COMBI PRESENTATION

Topic- COMBI Plan to curb increase of malaria in

Burnscreek community

Group: Charles Togapura, Josephine Sango, Chris Huta,

Benjiman Talu, Antonate Buma

Lecture: Ms,Lorren Satorara & Ms Rose mauga

 Out line of presentation
Topic- COMBI Plan to curb increase malaria in Burnscreek community
Introduction

Overall Goal

Behavioral Goals

Findings/result (Analysis)

The overall strategy for achieving the stated behavioural result

The COMBI Plan of Action:

Management and implementation of COMBI

Monitoring and implementation

Assessment of behavioural impact

Calendar/Time-line/Implementation Plan:

Budget Summary

Conclusion

to curb increase of malaria in Burnscreek co

 Introduction
 Malaria is a life-threatening disease caused by parasites that are transmitted to people
through the bites of infected mosquitoes.

 Globally distribute ; (2012 there were 207 million malaria cases, causing an estimated

627,000 deaths )

 Locally overview (in the Solomon Islands in 2015 was 40.5 cases per 1000 population

NVBDCP annual report, 2015).

 Honiara city contributed 18.4% (4,407/23,998) of total cases in the S.I )

Methods
 Burnscreek community was selected (see map below).
 Collect data
 Use questioner to the target audience
 Use SINU lab for gaining other relevant information.
Map Of Burnscreek
Step1:Overall Goal
 To complement the key insecticide based control measures in
reducing the malaria cases in Burns creek community in applying the
COMBI approach so that the SPR of <2% by end of 2016 (HCC
target) is anticipated.
Step2:Behavioral objective

 Compliance of burn creek community towards indoor residual

spraying (IRS) Intervention implemented to reduce the biting peak of
adult anopheles mosquito from resting indoor and outdoor of all burns
creek households

 Promote knowledge and skills in Burns creek community to gain

control over their own health with regards to malaria disease
Step3:Situational Market Analyses vis-à-vis the precise
behavioral result:

 The group use TOMA/DILO and MILO as a tool for audience

research/ situation market analysis (SMA).

 Base on descriptive epidemiology study done at Burns creek

community we randomly select 12 households to answer questionnaire
provided, this gives us picture with regards community level of
knowledge and behavioral practice.
Current Situation
High cases
compare to
other location
in Town
Overview of indoor residual spray situation in
Burnscreek community

Refusal h/hold
in Burnscreek
community
128, 7%

931, 51%
753, 42%

Total House Total house sprayed total refusal

 Vulnerability and Risk Factors
 
 Refuse to comply with the engage activities IRS
 Regards healthy living as health workers job
 Bed net use for agriculture activities (found cover crops
 Lack of respect to chiefs and elders
 3.2: Market Segment

Primary focus group

 The Burnscreek community are selected as primary focus group as they are classified as one among
the high risk community and vulnerable of transmitting the new malaria incidence cases to the
population.
Secondary focus group
 Total number of households in Burnscreek community who have refuse to implement

indoor residual spray (IRS) at their residents

Tertiary focus group .
 Leaders in Burnscreek community is targeted as they play

vital part in shaping the community welfare.

 3.3: Force Field Analysis

Barriers
 Cultural belief.

 Communication barriers.

 Laziness.

 Lack of knowledge.

 Ignorance and lack of prioritizing of health duties.

 Enablers

 Provide health service access for the community.

 Organize clean-up campaign at least once every week.
 Organize clean-up competition for every household in Burnscreek
community resident.
 Complement of bed nets and complies to use.
Desired behavior

 Burnscreek community to practice and understand the importance of

health
 Burnscreek community to comply with (IRS) activities by accessing
their house
 Improve community participation
 Encourage community to sleep under bed nets
 3.4 S.W.O.T ANALYSIS
STRENGTH WEAKNESS OPPORTUNITIE THREATS
S
 Access to health  Individualism  Schools  Expose to
facilities  Divests of  Churches dumpsite
 Access of cultures (lack of  SIBC/FM Station  High Probabilities
transports cooperation)  Bill boards of outbreak
 Educated  Ignorance   (epidemic)
 Health workers  Cultural beliefs    Socially influence
professional    Over crowded
 
 3.5INTERGRATED MARKET
COMMUNICATION
NEEDS WANTS COST CONVINIANCE

Complement of IRS Provide Spend more money on Risking of loss of life

with the compliance of information and medicine (treatments) Economically affected
bed nets uses and skills to the High cost of Unhealthy community
empower target audience to gain implementation of
audience through control of their activities
awareness and own health  
advocacy programme problems
3.5.1:DAY IN LIFE OF (DILO) ANALYSIS
Daily routine of targeted audience
 06:00am……… Wake up
 07:00am……… Breakfast, Prepare children to schools, Listen FM and
SIBC station
 08:00am-4:00pm….. Out off for their own business
 4:30pm-5:00pm…… Arrive back home, swimming
 5:30-7:00pm………… Dinner
 8:00pm-11pm……….. market vendors, FM & SIBC
 11:30pm……………….. Back to house
 12:00 am………………. Sleep, (sleep without net)
 3.5.2:Moment in life of analysis (M.I.L.O)

 The target audience behavior and living environment condition is not

favorable in regards to health living, the community is vulnerable or have
high risk associated with this disease is and most likely to occur and
transmitted to health community.
 3.6:POSITIONING (TOMA) Top of Mind Analysis

 The Burnscreek community has acquired this disease for decades.

Promotion of activates and information have been in place by health
professionals, however due to negligence and no care attitude concerning
their own health, increase of malaria cases recorded in Kukum clinic.
 3.7:Competitor

 No proper disposal of rubbish

 Whether
 Ignorance
 Lack of proper drainage
3.8: COMMUNICATION SITUATION/ISSUES
 Media/channel  Credible sources of information
I. News paper I. Target audience
II. Banners, posters II. Burnscreek community

III. SIBC, FM stations III. Whole population of Honiara

IV. Leaflets & pamphlets  Promotion media for action

 Traditional media I. Used SIBC and FM station to deliver

I. Health worker (NVBDCP/Health health information to the target
promotion) audience
II. Community engagement II. Target time 7:00am-8:00am - 8:00pm-

11pm
3.9: Further Research/
3.10: Programme Pre- Requisites

 Further Research
I. Bed net house hold survey
II. Test efficacy of IRS chemical (LAMBDA-CYHALOTHRIN)
III. Evaluate targets audience behaviour
 Programme Pre- Requisites
I. Train malaria surveillances and spraying operators.
II. Malaria advisors (WHO)
III. Availability of bed nets at VBDCP HCC
 4: The overall strategy for achieving the stated behavioural result

 Review and strengthen HCC VBDCP policies

 Mobilize stake holders through meetings and workshops
 Advocate for social mobilization
 Mobilize chiefs and elders at Burnscreek community.
 Set-up health committee at Burnscreek
4.1: Communication Objectives
 To organize quarterly meetings with stake holders to gain support and improve
program.
 To conduct malaria campaigns through radio SIBC and one FM 2 weeks before
campaign actually begins
 To issue articles of malaria the disease through Solomon star.
 Assist of providing necessary knowledge and skills to Burnscreek community
5:The COMBI Plan of Action
 Five key action area
I. Administration /mobilization public relation
II. Community mobilization
III. Advertising (promotion and incentives

IV. Personal selling /interpersonal communication

V. Point of Service Promotion

KEY- MASSAGE
MALARIA CAN KILL !!
6: Management and implementation of COMBI

 The combi plan will be managed and coordinated by the school of

nursing and allied health science in collaboration with all inter
sectoral allies department within selected ministries.

 Public health student (group) and Honiara city “VBDCP” (MHMS)

will be the main co-founder to piloting the project throughout the
duration stated in the time line frame.
 7.0Monitoring and implementation

 Implementation of the plan will be monitored and evaluated through

evaluation indicators.
 8: Assessment of behavioral impact (indicator)

 Combi Objectives
I. Organize quarterly meetings
II. Organize workshop for stake holders, public health students and Burnscreek
committee
III. Organize 2 major campaigns for Burnscreek community

IV. Develop posters, banners, and leaflet

V. Conduct awareness through radio SIBC & one FM 2. Send articles of
malaria through health column in the Solomon star
VI. Conduct weekly health talk in Kukum clinic
VII. Evaluation at the end of the programs.
9. Calendar/Time-line/Implementation Plan
Time period Key Activities Responsible

Week 1 Week 2 Week 3 Week 4

July 2016 Team members Meeting HCC Meeting with Team members
group meeting VBDCP,H/ audience HCC (VBDCP)
S/holders HPD, stake
holders
August 2016 Meeting with Workshop Organizing Stakeholders Team member
target audience village clean up w/shop & IEC HPD
HCC VBDCP,
IEC committee,
Red devil,
company

September 2016 Printing of IEC Distribution of W/shop Follow up visit Team member
materials IEC materials Burnscreek & Campaign HPD
Tools hand over HCC VBDCP
Burnscreek
committee
 Continue
November 2016 Follow up to Continue Selection of Presentation of Team members
point of services Interpersonal questionnaire winning prizes VGE committee
Communication competition Target audience
with target winner
audience

December 2016 Review strategy Evaluation Report writing Submitted repot

to relevant
authority
 Budget summary
Activity Total cost
Administration $2,100.00
Malaria Campaign $6,050.00
IEC material $15,000.00
Mass Media $33,800.00
 
Monitoring and evaluation $32,000.00
 
Work shop for $20,500.00
key stake holders
Baby weight competition award $31,000.00
Radio talk back show award
Tools Hand over $700.00
Stake holders meeting $2,700.00
$143,850.00
 TOTAL
 
 Conclusion:
 Globally and locally malaria continues to be one of concern public
health problem to malaria zone populations and none immune
travellers.
 Solomon Island long combat with this disease for century that lead to
high mortality and morbidity rate and set a world record of (153,359)
in (annual report1992)
 The most probable causative factors of this problem target site were:
poor compliance with vectors activities, luck of knowledge capacity,
breeding sites for mosquito due to poor waste disposal, environmental
sanitation and management as a result the mortality trend has
increasing
12.0 Bibliography

 i).
http://globaleducation.edu.au/case-studies/combating-malaria-in-solo
mon-islands.html

 ii). Ministry of health and medical services, Honiara city council

vector borne disease control programme monitoring and
evaluation malaria data’s 2015
13: Appendix
Annex 1- data- IRS

Number and Type of Structures Sprayed Reasons for unsprayed

Houses Rest Garden Others (baby, No. of

Number of Total Houses Unspraye Pop Pop Sachets
Date Villages occupants House sprayed d protected Unprotected Kitchen Lodge House Hut/Others Refused sick member etc) used (ICON)
14.07.2015 BURNS CREEK 913 145 107 38 718 195 1 0 0 0 25 71 74
15.07.2015 BURNS CREEK 924 175 150 25 804 120 17 0 0 0 12 81 86
16.07.2015 BURNS CREEK 1127 188 155 33 955 172 29 0 0 0 24 82 82
20.07.2015 BURNS CREEK 786 143 115 28 665 121 14 0 0 0 24 63 80
21.07.2015 BURNS CREEK 604 128 110 18 515 89 3 0 0 0 13 67 86
22.07.2015 BURNS CREEK 938 152 116 36 768 170 6 0 0 0 30 51 76
5292 931 753 178 4425 867 70 0 0 0 128 415 81
 Continue
 Annex 2- data cases 2015
2015 cases
Village cases Map Status
BURNS CREEK 179 Map Status
KOBITO 1 90 Map Status
LAU VALLEY 87 Map Status
KUKUM 80 Map Status
VURA 2 70 Map Status
VURA 1 64 Map Status
King George VI 59 Map Status
RANADI 57 Map Status
GREEN VALLEY 56 Map Status
ZION 52 Map Status
VURA 3 51 Map Status
FULISANGO 47 Map Status
NAHA 1 46 Map Status
FISHING VILLAGE 40 Map Status
Annex-3- Questionnaires
Questionnaires (COMBI ASSIGNMENT)
QUESTIONAIRES

 Name: ………………………………………….
 1. Do you know what Indoor residual spray is? Yes/No (if yes,)
 What is IRS?
 2. Are you aware of any time HCC VBDCP spray team visit your house?
 3. Are you willing accept you’re resident to spray when the spray team
visits? (Yes/No)
 4. IN your own view about IRS, what are advantages and disadvantage of it?
 5. Are you aware of the increases of malaria cases in your community?
 6. Are your family sleep under nets during night time? Yes/No)
 7. Are the Health workers visit you and talk about this disease?
  8. In own word, what are some strategies to control malaria in this
community?
 THANK YOU FOR LISTENING

 ANY QUESTION