<br />

in the policy process and how specific project<br />

activities contribute to improved policies and programs. 2<br />

Using a nonlinear model to capture the realities of policymaking,<br />

the framework identified problems, solutions,<br />

and politics as streams that move through the policy system.<br />

Policy change occurs when these streams converge<br />

to create a “window of opportunity” for change (see<br />

Figure 1, page 6).<br />

The policy process can be influenced by carrying out<br />

activities relevant to each of the streams to create these<br />

windows of opportunity. The three main ways to intervene<br />

are by focusing attention on issues to get them on<br />

the policy agenda (agenda-setting), creating or strengthening<br />

coalitions that keep attention focused on issues<br />

(coalition building), or increasing the knowledge that<br />

policymakers have on issues (policy learning). Each of<br />

these three categories of policy work can be supported by<br />

communication interventions. The project added two<br />

more categories to reflect the foundation needed to<br />

strengthen the capacity of host-country counterparts and<br />

the development community to use country-specific data<br />

and research for policy change. Thus, the new results<br />

framework was designed to document the affects of<br />

<strong>MEASURE</strong> <strong>Communication</strong>’s interventions on the policy<br />

process. The Intermediate Results (IRs) based on this<br />

approach are listed below. The old framework focused on<br />

kinds of activities, i.e. publications, journalists’ networks,<br />

and capacity building. The new one focused on why these<br />

activities are important components of policy change. As<br />

such, the new Intermediate Results were a better reflection<br />

of the Strategic Objective of the overall <strong>MEASURE</strong><br />

Program. (See Attachment 1 for the indicators used to<br />

measure results.)<br />

<strong>MEASURE</strong>-I’s Strategic Objective: To improve and institutionalize<br />

the collection and utilization of data for<br />

monitoring, evaluating, and making policy decisions.<br />

<strong>MEASURE</strong> <strong>Communication</strong>’s Intermediate Results:<br />

● Process through which key population, health, nutrition,<br />

and environment (PHN/E) issues are placed and<br />

maintained on the policy agenda strengthened.<br />

● Coalitions or alliances around key PHN/E issues created<br />

or strengthened.<br />

● The effective dissemination of PHN/E information to<br />

priority policy audiences supported.<br />

● Individual and institutional capacity to disseminate<br />

policy-relevant PHN/E data and information<br />

strengthened.<br />

● Policy communication techniques developed<br />

and tested.<br />

Monitoring and<br />

Evaluation Approaches<br />

The <strong>MEASURE</strong> <strong>Communication</strong> staff developed effective<br />

approaches to track project activities within the new<br />

results framework. This section provides an overview of<br />

these monitoring and evaluation (M&E) approaches.<br />

In-country activities<br />

The in-country M&E activities mirrored those presented<br />

for specific kinds of activities in more detail below; for<br />

example, including bounceback questionnaires with<br />

mailings, tracking newspaper articles, and sending follow-up<br />

surveys after workshops. Evaluation of in-country<br />

work was tailored to the size and scope of the activity as<br />

well as each USAID Mission’s strategic objectives and<br />

intermediate results. Monitoring information was collected<br />

on a routine basis. In addition, the project conducted<br />

special studies for several of the in-country efforts.<br />

Following are a few examples:<br />

● In India, the <strong>MEASURE</strong> <strong>Communication</strong> team<br />

assessed the policy impact of the National Family Life<br />

Survey (NFSF)—one of the largest and most<br />

resource-intensive, USAID-supported national surveys<br />

in the world—and the <strong>MEASURE</strong> program’s dissemination<br />

activities. The team sent questionnaires to<br />

all the 680 members of the NFHS-2 mailing list,<br />

which included public- and private- sector PHN programs,<br />

research institutions, universities, USAIDfunded<br />

CAs, and donors working throughout the<br />

country. The mailing yielded an astounding 25 percent<br />

questionnaire return rate (the usual rate of


6 <strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

FIGURE 1<br />

<strong>MEASURE</strong> COMMUNICATION FRAMEWORK<br />

Capacity<br />

Building<br />

Capacity<br />

Building<br />

Coalition<br />

Building<br />

POLITICS<br />

Policy<br />

Learning<br />

PROBLEMS<br />

Window of<br />

opportunity<br />

SOLUTIONS<br />

Agenda<br />

Setting<br />

return is 3 percent to 5 percent), and a rich compilation<br />

of user information, ranging from how data<br />

influenced thinking on a topic to how the data have<br />

been used.<br />

● In Cambodia, <strong>MEASURE</strong> <strong>Communication</strong> supported<br />

an extensive evaluation of the provincial-level, data-use<br />

workshops that included the participation of government<br />

and NGO staff to design the instruments, collect<br />

the data and analyze it. Approaches included pre- and<br />

post-workshop questionnaires, focus groups, and indepth<br />

interviews.<br />

● In Madagascar, the project maintained detailed<br />

records of the articles published in the press by both<br />

project-sponsored Intermedias media network members<br />

and journalists who were not in the network.<br />

The project also supported a special assessment of<br />

Intermedias.<br />

Publications<br />

Project staff monitored use and gathered feedback on<br />

international publications continuously, using three<br />

M&E approaches:<br />

1. The project database tracked detailed distribution<br />

data for each publication. The level of requests and<br />

the identity of the requesters provided valuable information<br />

about who made use of which materials. The<br />

project database sorts distribution information by<br />

country, region, language, field of work, organizational<br />

type, and other specifics. A query to the database<br />

can reveal, for example, how many religious organizations<br />

receive and request PRB materials, or how many<br />

recipients are government agencies versus NGOs.<br />

2. “Bounceback questionnaires” enclosed with each new<br />

material provided quick feedback on a limited number<br />

of questions. The questionnaires, formatted as a<br />

one-page self-mailer, allowed for quick feedback:<br />

Users responded to 4-5 questions, usually when<br />

ordering additional materials from PRB. (The mailer<br />

allows the user to place an order for additional copies<br />

at the same time.) The questions included whether a<br />

material is very useful, useful, or not useful; what<br />

activities readers use the materials for; how many<br />

people see and use the material; and, in some cases,<br />

ways to improve the materials or suggested topics for<br />

future publications. These responses yielded an enormous<br />

amount of both quantitative and qualitative<br />

information for the project. Though a small percentage<br />

of respondents returned questionnaires for each<br />

publication, 3 PRB received at least several hundred<br />

questionnaires for each material in each language,<br />

yielding more than 7,500 questionnaires over the<br />

course of the project.<br />

3. Key informant interviews allowed for more in-depth<br />

probing of selected members of PRB’s audiences. Key<br />

informant interviews, conducted mostly by telephone,


<strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

7<br />

allowed PRB staff to explore the use of materials more<br />

in-depth, both with those audiences who requested<br />

additional materials and those who did not. These<br />

interviews were organized in two stages: First, from<br />

2001-2002, PRB staff interviewed 37 individuals from<br />

17 countries whose organizations had frequently<br />

requested additional copies of PRB publications during<br />

the previous five years (“frequent requesters”).<br />

These interviews explored how the publications had<br />

been used and what impact, if any, could be identified<br />

as resulting from this use. Second, in 2003, consultants<br />

in seven countries contacted 36 recipients who had<br />

never given feedback on our publications nor requested<br />

additional publications (“nonresponders”).<br />

Media<br />

<strong>MEASURE</strong> <strong>Communication</strong> tracked the project’s media<br />

activities by asking journalists who attended seminars or<br />

conferences under the project’s auspices to submit all the<br />

newspaper articles or TV/radio transcripts that they prepared<br />

after participating. The articles were catalogued<br />

electronically and kept in binders. PRB’s media staff regularly<br />

reviewed the articles and sent feedback to the<br />

authors.<br />

Project staff also sought feedback from seminar participants<br />

as to how they had been able to use the information<br />

or skills beyond specific articles, and if they<br />

perceived any policy or coalition building results from<br />

their efforts. Their responses were catalogued according<br />

to the project’s results framework.<br />

In addition, project staff conducted several special<br />

media analyses: for example, staff surveyed all the journalists<br />

who were on the media listservs to ascertain how they<br />

had used the information and how the service could be<br />

improved; conducted an assessment of all the articles written<br />

after the national seminar to release the India National<br />

Family Health Survey to identify themes and errors in the<br />

coverage; and engaged a consultant to do a detailed review<br />

of the project’s West Africa media activities.<br />

Capacity building<br />

<strong>MEASURE</strong> <strong>Communication</strong> developed an extensive follow-up<br />

and evaluation process for the capacity-building<br />

program. At the end of each training seminar, facilitators<br />

worked with participants to establish objectives on skills<br />

use over the next year. Then PRB staff worked actively to<br />

follow up:<br />

1. At three months, the participants were reminded of<br />

their objectives via e-mail; at six months each participant<br />

received a postcard from <strong>MEASURE</strong><br />

<strong>Communication</strong> (written by the participants themselves<br />

on the final day of the workshop) that contained<br />

the objectives that they developed; and at one<br />

year they received an evaluation questionnaire to<br />

determine whether they were able to implement any<br />

of their objectives. Participants were also asked to give<br />

examples of individual skill use and institutional<br />

(programmatic or operational) changes that have<br />

come about as a direct result of the training received.<br />

2. PRB established a listserv after each workshop to promote<br />

regular exchange among participants to share<br />

ideas and news, seek advice, and keep the workshop<br />

participants and facilitators informed of progress in<br />

implementing their objectives outlined in the final<br />

week.<br />

Because of the efforts to keep in contact with alumni,<br />

<strong>MEASURE</strong> <strong>Communication</strong> had up to a 65 percent<br />

response rate from the follow-up questionnaires sent to<br />

participants at the one-year mark.<br />

Special assessments<br />

PRB staff organized special assessments throughout the<br />

life of the project to monitor the pace and impact of project<br />

activities. The results of these studies were used to<br />

modify and improve project services. Following is a list of<br />

some of the activities that were studied:<br />

● The policy files (a survey of requestors);<br />

● The Policy Fellows (a survey of participants);<br />

● The International Programs Fellows (a survey<br />

of the Fellows);<br />

● PopPlanet, a collaborative website between<br />

PRB and the National Center for Science and<br />

the Environment (a detailed user assessment,<br />

comparative analysis and content review done<br />

by outside consultants); and<br />

● The IGWG listserv (an electronic survey using<br />

“Survey-Monkey” software).<br />

Country Work<br />

<strong>MEASURE</strong> <strong>Communication</strong> carried out an extensive set of<br />

country activities, often in collaboration with other MEA-<br />

SURE partners, to enhance the use of <strong>MEASURE</strong>-generated<br />

and other local data and information (see Figure 2,<br />

page 8). Box 2 (page 9) provides a quick overview of the<br />

range and scope of this aspect of the project. This section<br />

will review in more detail the impacts of three country<br />

activities: India, Kenya, and Cambodia.<br />

The project’s approach to in-country technical assistance<br />

flowed directly from the policy-change model, particularly<br />

in countries where technical assistance was<br />

significant and multiyear. In a highly collaborative and<br />

participatory style, staff worked on a range of activities


8 <strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

that addressed agenda setting, coalition building, and<br />

policy learning. Collectively, this was a substantial body<br />

of work: the <strong>MEASURE</strong> <strong>Communication</strong> team worked in<br />

17 countries or regions, including assistance to two<br />

regional institutions (in Jordan and Mali) that in turn<br />

supported PHN/E dissemination and data use to a large<br />

number of countries throughout their regions.<br />

The in-country work reflects the true character of the<br />

<strong>MEASURE</strong> <strong>Communication</strong> team. Project staff brought a<br />

deep commitment to working collaboratively and tirelessly<br />

with partners around the world to support<br />

enhanced population and health policies by making<br />

<strong>MEASURE</strong>-generated and other data accessible and by<br />

creating forums and opportunities to support use of<br />

those data for policies and programs. PRB received feedback<br />

from in-country partners throughout the life of the<br />

project that recognized not just the commitment to technical<br />

excellence but also the genuine spirit of partnership.<br />

The in-country work covered a wide range of activities,<br />

including developing policy communications strategies,<br />

preparing publications, and working with incountry<br />

media. For example, <strong>MEASURE</strong> <strong>Communication</strong><br />

supported five country-data sheets, six booklets or chartbooks,<br />

40 fact sheets, more than 100 PowerPoint presentations,<br />

one video, and more than a dozen other reports<br />

or translations.<br />

Capacity building lay at the heart of <strong>MEASURE</strong><br />

<strong>Communication</strong>’s country work. Project staff wanted not<br />

just to convey the invaluable information developed by<br />

the other <strong>MEASURE</strong> partners, but also to develop a sustainable<br />

capacity to continue policy communications<br />

work in the future without project assistance. Thus all the<br />

multiyear, in-country efforts included extensive capacitybuilding<br />

activities, tailored to the needs of partner organizations<br />

and directed toward strengthening the following:<br />

● Information needs assessments that can be used to<br />

improve information collection activities, strengthen<br />

the relationship between data producers and users,<br />

and facilitate the identification of mutual priorities.<br />

● Strategic plans for information communication that<br />

include identifying the policy and program implications<br />

of research findings; establishing communication<br />

objectives; identifying appropriate audiences; selecting<br />

messages, formats, channels, and spokespersons; pretesting<br />

the information and the dissemination<br />

approach; and evaluating the process and the results.<br />

● Data use activities such as using household and facility<br />

survey data or routine health management data for<br />

program planning and policy reform.<br />

● Use of state-of-the-art (SOTA) tools and techniques<br />

to produce quality materials and presentations and to<br />

effectively evaluate communication activities.<br />

FIGURE 2<br />

COUNTRIES IN WHICH <strong>MEASURE</strong> COMMUNICATION WORKED<br />

Russia<br />

Romania<br />

Mexico<br />

Honduras<br />

Jamaica<br />

Senegal<br />

Guinea<br />

Mali<br />

Pakistan<br />

Jordan<br />

India<br />

Kazakhstan<br />

Cambodia<br />

Japan<br />

Brazil<br />

Tanzania<br />

Kenya<br />

Madagascar


<strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

9<br />

BOX 2<br />

OVERVIEW OF <strong>MEASURE</strong> COMMUNICATION COUNTRY WORK<br />

Brazil: Prepared a 24-page report highlighting the<br />

accomplishments and lessons learned in USAID’s last<br />

phase of assistance to family planning and reproductive<br />

health in Brazil.<br />

Cambodia: Supported dissemination of the Cambodia<br />

DHS and conducted a series of national and provinciallevel<br />

training sessions for health staff that focused on:<br />

(1) a need for strengthened capabilities to interpret,<br />

analyze, and use the Demographic and Health Survey<br />

results; (2) increased dissemination to sub-national<br />

decisionmakers as well as national policy audiences; and<br />

(3) increased health planning capacity.<br />

East Europe and Eurasia: Worked with CDC and DHS+<br />

partners to develop and disseminate a comparative<br />

summary of 11 surveys in the region, in English,<br />

Russian and Romanian, and a summary of RH survey<br />

findings in Romania. 4<br />

Guinea: Participated in the first joint assessment visit<br />

with <strong>MEASURE</strong> DHS+ and <strong>MEASURE</strong> Evaluation staff; conducted<br />

initial information and capacity building needs<br />

assessments among 14 public- and private- sector institutions<br />

and donors and developed a detailed, DHS implementation<br />

and dissemination workplan and budget that<br />

resulted in the mobilization of significant additional<br />

funds from the World Bank for dissemination activities.<br />

Honduras: Collaborated with USAID/Honduras and CDC<br />

to disseminate policy-relevant data on maternal-child<br />

health and HIV/AIDS. Using data from the 2001<br />

National Epidemiological and Family Health Survey prepared<br />

one national and eight regional wallcharts that<br />

highlight the most important findings in the survey.<br />

India: Provided assistance to the International Institute<br />

for <strong>Population</strong> Studies to disseminate the findings of<br />

the second National Family Health Survey (NFHS-2).<br />

Support included conducting seminars in 20 states; producing<br />

a series of materials, a video, and 90 graphic<br />

presentations; and orchestrating press events that<br />

resulted in over 275 newspaper, Internet, and wire service<br />

articles and broadcast programs that featured NFHS-<br />

2 data.<br />

Jamaica: Provided assistance to CDC for the dissemination<br />

of the results of the 1997 Reproductive Health<br />

Survey in national and regional level seminars. For the<br />

national level seminar, prepared a Summary Chart Book,<br />

overheads, speaking notes, and a press kit. Following<br />

the National Seminar, participated in four regional, daylong<br />

seminars.<br />

Japan: Working in support of the Clinton administration’s<br />

“Common Agenda,” participated in seminars with<br />

Japanese officials, prepared a Japanese newsletter summary<br />

of English-language research reports, and translated<br />

data sheets and publications.<br />

Jordan: Provided support to the Jordan National<br />

<strong>Population</strong> Commission to translate into Arabic four<br />

reproductive health publications; disseminated of over<br />

8,000 copies throughout the Middle East.<br />

Kenya: Supported both national and sub-national dissemination<br />

efforts for the Kenya Demographic and<br />

Health Survey and the Kenya Service Provision<br />

Assessment (KSPA) in collaboration with the Ministry of<br />

Health, the Ministry of Planning, <strong>MEASURE</strong> DHS+, and<br />

<strong>MEASURE</strong> Evaluation. Assisted with implementation of<br />

16 district seminars and the production of 16 district<br />

fact sheets and discussion guides used during the seminars;<br />

supported four regional seminars on the KSPA<br />

findings that resulted in the development of 70 databased<br />

district health plans. Prepared a special assessment<br />

of the Bungoma Malaria Project.<br />

Madagascar: Supported the dissemination of DHS data,<br />

published wall charts, policy briefs, and fact sheets,<br />

established an independent association of journalists,<br />

and undertook several capacity building workshops.<br />

Mali: Working with CERPOD, increased regional capacity<br />

to disseminate policy-relevant research findings and to<br />

advocate for country-specific program changes based on<br />

data and other research information.<br />

Mexico: Prepared a detailed review and policy summary<br />

of USAID’s support for family planning activities in<br />

Mexico.<br />

Pakistan: Provided technical assistance to support the<br />

<strong>Population</strong> Council/Pakistan’s policy communication<br />

activities, including consultant support for a workshop<br />

and assistance in developing a communications strategy<br />

for two surveys, one on youth and one on unintended<br />

pregnancy.<br />

Russia: Supported an extensive set of activities in the<br />

development of health policy reforms for reproductive<br />

health, lead abatement, and management of diabetes. 5<br />

Senegal: Developed and field-tested an audience<br />

assessment tool to guide HIV/AIDS policy communications<br />

and advocacy strategies. 6<br />

Tanzania: Developed a series of PowerPoint presentations<br />

to support a wider distribution of DHS data, produced<br />

three chartbooks including an overview of<br />

HIV/AIDS, and provided support for a national dissemination<br />

seminar and a special meeting of key health officials<br />

working on HIV/AIDS. 7


10 <strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

Cambodia<br />

In FY99, USAID’s Asia/Near East Bureau provided field<br />

support to <strong>MEASURE</strong> <strong>Communication</strong> for policy communication<br />

activities in Cambodia. 8 PRB and USAID staff<br />

identified three needs during an assessment visit to<br />

Phnom Penh in May 2000:<br />

1. A need for strengthened capabilities to interpret, analyze,<br />

and use the Demographic and Health Survey<br />

results;<br />

2. A need to disseminate data to sub-national decisionmakers<br />

as well as national policy audiences; and<br />

3. A need to build capacity to disseminate critical information<br />

on maternal health to a variety of audiences.<br />

To meet these needs, <strong>MEASURE</strong> <strong>Communication</strong><br />

supported the release of the 2000 Cambodia Demographic<br />

and Health Survey (CDHS) through publications<br />

and data-use workshops. Local partners included<br />

the Department of Planning and Health Information<br />

(DPHI), Ministry of Health (MOH), and the Reproductive<br />

Health Association of Cambodia (RHAC).<br />

Publications included seven four-page policy briefs, a<br />

wall chart containing national and provincial health and<br />

family planning indicators, and a six-page foldout of key<br />

national indicators. All materials were produced in<br />

Khmer and English and disseminated to policy audiences<br />

in Cambodia and the Southeast Asia region. To<br />

meet the third need, staff provided technical support to<br />

the Cambodian Midwives Association to develop a<br />

newsletter for their members.<br />

These initial activities led to the use of CDHS data in<br />

Cambodia’s second development plan. In May 2000, the<br />

Secretary of State of the Ministry of Planning (MOP), Lay<br />

Prohas, requested <strong>MEASURE</strong> <strong>Communication</strong> staff to<br />

review the accuracy of the data in the health chapter of<br />

the draft Second Five-Year Socioeconomic Development<br />

Plan (SEDP II). The <strong>MEASURE</strong> <strong>Communication</strong> team, in<br />

collaboration with MOP representatives, reviewed the<br />

document and edited the health chapter to replace old<br />

health and demographic indicators with data from the<br />

Cambodia DHS preliminary tables. Indicators such as<br />

infant and child mortality, maternal mortality, and fertility<br />

were revised and submitted to Secretary Prohas. He<br />

informed PRB staff that these changes had been incorporated<br />

into the final development plan.<br />

The largest set of activities was addressed to health staff<br />

at the provincial level. The project team conducted 23<br />

three-day provincial workshops in late 2002, attended by<br />

over 450 local health staff, and 50 staff of local and international<br />

NGOs and donor agencies. The first two hours of<br />

each workshop included presentation of key maternal/child<br />

health and family planning data from the CDHS. The rest<br />

of the workshop focused on basic epidemiology and its<br />

applications, analysis of local health services, monitoring<br />

and evaluation, and data integrity and use.<br />

Workshop results<br />

<strong>MEASURE</strong> <strong>Communication</strong> conducted a detailed evaluation<br />

of the workshops in the spring of 2003 to document<br />

how the participants had been able to use the knowledge<br />

and skills they had acquired, and the impact of that use<br />

on their own performance, as well as that of their organizations,<br />

including development of Action Plans per the<br />

new health planning cycle introduced by the MOH in its<br />

Health Sector Strategic Plan, 2003-07. 9<br />

The evaluation revealed that the workshops not only<br />

helped the participants better understand data and how<br />

to use it but also led to improved planning. For example,<br />

the average score (percentage of correct responses to 10<br />

questions) at the pre-test for all of the workshops was 55<br />

percent and the post-test score was 75 percent. Fifty-nine<br />

participants in four provinces received the same post-test<br />

approximately six months later to determine learning<br />

retention. Table 2 shows that while all of the provinces<br />

scored lower on the second post-test than they did on the<br />

first, the average scores were higher than the initial pretests.<br />

These results indicate that significant learning did<br />

take place during the workshops, that basic concepts<br />

introduced during the workshop were well understood by<br />

participants, and that, despite the varied educational<br />

backgrounds of the participants, the workshop curriculum<br />

proved to be accessible and comprehensible to the<br />

vast majority of participants.<br />

The evaluation also asked participants in which<br />

areas they had applied their new knowledge and skills.<br />

The highest proportion (90 percent) stated “planning”<br />

followed closely by “monitoring and evaluation”<br />

(88 percent), with much lower proportions for “program<br />

management” (73 percent), “service delivery” (61 percent),<br />

“resource allocation” (53 percent), and “research”<br />

TABLE 2<br />

PRE- AND POST-TEST WORKSHOP RESULTS<br />

(average percentage correct<br />

responses to 10 questions)<br />

FOUR PROVINCES IN CAMBODIA<br />

Province Pre-Test Post-Test Second<br />

(%) (%) Post-Test (%)<br />

Kaoh Kong 58 83 76<br />

Takaev 62 91 75<br />

Steung Traeng 63 78 75<br />

Siem Reab 51 75 69


<strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

11<br />

(51 percent). Ninety-eight percent of the participants<br />

agreed that data played a critical role in the development<br />

of the action plans for their provinces or operational<br />

districts, and 92 percent confirmed that the knowledge<br />

and skills they had learned in the workshop had been<br />

used in the preparation of their action plans. As one<br />

program manager said, “Since the training there is<br />

an improvement because we understand input, output,<br />

objectives, indicators so that it is easier to identify objectives<br />

in our programs.”<br />

The evaluation also yielded a rich pool of information<br />

to support ongoing policy communication and datause<br />

activities in Cambodia. The following are some of the<br />

key findings:<br />

● In terms of the workshop curriculum, the greatest<br />

obstacle encountered was in translating the modules<br />

from English to Khmer. There is a lack of specific<br />

Khmer language equivalents for many of the technical<br />

terms in English. For example in Khmer, there are not<br />

separate words for “effect” and “impact,” a real challenge<br />

when trying to explain M&E techniques. PRB<br />

staff recommend that a standardized glossary of technical<br />

terms specific to the health sector be compiled<br />

and published by the MOH which will make future<br />

capacity-building efforts more effective.<br />

● Conducting the workshops within the provinces<br />

contributed significantly to their success. Holding<br />

the workshops in the provincial capitals closer to<br />

their places of work ensured that attendance<br />

remained at 100 percent for all workshops. A subtle<br />

but strong signal was sent to participants of the<br />

importance of their work and their contributions to<br />

health service delivery by having the facilitator teams<br />

attend their provincial offices instead of the other way<br />

around. An added benefit was that staff of international<br />

and local NGOs working in the provinces<br />

could also attend as observers – more than 50 such<br />

staff participated.<br />

● To improving data use, it is key to establish a positive<br />

culture of information. It is clear from the evaluation<br />

that such a positive culture does not yet exist.<br />

While most respondents did cite data use as important,<br />

far fewer could cite instances where they were<br />

actively using data in their work. Although some key<br />

staff from referral hospitals such as directors and<br />

chiefs of technical bureaus were included in the training,<br />

very few health center staff were included. The<br />

evaluation team recommends that training health<br />

center staff, particularly those who are instrumental<br />

in the development of action plans, be carried out as<br />

a priority in the near future.<br />

● Participants would like to learn from other<br />

provinces’ experiences in using data for planning<br />

purposes. “What is working in other provinces?”<br />

“What action plans could be considered exemplary?”<br />

“Do you have any examples?” These were frequently<br />

raised questions during the workshops. Clearly there<br />

are lessons that could be learned across provinces and<br />

these information exchanges should be encouraged.<br />

Possible fora for such exchanges could include<br />

regional workshops or study tours.<br />

As one other indicator of success, the Department of<br />

Planning and Health Information of the Ministry of<br />

Health conducted a second set of workshops in late 2003.<br />

Impressed with the <strong>MEASURE</strong> <strong>Communication</strong> workshops<br />

and their outcomes, MOH secured funding for the<br />

second set entitled Planning for Change: From Health<br />

Information to Planning and Action. PRB staff (with<br />

other sources of funding than <strong>MEASURE</strong>) worked with<br />

URC and the Ministry of Health to develop the curriculum,<br />

conduct the training of trainers, and prepare for the<br />

workshops that were held in all 24 provinces.<br />

India<br />

<strong>MEASURE</strong> <strong>Communication</strong> initiated a multi-year workplan<br />

in FY00 to expand the dissemination of the National<br />

Family Health Survey (NFHS) to high-level policymakers<br />

at the national and state levels and to enhance the use of<br />

that data for advocacy and planning purposes. 10 At the<br />

national level, PRB assisted with the preparations for the<br />

national seminar and associated events in close collaboration<br />

with <strong>MEASURE</strong> DHS+ staff. <strong>MEASURE</strong><br />

<strong>Communication</strong> supported the development of a 20-<br />

minute video, in English and Hindi; three wall charts on<br />

key population and health topics; and a series of factsheets<br />

for journalists. PRB and Indian partners also<br />

organized press coverage, which resulted in 275 news<br />

articles and broadcasts.<br />

At the state level, <strong>MEASURE</strong> <strong>Communication</strong>’s<br />

approach to disseminating the NFHS-2 survey findings<br />

was threefold. First, dissemination seminars were conducted<br />

in 22 states, with a more intensive effort in six<br />

priority states (Madhya Pradesh, Rajasthan, Maharashtra,<br />

Bihar, Orissa, and Jharkhand). In the priority states, the<br />

team sponsored two-day seminars, produced state-specific<br />

graphic fact sheets, and conducted full press briefings<br />

the day before each seminar. One-day seminars were conducted<br />

in the remaining states, which included the distribution<br />

of press releases and press interviews.<br />

Second, the team used a strategic dissemination<br />

approach by making the most of existing opportunities<br />

such as regularly scheduled annual meetings or other<br />

planning and policy events. For example, in preparation<br />

for a Futures Group-sponsored seminar to kick off the<br />

state population policy planning process in Uttar<br />

Pradesh, <strong>MEASURE</strong> <strong>Communication</strong> provided a fact


12 <strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

sheet depicting NFHS-2 population and health data and<br />

trends to use in the planning process. <strong>MEASURE</strong><br />

<strong>Communication</strong> also supported a special NFHS-2 session<br />

during the annual conference of the Indian Association<br />

for the Study of <strong>Population</strong>. Over 80 researchers, program,<br />

and policy officials attended.<br />

The third strategy was to transfer skills and build<br />

capacity among local staff in designing dissemination<br />

seminars, developing effective policy-level presentations<br />

tailored for each state, and preparing materials and giving<br />

interviews with the press<br />

Impacts<br />

The PRB team tracked results over the life of the project<br />

and documented innumerable examples of enhanced<br />

awareness, the use of specific products, and policy<br />

impacts. For example, the wallchart released in May 2000,<br />

received wide press coverage in India’s leading national<br />

newspapers, such as The Times of India and The Hindu.<br />

The wallchart was developed with input from the<br />

Secretary of Family Welfare, head of one of the Ministry<br />

of Health’s two branches. During this meeting, the<br />

Secretary noted some things he wanted to change on the<br />

wallchart to enhance its effectiveness. He also noted that<br />

in his view wallcharts and fact sheets such as those produced<br />

by <strong>MEASURE</strong> <strong>Communication</strong> are the most effective<br />

means of disseminating information to policymakers.<br />

It is clear that the NFHS-2 data and their implications<br />

gained the attention of program staff and policymakers.<br />

Key issues cited in the evaluation questionnaire included<br />

differentials in infant mortality by number of living children<br />

or by birth interval, and several references to the<br />

high prevalence of domestic violence and low status of<br />

women in terms of household decision-making. Trends<br />

between the NFHS-1 and 2 also provided new insights<br />

and raised awareness about ongoing challenges. Following<br />

are several concrete examples:<br />

● Immediately after the Madhya Pradesh dissemination<br />

seminar, the Principal Secretary for Health convened<br />

a meeting of the heads of each health department<br />

to discuss the NFHS-2 findings and to map out a<br />

strategy for addressing priority problems at the<br />

district level.<br />

● Following the Rajasthan dissemination seminar, Mr.<br />

Nanda, the National Secretary of Health and Family<br />

Welfare, agreed to provide resources for four regional<br />

workshops, to examine regional programs based on<br />

NFHS-2 findings, and to define priority issues for<br />

planning purposes.<br />

● High-level officials at the Ministry of Health and<br />

Family Welfare held discussions with research and<br />

program staff about the status of maternal health and<br />

the measurement of maternal mortality following the<br />

publication of one newspaper article that erroneously<br />

reported that maternal mortality was increasing. (The<br />

data indicate that the real story is that India’s very<br />

high maternal mortality ratio changed very little<br />

between NFHS-1 and NFHS-2.)<br />

● A staffer in the State Family Welfare Bureau in<br />

Maharashtra said, “It was revealing that the contribution<br />

of younger couples to fertility [high] and unmet<br />

need of contraception in Maharashtra has not<br />

changed much since NFHS-1.”<br />

The evaluation questionnaires and other kinds of feedback<br />

also highlighted extensive use of the data for policy<br />

development, planning, and management. For example:<br />

● The Ministry of Health and Family Welfare in Delhi<br />

cited use of the data for the development of the 10th<br />

Five-Year Plan.<br />

● The National Commission on <strong>Population</strong> explained<br />

that the NFHS-2 helped to sensitize policymakers to<br />

be more precise. For the first time, the 10th National<br />

Plan established quantifiable social indicators to monitor<br />

progress and included goals for the reduction of<br />

malnutrition levels and infant feeding under the<br />

national nutrition goals.<br />

● The Government’s Department of Women and Child<br />

Development staff used NFHS-2 data to formulate<br />

their “Nutritional Policy for Children,” as well as to<br />

prepare plans, reply to questions from members of<br />

parliament, and conduct situational analyses.<br />

● In Tamil Nadu, high-level officials were not aware<br />

how much data on maternal and child nutrition status<br />

were available in the NFHS-2 until these data were<br />

presented at the state dissemination seminar.<br />

According to the Secretary for Social Welfare, these<br />

data were then used as baseline information in their<br />

new state nutrition policy.<br />

● Several states cited use of NFHS findings and trends<br />

in the drafting of state population policies or action<br />

plans (Andhra Pradesh, Jharkhand, Rajasthan, and<br />

Uttar Pradesh); and the new state of Jharkhand,<br />

a USAID priority state, also used the data in the<br />

development of their first Reproductive and Child<br />

Health Policy.<br />

● The NFHS-2 data also had impacts on family planning<br />

efforts: UNFPA has used the data for project formulation<br />

in specific states; the Commercial Market Strategies<br />

Project (CMS) in New Delhi stated that the data were<br />

used to help justify the decrease in subsidy support for<br />

oral contraceptives and condoms; and the Family<br />

Planning Association of India used the data on India’s<br />

over-emphasis on female sterilization to advocate for<br />

expanding the range of family planning methods available<br />

in the government family welfare program.


<strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

13<br />

Kenya<br />

The Kenya Demographic and Health Survey (KDHS) was<br />

completed in 1999. A Service Provision Assessment<br />

(KSPA) was finalized in 2001. In collaboration with the<br />

National Council for <strong>Population</strong> and Development<br />

(NCPD), the Ministry of Health, and <strong>MEASURE</strong> DHS+,<br />

<strong>MEASURE</strong> <strong>Communication</strong>’s role was to ensure that findings<br />

from these surveys reached key policy and program<br />

officials in accessible formats for planning, management,<br />

and policy purposes. 11 Dissemination activities contributed<br />

to the achievement of the following Mission<br />

objectives: SO3, “Reduce fertility and the risk of HIV/AIDS<br />

transmission through sustainable, integrated family planning<br />

and health services”; and IR1.1, “Policies and program<br />

approaches for FP/AIDS/CS services improved.”<br />

<strong>MEASURE</strong> <strong>Communication</strong> supported both national<br />

and sub-national dissemination efforts for the KDHS and<br />

KSPA. Specific activities included assisting with the<br />

implementation of 16 district seminars by creating six<br />

provincial-level presentations,16 district fact sheets, and a<br />

brief discussion guide that was used during seminar<br />

breakout sessions to encourage dialogue among local representatives<br />

and national officials. The project provided<br />

support for media coverage of the national seminar by<br />

calling local media contacts, developing a media list, writing<br />

a press alert, and preparing a fact sheet of key findings<br />

designed specifically for journalists. Through<br />

<strong>MEASURE</strong> <strong>Communication</strong>’s efforts, the DHS survey<br />

results received substantial coverage in national print and<br />

broadcast media.<br />

In 2001, through a series of regional seminars,<br />

<strong>MEASURE</strong> <strong>Communication</strong> staff worked with the MOH<br />

and the NCPD to disseminate and use the results of the<br />

KSPA. The seminars provided an opportunity for the<br />

MOH to launch its new, decentralized program reform<br />

initiative—a planning process that used the KSPA data as<br />

a means of identifying priority issues. The primary benefit<br />

was the development of district health plans for each<br />

of the 70 districts. Another related benefit was the opportunity<br />

to link information from the KSPA (used as a<br />

baseline) with district work. According to Ministry officials,<br />

it was very important for district staff to see this<br />

link because it gave credibility to the MOH’s reform<br />

planning effort. To date, the MOH has approved about 75<br />

percent of the district work plans.<br />

<strong>MEASURE</strong> <strong>Communication</strong> also provided policy<br />

communication support to other USAID initiatives. Since<br />

1998, USAID has supported an extensive pilot project in<br />

the Bungoma District to improve maternal and child<br />

health and survival by preventing and treating malaria.<br />

Now in its fifth year, the project has supported over 24<br />

operations research studies and numerous interventions.<br />

<strong>MEASURE</strong> <strong>Communication</strong> worked with AMREF (the<br />

implementing agency) and representatives of CDC, the<br />

Quality Assurance Project, CARE, the USAID Bureau for<br />

Africa, and Mission staff to synthesize the studies and to<br />

identify key findings and lessons learned. This report also<br />

includes 10 program and policy implications that have<br />

relevance at national and sub-national levels. Examples of<br />

programs and policies that were improved as a result of<br />

the study include scaling up a vendor-to-vendor education<br />

program to improve malaria prescribing practices in<br />

selected districts, and reducing taxes on netting materials<br />

and insecticides for bednets.<br />

Global Activities<br />

<strong>MEASURE</strong> <strong>Communication</strong> carried out a wide range of<br />

dissemination activities to make <strong>MEASURE</strong>-supported<br />

data and research available to key audiences around the<br />

world, as well as exciting results from other CAs and<br />

international agencies. This section describes those activities<br />

and their impacts.<br />

Publications<br />

Under <strong>MEASURE</strong> <strong>Communication</strong>, PRB developed print<br />

materials as a key channel for disseminating policy-relevant<br />

information on population, reproductive health,<br />

maternal and child health, and the environment.<br />

<strong>MEASURE</strong> <strong>Communication</strong>’s mandate was to provide a<br />

regular source of up-to-date information to those who<br />

participate in and contribute to population and health<br />

policy. The flow of information contributed to IR3: The<br />

effective dissemination of PHN/E information to priority<br />

policy audiences supported. In the project’s policy<br />

model this IR contributed to policy learning.<br />

Attachment 2 provides a list of publications produced<br />

for global audiences over the life of the project.<br />

PRB produced 36 new publications plus five annual<br />

updates of PRB’s World <strong>Population</strong> Data Sheet, all in<br />

multiple languages and many in multiple formats. (All<br />

of the formats and languages totaled 114 new materials.)<br />

We distributed 606,718 copies of publications in<br />

targeted mailings and fulfilled requests for an additional<br />

344,101 copies, resulting in a total dissemination of<br />

950,000 materials.<br />

Each material produced under the project was disseminated<br />

to selected audiences on <strong>MEASURE</strong><br />

<strong>Communication</strong>’s international mailing list, which contains<br />

more than 16,000 entries in over 100 countries.<br />

The greatest concentration of recipients was in USAIDsupported<br />

countries, and about half of all recipients<br />

work in the population and health field. The other half<br />

were categorized as general development and environment,<br />

business and labor, finance, education, libraries,<br />

women, youth, religion, and media.


14 <strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

Following the release of new materials, <strong>MEASURE</strong><br />

<strong>Communication</strong> broadcast their availability via e-mail to<br />

numerous U.S. and international listservs and posted them<br />

on the project’s and PRB’s websites. The materials were also<br />

regularly displayed and disseminated at professional conferences<br />

(PAA, APHA, and GHC) and international technical<br />

and policy forums, such as numerous Cairo+5 meetings<br />

in 1999, Beijing+5 meetings in 2000, and the World<br />

Summit on Sustainable Development in 2002.<br />

Evidence of impact<br />

Orders for publications after initial mailings were a key<br />

indicator that <strong>MEASURE</strong> <strong>Communication</strong> publications<br />

contributed to policy learning by maintaining a steady flow<br />

of information. Over the course of the project, PRB<br />

received nearly 43,000 requests for a total of 344,101 copies<br />

of publications. Forty-one percent of these copies went to<br />

recipients in Africa, 20 percent to Latin America and the<br />

Caribbean, and 15 percent to South and Southeast Asia<br />

(see Table 3). The large demand for print materials in<br />

Africa probably resulted from the relevance of the materials<br />

to that continent’s reproductive health problems and the<br />

dearth of materials available locally (frequently mentioned<br />

in questionnaires and key informant interviews). Beginning<br />

in 2001, the bounceback questionnaires asked recipients to<br />

estimate how many people would SEE the reports and how<br />

many would USE them. In the 5,035 questionnaires that<br />

contained responses to these questions, recipients stated<br />

that a total of 630,716 people would see the reports and<br />

163,733 would use them. This represents an average of 125<br />

people seeing each copy, and 33 people using it. While<br />

these are estimates, it is clear that readership far exceeded<br />

the number of initial recipients.<br />

More requests originated in the United States (11 percent<br />

of additional copies distributed) than any other<br />

country because USAID cooperating agencies often<br />

requested copies for redistribution to their projects’ audiences<br />

in developing countries. Apart from these requests,<br />

TABLE 3<br />

COPIES OF INTERNATIONAL<br />

PUBLICATIONS REQUESTED, BY REGION<br />

Region<br />

% copies requested<br />

Sub-Saharan Africa 41<br />

Latin America & Caribbean 21<br />

South & Southeast Asia 15<br />

North America 11<br />

Oceania 7<br />

Middle East & North Africa 3<br />

Western Europe 1<br />

Eastern Europe & Eurasia 1<br />

25 percent of requests came from four developing countries<br />

(see Table 4), and 34 percent of requests came from<br />

the top six countries.<br />

In all, nearly 43,000 requests came from about 150<br />

countries, and roughly 40 percent of all organizational<br />

entries on the mailing list requested a publication. Some<br />

organizations repeatedly requested additional copies for<br />

distribution to their staff, field offices, and affiliates—and<br />

for redistribution in conferences and training workshops.<br />

While it is not possible to display the diversity of organizations<br />

here, Table 5 (page 15) lists those organizations<br />

that requested more than 1,000 copies of publications<br />

(multiple orders for multiple publications). These organizations<br />

represent diverse fields and countries, but most<br />

can be characterized as having both policy and educational<br />

missions in their countries and communities.<br />

The bounceback questionnaires included with all publications<br />

gathered evidence of policy learning through<br />

several multiple choice and open-ended questions.<br />

Readers could respond to multiple choice questions rating<br />

the usefulness and selecting from a range of possible uses.<br />

Open-ended questions asked readers to describe how the<br />

materials were used and whether the materials changed<br />

their views. The thousands of responses provided<br />

glimpses of incremental learning in many facets of<br />

national life as well as decisionmaking at a grassroots<br />

level. The following are illustrative examples from three<br />

publications that focused on reproductive health.<br />

Regarding “New <strong>Population</strong> Policies: Advancing<br />

Women’s Health and Rights”:<br />

It will be very helpful for policy development of women’s<br />

RH rights and designing programs.<br />

—Assistant Director, Women’s Program,<br />

Family Planning Association of Bangladesh,<br />

Dhaka, Bangladesh<br />

TABLE 4<br />

TOP 10 DEVELOPING COUNTRIES<br />

REQUESTING INTERNATIONAL<br />

PUBLICATIONS<br />

Country<br />

% copies requested<br />

India 8<br />

Nigeria 7<br />

Ghana 6<br />

Kenya 5<br />

Philippines 5<br />

Zimbabwe 3<br />

Bolivia 3<br />

Uganda 3<br />

Pakistan 2<br />

Peru 2


<strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

15<br />

…Developing church leaders’ policy statement and<br />

guidelines on gender issues and women’s health rights.<br />

—General Secretary, Christian Council of Tanzania,<br />

Dodoma, Tanzania<br />

This report will be of help in identifying what questions<br />

to put in the [demographic and socioeconomic] questionnaire,<br />

what specific indicators to calculate, how to present<br />

the data in the report publications such that our work is<br />

comparable to other countries internationally.<br />

—Secretary General, <strong>Population</strong> Analysis and<br />

Studies Center, Central Statistical Authority,<br />

Addis Ababa, Ethiopia<br />

I use the facts and figures to do advocacy, to include in<br />

presentations made at training programs my organization<br />

runs on human rights of women in Ghana.<br />

—Executive Director, The Ark Foundation,<br />

Accra, Ghana<br />

Similar information is not available locally… Being an<br />

employer organization, social development indicators<br />

form an important part of our work… It is useful for the<br />

preparation of proposals for projects.<br />

—President, Employer’s Federation of Pakistan,<br />

Karachi, Pakistan<br />

TABLE 5<br />

ORGANIZATIONS THAT REQUESTED 1,000 OR MORE COPIES<br />

OF <strong>MEASURE</strong> COMMUNICATION PUBLICATIONS (MULTIPLE ORDERS FROM 1998-2003)<br />

Name<br />

City (State), Country<br />

Africa<br />

GASSPE – Groupement d’Appui aux Soins de Sante Primaire et Environnement<br />

Centre for Youth Welfare and Development<br />

Ghana Education Service – Training Division<br />

Moslem Ladies Association<br />

Koriko Medical Clinic<br />

JSI Project<br />

Assoc. for Reproductive and Family Health<br />

Health Committee, Catholic Secretariat of Nigeria<br />

Dotson Stockwell Enterprises<br />

Ministere Charge Protection de l’Environnement<br />

Health Education Training Institute<br />

Kamuli Network of NGOs<br />

MCH/FP Division, Ministry of Health<br />

HIV/AIDS Education, Ministry of Education<br />

Zimbabwe National Family Planning Council<br />

The Americas<br />

CARE Bolivia<br />

PROCOSI – Programa de Coordinacion en Supervivencia Infantil<br />

UNESCO/Ministrio de Educacion<br />

Programa Nacional de Atencion Integral en Salud de la Mujer<br />

Conseil d’Action Social d’Haiti<br />

AED- Linkages Project<br />

Asia<br />

National FP Coordinating Board (BKKBN)<br />

Commission on <strong>Population</strong>, Regional Office<br />

Commission on <strong>Population</strong><br />

Manipur University, Chief Medical Officer<br />

National Women’s Welfare Centre<br />

Orissa State Volunteers and Social Workers Assoc.<br />

UNICEF<br />

National Center for <strong>Population</strong> Research and Training<br />

Ouesse, Benin<br />

Bolgatanga, Ghana<br />

Accra, Ghana<br />

Bolgatanga, Ghana<br />

Eldoret, Kenya<br />

Antananarivo, Madagascar<br />

Ibadan, Nigeria<br />

Lagos, Nigeria<br />

Ibadan, Nigeria<br />

Kigali, Rwanda<br />

Freetown, Sierra Leone<br />

Kamuli, Uganda<br />

Lusaka, Zambia<br />

Harare, Zimbabwe<br />

Harare, Zimbabwe<br />

La Paz, Bolivia<br />

La Paz, Bolivia<br />

Quito, Ecuador<br />

San Salvador, El Salvador<br />

Port-au-Prince, Haiti<br />

Washington, DC, USA<br />

Mataram, Indonesia<br />

Cagaya, Philippines<br />

Manila, Philippines<br />

Manipur, India<br />

Kerala, India<br />

Orissa, India<br />

New Delhi, India<br />

Kathmandu, Nepal


16 <strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

It is mentioned in the Joint Directors of Health Services<br />

and Deputy Directors of Medical Meetings held in a<br />

month. It is used to develop the “policy note.”<br />

—State Demographers, Directorate of Family Welfare,<br />

Chennai, India<br />

Regarding the “Women of Our World 2002” data sheet:<br />

We are planning to advocate for education of the girl<br />

child. We will use the data for developed and developing<br />

countries, including Turkey.<br />

—Executive Director,<br />

Family Planning Association of Turkey, Ankara, Turkey<br />

[Usefulness is to] ensure that gender is integrated into programs<br />

and projects submitted to the PIOJ for approval<br />

—Manager, <strong>Population</strong> Planning Unit, Planning<br />

Institute of Jamaica (PIOJ), New Kingston, Jamaica<br />

The data provided allows us to compare MMR in South<br />

Africa with other countries. In terms of advocacy, it<br />

offers the opportunity to guide policy and programs<br />

related to human resources.<br />

—Director, Health Systems Research,<br />

Department of Health, Pretoria, South Africa<br />

The data sheet will be used in our information system as<br />

a baseline of structured data to show trends in women’s<br />

health.<br />

—PHC Undersecretary,<br />

Ministry of Health and <strong>Population</strong>, Cairo, Egypt<br />

Hundreds of readers commented on how “Abandoning<br />

Female Genital Cutting” changed their views:<br />

I am one of the pioneers fighting this practice in my country,<br />

yet this booklet enriched my knowledge on the topic.<br />

—Dean, Institute for Training and Research in Family<br />

Planning, Alexandria, Egypt<br />

Personally, in the past my knowledge of the effect of FGC<br />

was very limited. By reading the text, my knowledge<br />

increased on the extent of the problem operating under<br />

our organization.<br />

—Director, Archdiocesan Catholic Secretariat,<br />

Social and Development Coordination,<br />

Addis Ababa, Ethiopia<br />

I was helpless in ways to stop FGC. Now I know that<br />

international organizations are concerned and provide<br />

support. I am convening NGOs in northern Ghana to<br />

form a network for FGM elimination.<br />

—Director, Community Welfare Foundation,<br />

Kumasi, Ghana<br />

It made me more determined to include FGM as a<br />

subject in our week long trainings for traditional healers<br />

and birth attendants.<br />

—Coordinator, Community-based Health Promotion<br />

Program, HIV/AIDS Prevention and Control Unit,<br />

Dar es Salaam, Tanzania<br />

Audiences used materials for a wide range of purposes,<br />

not just those that appear directly linked to policy.<br />

Many uses, however, such as reports, speeches, and conferences,<br />

contributed to policy learning even if they were<br />

not identified as “policy” per se. Table 6 summarizes the<br />

multiple-choice questions regarding uses from all the<br />

bounceback questionnaires and for three specific publications.<br />

Uses of <strong>MEASURE</strong> <strong>Communication</strong> materials<br />

were wide-ranging, spanning diverse audiences and purposes.<br />

Many institutions and communities used the<br />

materials for basic education and awareness-raising<br />

about key issues affecting the population—and particularly<br />

women, youth, and other specific groups highlighted<br />

in the reports.<br />

Innovative Uses<br />

of Electronic Media<br />

<strong>MEASURE</strong> <strong>Communication</strong> also used websites and listservs<br />

to achieve IR3, i.e. as channels to extend the flow of<br />

information reaching audiences. Though quality print<br />

materials with a long “shelf-life” are still in demand in<br />

places where Internet access is poor, the project reformatted<br />

all materials for posting on the project’s website,<br />

made materials available through PRB’s electronic library<br />

(e-library, or PH Infoshare), and produced CD-ROMs.<br />

Graphics contained in the publications were also reformatted<br />

for the graphics bank on PRB website.<br />

<strong>MEASURE</strong> <strong>Communication</strong> supported four websites:<br />

<strong>MEASURE</strong> <strong>Communication</strong>, <strong>MEASURE</strong> Gateway, PopNet,<br />

and PopPlanet. 12 The <strong>MEASURE</strong> <strong>Communication</strong> and<br />

PopNet sites became part of PRB’s dynamic web database<br />

in August of 2001. After that time, all content generated<br />

by these two sites was included on PRB’s website, indexed<br />

in its database by topic and region. Because of this database,<br />

<strong>MEASURE</strong> <strong>Communication</strong> publications received a<br />

wider audience. In FY2003, for example, the PRB websites<br />

recorded more than 1 million “unique visitors,” and visitors<br />

looked at more than 13 million pages on all PRB<br />

websites. From the PRB website alone, users downloaded<br />

the equivalent of 290,000 200-page books.<br />

The World <strong>Population</strong> Data Sheet, which was supported<br />

in part by <strong>MEASURE</strong> <strong>Communication</strong>, is the most<br />

popular publication on PRB’s website. In 2002, on average,<br />

61,000 visitors clicked on the data sheet each month.<br />

In addition to having the data sheet in pdf format, PRB<br />

also uses the data in another popular PRB website feature,<br />

“DataFinder.” This is a simple database that visitors can<br />

query to receive data by world region, country, and demographic<br />

variable. Currently DataFinder contains data<br />

for 95 variables and for more than 200 countries. The<br />

<strong>MEASURE</strong> <strong>Communication</strong> publication, 2002 Women of<br />

Our World datasheet, is also featured in DataFinder.<br />

The <strong>Population</strong> Bulletins are viewed and downloaded<br />

by thousands of visitors a month. One <strong>MEASURE</strong>-spon-


<strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

17<br />

sored <strong>Population</strong> Bulletin, “New <strong>Population</strong> Policies:<br />

Advancing Women’s Health and Rights” (published in<br />

March 2001) was viewed by 3,000 visitors in 2002 and<br />

1,600 in 2003, numbers that show its continued popularity<br />

two years after publication.<br />

PopNet was a very popular website: In FY2003 and<br />

2004, the site averaged between 8,000 and 10,000 unique<br />

visitors a month. This award-winning website was developed<br />

with USAID funding in 1997 and became part of<br />

<strong>MEASURE</strong> <strong>Communication</strong> in FY98. PopNet was a wellregarded<br />

resource for population information: it was<br />

included in the Encyclopaedia Britannica’s list of the<br />

Web’s Best Sites, in the University of Wisconsin-<br />

Madison’s selective collection of Internet resources chosen<br />

by librarians and content specialists known as The<br />

Scout <strong>Report</strong> for Social Sciences, in the United Nations<br />

<strong>Population</strong> Division’s POPIN Electronic Library, and as<br />

one of the main information resources on the home page<br />

of <strong>Population</strong>.com. The <strong>Population</strong> Media Center<br />

described PopNet as “a very large reference site, probably<br />

the best resource for population information available<br />

with a comprehensive directory of population-related<br />

websites searchable by topic or keyword, by organization,<br />

or through a world regions map.”<br />

Policy Information Services<br />

<strong>MEASURE</strong> <strong>Communication</strong>’s Policy Information Services<br />

also contributed to IR3 by responding to information<br />

requests from USAID/W, USAID missions, USAID cooperating<br />

agencies, the U.S. State Department, and other<br />

major international health and population organizations.<br />

Over the life of the project, PRB staff responded to<br />

requests for 2,943 briefing packets and other information.<br />

One-quarter of these requests came directly from<br />

USAID staff and three-quarters from CAs and other<br />

development organizations.<br />

The Policy Information Services relied on two sets of<br />

information gathered and maintained in the Policy Files:<br />

(1) demographic, socioeconomic, family planning/reproductive<br />

health, HIV/AIDS, gender, and population policy<br />

indicators, all used to produce eight-page reports for over<br />

100 countries; and (2) a collection of country-specific<br />

policy-related materials, such as government reports and<br />

policy statements, journal articles, and articles from daily<br />

newspapers and Internet sources. This information was<br />

compiled into country packets to inform USAID staff<br />

and other audiences of the most current information on<br />

population, family planning, and reproductive health<br />

policies and issues of developing countries.<br />

PRB staff conducted a survey of people who had<br />

requested briefing packets to determine how they had<br />

been used. Most of the recipients used them as reference<br />

or briefing material when going on a work-related trip or<br />

preparing presentations. Some recipients distributed the<br />

briefing packets to visitors or other colleagues. One<br />

respondent said, “I distribute many more copies than I<br />

use personally. I distribute them to decisionmakers and<br />

discuss parts with them, urging them to use the information<br />

for policy development or logistics systems design,<br />

for example.”<br />

TABLE 6<br />

REPORTED USES OF <strong>MEASURE</strong> COMMUNICATION PUBLICATIONS<br />

(AS PERCENTAGE OF QUESTIONNAIRE RESPONDENTS)<br />

All publications Abandoning Making 2002 Women of<br />

(%) FGC (%) Motherhood Our World<br />

Safer Data Sheet (%)<br />

<strong>Reference</strong> 47 43 49 56<br />

Writing 48 41 50 66<br />

Library 53 63 49 54<br />

Classroom 36 29 46 40<br />

Policy 22 21 25 30<br />

Project/program 37 32 37 40<br />

Training 49 53 57 55<br />

Conference 27 24 24 32<br />

Research 48 49 46 57<br />

Other 10 17 11 13<br />

Note: Responses add to more than 100 percent because respondents identified more than<br />

one use. English responses only are shown for the three selected publications.


18 <strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

Recipients reported that they valued the briefing<br />

packets because they were comprehensive and saved time:<br />

“They are among the most valuable resources I use, both<br />

for myself and for the in-country colleagues I work with.<br />

There are many sources of information, but they are not<br />

distilled. And few come as close to being as ‘one stop<br />

shopping.’ You also have the sense that the essentials are<br />

not escaping you. Somebody with the expertise and the<br />

attention has captured the most important elements and<br />

given the sources for other info should you need it.” The<br />

questionnaire also asked “How would your work be<br />

affected if you did not use them?” One USAID recipient<br />

wrote, “I’d have to ask someone else to put the information<br />

together, and I am not sure anyone would be available<br />

to do so.” Another respondent said, “I would have to<br />

spend considerably more time gathering information<br />

myself, and frankly, I wouldn’t. I don’t have the skills in<br />

information access or even the time. This is to say that<br />

my work wouldn’t be as good.”<br />

Media<br />

Under <strong>MEASURE</strong> <strong>Communication</strong>, PRB supported hundreds<br />

of journalists in less developed countries, helping<br />

them to produce more and better news stories about<br />

population, reproductive health, environment, and gender.<br />

The media program had three basic approaches toward<br />

improving media coverage of population, health, and environment<br />

issues: developing networks of journalists, supporting<br />

journalists to attend international conferences, and<br />

providing increased access to written materials and news<br />

stories. By forming and maintaining networks of journalists<br />

and informing them through seminars and workshops,<br />

the project formed alliances among these reporters, editors,<br />

and producers (IR2); built their capacity to report<br />

PHN/E issues (IR4); and fostered a commitment to raise<br />

awareness of these issues among policymakers and the<br />

public (IR1). Because of these media activities, many<br />

PHN/E issues have more prominence on policy agendas in<br />

countries around the world (IR3).<br />

Over the life of the project, <strong>MEASURE</strong><br />

<strong>Communication</strong> staff facilitated a half dozen networks<br />

and conducted workshops for more than 340 editors,<br />

reporters, and producers from 35 countries. (Some participated<br />

more than once.) As a direct result, the journalists<br />

produced more than 1,200 print articles and<br />

broadcast stories and programs on reproductive health,<br />

gender, and environmental issues, most of which would<br />

not have been done otherwise (see Attachment 3). Many<br />

of the journalists continue to write about these issues,<br />

and some now write columns and features that run regularly<br />

in their publications. PRB estimated that <strong>MEASURE</strong><br />

<strong>Communication</strong>’s international media networks reached<br />

as many as 25 million readers and listeners.<br />

The Network Approach<br />

<strong>MEASURE</strong> <strong>Communication</strong>’s work with the news media<br />

had a distinctive approach to training: a cross-border,<br />

sustained network design that brought together journalists<br />

from different countries and regions to learn about<br />

population-related issues and receive up-to-date regional<br />

and country-specific information. Most of these journalists<br />

remained in their networks for two years or more,<br />

building bonds with the other journalists as they attended<br />

informational seminars and workshops together and<br />

maintained regular contact through e-mail and listservs<br />

in between seminars.<br />

Through these networks, the journalists motivated<br />

and encouraged each other to expand and improve their<br />

work. They learned during the seminars about population,<br />

reproductive health, environmental, and gender<br />

issues around the world as well as in their own countries.<br />

They discussed the issues with health and medical<br />

experts, women’s advocates, and international and<br />

national officials. Site visits helped them to understand<br />

the practical aspects of the issues by seeing successful<br />

programs at work. They also shared personal and professional<br />

experiences, developed coverage strategies and<br />

story ideas, and discussed how their role as journalists<br />

can affect policy decisions.<br />

PRB’s longest running network is Women’s Edition<br />

(WE). It was launched in 1993 with USAID funding and<br />

included in <strong>MEASURE</strong> <strong>Communication</strong> in FY98. WE<br />

consisted of 10 to 12 senior-level women editors and producers<br />

from influential media networks in developing<br />

countries who gather twice a year for seminars that focus<br />

on women’s reproductive health issues. Seminars were<br />

held on such topics as family planning, adolescent sexuality,<br />

and maternal mortality. Following each seminar, the<br />

journalists wrote, edited, and produced in-depth supplements,<br />

series of articles, and radio and TV programs for<br />

their news organizations on the theme of the seminar.<br />

(See Attachment 4 for Women’s Edition participants from<br />

1998–2003.)<br />

Capitalizing on new democracies and the proliferation<br />

of a free press, PRB provided technical support to networks<br />

of newspaper and broadcast journalists in West<br />

Africa with USAID funding since 1996. Pop’Mediafrique is<br />

a network of 15 editors (“gatekeepers”) and local health<br />

officials from five Francophone countries: Burkina Faso,<br />

Cote d’Ivoire, Mali, Mauritania, and Senegal. In 2000,<br />

based on the success of the Pop’Médiafrique model, the<br />

<strong>MEASURE</strong> <strong>Communication</strong> team, in collaboration with<br />

the PANOS Institute, launched a second regional network<br />

to support women journalists, calling it Fem’Mediafrique.<br />

This initiative brought women journalists together with<br />

public policymakers and influential leaders from their<br />

respective countries for seminars on selected topics. In<br />

2002, the two networks were combined and continued to


<strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

19<br />

work together providing responsible news coverage and<br />

serving as leaders in reproductive health. 13<br />

The West Africa model was designed to increase the<br />

quality and quantity of reporting on reproductive health<br />

and gender issues, provide a forum for South-to-South<br />

exchange of newsworthy research findings and their policy<br />

implications, and to strengthen linkages between the<br />

news media and researchers from regional institutions.<br />

The team conducted annual seminars in the different<br />

countries on a rotating basis to provide a forum for<br />

learning and for discussing issues with local experts. Over<br />

the years, members participated in seminars focused on<br />

HIV/AIDS, sexually transmitted infections (STIs), family<br />

planning, maternal health, and advocacy. The original<br />

model for this activity evolved over the course of the<br />

project, and network members in Burkina Faso, Mali, and<br />

Senegal formed their own country-specific reproductive<br />

health networks.<br />

<strong>MEASURE</strong> <strong>Communication</strong>’s newest regional media<br />

network, the Eastern and Southern Africa Women’s Media<br />

Network (ESAWomen), links 10 newspaper, radio, and TV<br />

journalists in Kenya, Malawi, South Africa, Tanzania,<br />

Uganda, and Zambia. <strong>MEASURE</strong> <strong>Communication</strong> launched<br />

the network in 2002 to focus on reproductive health issues<br />

with a seminar once a year to sensitize the journalists to key<br />

issues, provide them with accurate, up-to-date information,<br />

and connect them with policymakers, researchers, and<br />

other experts on the issues.<br />

<strong>MEASURE</strong> <strong>Communication</strong> extended its reach within<br />

the media by working with existing networks of journalists,<br />

including Africawoman, a group of women journalists<br />

from eight African countries who produce a monthly<br />

newspaper on issues that concern women. In FY04, PRB<br />

conducted a seminar on key reproductive health topics<br />

for Africawoman journalists from each of the countries<br />

represented in the network: Ghana, Kenya, Malawi,<br />

Nigeria, Tanzania, Uganda, Zambia, and Zimbabwe.<br />

Following the seminar, PRB sponsored a 12-page special<br />

issue of the newspaper, also called Africawoman, that was<br />

posted on the group’s website and distributed in the eight<br />

countries to members of parliament, the media houses<br />

(which use some of the stories in their local newspapers)<br />

NGOs, and others who influence policymakers. The network<br />

is also linked to community radio stations across<br />

Africa that use the stories in their broadcasts.<br />

International Conferences<br />

<strong>MEASURE</strong> <strong>Communication</strong> sponsored 128 journalists to<br />

attend and cover 15 regional and international conferences<br />

on topics related to population and development.<br />

(Some attended more than one conference.) For these<br />

events, PRB usually organized mini-workshops before the<br />

conferences to brief the journalists on the issues.<br />

Journalists from the media networks often were selected<br />

for sponsorship, though PRB also chose journalists based<br />

on written applications and recommendations. (See<br />

Attachment 5 for conferences and the number of journalists<br />

sponsored.)<br />

Access to Information<br />

<strong>MEASURE</strong> <strong>Communication</strong> made extensive use of listservs<br />

to disseminate information and stay in touch with<br />

journalists. For example, the project sent information<br />

selected from approximately 15 population and reproductive<br />

health listservs to 75 journalists on a daily basis.<br />

<strong>MEASURE</strong> <strong>Communication</strong> conducted a survey to determine<br />

the effectiveness of this service. About 30 percent of<br />

the journalists responded. Close to 70 percent of the<br />

respondents reported that the information provided to<br />

them was “very relevant” to their work, and another 20<br />

percent responded “somewhat relevant.” All respondents<br />

reported that the information provided was new, and that<br />

they used the information for their work. One-third<br />

reported they used the information to develop presentations<br />

and/or prepare for seminars; two-thirds stated they<br />

used the information to write news articles; one-third<br />

responded that they had used information from the service<br />

to develop projects or programs; and three-quarters<br />

reported that they had used the information to either<br />

persuade others to support their view or to persuade others<br />

to take specific actions. Many of the respondents also<br />

reported sharing the information with other editors,<br />

columnists, feature writers, and journalists who then used<br />

the information to write news articles, television scripts,<br />

develop programs, and commission articles.<br />

<strong>MEASURE</strong> <strong>Communication</strong> also used listservs to link<br />

participants of its media networks to enable members to<br />

share stories, solicit comments, exchange views, and provide<br />

moral support to one another. In one exchange on<br />

the ESAWomen listserv, a Malawi journalist wrote to her<br />

network colleagues that she appreciated their positive<br />

comments on an article she had written. “I must admit<br />

I do find it difficult sometimes and wonder if at all what<br />

I report on is making a difference, and when I get<br />

responses (from ESAWomen), I get charged up again and<br />

keep on going.”<br />

A participant at a <strong>MEASURE</strong> <strong>Communication</strong> media<br />

seminar on HIV/AIDS in Senegal built on the momentum<br />

of that event to create the electronic THIAT Group,<br />

which provides an e-forum for journalists, donors, and<br />

health experts to discuss breaking news and controversial<br />

issues, ask questions related to AIDS and AIDS reporting,<br />

and share information. Over the course of just a few<br />

months, the THIAT group grew to about 65 members<br />

including a large number of journalists, local health<br />

experts, and donor representatives from UNICEF, ILO,<br />

UNFPA, USAID, and UNESCO. The forum supported a<br />

lively and productive electronic dialogue among these


20 <strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

groups with a goal of encouraging more responsible news<br />

coverage on HIV/AIDS, and represents one of the first<br />

electronic forums of its kind in a West African nation that<br />

promotes frank exchange among prominent medical and<br />

development officials, donors, and journalists.<br />

Impacts<br />

<strong>MEASURE</strong> <strong>Communication</strong> ’s media work had clear<br />

impacts. Results supported the project’s strategic objectives<br />

and each of the intermediate results. The illustrations<br />

below highlight policy-level (SO) impacts followed<br />

by examples of IR-level results:<br />

● Media activity leads to new program. In 2001, Awa<br />

Gueye Kebe attended a Fem’Mediafrique seminar on<br />

women and HIV/AIDS in Senegal. At that time, she<br />

was the head of the Division of Women in the<br />

Ministry of the Family, Social Development and<br />

National Solidarity and was participating in the journalist<br />

seminar as an influential in the policy arena. She<br />

said the seminar changed her perception of women<br />

and AIDS. She learned that women are more vulnerable<br />

to AIDS than men and are also the most neglected.<br />

Ms. Kebé, who now heads the Ministry, said that after<br />

the seminar she designed a five-year strategic plan on<br />

women and AIDS and has since obtained funding<br />

from the World Bank. The strategic plan is part of the<br />

country’s Global AIDS program and will be implemented<br />

with women’s associations of Senegal. Each<br />

Ministry has to design an AIDS program and this is<br />

the program for her Ministry.<br />

● Increased resource allocations. In a 2003 assessment<br />

of the project’s West Africa media activities, several<br />

network members said the seminars influenced<br />

their careers. For example, Jerome Bilélé Benin, a<br />

Pop’Mediafrique member and former editor-in-chief<br />

of the newspaper Sidwaaya in Burkina Faso, said that<br />

he was named to his present government post as the<br />

communication specialist at the national AIDS program<br />

because of his AIDS coverage. Benin is now<br />

using his position and AIDS/media experience to reinforce<br />

national AIDS policy. He recently designed the<br />

national AIDS communication program that entails<br />

supporting media coverage of AIDS by giving 2 million<br />

CFA (approx. $3,700) to each of the four daily<br />

papers and 6 million CFA (approx. $11,000) to television<br />

and radio stations. These funds will be used for<br />

special AIDS coverage every Tuesday for a trimester.<br />

If the plan is successful, the sums will be increased.<br />

● News coverage supports contraceptive security.<br />

Miriam Mendoza, a journalist with CIMAC, a<br />

Mexican news agency, wrote stories that appeared in<br />

newspapers throughout Mexico and prompted TV<br />

and radio stories during and following an international<br />

conference in Istanbul on contraceptive supplies<br />

in 2001 that she attended with <strong>MEASURE</strong><br />

<strong>Communication</strong> support. Several months later, the<br />

Mexican government elevated contraceptive supplies<br />

to the category of national security, which essentially<br />

secured more funds to procure adequate supplies.<br />

Dr. Vicente Diaz, who at the time was director of<br />

family planning in the Ministry of Health and a participant<br />

at the conference, said later that Mendoza’s<br />

coverage of the Istanbul conference helped focus<br />

attention within the government and the public on<br />

the importance of ensuring adequate contraceptive<br />

supplies and was a “catalyst” for the government’s<br />

action.<br />

● News coverage prompted policy debate on maternal<br />

mortality. Eunice Mathu, editor of Parents magazine,<br />

an influential magazine based in Kenya and widely<br />

circulated throughout East Africa, says her Women’s<br />

Edition supplements are quoted by government officials,<br />

politicians, church pastors, and NGOs.<br />

Following a July 2002 seminar on reproductive health<br />

care, a story in her supplement on the large number<br />

of women dying from unsafe abortion in Kenya drew<br />

the attention of government officials. They cited the<br />

monthly magazine’s supplement, prompting a public<br />

discussion about the causes of maternal mortality and<br />

the status of abortion.<br />

IR1: Agenda Setting<br />

Feedback from the network members illustrates how<br />

<strong>MEASURE</strong> <strong>Communication</strong> activities contributed<br />

to greater public awareness of and debate on key<br />

PHN/E issues:<br />

● Kenya. A Women’s Edition supplement on genderbased<br />

violence prompted the Federation of Kenya<br />

Women Lawyers to ask Parents magazine to run a permanent<br />

column on the topic, which Parents agreed to<br />

do. Similarly, public reaction to the supplement on<br />

HIV/AIDS and women led the magazine to adopt a<br />

policy of including at least one article on the subject in<br />

every issue. The magazine’s editor also routinely sends<br />

the publication to Kenya’s members of parliament. Also,<br />

the Women’s Law Centre at the University of Zimbabwe<br />

has adapted two issues of her magazine containing<br />

Women’s Edition supplements (on women’s leadership<br />

and reproductive health) as library materials.<br />

● India. The editor of Femina, India’s most widely circulated<br />

women’s magazine, says the time she spent in<br />

Women’s Edition has made her more concerned with<br />

RH and gender issues, which is reflected in the content<br />

of her publication. “Thanks to Women’s Edition, I<br />

have been able to bring reproductive health awareness<br />

to 1.9 million readers of my magazine, a subject that<br />

was not really important or visible in the same context<br />

before 1992,” when she was selected to participate in


<strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

21<br />

the program. Indeed, when she was invited recently to<br />

be the only journalist on a panel with physicians for a<br />

program on women’s empowerment and contraception,<br />

she was told she was asked because her magazine<br />

was “aware and involved” in these issues.<br />

● Nepal. After airing a program on women’s leadership,<br />

a Nepalese participant in Women’s Edition was<br />

called to a meeting with the State Minister for<br />

Women, Children, and Social Welfare. The discussions<br />

focused on various aspects of womens involvement<br />

in media and leadership, including wider use<br />

of the media for improving women’s status.<br />

● Burkina Faso. After the Fem’Mediafrique seminar on<br />

women and HIV/AIDS in 1999, the director of Radio<br />

National Burkina, Mafarma Sanogo, created “Priorité<br />

Femmes,” a weekly health program that continues to<br />

this day. Program topics have included a number of<br />

reproductive health issues, such as women and modern<br />

contraception.<br />

● Malawi. Soon after the first ESAWomen’s seminar,<br />

which focused on HIV/AIDS and gender, a journalist<br />

from an independent weekly in Malawi persuaded her<br />

editor to give her one page every week for coverage of<br />

HIV/AIDS. Just a few months later, she was asked by<br />

her country’s National AIDS Commission to sit on a<br />

panel to review a draft HIV/AIDS policy. In response<br />

to articles she wrote following the second ESAWomen<br />

seminar (gender-based violence, family planning, and<br />

HIV/AIDS), a community radio station invited her to<br />

participate in a weekly program on women’s health to<br />

discuss the issues addressed by her HIV/AIDS page.<br />

They have received funding, and the program began<br />

in 2004.<br />

● Ghana. At the Ghana Broadcasting Corp., a Women’s<br />

Edition member led the movement to get better editorial<br />

treatment for issues on women’s health and<br />

reproductive rights, HIV/AIDS, and gender-based<br />

violence. “Today, these are no longer pushed aside as<br />

‘soft news’. <strong>Report</strong>age of these issues has improved<br />

qualitatively and quantitatively at my station.” Also,<br />

acting on information she learned about from MEA-<br />

SURE <strong>Communication</strong> listservs, she was selected to<br />

participate as a volunteer at the Barcelona AIDS conference<br />

in 2002; through a similar lead, she won a fellowship<br />

to receive training in the United States.<br />

IR.2: Coalition Building<br />

<strong>MEASURE</strong> <strong>Communication</strong> emphasized the importance<br />

of coalitions among journalists and between journalists<br />

and technical experts both to share information and<br />

to strengthen people’s commitments to working to<br />

improve health status in their countries. This approach<br />

had clear results:<br />

● Burkina Faso. <strong>MEASURE</strong> <strong>Communication</strong><br />

consultant Sié Somé and two local members of the<br />

Pop’Mediafrique network, helped create an independent<br />

entity called Pop’Media Burkina. This country<br />

network comprises radio and print journalists from<br />

both urban and rural areas throughout the country.<br />

Now registered as a nonprofit organization,<br />

Pop’Media Burkina undertakes a diverse range of<br />

population-related media activities that include serving<br />

as an information agency to produce articles on<br />

population themes for two newspapers and the<br />

national radio station. The group also supports and<br />

carries out coverage of an AIDS organization and<br />

local human rights group, and facilitates AIDS training<br />

for journalists for the national AIDS program.<br />

● India. A visit to a rape crisis center in New York<br />

inspired the Femina editor to start such a center in<br />

Bombay. She got in touch with the dean of a municipal<br />

hospital serving Asia’s biggest slum (Dharavi).<br />

Using the guidelines in a booklet she took back from<br />

the New York center, the dean set up a Crisis<br />

Counseling and Help Center at Sion Hospital.<br />

● Philippines. A Women’s Edition participant from the<br />

Philippines, who won awards for articles she wrote<br />

following the Women’s Edition seminar held in conjunction<br />

with the AIDS conference in South Africa in<br />

2000, has been commissioned by numerous organizations<br />

to conduct workshops for journalists on how to<br />

write about reproductive health and controversial<br />

issues within the topic. She also has been asked to<br />

speak to NGOs and businesses about how to package<br />

their causes into stories that will make the news and<br />

feature pages. Within her newsroom she is known for<br />

her opposition to sensational reporting on violence<br />

against women and is often consulted when her<br />

newspaper is criticized for such coverage. She says her<br />

activism, reinforced with information from Women’s<br />

Edition seminars, is at least partly responsible for her<br />

paper’s desk editors having become more gender-sensitive<br />

with headlines and story treatment.<br />

● Zambia and Malawi. Two of the ESAWomen journalists<br />

from Zambia and Malawi said that because of<br />

their reporting following the network’s first seminar<br />

on HIV/AIDS and gender, they had been asked to<br />

facilitate workshops on related topics, the Zambian<br />

by a regional NGO and the Malawian by the<br />

World Bank.<br />

● Journalists value highly the binders of information,<br />

including country-specific data, that PRB distributes<br />

at seminars and workshops on the topic being<br />

explored, and they make these available to their colleagues<br />

back home. One journalist told us: “The<br />

material binders are a wealth of information that<br />

would have taken me ages if at all to get in one single


22 <strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

place and time. I have also made this information<br />

available in our small library … for other female<br />

journalists willing to specialize and improve their<br />

research and writing skills.”<br />

IR.3: Capacity Building<br />

PRB staff’s commitment to capacity building laid the<br />

groundwork for the media activities:<br />

● Philippines. The journalist from that country says<br />

her five years in Women’s Edition made her a better<br />

journalist, “because now my commitment to exposing<br />

women’s concerns has been bolstered with facts from<br />

experts and resource persons grounded on the issues.<br />

Passion supported by information now guides my<br />

writing.”<br />

● A Zambian journalist in ESAWomen said she spoke<br />

for the group when she remarked after the network’s<br />

second seminar that the information they receive has<br />

raised their level of awareness to reproductive health<br />

and gender issues, which in turn raises the public’s<br />

awareness: “We’re doing stories that two years ago we<br />

would not have done.”<br />

● Nepal. The member of Women’s Edition from that<br />

country said that the information and training she<br />

received from PRB has “set a solid foundation” in her<br />

professional life with her radio programs and as<br />

deputy executive editor of the government daily,<br />

Gorkhapatra, enabling her to wield more influence in<br />

decisions on what issues to cover. “Now I think globally<br />

and write locally. Thanks to PRB/Women’s<br />

Edition, now I am more confidant, competent,<br />

empowered and more skillful.”<br />

● Ghana. A participant from that country says<br />

Women’s Edition as been “the one consistent training<br />

ground which has given me the opportunity to sharpen<br />

my journalistic skills and strengthen my commitment<br />

to bringing my profession to bear on the whole<br />

agenda of improving the conditions of women and<br />

children.”<br />

Capacity Building<br />

One of <strong>MEASURE</strong> <strong>Communication</strong>’s key objectives was to<br />

improve the capacity of developing country institutions<br />

and individuals to communicate effectively and use data<br />

for planning, management, and policy purposes. PRB<br />

staff developed a training program to transfer these skills.<br />

Over the life of the project, the team conducted 32 workshops<br />

(1-4 weeks long) for 483 researchers, program<br />

managers, communication specialists, and graduate students<br />

from 66 countries. Attachment 6 provides information<br />

on these workshops.<br />

<strong>MEASURE</strong> <strong>Communication</strong>’s training helped participants<br />

to understand how research can influence the policy<br />

process, what types of data and information are<br />

critical for decisionmaking, and what policy communication<br />

strategies ensure data and information use. The<br />

workshops explored several aspects of the research-topolicy<br />

process, emphasizing long-term planning and<br />

communication strategies to ensure that research findings<br />

have policy impact. Specific components included:<br />

(1) examining the research-to-policy gap and the fundamentals<br />

of the policymaking process; (2) identifying key<br />

findings from data and their policy and program implications;<br />

(3) developing a policy-level communication strategy<br />

and action plan based on participants’ own research;<br />

(4) preparing concise written materials that summarize<br />

research findings and present clear policy recommendations;<br />

(5) learning techniques to reach policymakers<br />

through the media such as writing press releases and<br />

interviewing; and (6) creating and delivering oral policy<br />

presentations using PowerPoint. Each participant<br />

brought relevant survey or research findings (often drawing<br />

on information from the other <strong>MEASURE</strong> partners)<br />

and worked to produce a range of products with these<br />

data throughout the workshops.<br />

Training Programs<br />

<strong>MEASURE</strong> <strong>Communication</strong> developed regional, U.S.-<br />

based, and in-country training programs. (The in-country<br />

programs are described in the section on country<br />

work, pages 7–13).<br />

Regional training programs<br />

At the regional level, the goal was to establish and sustain<br />

policy communication training by<br />

● Conducting short-term workshops for regional population<br />

and health researchers and program officials at<br />

well-respected universities; and<br />

● Developing and incorporating policy communications<br />

curricula into the universities’ masters programs<br />

as full courses.<br />

<strong>MEASURE</strong> <strong>Communication</strong> achieved its regional<br />

training goals. Over the course of six years, the project<br />

built teams of faculty at three prestigious developing -<br />

country universities—the University of Costa Rica, the<br />

University of Makerere in Uganda, and the University of<br />

Mahidol in Thailand—which are now capable of conducting<br />

policy communication workshops without technical<br />

assistance. Two of them, the University of Costa<br />

Rica and the University of Mahidol, have added master’s<br />

courses on policy communication and data use. 14<br />

To build sustainability, the project team sought to<br />

leverage funding from USAID missions, CAs, and other<br />

donors to support participants. As a result, a high per-


<strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

23<br />

centage of the costs were covered by the participants. For<br />

example, by year two of the workshop program in<br />

Uganda, 16 of the 17 participants were fully funded from<br />

a variety of USAID-funded CAs and other donors:<br />

CEDPA, The Futures Group (Policy Project), Abt<br />

Associates, <strong>Population</strong> Services International (PSI), the<br />

Bureau for Africa’s SARA Project (AED), <strong>Population</strong><br />

Council (Navrongo Project-Ghana), The University of<br />

Southampton, UNFPA, and Aga Khan.<br />

Developing the regional training programs had challenges.<br />

The faculties at the participating universities were<br />

less familiar with the theory and techniques involved in<br />

policy communications than they were with data collection,<br />

data analysis, program monitoring, and evaluation.<br />

To provide them with the needed background, teams<br />

from each of the three universities were selected and<br />

trained at the East-West Center in Hawaii in 1998-2000.<br />

U.S.-based training program<br />

<strong>MEASURE</strong> <strong>Communication</strong> supported two U.S.-based<br />

training programs, The Policy Fellows and a collaborative<br />

Summer Seminar with the East-West Center. The Policy<br />

Fellows Program, initiated in the 1980s with USAID funding,<br />

continued to attract high-quality graduate students<br />

from developing countries who attend stateside universities.<br />

Each year about 12 fellows were selected to participate<br />

in the two-part program, which began with a two-week<br />

seminar at PRB. The fellows learned how to analyze their<br />

research from a policy perspective and communicate the<br />

findings to a policy audience. The second part occurred at<br />

the annual meeting of the <strong>Population</strong> Association of<br />

America (PAA). PRB hosted a day-long seminar during<br />

which the fellows presented a policy presentation to each<br />

other and received a critique from discussants.<br />

During <strong>MEASURE</strong> <strong>Communication</strong>, the PRB team<br />

trained 77 policy fellows representing 35 countries. In<br />

December 2002, PRB sent evaluation questionnaires to<br />

the full roster of former policy fellows (194) to assess<br />

how they are using policy communication skills and to<br />

learn if they have had an influence on population or<br />

health policies. Forty-three responded, providing a 22<br />

percent response rate. Currently, 60 percent of the fellows<br />

reside in the United States and 40 percent elsewhere,<br />

although many fellows who work in the United States<br />

focus on international issues. Current positions of fellows<br />

who were involved in the program between 2001 and<br />

2004 range from working at universities (professor at the<br />

University of Texas, policy analyst at Brown University,<br />

and lecturer at Makerere University in Uganda) to technical<br />

advisory and director positions at organizations such<br />

as the International Rescue Committee, the Alan<br />

Guttmacher Institute, MAP International, Family Care<br />

International, UNICEF, and UNESCO. In addition, the<br />

majority of fellows reported significant use of policy<br />

communication skills: 95 percent have used PowerPoint<br />

to design effective oral presentations; 88 percent have<br />

identified the policy implications of their research; and<br />

84 percent have tailored messages to specific audiences.<br />

The East-West Center summer seminar series provided<br />

an ideal setting for training regional university faculty<br />

members who then collaborated with <strong>MEASURE</strong><br />

<strong>Communication</strong> staff as well as expanding PRB’s relationships<br />

with high-level officials from Asia region research<br />

institutions and population and health programs.<br />

Professors from Mahidol University, the University of<br />

Costa Rica, and the University of Makerere participated in<br />

the four-week training over the first three years of the<br />

project, effectively building teams of well-trained faculty<br />

within each regional institution. <strong>MEASURE</strong><br />

<strong>Communication</strong> staff were also able to draw from the<br />

EWC alumni pool to assist with regional and countrylevel<br />

training programs in India, Cambodia, and Pakistan.<br />

Impacts<br />

The capacity-building activities addressed <strong>MEASURE</strong><br />

<strong>Communication</strong>’s IR4: Individual and institutional capacity<br />

to disseminate policy-relevant PHN/E data and information<br />

strengthened. Project staff collected numerous<br />

examples of the use and impact of the skills gained during<br />

the workshops. Just a few are highlighted below to<br />

provide a spectrum of the results.<br />

Evidence of training concepts or<br />

skills leading to changes in policies,<br />

programs, or resource allocations<br />

● Kenya. Charles Obonyo from the Kenya Medical<br />

Research Institute reported that through his advocacy<br />

efforts, and with the help of communication skills<br />

learned at the regional workshop, he played a significant<br />

role in convincing the Ministry of Health to<br />

adopt a new treatment policy for uncomplicated<br />

malaria—the Artemisinin-based Combination<br />

Therapy (ACT)—and in mobilizing resources for<br />

treatment effectiveness studies at six sites in Kenya.<br />

● Guatemala. Dr. Eric Hidalgo, Technical Director for<br />

Maternal and Infant Health Research at the Instituto<br />

Nacional de Estadistica (working with <strong>MEASURE</strong><br />

DHS+) persuaded cabinet members, government<br />

ministers, and key advisors on the importance of<br />

reproductive health for the country. Subsequently,<br />

Dr. Hidalgo was invited to the President’s Office to<br />

discuss followup activities and to develop strategies<br />

on how to move the RH issue forward.<br />

● Mexico. The Coordinator for Epidemiology at the<br />

Health Services in San Luis Potosi says that, thanks to<br />

the [2002 workshop] strategies for how to negotiate


24 <strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

with authorities (and key contact people), they<br />

recently were able to get municipal funds to finance a<br />

flu vaccination program for older adults. This is the<br />

first such action at the national level and sets a precedent<br />

for this type of action.<br />

● Peru. Dr. Wilder Carpio Montengro from Jefe de la<br />

Unidad de Investigacion, Direccion de Salud V. Lima<br />

Ciudad, in Lima, gave a presentation at a meeting of<br />

the committee on maternal mortality at the<br />

Department of Public Health for the City of Lima.<br />

The meeting was attended by 45 local professionals.<br />

Following the presentation on safe motherhood, he<br />

reports that: “We received an invitation to participate<br />

in the creation of new protocols for attention on the<br />

mother/child area in the Department of Health.”<br />

Evidence of policy communication skill<br />

use following training activities<br />

<strong>MEASURE</strong> <strong>Communication</strong> documented hundreds of<br />

examples of post-training skill use. Among questionnaire<br />

respondents, alumni made 190 presentations to national<br />

and sub-national policy and program audiences, participated<br />

in 25 interviews with journalists, and produced 45<br />

briefs for policy audiences (fact sheets, policy briefs, or<br />

policy memoranda). Here are some examples of reported<br />

skill use:<br />

● Nigeria. Zaccheus Akinyemi from <strong>Population</strong><br />

Services International (PSI), Nigeria, returned from<br />

the Uganda workshop and immediately developed a<br />

results-based strategy for disseminating their recent<br />

research findings on sex-worker behavior and condom<br />

use. Objectives included incorporating a budget<br />

line item for sex-worker interventions to reduce the<br />

spread of HIV/AIDS in the upcoming national health<br />

development plan.<br />

● Bolivia. Ms. Gloria Tellería has made 30 presentations,<br />

all in PowerPoint, and helped 60 people with<br />

their presentations as well. She gave some of the presentations<br />

to health and education ministers, viceministers,<br />

and to other authorities working in sexual<br />

and reproductive health programs. She also prepared<br />

press releases for International Women’s Day and for<br />

World <strong>Population</strong> Day.<br />

● Kenya. Dr. Linus Ettyang, Deputy Director of the<br />

Family Planning Association of Kenya, used the communication<br />

training skills to give multiple presentations<br />

on the organization’s family planning program.<br />

One example is a presentation given to the Assistant<br />

Minister of Education that emphasized the need to<br />

get girls back in school as soon as possible after delivering<br />

a child.<br />

● Peru. Maria Reyna Liria, a recent workshop alumna<br />

who works at the Ministry of Health on nutrition<br />

issues, held discussions with the different health units<br />

(DISAS) in the Ministry and with the National Center<br />

for Food and Nutrition (CENAN) about creating a<br />

Web page to raise awareness on nutrition. They also<br />

initiated discussions with local media organizations<br />

about the possibility of publishing a monthly column<br />

on nutrition issues.<br />

● Guatemala. Soon after returning to Guatemala,<br />

Bernardo Uribe, one of the participants sponsored by<br />

the DELIVER Project, gave a presentation to the Vice-<br />

Minister of Health to inform him about a study that<br />

they are implementing on the implications of decentralizing<br />

the provision of contraceptives in the health<br />

sector and to obtain his commitment to conduct two<br />

seminars. As a result, the Vice-Minister agreed to<br />

organize a meeting chaired by the Ministry of Health<br />

to discuss the conclusions and recommendations of<br />

the study.<br />

● Peru. Carmincha Rosa Murguia from the Institute of<br />

Education and Health in Peru gave approximately 10<br />

interviews to journalists from radio, TV, and newspapers.<br />

For example, as a Latin American expert working<br />

on the issue of HIV/AIDS among youth, she was<br />

interviewed by CNN during the UNGASS meeting in<br />

New York on HIV/AIDS. She noted, “ During the<br />

interview all that you taught us immediately came to<br />

mind … what’s my key message, support it with<br />

salient facts, be brief, simple and direct … I tell you<br />

the interview was the ultimate test for all that I<br />

learned in the workshop. I would have never done this<br />

prior to your workshop.”<br />

● Ghana. Samuel Nii Codjoe, researcher with the PIP<br />

team at the University of Legon, has used the workshop<br />

skills to prepare summary booklets for policy<br />

audiences. He reports that one, Adolescent Fertility and<br />

Reproductive Health in Ghana, an easy-to-read publication<br />

that describes the determinants and consequences<br />

of adolescent fertility, youth and HIV/AIDS,<br />

is in high demand.<br />

● India. Dr. Rajeshri Chitannand, Senior Researcher<br />

with the International Institute of <strong>Population</strong> Sciences<br />

(IIPS) in Mumbai, played a key role in <strong>MEASURE</strong><br />

<strong>Communication</strong>’s state-level dissemination efforts of the<br />

National Family Health Survey findings. After attending<br />

the EWC policy communication workshop, she organized<br />

and helped facilitate two state seminars (Gujarat<br />

and Maharashtra), and coordinated a local two-week<br />

workshop for four state-teams on “Communicating<br />

NFHS-2 findings to Policy Audiences.”<br />

● Nepal. Mahesh Puri from CREPHA in Nepal made a<br />

presentation on the need for better women’s reproductive<br />

rights policies to officials from the Ministry of<br />

Health and Parliamentarians. He also wrote a policy<br />

memoranda for parliamentarians on the need to


<strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

25<br />

reduce the number of unsafe abortions. This action<br />

prompted the Ministry of Health to request technical<br />

guidance from his institution to prepare a similar<br />

memorandum for parliamentarians.<br />

● Pakistan. Muhammad Mahmood (1998-1999 Fellow)<br />

made presentations on Pakistan’s demographic situation<br />

to journalists at a press briefing and to contribute<br />

to print coverage of the data and trends. He<br />

also used the skills while preparing a case for the need<br />

to decentralize Pakistan’s <strong>Population</strong> Welfare<br />

Program, which was presented to the President of<br />

Pakistan last year. He reports: “I always keep in mind<br />

the video recorded during the seminar in Washington<br />

whenever I present any talk.” 15 Dr. Mahmood is currently<br />

the director of the Ministry of <strong>Population</strong><br />

Welfare in Islamabad, Pakistan<br />

● Thankam Sunil (2000-2001 Fellow): “One of the<br />

major skills I learned in the training is the importance<br />

of deriving policies based on the study findings.<br />

Since then I always include a section on policy implications<br />

in my research.” Currently, Dr. Sunil is a professor<br />

at the University of Texas at San Antonio.<br />

Training sessions or workshops<br />

replicated (spin-offs)<br />

Over the course of the project, 30 participants reported<br />

that they had replicated either all or part of the workshop<br />

for other groups. Here are some examples:<br />

● Bolivia. Ms. Gloria Tellería reported that she organized<br />

a one-day workshop for the eight departmental<br />

coordinators of the sexual and reproductive health<br />

program. After the workshop, the departmental coordinators<br />

used the techniques they learned to give presentations<br />

to local authorities (health and education<br />

directors, mayors, etc.). These authorities are reported<br />

to have, in turn, provided more support for sexual<br />

and reproductive health issues in each department.<br />

● Turkey. Dr. Ismet, from the University of Istanbul<br />

(participant at the EWC workshop in 1999), reports<br />

the following: “I have opened an MA course on<br />

‘population policies and development plans’ at the<br />

institute. Within the context of the MA course, I have<br />

added some of the sessions of the workshop [to the<br />

curriculum] such as the policy process and the<br />

research-to-policy gap, identifying the barriers to and<br />

solutions for reducing the research-to-policy gap,<br />

identifying the policy and program implications of<br />

research, and developing a strategy for communicating<br />

research results.”<br />

● Uganda. Mr. Luswa Lukwego from the University of<br />

Makerere conducted workshops for district-level statisticians<br />

in the dissemination and use of surveillance<br />

system data using adapted versions of the <strong>MEASURE</strong><br />

<strong>Communication</strong> training modules.<br />

● Mongolia. Gelegjamts Uranchimeg organized a 10-<br />

day advocacy trainers’ training for 23 participants.<br />

Ms. Uranchimeg reports that she applied many of the<br />

sessions and strategies from the EWC workshop<br />

including fact-sheet writing techniques (participants<br />

drafted fact sheets) and role-play scenarios that were<br />

recorded and played back for comments.<br />

● Ghana. Samuel Nii Codjoe, University of Legon, has<br />

used policy communication sessions from the workshop<br />

to train colleagues as well as personnel in district<br />

assemblies. Currently, he is planning a training<br />

for members of the Planned Parenthood Association<br />

of Ghana.<br />

Training model replicated and<br />

supported by other donors<br />

● Drawing on alumni from <strong>MEASURE</strong><br />

<strong>Communication</strong>’s policy communications training<br />

programs in Asia in 2001, 2002, and 2003, PRB<br />

worked with a team from the <strong>Population</strong><br />

Commission, the Philippine Legislators’ Committee<br />

on <strong>Population</strong> and Development, and Save the<br />

Children to conduct a PHE training for 40 vice mayors<br />

in the three provinces of Aklan, Capiz, and Iloilo.<br />

The training was funded by UNFPA and focused on<br />

reproductive health/population-development communication.<br />

● PRB received a request from the Institute of<br />

Education and Health (IES) in Peru to co-facilitate a<br />

six-day policy communications workshop in Peru<br />

with a focus on research and programs on reproductive<br />

health and HIV/AIDS. Three of the IES staff were<br />

alumni from our regional workshops (one participant<br />

each in 2000, 2001, and 2002 workshops). Funding<br />

from other institutions (GTZ, IWHC, Save the<br />

Children—UK, and the Bill & Melinda Gates<br />

Foundation) made the development and implementation<br />

of the workshop possible. Twenty participants<br />

attended the training from different regions of Peru<br />

and one participant from El Salvador.<br />

Institutional capacity for policy<br />

communication improved<br />

<strong>MEASURE</strong> <strong>Communication</strong> institutionalized the project’s<br />

training programs by developing a master’s level course in<br />

collaboration with the project’s university-based partners.<br />

The course, was conducted for the first time in FY02 at the<br />

University of Costa Rica and was launched at the<br />

University of Mahidol in Bangkok FY03. In addition to the<br />

course, alumni responding to post-workshop questionnaires<br />

and through workshop listserv correspondence provided<br />

more than 20 examples of how they have been able<br />

to institutionalize new dissemination and data use strategies<br />

within their organizations. Here are some examples:


26 <strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

● Mali. The Center for Research and <strong>Population</strong><br />

Development (CERPOD) in Bamako, Mali, adopted<br />

an institutional “Dissemination Protocol” for use in<br />

the development of each new research proposal. The<br />

purpose of the protocol is to mobilize resources for<br />

anticipated dissemination efforts at the early stages of<br />

the research development stage. The protocol outlines<br />

examples of dissemination and data use activities and<br />

includes estimated costs for each type of activity.<br />

● Kenya. Linus Ettyang from FPAK states that as a result<br />

of the training his institution now focuses more on<br />

getting results out in useful formats.<br />

● Ghana. Mr. Lawrence Damnyag, Programme Officer<br />

of Reseau Ghaneen of the SADAOC Foundation in<br />

Ghana, presented the results of what he learned at the<br />

workshop at the organization’s international conference.<br />

Based on his presentation and further discussions,<br />

an institutional decision was made to<br />

incorporate “strategic policy communication of<br />

research findings to the stakeholders” into the organization’s<br />

international work plans.<br />

● Nepal. A team from CREPHA, an organization that<br />

conducts research for several USAID-funded projects,<br />

reports that “We began to give emphasis on ‘to the<br />

point’ information rather than disseminating everything<br />

at once. After the workshop, we prepared advocacy<br />

and public education messages according to the<br />

target audiences and began using the media channel<br />

for dissemination.”<br />

● Mongolia. Gelegjamts Uranchimeg reports that based<br />

on strategies learned during the training, she has organized<br />

an information repackaging core group that meets<br />

once a month. The objective of the group is to assist in<br />

the development of advocacy materials (fact sheets, policy<br />

briefs, and lessons learned/best practices).<br />

● Philippines. Elma Laguna instituted a more strategic<br />

approach to communication and dissemination.<br />

Based on the “communication plan” worksheets, she<br />

helped her team map out a more detailed strategy<br />

(specific audiences and approaches for each audience)<br />

for disseminating results of the 2002 Young Adult<br />

Sexuality and Fertility Study.<br />

Policy <strong>Communication</strong>s<br />

Techniques<br />

<strong>MEASURE</strong> <strong>Communication</strong>’s fifth Intermediate Result is<br />

as follows: Policy <strong>Communication</strong>s Tools and Techniques<br />

Developed and Tested. <strong>MEASURE</strong> <strong>Communication</strong> made<br />

substantial contributions to the field in expanding policy<br />

communication training materials and refining a results<br />

framework for the research-to-policy process<br />

Workshop Materials<br />

<strong>MEASURE</strong> <strong>Communication</strong> developed and field-tested an<br />

extensive set of capacity-building materials to meet<br />

regional and country needs. Materials include resource<br />

binders on Communicating <strong>Population</strong> and Health<br />

Information to Decisionmakers; <strong>Population</strong> and Health<br />

Online Resource Guides; Strategic Planning for Information<br />

Dissemination and Use; Connecting People to Useful<br />

Information: Guidelines for Effective Data Presentations;<br />

Data Use for Health Planning; and Training-of-Trainers<br />

Manuals for Teaching Policy <strong>Communication</strong>s. The<br />

resource materials are divided into learning modules that<br />

make it easy to tailor training programs for individual<br />

program needs and timeframes.<br />

Master’s Course<br />

Building on the workshop format, the <strong>MEASURE</strong><br />

<strong>Communication</strong> team, in collaboration with faculty from<br />

the regional training institutes, developed a master’s level<br />

course syllabus for policy communications. The course<br />

was structured around 16 three-hour class sessions and<br />

includes readings and exercises on the models of policy<br />

formation and implementation, policy content analysis,<br />

bridging the research-to-policy gap, planning for strategic<br />

communication and data use activities, state-of-the art<br />

communication techniques, and managing conflict and<br />

controversy. 16<br />

As mentioned above, the course has been introduced<br />

into two regional universities, the University of Mahidol<br />

(Thailand) and the University of Costa Rica, and is being<br />

taught by university faculty who have received training in<br />

one of <strong>MEASURE</strong> <strong>Communication</strong>’s regional policy communication<br />

workshops.<br />

Framework<br />

PRB staff believe that the results framework developed in<br />

FY01 (see pages 5–7) made a contribution to the field.<br />

Staff have used it to modify training modules and have<br />

made presentations on the framework in many settings,<br />

including, for example, the DHS-30 Year Symposium.<br />

Presentation Guidelines<br />

In FY03, <strong>MEASURE</strong> <strong>Communication</strong> produced a new<br />

guide that gives practical advice and examples in the art<br />

of presenting data to nonspecialist audiences. It was done<br />

in collaboration with all the other <strong>MEASURE</strong> partners as<br />

an output of the <strong>MEASURE</strong> Dissemination Working<br />

Group chaired by PRB. The guide, called Connecting<br />

People to Useful Information, was intended for people<br />

whose positions require interpreting and disseminating<br />

information to a variety of audiences who may not be<br />

familiar with statistics. Potential users of the guide<br />

include staff of statistical offices, research institutions,


<strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

27<br />

public- and private-sector population and health programs,<br />

monitoring and evaluation units, donor agencies,<br />

and universities. The guide addresses a number of questions<br />

for developing effective presentations and includes a<br />

popular section on the most common do’s and don’ts for<br />

creating text and graphic slides. Other sections present<br />

practical techniques on how to organize and deliver effective<br />

presentations and organize a successful data dissemination<br />

seminar. The guide also contains two appendices<br />

with sample slides and reference material for preparing<br />

presentations in PowerPoint.<br />

The guide was used in at least five international<br />

workshops sponsored by <strong>MEASURE</strong> partners, as well as a<br />

workshop on HIV/AIDS and Adult Mortality sponsored<br />

by the UN <strong>Population</strong> Division. Examples of feedback<br />

include:<br />

“It’s with greatest pleasure that I forward my gratitude<br />

to you for availing such valuable information to me. I<br />

am one of the participants who attended the six-days<br />

workshop “HIV/AIDS and Adult Mortality in<br />

Developing Countries” in UN Headquarters New York.<br />

Thanks again for the publication and the CD. This is<br />

very useful for my day-to-day activities.”<br />

—Ivy Makoa, participant<br />

“I wanted to tell you that the presentation guides look<br />

terrific! I really like them. I do have a workshop starting<br />

next Monday with ten participants. If it’s feasible, it<br />

would be good if you can send me ten more to replace<br />

the ones I will give to each participant. We (all of us)<br />

have needed a guide like this for a very long time, and<br />

the powerpoint samples are great too!”<br />

—Larry Hartke, U.S. Census Bureau<br />

Excerpt from the DRUMBEAT/Listserv:<br />

“Dear colleagues, I would like to draw your attention to a<br />

recently released publication by the <strong>Population</strong> <strong>Reference</strong><br />

Bureau on “Effective Data Presentation” The issue of effective<br />

data presentation is an increasingly pressing one. Inept<br />

presentations leave the impression that there is too much<br />

data and not enough meaning—making it hard to plead for<br />

more data collection. Some universities are now putting<br />

more effort on teaching their students basic communication<br />

skills - but still too many academic presentations are spectacular<br />

communication disasters. It’s great that the PRB<br />

[and their partners] who work in data collection and<br />

analysis are trying to help the population community with<br />

this manual.”<br />

—Armindo Miranda, Interregional Adviser,<br />

United Nations <strong>Population</strong> Division<br />

<strong>Population</strong>, Health,<br />

and the Environment<br />

Goals and Objectives<br />

<strong>MEASURE</strong> <strong>Communication</strong>’s work in <strong>Population</strong>, Health,<br />

and the Environment (PHE) promoted a better understanding<br />

of PHE problems, their causes, consequences,<br />

and the ways in which they can be addressed. The program<br />

contributed to <strong>MEASURE</strong> <strong>Communication</strong>’s<br />

Strategic Objective and all of its Intermediate Results. 17<br />

Activities<br />

In order to meet <strong>MEASURE</strong> <strong>Communication</strong>’s objectives,<br />

the PHE program strengthened journalists’ ability to<br />

focus policy attention on key PHE issues; helped build<br />

PHE coalitions and networks; produced a range of publications;<br />

and conducted training to build local expertise to<br />

contribute to policy decisions.<br />

Strengthening journalists’<br />

ability to focus policy attention<br />

on key PHE issues<br />

The PHE media activities addressed IR1’s agenda setting.<br />

To enhance awareness of PHE linkages, <strong>MEASURE</strong><br />

<strong>Communication</strong> worked to expand the quantity and quality<br />

of news coverage on PHE linkages. Project staff supported<br />

collaborative media networks, prepared<br />

background publications, and conducted seminars, press<br />

conferences, and briefings. Following are three examples:<br />

● In 2001, <strong>MEASURE</strong> <strong>Communication</strong> supported four<br />

members from the Malgasy journalists association<br />

Intermédias (Interprofessionnel des Médias pour le<br />

Social) to attend a training workshop on population<br />

and environmental linkages in Perinet National Park,<br />

Madagascar. During the workshop, journalists toured<br />

the park with guides trained by the national park service,<br />

then participated in writing exercises to incorporate<br />

what they had seen during the tour into a larger<br />

environmental context.<br />

● In 2002, the project sponsored 15 developing-country<br />

journalists to cover the World Summit on Sustainable<br />

Development (WSSD). 18 Participants were senior<br />

journalists from Tanzania, Uganda, Kenya,<br />

Madagascar, Bangladesh, Nepal, India, Pakistan,<br />

Thailand, Costa Rica, Colombia, and Brazil. PRB<br />

organized a two-day pre-summit seminar to expose<br />

the journalists to salient regional population and<br />

environment linkages, provide information about the<br />

WSSD, and introduce them to the terms and defini-


28 <strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

tions that would be used during the meeting. The<br />

journalists produced more than 100 articles, reports,<br />

and supplements in their home countries.<br />

● In 2003, a Women’s Edition seminar explored the links<br />

among population growth, gender, family planning, and<br />

the environment. Experts spoke to the journalists about<br />

how gender affects environmental issues; agriculture<br />

and food security; women’s land ownership; the gender<br />

perspective on water and forestry issues; the relationship<br />

between population growth and the environment;<br />

and the gender dimensions of environmental policies.<br />

Collaboration to build<br />

coalitions and networks<br />

<strong>MEASURE</strong> <strong>Communication</strong>’s PHE team addressed IR2—<br />

coalition building—by collaborating with four other<br />

organizations:<br />

● National Council for Science and the Environment.<br />

In FY2000 and FY2001, the PHE team collaborated<br />

with the National Council for Science and the<br />

Environment to develop PopPlanet, a multilingual<br />

online resource. It provided a forum for networking<br />

via moderated bulletin boards, and in-depth country<br />

profiles that served as a gateway to online PHE<br />

resources. The website initially received national and<br />

international attention from the press and was a featured<br />

link on many other websites. In September<br />

2001, <strong>MEASURE</strong> <strong>Communication</strong> undertook an<br />

assessment of PopPlanet, which showed that the website<br />

required significant reformulation to stay competitive.<br />

Implementing these recommendations required<br />

resources beyond <strong>MEASURE</strong> <strong>Communication</strong>’s budget<br />

and scope of work, and the partners decided that<br />

PopPlanet would become a part of NCSE’s National<br />

Library of the Environment. In FY2003 and 2004,<br />

PRB concentrated on adding PHE content to the main<br />

PRB website.<br />

● The Community Conservation Coalition (CCC).<br />

Through its collaboration with CCC, <strong>MEASURE</strong><br />

<strong>Communication</strong> staff hosted briefings and contributed<br />

to the production of a CD ROM entitled Putting<br />

Conservation in Context: Social Science Tools for<br />

Conservation Practitioners, which contains tools from<br />

over 30 conservation, development, population,<br />

research, and policy organizations. The CD ROM was<br />

disseminated at the World Parks Congress in Durban,<br />

South Africa.<br />

● The Woodrow Wilson Center’s Environmental<br />

Change and Security project (ECSP). PRB collaborated<br />

with the ECSP on dissemination and outreach<br />

activities. Activities included two presentations, participation<br />

in panels on PHE topics, contributions to<br />

an electronic forum on the role of population in the<br />

World Summit on Sustainable Development, and a<br />

review of UNFPA’s recent report on PHE linkages,<br />

Footprints and Milestones.<br />

● University of Michigan’s <strong>Population</strong> and<br />

Environment Fellowship Program. Staff serve on the<br />

Advisory Board for the USAID-funded fellowship<br />

program. In addition PRB staff helped teach a summer<br />

course on population and reproductive health<br />

and conducted short training sessions for the program’s<br />

Minority-Serving Institutions Initiative and its<br />

Professional Exchange for Applied Knowledge (PEAK)<br />

initiative.<br />

<strong>MEASURE</strong> <strong>Communication</strong> staff also gave more than<br />

30 presentations on PHE linkages to a variety of international<br />

and domestic audiences. These have included sessions<br />

at PRB’s monthly seminars, papers presented at the<br />

annual meetings of the Association of American<br />

Geographers, the <strong>Population</strong> Association of America, the<br />

Global Health Council, and the Society of Environmental<br />

Journalists.<br />

Publications<br />

To support IR3—policy learning—<strong>MEASURE</strong><br />

<strong>Communication</strong> supported 14 new PHE publications (in<br />

English, French, and Spanish), and supported the distribution<br />

of materials produced with funding from other sponsors<br />

(the titles are included in Attachment 2). These<br />

included policy booklets, fact sheets, briefing papers, specialized<br />

information bulletins, data sheets, teaching kits and<br />

classroom guides, and newspaper articles. About 80,000<br />

copies of PHE publications were mailed, primarily to the<br />

developing world. Over one-third of the copies went to 31<br />

countries in sub-Saharan Africa; over a quarter went to<br />

recipients in Latin America, and nearly one-fifth to Asia.<br />

About two-thirds of the copies were distributed in targeted<br />

mailings to PRB’s international list, and one-third in<br />

response to requests. 19<br />

PRB staff also distributed over 20,000 copies of<br />

PHE publications at the 2002 World Summit on<br />

Sustainable Development in Johannesburg. In addition<br />

to providing these materials to WSSD attendees, staff<br />

conducted targeted dissemination to members of official<br />

government delegations, key NGO and UN representatives,<br />

and other global policymakers participating in the<br />

official negotiations.<br />

Policy communications training<br />

To develop local capacity in Africa, Asia, and Latin<br />

America to contribute to policy dialogues on PHE linkages,<br />

<strong>MEASURE</strong> <strong>Communication</strong> staff collaborated with<br />

local partners on a policy communications training program.<br />

The program had the same philosophy and used<br />

the same basic model as described above.


<strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

29<br />

<strong>MEASURE</strong> <strong>Communication</strong> staff conducted eight<br />

PHE workshops funded at least in part by USAID. These<br />

workshops provided training to 127 participants (see<br />

Attachment 6). Almost one-third (51) of the participants<br />

at these workshops were from African countries, 43 were<br />

from Latin America, 63 from Asia. Just over 44 percent<br />

(56 out of 127) participated in the training with their<br />

own funding or with funding that PRB secured from private<br />

foundations such as the Compton, Summit, and<br />

David and Lucile Packard foundations.<br />

Impacts<br />

<strong>MEASURE</strong> <strong>Communication</strong>’s PHE activities had clear<br />

impacts. This section highlights the results with a few<br />

examples based on all the feedback obtained from<br />

bounceback questionnaires, workshop follow-up, etc.<br />

SO-level impacts<br />

The PHE policy brief, Women, Men, and Environmental<br />

Change: The Gender Dimensions of Environmental Policies<br />

and Programs, was used as a background paper for a meeting<br />

of women ministers hosted by the World Conservation<br />

Union (IUCN), the Ministry of the Environment for<br />

Finland, and Harvard University’s Council of Women<br />

Leaders in Helsinki, Finland, in 2002. The meeting brought<br />

together women ministers of the environment from 22<br />

countries and leaders of 28 international organizations to<br />

draft a declaration to present to the World Summit on<br />

Sustainable Development (WSSD) in Johannesburg, South<br />

Africa. The ministers adopted the recommendations in the<br />

brief and the organizing committee of the WSSD agreed to<br />

make these recommendations and background paper part<br />

of the official proceedings.<br />

IR.1: Agenda Setting<br />

<strong>MEASURE</strong> <strong>Communication</strong>’s PHE media activities<br />

improved the depth and quantity of news coverage on<br />

PHE issues and thus increased the public’s and policymakers’<br />

awareness of problems and their impact on sustainable<br />

development. The journalists who attended the<br />

WSSD with <strong>MEASURE</strong> <strong>Communication</strong> sponsorship, for<br />

example, reported that they benefited from the pre-summit<br />

seminar and were able to cover issues more effectively.<br />

They produced close to 100 stories that have appeared<br />

in various prominent newspapers, magazines, wire services,<br />

and radio programs around the world.<br />

In Madagascar, the project conducted two training<br />

workshops for the journalists association Intermédias<br />

(Interprofessionnel des Médias pour le Social) that included<br />

PHE issues. During FY 2000 the members of<br />

Intermédias published 501 newspaper articles (54 percent<br />

of all articles) on population, health, nutrition,<br />

environment, and other social issues. In the following<br />

year, 1,194 newspaper articles were published on these<br />

topics—a 138 percent increase.<br />

In Tanzania, Mr. Adolph Simon Kivamwo, a journalist<br />

with The Guardian and Sunday Observer,wrote several<br />

articles on the workshop participants and the outcomes<br />

of the training. One of the articles was based on three<br />

policy memos that participants developed around<br />

research results from a population and environment case<br />

study used in the training. The article highlighted the<br />

participants’ findings and recommendations for action<br />

regarding a population, health, and environment issue in<br />

central Tanzania. The article’s appearance in the leading<br />

daily was especially timely as Tanzanian policymakers<br />

were examining the issue addressed in the case study.<br />

In a second PHE policy communications workshop in<br />

December 2002, Mr. Kivamwo recruited several of his<br />

colleagues to help give media attention to the workshop<br />

and provide workshop participants with media contacts.<br />

A TV news crew from Tanzania’s most-watched TV news<br />

station, ITV, conducted a series of interviews with workshop<br />

participants and organizers on the goals of the<br />

workshop, PHE issues, and the research to policy gap.<br />

The series aired during ITV’s evening news broadcast on<br />

six separate occasions (twice on three separate nights).<br />

The East African Radio Network also broadcast portions<br />

of these interviews on its radio stations that reach Kenya,<br />

Tanzania, and parts of Uganda and Malawi.<br />

In India, Mr. Sanjay Gupta, the former communications<br />

director of Tata Energy Research Institute (TERI)<br />

of India, participated in our first Asian PHE policy communications<br />

workshop in 2000. In 2001, following that<br />

workshop, PRB and TERI secured funds from the U.S.<br />

Embassy to conduct journalist training in New Delhi<br />

and Bangalore for 41 South Asian journalists who cover<br />

environmental issues. In addition to the articles that the<br />

journalists produced, these workshops led to additional<br />

collaborations. For example, the chairman of the<br />

Bangladesh Environmental Journalist Association,<br />

Shamsuddin Peara, sponsored Sonu Jain, chief reporter<br />

for the Indian Express and fellow workshop participant,<br />

to travel to Dhaka to make presentations to NGOs and<br />

media groups about the air pollution situation in New<br />

Delhi and to highlight steps that Indian policymakers<br />

have taken to deal with the issue. Ms. Jain’s coverage of<br />

the issue was highly influential in convincing Indian policymakers<br />

to take action on the air pollution issue. In<br />

addition, several of the journalists who participated in<br />

the training in India were selected for participation in<br />

the WSSD program. These included the national environment<br />

editor of the Times of India, the environment<br />

chief of Frontline, and a syndicated population and environment<br />

columnist from India Today. These publications<br />

are some of the most prestigious and influential publications<br />

in India.


30 <strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

IR.2: Building Coalitions and Networks<br />

Through the project, PRB staff contributed to coalitions<br />

and networks for PHE advocacy. In addition to the collaborative<br />

activities highlighted above, PRB worked with<br />

Mexican participants from its Latin American PHE workshop<br />

to support a coalition of experts working to address<br />

population and environment interactions in the Bahía de<br />

Santa Maria natural area and surrounding ecosystems in<br />

the Sinaloa and Nayarit regions of the Gulf of California<br />

in Mexico. This natural area is considered to be one of<br />

the world’s hotspots, an area with high biodiversity and a<br />

large number of endemic species. In the Philippines, a<br />

number of workshop participants worked with PRB to<br />

support three coalitions working on PHE advocacy: the<br />

Northern Iloilo Alliance for Coastal Development, the<br />

People’s Legislative Advocacy Network (PLAN), and the<br />

SIGUE PHE advocacy group.<br />

IR.3: Policy Learning<br />

<strong>MEASURE</strong> <strong>Communication</strong> supported the effective dissemination<br />

of PHE information to priority audiences and<br />

generated significant demand for copies after the initial<br />

mailings. The project’s PHE publications received feedback<br />

from around the world. Here are a few examples<br />

from the policy audiences the project was hoping to reach:<br />

“This publication of yours [PHE Wallchart] is among<br />

the few of such publications that provide relevant and<br />

accurate information on population, health and environment<br />

issues. Must be sustained.”<br />

—Public Relations Officer, Ministry of<br />

Education, Ghana<br />

“I was pleased to learn about your initiative to keep people<br />

informed about the actual problems regarding health<br />

and environment. I think this is an efficient way of building<br />

people’s awareness on certain facts that may, in the<br />

future, endanger our existence. The issue of Measure<br />

<strong>Communication</strong> you have sent to me was, indeed, very<br />

interesting. The policymakers are the first who have to be<br />

aware of the environmental problems we have to deal<br />

with in this time of explosive evolution of technology. I<br />

wish you luck and I hope you’ll succeed in accomplishing<br />

the important task you yourself have taken.”<br />

—Minister, Ministry of Agriculture,<br />

Food and Forestry, Romania<br />

“The [Women, Men, and Environmental Change policy<br />

brief] clearly explains the impacts of environmental<br />

degradation on people, exhibits the hazardous nature of<br />

indoor pollutants on women’s health. I have also come to<br />

understand that indoor smoke can cause stillbirth and<br />

underweight…births. My institution’s duties and<br />

responsibilities deal with population. Hence, this paper<br />

will be of help in my report writing, research activities in<br />

program design for population and environment related<br />

policy development work.”<br />

—Head, <strong>Population</strong> Analysis and Studies Centre,<br />

Central Statistical Authority, Ethiopia<br />

IR.4: Policy <strong>Communication</strong>s Training<br />

The outcomes of the PHE workshops mirror those<br />

reported above. However, two cases illustrate in more<br />

depth how PHE participants have been able to use their<br />

policy communication skills.<br />

The first example is Nelly López, currently the vicedean<br />

for social sciences and statistics at the National<br />

University of Costa Rica and lecturer on gender, environment,<br />

and land use policy. She participated in <strong>MEASURE</strong><br />

<strong>Communication</strong>’s Latin America FY00 PHE workshop.<br />

During the workshop, she expressed her fears about working<br />

with the media and communicating with policymakers,<br />

largely due to her lack of experience in these areas.<br />

PRB staff worked with her to develop an action plan.<br />

In the year after the workshop, Ms. Lopez realized<br />

several of her goals as a communicator and was invited to<br />

participate in several radio programs, including Costa<br />

Rica’s most highly regarded radio show, Punto Critico.<br />

During the show, she discussed the outcomes of Costa<br />

Rica’s recent census and her research on population, gender,<br />

and environment linkages. In a feedback questionnaire,<br />

Ms. Lopez stated that she used many of the skills<br />

she learned during the workshop, which enabled her to<br />

communicate more effectively with a number of journalists<br />

and convey her key messages to their listeners.<br />

PRB staff recognized her potential as a communicator<br />

and invited her to help facilitate several sessions in the<br />

next PHE Latin American workshop held in Costa Rica<br />

in FY01. Soon after co-facilitating that workshop, she was<br />

invited by the president of Costa Rica to join a presidential<br />

advisory group on urban affairs. In this group, she<br />

contributed to several research reports and policy presentations<br />

in which she emphasized the importance of<br />

demographic trends and gender equity for urban planning.<br />

She also spearheaded the group’s media outreach<br />

efforts, directly using the skills she acquired in the PRB<br />

workshop.<br />

The second story is from Asia. Naida Pasion, deputy<br />

director of Save the Children’s (SC) office in the<br />

Philippines, used the skills developed in our FY01 PHE<br />

workshop in Thailand to work with PRB to reach local<br />

and national decisionmakers, to develop new directions<br />

for PHE integration, and to share her policy communication<br />

skills with others.<br />

Ms. Pasion has taken the tools developed with PRB to<br />

convince mayors in two key municipalities to develop<br />

policies that integrate reproductive health and coastal


<strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

31<br />

resource management. These policies are closely tied to a<br />

SC project that works to ensure people’s health in coastal<br />

communities by linking family planning and community-managed<br />

coastal resources initiatives. The mayors have<br />

requested technical assistance, additional training, and<br />

further collaboration with SC and PRB as a result.<br />

Working with PRB, Ms. Pasion has also helped develop<br />

new directions in PHE in the Philippines. PRB staff<br />

collaborated with Filipino PHE experts from the<br />

University of the Philippines to design and conduct a<br />

new training program in PHE design and communication.<br />

The new program, “Designing Policy Relevant<br />

<strong>Population</strong>, Health and Environment Projects and<br />

Communicating Results to Filipino Policymakers,” built<br />

on past USAID-supported training and was funded by<br />

the David and Lucile Packard Foundation.<br />

Ms. Pasion has made PHE integration one of the pillars<br />

of SC’s work in the Philippines. Five of her staff from<br />

different regions in the Philippines have now participated<br />

in PRB’s training programs and are using PRB policy<br />

communications techniques for interventions at various<br />

policy levels. She has also reached out to the local USAID<br />

Mission by convincing the head of the population office<br />

to conduct a four-day site visit of a SC project. With<br />

technical assistance from PRB, Ms. Pasion also developed<br />

a training program to improve PHE coverage by journalists.<br />

Specifically, the program worked with a national<br />

media network developed and trained by the Philippine<br />

NGO Council for <strong>Population</strong>, Health and Welfare. In<br />

addition, Ms. Pasion used the framework for policy communications<br />

developed by PRB to develop a training<br />

manual on health policy advocacy. The training manual<br />

was used by the Healthy Indonesia 2010 Coalition and<br />

Johns Hopkins University. The guide and the PRB policy<br />

framework are being used by trainers in the coalition<br />

member organizations to train their personnel and collaborators<br />

in techniques of policy advocacy throughout<br />

the region and in other SC field offices.<br />

GENDER<br />

<strong>MEASURE</strong> <strong>Communication</strong> staff were committed to integrating<br />

gender considerations into every aspect of the<br />

project. Staff prepared publications with a gender focus<br />

(for example, Women 2000: A Profile of Women’s<br />

Reproductive Lives, a set of policy briefs to inform the discussion<br />

at the Beijing+5 conference review in New York<br />

in 2000); added discussion of the importance gender to<br />

all publications; worked with other CAs to incorporate<br />

gender into their publications (for example, the Deliver<br />

Project’s assessment tool); and made gender balance an<br />

explicit component of the selection process for seminars<br />

and workshops. A secondary goal of several of the project’s<br />

media networks, which were comprised of only<br />

women members, was to enhance their credentials as<br />

journalists to better compete in what is often a maledominated<br />

field.<br />

The project’s most public contribution to the gender<br />

field was the staff’s active participation in many aspects<br />

of the Interagency Gender Working Group (IGWG). Staff<br />

co-chaired the Research and Indicators sub-committee<br />

and participated actively in others, wrote IGWG technical<br />

papers, helped pre-test publications like the Men’s<br />

Orientation Guide, and served on the Steering Committee<br />

and its successor, the Technical Advisor Group (TAG).<br />

<strong>MEASURE</strong> <strong>Communication</strong> received special funding to<br />

support IGWG’s dissemination activities. This section<br />

will describe those activities in more detail.<br />

PRB’s Work With IGWG<br />

The IGWG dissemination activities contributed to coalition<br />

building (IR2), i.e., creating and strengthening<br />

alliances around key PHN/E and gender issues such as<br />

integrating men into reproductive health and exploring<br />

gender-based violence as a part of reproductive health<br />

programs. Its work also encouraged policy learning (IR3)<br />

by supporting effective dissemination of PHN/E and gender<br />

information to key policy audiences.<br />

IGWG publications<br />

PRB designed, edited, and produced 10 IGWG publications<br />

that covered the spectrum from an explanation of<br />

gender perspectives to a framework for identifying gender<br />

indicators to case studies that provide program models<br />

for involving men. (See Attachment 7 for a<br />

description of each publication and how many copies<br />

were distributed.) The publications were truly a coalition-building<br />

enterprise, as they were co-authored by a<br />

wide variety of participants, most of whom served on<br />

IGWG subcommittees and represented many different<br />

agencies, including the <strong>Population</strong> <strong>Reference</strong> Bureau,<br />

John Snow International, <strong>Population</strong> Action<br />

International, CEDPA, JHPIEGO, Family Health<br />

International, and Futures Group.<br />

Through initial mailings to the IGWG mailing list<br />

and to <strong>Population</strong> <strong>Reference</strong> Bureau’s gender list, as well<br />

as through specialized requests and distribution at conferences<br />

and workshops, the IGWG publications were<br />

disseminated far and wide.<br />

The IGWG listserv and website<br />

Through <strong>MEASURE</strong> <strong>Communication</strong>, PRB expanded and<br />

administered the IGWG listserv. When PRB took over the<br />

listserv, it had around 200 members. By the end of the<br />

project it had over 450 members. Almost daily, two to<br />

four emails are sent, and contain a variety of information


32 <strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

on gender issues, including news clips, new publications,<br />

conferences, events, and job postings. The website contained<br />

IGWG publications in different formats (pdf and<br />

html), along with information about IGWG and its various<br />

subcommittees.<br />

An e-mail survey of the members elicited a 22 percent<br />

response rate. When asked how many of the IGWG listserv<br />

e-mails they read, 53 percent responded with “more<br />

than half of the e-mails.” Twenty-eight percent said they<br />

read every e-mail, and 20 percent read some e-mails. The<br />

majority of listserv respondents said they find the information<br />

in the e-mails to be useful. Fifty-five percent said<br />

the information is “very useful,” and 44 percent said<br />

“somewhat useful,” and only 1 percent said “not useful.”<br />

Most respondents said they use the information in the e-<br />

mails for reference in daily work and for research. After<br />

those, most respondents reported using the information<br />

for project or program design and writing reports and<br />

speeches. Eighty-two percent said they forward the e-<br />

mails to other people, and 92 percent use the links in the<br />

e-mails to seek further information on the Internet.<br />

Workshops, conferences, and outreach<br />

PRB supported various gender-related workshops under<br />

<strong>MEASURE</strong> <strong>Communication</strong>, including organizing:<br />

● Gender-Based Violence and Reproductive Health &<br />

HIV/AIDS—A Technical Update. A day-long meeting<br />

on May 1, 2002, attended by more than 130 program<br />

managers, policymakers, service providers, and trainers,<br />

that explored ways of integrating gender-based<br />

violence into reproductive health and HIV programs.<br />

● Reaching Men to Improve Reproductive Health for<br />

All. A four-day international conference in September<br />

2003 that provided state-of-the-art tools and strategies<br />

for involving men in reproductive health for the<br />

good of all.<br />

PRB also took advantage of other major workshops<br />

and conferences, such as those of the <strong>Population</strong><br />

Association of America, the American Public Health<br />

Association, and the MAQ (Measuring Access and<br />

Quality) Mini-University to distribute and publicize<br />

IGWG publications. As part of an outreach campaign,<br />

PRB developed an IGWG travel kit that is distributed at<br />

various conferences and meetings, established links to<br />

IGWG from numerous organizational websites, and<br />

advertised IGWG products in a number of national publications,<br />

including Network magazine.


<strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

33<br />

Attachment 1.<br />

<strong>MEASURE</strong> <strong>Communication</strong> Results Framework<br />

STRATEGIC OBJECTIVE<br />

To improve and institutionalize<br />

the collection and utilization of<br />

data for monitoring, evaluating<br />

and making policy decisions.<br />

INTERMEDIATE RESULTS<br />

1 Process through which key<br />

PHN/E issues are placed and<br />

maintained on the policy<br />

agenda strengthened<br />

INDICATOR<br />

Evidence that <strong>MEASURE</strong>-generated data and <strong>MEASURE</strong>-sponsored activities<br />

have resulted in improved PHN/E policies and programs<br />

INDICATORS<br />

Process Indicators<br />

1: Attention-generating events for PHN/E issues sponsored or supported<br />

by <strong>MEASURE</strong> <strong>Communication</strong><br />

2: Participants attending attention-generating events for PHN/E issues<br />

sponsored or supported by <strong>MEASURE</strong> <strong>Communication</strong><br />

3: Participants sponsored/supported by <strong>MEASURE</strong> <strong>Communication</strong> attending<br />

attention-generating events for PHN/E issues sponsored/supported by<br />

donors or other CAs<br />

4: News media coverage of PHN/E issues resulting form <strong>MEASURE</strong><br />

<strong>Communication</strong> interventions<br />

5: Direct interaction by <strong>MEASURE</strong> <strong>Communication</strong> staff with policy<br />

audience members that focus attention on PHN/E issues.<br />

6: Outreach activities<br />

Outcome Indicators<br />

1: Evidence that PHN/E issues have gained the attention of policy makers.<br />

(i.e., get on the “policy agenda”)<br />

2. Coalitions or alliances<br />

around key PHN/E issues<br />

created or strengthened<br />

Process Indicators<br />

1: Coalitions or alliances created<br />

2: Uses by coalitions/alliances of information/data provided by<br />

<strong>MEASURE</strong> <strong>Communication</strong><br />

Outcome Indicators<br />

1: Evidence that <strong>MEASURE</strong> <strong>Communication</strong> interventions have enhanced<br />

coalition/alliance efforts to increase the saliency of key PHN/E issues<br />

3. The effective dissemination<br />

of PHN/E information<br />

to priority policy<br />

audiences supported<br />

Global Materials—Process Indicators<br />

1: Individuals on the global mailing list who represent key target audiences<br />

2: Products disseminated by format (print/electronic) and topic<br />

3: Individuals on the email list who represent key target audiences<br />

4: Respondents to questionnaires/interviews who report <strong>MEASURE</strong><br />

<strong>Communication</strong> products are accessible i.e., the information provided<br />

was understandable or rated it highly<br />

5: Respondents to questionnaires/interviews who report that <strong>MEASURE</strong><br />

<strong>Communication</strong> products were relevant to their work<br />

Global Materials—Outcome Indicators<br />

1: Evidence of use for policy learning<br />

2: Requests generated after the initial dissemination


34 <strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

INTERMEDIATE RESULTS<br />

INDICATORS<br />

In-country Materials—Process Indicators<br />

1: Individuals in materials dissemination plan for a given country<br />

that represent key target audiences<br />

2: Products disseminated in country by format and topic<br />

3: Individuals on the email list for a given country who represent<br />

key target audiences<br />

4: Respondents to questionnaires/interviews in a specific country<br />

who report <strong>MEASURE</strong> <strong>Communication</strong> products are accessible i.e.,<br />

information provided was understandable or rated it highly<br />

5: Respondents to questionnaires/interviews in a specific country<br />

who report <strong>MEASURE</strong> <strong>Communication</strong> products that they received<br />

requested materials<br />

6: Respondents to questionnaires/interviews in a specific country who<br />

eport <strong>MEASURE</strong> <strong>Communication</strong> products are relevant to their work<br />

In-Country Materials Outcome Indicators<br />

1: Evidence of use for policy learning<br />

2: Requests generated after the initial dissemination.<br />

C. Policy Information Services Process Indicators<br />

1: Requests for policy-related population and health information for<br />

approximately 100 developing or emerging-economy countries<br />

2: Requests for country-specific briefing packets on policy-related<br />

population and health information for approximately 100 developing<br />

or emerging-economy countries<br />

4. Individual and institutional<br />

capacity to disseminate policy-relevant<br />

PHN/E data and<br />

information strengthened.<br />

5. Policy communication techniques<br />

developed and tested<br />

Process Indicators<br />

1: Participants trained<br />

2: Collaborators for Training Workshops<br />

Outcome Indicators<br />

1: Policy communication skill use<br />

2: Training sessions or workshops replicated (spin-offs)<br />

3: Evidence of workshop financial sustainability<br />

4: Workshop alumni who use acquired skills to support<br />

<strong>MEASURE</strong> Program goals<br />

5: Institutional capacity for policy communication improved<br />

Process Indicator<br />

1: Number of audience assessment and policy communication<br />

methodologies and techniques developed and tested


<strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

35<br />

Attachment 2.<br />

Global Publications Produced Under <strong>MEASURE</strong> <strong>Communication</strong><br />

YEAR, TITLE<br />

FORMAT, LANGUAGES<br />

(E = ENGLISH; F = FRENCH;<br />

S = SPANISH; A = ARABIC;<br />

P = PORTUGUESE)<br />

FY 2003<br />

Critical Links: <strong>Population</strong>, Health and the Environment<br />

PRB <strong>Population</strong> Bulletin, E<br />

Ripple Effects: <strong>Population</strong> and Coastal Regions<br />

Policy brief, E<br />

Gender, Health and Development in the Americas 2003<br />

Data sheet, E/S<br />

Nutrition of Women and Adolescent Girls: Why It Matters<br />

On-line, E<br />

Health Sector Reform: How it Affects Reproductive Health<br />

Policy brief, E/F/S<br />

Unmet Need for Family Planning: Recent Trends and Their Implications for Programs Policy brief, E/F/S<br />

New Perspectives on Quality of Care Series<br />

Policy brief, E/F/S<br />

Improving the Quality of Reproductive Health Care for Young People<br />

Improving the Quality of Reproductive Health Care: How Much Does It Cost?<br />

2003 World <strong>Population</strong> Data Sheet Data sheet, E/F/S<br />

FY 2002<br />

Children’s Environmental Health: Risks and Remedies<br />

Policy brief, E/F/S<br />

Hidden Suffering:<br />

Disabilities From Pregnancy and Childbirth in Less Developed Countries Policy brief, E/F/S<br />

Meeting the Reproductive Health Needs of Displaced People<br />

Policy brief, E (F/S on-line only)<br />

Healthy People Need Healthy Forests<br />

Policy brief, E/F/S<br />

Making the Link: <strong>Population</strong>, Health, and the Environment<br />

Wallchart, E/F/S<br />

Making Motherhood Safer: Overcoming Obstacles on the Pathway to Care<br />

Booklet and poster, each in E/F/S<br />

New Perspectives on Quality of Care Series<br />

Policy briefs, E/F/S<br />

Overview of Quality of Care in Reproductive Health:<br />

Definitions and Measurements of Quality<br />

Client-Centered Quality: Clients’ Perspectives and Barriers to Receiving Care<br />

Providers and Quality of Care<br />

2002 Women of Our World Data sheet, E/F/S<br />

Securing Future Supplies for Family Planning and HIV/AIDS Prevention<br />

Policy brief, E/F/S<br />

Women, Men, and Environmental Change<br />

Policy brief, E/F/S<br />

Understanding and Using <strong>Population</strong> Projections<br />

Policy brief, E<br />

2002 World <strong>Population</strong> Data Sheet Data sheet, E/F/S<br />

FY 2001<br />

Abandoning Female Genital Cutting<br />

Chartbook, E/F<br />

Conveying Concerns: Media Coverage of Women and HIV/AIDS<br />

Booklet, E/F/S<br />

Youth in Sub-Saharan Africa:<br />

A Chartbook on Sexual Experience and Reproductive Health<br />

Chartbook, E/F<br />

New <strong>Population</strong> Policies:<br />

PRB <strong>Population</strong> Bulletin,<br />

Advancing Women’s Health and Rights<br />

E/F/S/A<br />

Conveying Concerns: Women <strong>Report</strong> on Families in Transition<br />

On-line, E<br />

2001 World <strong>Population</strong> Data Sheet Data sheet, E/F/S


36 <strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

YEAR, TITLE<br />

FORMAT, LANGUAGES<br />

(E = ENGLISH; F = FRENCH;<br />

S = SPANISH; A= ARABIC;<br />

P = PORTUGUESE)<br />

FY 2000<br />

The World’s Youth 2000<br />

Data Sheet and accompanying<br />

report, each in E/F/S<br />

Social Marketing for Adolescent Sexual Health<br />

Booklet, E/F<br />

Women 2000: A Profile of Women’s Reproductive Lives (series)<br />

Policy briefs and folder, E/F/S<br />

Meeting Young Women’s Reproductive and Sexual Health Needs<br />

How Does Family Planning Influence Women’s Lives?<br />

Is Education the Best Contraceptive?<br />

Making Pregnancy and Childbirth Safer<br />

Conveying Concerns: Women Write on Gender-Based Violence<br />

Booklet (media stories), E/F/S<br />

Emerging Issues in Women’s Health and Rights<br />

Policy brief, E/F/S<br />

Building on Global Gains in Health, Education, and Rights<br />

Policy brief, E/F/S<br />

2000 World <strong>Population</strong> Data Sheet Data sheet, E/F/S<br />

FY 1999<br />

Female Genital Cutting: The Facts and Myths (<strong>Report</strong> of a USAID Symposium) Booklet, E<br />

Breastfeeding Patterns in the Developing World<br />

Data sheet/wallchart, E/F/S/A<br />

1999 World <strong>Population</strong> Data Sheet Data sheet, E/F/S<br />

PRB Publications Distributed<br />

Through Targeted Mailings Under <strong>MEASURE</strong><br />

YEAR, TITLE<br />

FY 2002<br />

Finding the Balance:<br />

<strong>Population</strong> and Water Scarcity in the Middle East and North Africa<br />

Attaining Global Health: Challenges and Opportunities<br />

International Migration: Facing the Challenge<br />

Family Planning Worldwide 2002<br />

Kids Count International Data Sheet<br />

FY 2001<br />

World <strong>Population</strong> Futures<br />

FY 2000<br />

An Urbanizing World<br />

FY 1999<br />

World <strong>Population</strong> Beyond Six Billion<br />

International <strong>Population</strong> Handbook, 4th Edition<br />

FORMAT, LANGUAGES<br />

Policy brief, E/S/F<br />

PRB <strong>Population</strong> Bulletin, E<br />

PRB <strong>Population</strong> Bulletin, E<br />

Wallchart, E/F/S<br />

Wallchart, E<br />

PRB <strong>Population</strong> Bulletin, E<br />

PRB <strong>Population</strong> Bulletin, E<br />

PRB <strong>Population</strong> Bulletin, E<br />

Booklet, E/F<br />

FY 1998<br />

<strong>Population</strong> Change, Resources, and the Environment<br />

PRB <strong>Population</strong> Bulletin, E<br />

<strong>Population</strong> and Reproductive Health in Sub-Saharan Africa PRB <strong>Population</strong> Bulletin, E/


<strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

37<br />

Attachment 3.<br />

Media Articles From 1/1/1997 to 7/31/2003<br />

YEAR LOCATION SEMINAR PROJECT AND TITLE NO. ARTICLES<br />

1997 Ivory Coast Pop’Mediafrique workshop on HIV/AIDS 15<br />

1998 Kathmandu ICPD+5 Asia Regional Seminar 67<br />

1998 Ouagadougou, Pop’Mediafrique workshop on STIs 19<br />

Burkina Faso<br />

1998 Washington, DC Women’s Edition seminar on Reproductive Health 55<br />

1998 New York Women’s Edition seminar on Gender-based Violence 56<br />

1999 Saly Portudal, Fem’Mediafrique workshop on Women and AIDS 36<br />

Senegal<br />

1999 Johannesburg ICPD+5 Africa Regional Seminar 36<br />

1999 Netherlands ICPD+5 The Hague 47<br />

1999 New York ICPD+5 UNGASS 36<br />

1999 San José, Women’s Edition seminar on Women’s Empowerment 31<br />

Costa Rica<br />

1999 New York Women’s Edition seminar on Families in Transition 29<br />

2000 Durban 13th International AIDS Conference 49<br />

2000 New York Beijing+5 Conference 33<br />

2000 Bamako Pop’Mediafrique National Seminar – AIDS/Young People 41<br />

2000 Tunis IAG Conference on Saving Mother’s Lives 25<br />

2000 Durban Women’s Edition seminar on Women and HIV/AIDS 59<br />

2001 Manila Asia Pacific Conference on Reproductive Health 7<br />

2001 Taiwan Asian Youth at Risk Conference 16<br />

2001 Basel, Switz. Conference on <strong>Population</strong> and Health in the 21st Century 4<br />

2001 Istanbul Contraceptive Security Meeting 26<br />

2001 Madagascar Ongoing media network in Madagascar 67<br />

2001 Bamako, Mali UNICEF Conference on Maternal Health 36<br />

2001 Ouagadougou, Intl. Conf. on AIDS and STDs in Africa 38<br />

Burkina Faso<br />

2001 New York HIV/AIDS-UNGASS 17<br />

2001 Washington, DC Women’s Edition seminar on Women and Leadership 63<br />

2001 New York Women’s Edition seminar on Women and Trafficking 33<br />

2002 Barcelona 14th International AIDS Conference 36<br />

2002 Finland Environmental Ministers meeting 1<br />

2002 Munyonyo, ESAWomen seminar on HIV/AIDS in Young Women/Girls 56<br />

Uganda<br />

2002 Dakar Post-Abortion Care Conference 27<br />

2002 Barcelona Women’s Edition seminar on Quality of Reproductive Health Care 32<br />

2002 Johannesburg World Summit on Sustainable Development 117<br />

2003 Nairobi, Kenya ESAWomen seminar on GBV, AIDS, and Family Planning 10<br />

TOTAL NUMBER OF ARTICLES: 1,220<br />

Note: Articles listed are those provided to the <strong>Population</strong> <strong>Reference</strong> Bureau, generally by the author.


38 <strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

Attachment 4.<br />

Women’s Edition Participants 1998–2003<br />

Gabriela Adamesteanu, editor-in-Chief, 22; weekly columnist, Romania Libera, Romania<br />

Harikala Adhikary, associate editor, Gorkhapatra, Nepal<br />

Thaís Aguilar, director for Latin America, Servicio Especial de Noticias de la Mujer (SEM), Costa Rica<br />

Sarah Akrofi-Quarcoo, chief editor, News and Current Affairs, “Ghana Radio News,” Ghana Broadcasting Corporation;<br />

President, Women in Broadcasting, Ghana<br />

Sandra Aliaga, editor, Equidad, Bolivia<br />

Barbara Bitangaro, senior health reporter and editor, “Women’s Vision,” The New Vision, Uganda<br />

Esperanza Brito de Martí, editor-in-chief, Fem, Mexico<br />

Josefina (Pennie Azarcon) dela Cruz, associate editor, “Sunday Inquirer Magazine,” Philippine Daily Inquirer<br />

Judith Hadonou-Yovo, Chargee de Mission, La Chaine 2 (LC2), Benin<br />

Nguyen Thi Hahn, host, “The Insiders,” Vietnam Television<br />

Zuhra Karim, publisher and Editor, She, Pakistan<br />

Seraphine Lainjo Tata, assistant chief of service for programs (radio), Cameroon Radio and Television Broadcasting<br />

Corporation; Secretary-General, National Professional Media Women<br />

Ciça Lessa, editor, Capricho, Brazil<br />

Nguyen Thi Loc, manager, English Service, Voice of Vietnam<br />

Alice Louis El Mallakh, editor, Nisf El-Dunia, Egypt<br />

Eunice Mathu, publisher and editor, Parents, Kenya<br />

Magda Rashad Mehanna, assistant editor-in-chief and editor of the women’s section, Al Ahram, Egypt<br />

Noesreini R.S. Meliala, managing editor, Femina, Indonesia<br />

Nawal Sayed Mostafa, vice chief editor, Al Akhbar, Egypt<br />

Galina Rotayenko, editor-in-chief, Marianna; deputy editor, Panorama; producer, Kharkiv region TV; director,<br />

Femin-Inform news agency, Ukraine<br />

Sathya Saran, editor, Femina, India<br />

Sylvia Vollenhoven, producer (TV), South Africa Broadcasting Corporation, South Africa.<br />

Lemlem Bekele Woldemichael, senior reporter, Radio Ethiopia<br />

Nabusayi Lindah Wamboka, assistant editor and senior features writer, The Monitor, Uganda


<strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

39<br />

Attachment 5.<br />

Conferences to Which PRB Sponsored Journalists<br />

CONFERENCE<br />

JOURNALISTS<br />

ICPD +5, New York, 1999 20<br />

Beijing +5, New York, 2000 6<br />

13th International AIDS Conference Durban, 2000 21<br />

SO2-IAG conference on saving mother’s lives, Tunis, 2000 7<br />

International Conference on AIDS and STDs in Africa, Ouagadougou, Burkina Faso, 2001 10<br />

Conference on <strong>Population</strong> and Health in the 21st Century, Basel, Switzerland, 2001 3<br />

UNGASS on HIV/AIDS, New York, 2001 6<br />

UNICEF conference on maternal health, Bamako, Mali, 2001 12<br />

Contraceptive Security conference, Istanbul, 2001 6<br />

Asia Pacific Conference on Reproductive Health, Manila, 2001 3<br />

Asian Youth at Risk Conference, Taiwan, 2001 5<br />

14th International AIDS Conference, Barcelona, 2002 9<br />

World Summit on Sustainable Development, Johannesburg, 2002 15<br />

Post-Abortion Care conference, Dakar, Senegal, in 2002 4<br />

Environmental ministers meeting, Finland, 2002 1<br />

TOTAL 128


40 <strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

Attachment 6.<br />

Policy <strong>Communication</strong> Workshops<br />

“COMMUNICATING POPULATION AND HEALTH RESEARCH TO POLICYMAKERS”<br />

WORKSHOP<br />

NUMBER OF PARTICIPANTS<br />

1998 East-West Center, Hawaii 14<br />

1999 East-West Center, Hawaii 18<br />

1999 IPSR, Mahidol University, Kampala, Uganda 16<br />

2000 East-West Center, Hawaii 16<br />

2000 IPH, Makerere University, Kampala, Uganda 14<br />

2000 IPSR, Mahidol University, Bangkok, Thailand 16<br />

2000 INISA-PCP,University of Costa Rica, San Jose 13<br />

2001 MOH, Phnom Penh, Cambodia 12<br />

2001 East-West Center, Hawaii 15<br />

2001 International Institute for <strong>Population</strong> Studies, Mumbai, India 9<br />

2001 IPH, Makerere University, Kampala, Uganda 17<br />

2001 INISA-PCP, University of Costa Rica, San Jose 16<br />

2002 IPH, Makerere University, Kampala, Uganda 14<br />

2002 INISA-PCP, University of Costa Rica, San Jose 15<br />

2003 East-West Center, Hawaii 11<br />

2003 FGC Workshop, Addis Ababa, Ethiopia 13<br />

2003 IPH, Makerere University, Kampala, Uganda 15<br />

2003 IPSR, Mahidol University, Bangkok, Thailand 18<br />

2003 INISA-PCP, University of Costa Rica, San Jose 15<br />

TOTAL 277<br />

“COMMUNICATING ENVIRONMENTAL RESEARCH TO POLICYMAKERS:<br />

EXPLORING POPULATION, HEALTH, AND ENVIRONMENT LINKAGES”<br />

WORKSHOP<br />

NUMBER OF PARTICIPANTS<br />

2000 World Conservation Union (IUCN), Costa Rica 14<br />

2000 Antananarivo, Madagascar 14<br />

2001 IUCN, Costa Rica 14<br />

2001 IPSR, Mahidol University, Bangkok, Thailand 16<br />

2002 IPSR, Mahidol University, Bangkok, Thailand 15<br />

2002 University of Tanzania, Dar es Salaam 17<br />

2003 IPSR, Mahidol University, Bangkok, Thailand 16<br />

2003 Univeristy of Tanzania, Dar es Salaam 21<br />

TOTAL 127<br />

PRB POPULATION POLICY COMMUNICATION FELLOWS BY YEAR<br />

NAME HOME COUNTRY ORGANIZATION (NOW) COUNTRY<br />

1998-1999<br />

Bronte-Tinkew, Jacinta Trinidad&Tobago Child Trends - Washington DC USA<br />

Do, Mai Vietnam Johns Hopkins University – Bloomberg USA<br />

School of Public Health


<strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

41<br />

NAME HOME COUNTRY ORGANIZATION (NOW) COUNTRY<br />

Gajurel, Kishor Nepal University of Michigan - <strong>Population</strong> USA<br />

Studies Center; Director of the Human<br />

and Natural Resources Studies<br />

Center at Kathmandu University,<br />

Kabani, Ghazala Pakistan Marshfield Clinic USA<br />

Kimuna, PhD., Sitawa Kenya East Carolina University, USA<br />

Department of Sociology<br />

Mahmood, Muhammad Pakistan Ministry of <strong>Population</strong> Welfare PAKISTAN<br />

Islamabad, Pakistan<br />

Oladosu, Muyiwa Nigeria The Alan Guttmacher Institute USA<br />

Otieno, Dr. Mary Kenya International Medical Corps USA<br />

Ratovondrahona, Madagascar Université Michel de Montaigne FRANCE<br />

Bordeaux III<br />

Satyavada, Dr. Aravinda India INDIA<br />

Sun, Rongjun China Cleveland State University USA<br />

Viswanathan, Meera India University of North Carolina - Chapel USA<br />

1999-2000<br />

Adazu, Dr. Kubaje Ghana Centers for Disease Control and KENYA<br />

Prevention (CDC), Kenya<br />

Bawah, Ayaga Ghana University of Pennsylvania, USA<br />

<strong>Population</strong> Studies Center<br />

Diop-Sidibe, Ph.D., Mali Johns Hopkins University, USA<br />

Nafissatou<br />

Bloomberg School of Public Health,<br />

Center for <strong>Communication</strong> programs<br />

Domingo, Sister Mary Nigeria Boston College, Graduate School of USA<br />

Social Work<br />

Garcia-Calderon, Rosario Mexico UNESCO Institute for Statistics CANADA<br />

Gordillo, Amparo Ecuador Tulane University USA<br />

Kiiti, Ndunge Kenya MAP International in Atlanta USA<br />

Opondo, Dr. Johnmark Kenya Family Care International USA<br />

Pande, Gitanjali India Council of Chief State School Officers USA<br />

Rani, Manju<br />

India<br />

Razafindratsima, Nicolas Madagascar Insitut d’Etudes Politiques de Paris FRANCE<br />

Rutaremwa, Gideon Uganda Makerere University, Dept. UGANDA<br />

of <strong>Population</strong> Studies<br />

Sinha, Nistha India Economic Growth Center; Yale USA<br />

Vargas, Ph.D., Silvana Peru International Program on the COSTA RICA<br />

Elimination of Child Labor -<br />

ILO<br />

2000-2001<br />

Aung, Yin Yin Myanmar UNICEF - Yangon, Myanmar MYANMAR<br />

Feng, Ph.D., Zhanlian China Center for Gerontology and Health USA<br />

Care Research, Brown University<br />

Gyimah, Stephen Ghana University of Western Ontario CANADA<br />

Haque, Nasim Pakistan Johns Hopkins University USA<br />

Kodamanchaly, Joseph India USA<br />

Nyangara, Florence Kenya PHNI USA<br />

Sari, Nazmi Turkey Florida International University USA<br />

Sari, Özlem Turkey Florida International University USA<br />

Ssengonzi, Robert Uganda Research Triangle Institute USA<br />

Sunil, Thankam S. India University of Texas at San Antonio USA


42 <strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

NAME HOME COUNTRY ORGANIZATION (NOW) COUNTRY<br />

Vu, M.D., Ph.D., Vietnam <strong>Population</strong> Research Center at the USA<br />

Thanh-Huyen<br />

University of Chicago<br />

2001-2002<br />

Barsoum Botros, Ghada Egypt EGYPT<br />

Gebreselassie, Tesfayi Ethiopia Pennsylvania State University USA<br />

Ilhamto, Gatot Indonesia University of Guelph, Canada CANADA<br />

Li, Guanghui “Jodie” China University of Washington USA<br />

Matenge, Miss Mavis Botswana Romero House CANADA<br />

Nankhuni, Flora Malawi Pennsylvania State University, USA<br />

Dept. of Agricultural Economics<br />

and Rural Sociology and<br />

The <strong>Population</strong> Research Institute<br />

Omariba, D. Walter Kenya University of Western Ontario CANADA<br />

Paz Soldan, Valerie Peru Carolina <strong>Population</strong> Center – USA<br />

University of North Carolina, Chapel Hill<br />

Portela, Rosimeiry Brasil University of Maryland USA<br />

Institute for Ecological Economics<br />

Potdar, Rukmini India Johns Hopkins Bloomberg School of USA<br />

Public Health<br />

Subaiya, Lekha India University of Maryland USA<br />

Urdinola, Beatriz Piedad Colombia University of California, Berkeley USA<br />

Woubalem, Zewdu Ethiopia Brown University USA<br />

2002-2003<br />

Chhetri, Nalini Nepal Penn State University USA<br />

Cruz-Caraballo, Darwin Dominican Republic Pennsylvania State University USA<br />

Doctor, Henry Malawi <strong>Population</strong> Council-Ghana GHANA<br />

Navrongo Health Research Centre<br />

Jampaklay, Aree Thailand University of North Carolina at Chapel THAILAND<br />

John-Langba, Johannes Sierra Leone University of Pittsburgh USA<br />

Kulkarni, Veena India University of Maryland USA<br />

Magarati, Ratna Maya Nepal University of Washington USA<br />

Muhammad, Ali Pakistan University of Western Ontario, Canada CANADA<br />

Muñoz-Franco, Elisa Mexico Brown University USA<br />

Stepanyan, Ara Armenia Rice University USA<br />

Sundaram, Aparna India University of Maryland, College Park USA<br />

Thiam, Macoumba Senegal University of Montreal, Canada CANADA<br />

You, Danzhen China University of California at Berkeley USA<br />

2003-2004<br />

Aysa-Lastra, Maria Mexico Princeton University USA<br />

Bhandari, Prem Nepal Pennsylvania State University USA<br />

Biratu, Belay Ethiopia Brown University USA<br />

Bradatan, Cristina Romania Pennsylvania State University USA<br />

Chattopadhyay, India Brown University USA<br />

Farhat, Tilda Lebanon University of North Carolina at Chapel USA<br />

Fotso, Jean-Christophe Cameroon University of Montreal, Canada CANADA<br />

Marquez Barrientos, Guatemala Indiana University, Bloomington USA<br />

Mills, Samuel Ghana Johns Hopkins University USA<br />

Molla, Azizur Bangladesh Pennsylvania State University USA<br />

Parashar, Sangeeta India University of Maryland USA<br />

Sorgho, Dr. Gaston Burkina Faso Harvard University USA<br />

Thomas, Kevin Sierra Leone University of Pennsylvania USA<br />

Vasquez Luque, Tania Peru University of Texas at Austin USA


<strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

43<br />

Attachment 7.<br />

IGWG Publications Under <strong>MEASURE</strong> <strong>Communication</strong><br />

Research Gaps Related to Gender Issues and<br />

<strong>Population</strong>, Health, and Nutrition Programs:<br />

An Analysis<br />

—Prepared by the IGWG Subcommittee on Research and<br />

Indicators, this paper outlines what constitutes “gendersensitive”<br />

research for reproductive health. It also compiles<br />

a list of research gaps related to the reproductive<br />

health and rights aspects of the 1994 International<br />

Conference on <strong>Population</strong> and Development (ICPD) and<br />

the 1995 Fourth World Conference on Women (FWCW).<br />

(A 20-page Summary of the Analysis is also available.)<br />

Published in April 2000.<br />

(Disseminated 1,900 copies)<br />

The Guide for Incorporating Gender Considerations in<br />

USAID Family Planning and Reproductive Health RFAs<br />

and RFPs<br />

—The IGWG Program Implementation Subcommittee created<br />

this guide to assist USAID technical staff in fulfilling<br />

the USAID requirement for gender integration in the<br />

ADS 200 and 300 series. It provides strategies to design<br />

Requests for Applications (RFAs) and Requests for<br />

Proposals (RFPs) concerning reproductive health in a<br />

way that integrates gender.<br />

Published in October 2000.<br />

(Disseminated 600 copies)<br />

Involving Men in Sexual & Reproductive Health:<br />

An Orientation Guide CD-ROM<br />

—The IGWG Men and Reproductive Health Subcommittee<br />

produced this Orientation Guide CD-ROM, which has two<br />

overarching goals: promoting gender equity for its own<br />

sake, and using gender-equitable approaches to improve<br />

sexual and reproductive health outcomes. Intended as a<br />

resource for planners, program managers and policymakers,<br />

as well as NGOs and community groups, the Guide<br />

can facilitate information sharing, planning, and advocacy.<br />

The Guide covers five areas: involving men in family<br />

planning, HIV/AIDS, safe motherhood, gender-based<br />

violence, and working with young men.<br />

Published in May 2002.<br />

(Disseminated 1,300 in English and Spanish)<br />

Exploring Gender Perspectives in <strong>Population</strong> and<br />

Health Programs: Workshop Findings and<br />

Recommendations<br />

—In 1999, the IGWG Gender, Advocacy, and Policy<br />

(GAP) Subcommittee held a series of interviews and<br />

workshops, Exploring Gender Perspectives in <strong>Population</strong><br />

and Health Programs, to learn how project managers<br />

regarded gender at that time. This paper is the result of<br />

those efforts and includes the workshop methodology,<br />

findings (such as the five diverse perspectives managers<br />

had on integrating gender into PHN programs) and recommendations<br />

for integrating gender considerations into<br />

the design of PHN projects and programs. It reflects the<br />

views of project managers who were attempting to<br />

understand the role that gender might play in their projects.<br />

The paper presents these perspectives without<br />

assigning value or preference to any of them.<br />

Published in July 2002.<br />

(Disseminated 2,300 copies)<br />

A Framework to Identify Gender Indicators for<br />

Reproductive Health and Nutrition Programming<br />

—The IGWG Subcommittee on Research and Indicators,<br />

drawing on their own extensive experience, produced<br />

this 40-page publication. It presents a framework for<br />

incorporating gender into the design and evaluation of<br />

PHN programs and provides process indicators to help<br />

PHN program planners address gender-related barriers<br />

and constraints to improved reproductive outcomes in<br />

the areas of family planning, safe motherhood, postabortion<br />

care, nutrition, and HIV/AIDS.<br />

Published in October 2002.<br />

(Disseminated 1,750 copies)<br />

Gender-Based Violence and Reproductive Health &<br />

HIV/AIDS: Summary of a Technical Update<br />

—Based on a day-long technical update for program<br />

managers, policymakers, service providers, and trainees<br />

in May 2002, this 40-page summary explores if and<br />

how gender-based violence (GBV) and RH/HIV intersect<br />

and how best to integrate GBV concerns into RH/HIV<br />

programs.<br />

Published in November 2002.<br />

(Disseminated 2,460 copies)<br />

Involving Men to Address Gender Inequities in<br />

Reproductive Health: Three Case Studies<br />

—The IGWG Men and Reproductive Health Subcommittee<br />

has identified three innovative programs that have<br />

engaged men and youth in efforts to improve reproductive<br />

health outcomes for men, women, and families<br />

around the world. This 70-page publication is a model<br />

for other programs that share the goal of improving<br />

women’s reproductive health and gender equity by<br />

involving men in a conscious, considered, and constructive<br />

way.<br />

Published in July 2003.<br />

(Disseminated 1,800 copies)


44 <strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

A Manual for Integrating Gender into Reproductive<br />

Health and HIV Programs: From Commitment to Action<br />

—This reference manual, prepared by IGWG’s Gender<br />

Manual Task Force, focuses on the “how” of gender integration.<br />

Program managers and designers of new programs<br />

will find it to be an invaluable tool for<br />

integrating gender concerns into program design, implementation,<br />

and evaluation, thereby improving reproductive<br />

health through equitable gender relations.<br />

Published in November 2003.<br />

(Disseminated 850 copies)<br />

The ‘So What?’ <strong>Report</strong>: A Look at Whether Integrating<br />

a Gender Focus into Reproductive Health Programs<br />

Makes a Difference to Outcomes<br />

—Does taking a gender-based approach to policy and<br />

programming have an effect on reproductive health outcomes?<br />

This question, posed to the IGWG Evidence-Based<br />

Task Force, formed the basis for a review of the evidence<br />

that integrating gender into reproductive health programs<br />

does make a difference to outcomes—both reproductive<br />

health outcomes and gender outcomes. This<br />

publication, the result of the Task Force review of 400<br />

interventions, highlights 25 examples of RH interventions<br />

that integrated gender by working to transform rigid<br />

gender relations and that achieved improved reproductive<br />

health outcomes.<br />

Published in March 2004.<br />

(Disseminated 750 copies)


<strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

45<br />

Attachment 8.<br />

Project Staff (FY98–FY04)<br />

POPULATION REFERENCE BUREAU<br />

NAME TITLE YEARS WITH PROJECT<br />

PROJECT MANAGEMENT<br />

Nancy Yinger Director of International Programs and <strong>MEASURE</strong> <strong>Communication</strong> 2000-2004<br />

John Haaga Director 1998-1999<br />

Rhonda Smith Deputy Director of Capacity Building and Technical Assistance 1998-2004<br />

Mark Sherman Deputy Director of Global <strong>Communication</strong>s/Senior Policy Analyst 1998-2002<br />

TECHNICAL AND ADMINISTRATIVE STAFF<br />

Sara Adkins-Blanch Production Coordinator/ Administrator 1998-2004<br />

Lori Ashford Senior Policy Analyst/Technical Director 1998-2004<br />

Buffy Baumann Fellow 2002-2003<br />

Julia Beamish Senior <strong>Communication</strong>s Specialist 1998-2000<br />

Margaret Blabey Program Assistant 2002-2003<br />

Eric Bourland Web Development Specialist 2000-2003<br />

Jennifer Bowman International Fellow 1999-2000<br />

Anne Boyd International Fellow 1999-2000<br />

Ellen Carnevale Director of Publishing 1998-2001<br />

Dara Carr Senior Policy Analyst 1999-2001<br />

Donna Clifton Distribution Coordinator 1998-2004<br />

Emily Collings International Fellow (at USAID) 1998-2000<br />

Yvette Collymore Writer, <strong>Population</strong> Topics 1999-2001<br />

Lisa Colson Program Assistant 2002-2004<br />

Diana Cornelius Data Analyst 1998-2001<br />

Elizabeth Creel <strong>Population</strong> Specialist 2001-2003<br />

Colette Curran International Fellow (at PRB) 1998-1999<br />

Ketayoun Darvich-Kodjouri International Programs Coordinator 1998-1999<br />

Patricia David Senior Health Policy Analyst 1998<br />

Roger-Mark DeSouza Coordinator, <strong>Population</strong> and Environment Programs 1999-2004<br />

Peter Donaldson President, PRB 1998-2003<br />

Alene Gelbard Director of International Programs 1998-1999<br />

Tara Hall Graphic Designer 2003<br />

Carl Haub Senior Demographer 1998-2003<br />

Sharon Hershey-Fay Production Designer 1998<br />

Britt Herstad Research Analyst/Policy <strong>Communication</strong>s Associate 1998-2003<br />

Lisa Hisel Managing Editor 2000-2001<br />

Haruna Ito (Kashiwase) <strong>Population</strong> Information Assistant 2001-2004<br />

Mary Kent Editor, <strong>Population</strong> Bulletin 2003<br />

Theresa Kilcourse Graphic Designer 2000, 2003


46 <strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

NAME TITLE YEARS WITH PROJECT<br />

Heather Lilley Graphic Designer 1999-2004<br />

Aun Ling Lim Information Services Specialist 1999<br />

Kathleen Maguire Translations Coordinator 2002-2003<br />

Margaret Maier Project Assistant 1999-2001<br />

Zuali Malsawma Librarian 2000-2004<br />

Monica Matts Distribution Clerk 2003<br />

Lindsay Mayka International Fellow (at USAID) 2003<br />

Deborah Mesce Senior Media Coordinator 2001-2004<br />

Helena Mickle Managing Editor 2003<br />

Jonathan Nash PHE Policy Analyst 2000-2003<br />

Nina Pagadala International Fellow (at USAID) 2001-2002<br />

Rebecca Perry International Fellow (at PRB) 2003<br />

Diana Prieto Gender Fellow (at USAID) 2002-2003<br />

Elizabeth Ransom Research Analyst/Policy Analyst 2000-2003<br />

Vijay Rao Senior Policy Analyst 2001-2004<br />

Nicole Ricard Project Assistant/Training Associate 1999-2001<br />

Schuyler Roach International Fellow (at USAID) 1998<br />

Nazy (Farnazeh) Roudi Policy & Evaluation Specialist 1998-2002<br />

Justine Sass International Fellow (at PRB)/Policy Analyst 2000-2002<br />

Audrey Seger International Fellow (at USAID)/Research Associate 2000-2001<br />

Karen Semkow Project Administrator 1998-1999<br />

Erin Sines Program Assistant/Research Associate 1998, 2003<br />

Cheryl Stauffer Web Design/Research 1998<br />

Allison Tarmann Editor 1999-2003<br />

Joanne Weinman Senior Policy Analyst 2000-2002<br />

John Williams Evaluation Specialist 2003<br />

ACADEMY FOR EDUCATIONAL DEVELOPMENT (AED)<br />

NAME TITLE YEARS WITH PROJECT<br />

Victor Aguayo Data Analyst 1998-2000<br />

Ellyn Beiler Webmaster 1998-2001<br />

Maya Bruck Program Associate 1999-2000<br />

Bart Burkhalter Senior Technical Officer 1999-2000<br />

Mercedes Cabrera Deputy Financial Manager 1999-2000<br />

Alisa Cameron Program Associate 1999-2000<br />

Lynda Nygren Graphic Designer 1998-2000<br />

Robert Porter Senior <strong>Communication</strong> Specialist 1998-2003<br />

Bill Rau Senior Program Officer 1998-2000<br />

Eddie Reed Internet Specialist 1998<br />

Will Shaw Vice President and Director, International Public Health 1998-2000<br />

Glenn Strachan Information Technology Director 1998


<strong>MEASURE</strong> <strong>Communication</strong> <strong>Final</strong> <strong>Report</strong><br />

47<br />

End-notes<br />

1 The others were <strong>MEASURE</strong> DHS+ implemented by ORC Macro, <strong>MEASURE</strong> Evaluation implemented<br />

by the University of North Carolina, and PASAs with CDC and BUCEN.<br />

2 AED staff contributed to this effort.<br />

3 Response rates on questionnaires ranged from 1 percent to 5 percent of audiences who received<br />

the initial mailing, with an average of 2.2 percent for English publications, 1.5 percent for French<br />

publications, and 2.5 percent for Spanish publications. The highest response rates (and subsequent<br />

orders) were on PRB data sheets—the World <strong>Population</strong> Data Sheet and specialized data sheets on<br />

breastfeeding, women, and youth.<br />

4 This activity was funded by field support from the E&E Bureau; AED staff supported this effort<br />

in Russia.<br />

5 The extensive set of activities in Russia, funded by field-support from the Mission in Moscow,<br />

were conducted by AED staff.<br />

6 AED staff contributed to this activity.<br />

7 AED staff contributed to this activity.<br />

8 All together <strong>MEASURE</strong> <strong>Communication</strong> spent $475,000 on activities in Cambodia with field<br />

support from the ANE Bureau and the Mission. A special evaluation effort was core funded.<br />

9 A detailed evaluation report is available on request.<br />

10 <strong>MEASURE</strong> <strong>Communication</strong> received $682,000 in field support from the Mission to support<br />

this work.<br />

11 <strong>MEASURE</strong> <strong>Communication</strong> received $350,000 in field support funds for these activities.<br />

12 <strong>MEASURE</strong> Gateway was a simply a portal to all the partners’ websites; its use was not monitored.<br />

PopPlanet is described in the <strong>Population</strong>, Health, and Environment section of this report. Until<br />

FY2001, AED was responsible for the <strong>MEASURE</strong> <strong>Communication</strong> and <strong>MEASURE</strong> Gateway sites;<br />

their IT department designed and maintained these sites at the beginning of the project.<br />

13 <strong>MEASURE</strong> <strong>Communication</strong>’s media work in Africa was supported with field support from the<br />

Africa Bureau.<br />

14 Two of the <strong>MEASURE</strong> partners—Evaluation and <strong>Communication</strong>—worked with the same three<br />

regional universities to build a cadre of trained faculty capable of providing the skills across the data<br />

collection, monitoring and evaluation, dissemination, and data use continuum. Today, these institutions<br />

are becoming well known as regional centers of excellence for training in these focus areas.<br />

15 On occasion the Policy Fellows seminar included videotaping each Fellow’s final presentations as<br />

part of the final critique.<br />

16 Course outline and reading resources are available on request.<br />

17 The PHE program was able to leverage significant foundation funding over the life of the project.<br />

18 This was co-funded by the UN Foundation.<br />

19 For eight of these publications, the initial distribution was paid for by non-<strong>MEASURE</strong> funds, so<br />

the actual distribution of these publications was considerably greater: 105,000 copies.

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