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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.