Friday, 11 November 2011

Report: TRUCKERS INTERVENTION


Audience enjoying the performances

Introduction

MDACS in collaboration with Maharashtra Rajya Truck Tempo Truckers Bus Vahatuk Mahasangh (NGO) conducted an 8-day long HIV-AIDS awareness intervention for the target group of truckers in major trucker hot spots in Mumbai.

Objective 

Apart from disseminating basic information about HIV-AIDS, the core objective was to influence the target group to get tested on the event day itself and influence future testing behavior.

How It Happened

There was a mobile testing van camped in the event location each day and testing happened simultaneously throughout the day as events like street plays, dances, film screening were conducted.

Street Play
Street Play

The play was performed by a troupe of 7-8 actors at the intersection of roads to ensure that there was maximum exposure. People walking around from different directions were all attracted to the play and stopped to watch. There were a number of trucks parked around the areas and the message was imparted to the target audience.

A large crowd could gather around and watch the play comfortably. This made sure that the target audience was able to receive the message meant for them. The audience were all men, both young and old.

The troupe members made use of costumes, like white kurtas, scarves, turbans; a factor which helped to attract people’s attention.

The actual performance was preceded by a song routine, meant for attracting audiences. There was an active effort to mobilize people and get them closer to the actors.

The MDACS banner was tied to a truck in such a fashion that it attracted everyone’s eyes. Many people from the audience had a good look at it and some of them even read the message on it.

The actors introduced themselves and also announced that they were there on behalf of MDACS and the local NGO, and urged the audience to pay attention, and also informed them that it was in their best interest.

An NGO personnel was on site, distributing pamphlets and the helpline number card to people who were a part of the audience, and also to passers’ by in general.

The actors delivered key messages of HIV transmission, common myths surrounding HIV, ICTC testing centres where one could get tested free of cost; and also mentioning that there was a testing van in the vicinity where they could avail the facility then and there, and get their reports within an hour’s time.

They also spoke of the Saadhan Helpline number that was printed on the cards which were distributed.

The play was performed in Hindi, with the broad demographic characteristics of the truckers in mind while the actors announced the helpline number loudly in three languages, i.e. Hindi, Marathi and English.

Post Street Play

Informal Interviews were conducted randomly with members from the audience who were all truckers from Delhi, Madhya Pradesh, Bihar, South India and interior Maharashtra.

They agreed that there was a pressing need to reach out to the people, and acknowledged that the local NGO and authorities like MDACS were doing a good job in this field.

Most respondents recalled all 4 modes of transmission correctly. The majority even felt that the truckers in the area had enough information on the basic facts about HIV.

All respondents felt that HIV is a deadly disease and there is no cure for it. Only a few were able to differentiate between HIV and AIDS.

Testing for HIV/AIDS
One out 10 truckers had tested for HIV and felt the need to do so regularly. The remaining respondents reported that while there was no objection as such to get tested, there was not any need felt either. They felt it was enough as long as they are aware of their safety and have not engaged in sexual activity.

Cultural Programme

This included dance programmes like item numbers by a Transgender and mono acts. Zoya was the one who performed the item numbers much to the audience’s glee. Zoya is a prominent activist and performer from the local transgender community. These dancers ensured that more number of people joined the audience.

After the performance, Zoya spoke about stigma and discrimination faced by PHLAs and even people like herself. The talk helped to sensitize the audience.

The series of mono acts, performed by the MDACS personnel themselves, revolving around the trials, aspirations and dilemmas of the central character, a trucker. The demography was understood properly and the entire act was executed well. Not only did this skit add some comic relief, but it also touched various aspects of a trucker’s social circle.

One of the acts involved the secondary character showing the trucker how to use a condom. This practical demo thus served two objectives: one, it helped in reducing the taboo revolving around the word ‘condom’; and two, because of the ‘shock value’ the demo was observed more closely and attentively.

Film Screening
Film Screening

The film which was screened was in sync with the ideas expressed in the earlier acts i.e. unsafe sexual behaviour by migrants and did not stigmatize this need. It did not give it a negative connotation, but reinforced the idea of safe sex and condom usage and the de-tabooing of it.

After the film, there was a Question & Answer session wherein the audience were asked a few questions from the context of the film itself. Of the five odd questions asked, about four were answered correctly and the respondents were given away small prizes.

IMPACT

This model of Migrant Intervention was found to be effective with the target audience. The street plays helped to build up the tempo and the entertainment section with dance, skits and film screening took the event to a higher level.

From the audience’s reactions, it was obvious that most correctly recalled basic information likes modes of transmission, misconceptions and need for testing. Some were aware of ICTC, while almost everyone was aware of testing in mobile vans.

The locations:

1. Cotton Green
2. Sewree
3. Mahur
4. Delhi Street
5. Thane Street
6. Pune Street
7. Bhau cha Dhakka

Wednesday, 2 November 2011

Report: Training of Trainers (TOT) for Adolescent Education Programme (AEP)


The Adolescent Education Programme is extremely important as prevention of HIV/AIDS among adolescents can be made possible by imparting the correct knowledge amongst youngsters – both in and out of school.

The workshop for Training of Trainers was conducted on November 21, 22 & 23, 2011. Many sessions were conducted with speakers who are experts in their fields.

The participants were from a varied background with a lot of experience in handling adolescents.

Session One

This was from 11 am onwards and Sangeeta Punekar was the speaker and the topic was EXPLORING LIFE SKILLS.

The participants interacted very well during this session right from when the topic of AEP was introduced along with its objectives. While the speaker spoke in English, Hindi and Marathi to ensure that everyone understood, she gave them a list of the challenges that they were bound to face, ensuring that they had a realistic view. She used a game to explain life skills to everyone.

The participants were all highly motivated to the cause and showed tremendous interest in whatever was said during this workshop. Many of them shared their experiences, adding to discussion.

Sangeeta Punekar gave the participants a clear idea of the objectives, the age of the target group of adolescents and also shared many real life examples, encouraging the audience to interact.

Session Two

This was from 1 pm onwards and was conducted by Dr. Sequiera. The topic handled was Physiological, Mental and Emotional Changes in Adolescence.

Dr. Sequiera comes with an incredible history and work experience in the field of adolescent education, hence she was knowledgeable and able to prepare participants in terms of knowledge as well as ways to deal with adolescents and related issues that may arise during the programme.
Dr. Sequiera used an almost perfect mix of knowledge dissemination, group discussion and group activity, which allowed for participants to share what they had learned.
Dr. Sequiera corrected many misconceptions of the participants.
Dr. Sequiera also suggested that participants read literature - ‘On the horizon of adulthood’, a book by UNICEF, which is a collection of questions and queries asked by adolescents during such programmes.
Dr. Sequiera oriented participants to an extensive history of the Adolescent Education Programme which was originally called the APEP in 1993.
After an interesting narration of AEP’s history, Dr. Sequiera conducted a group activity on adolescence. This was particularly very effective, with each participant sharing their own adolescent experiences.
Provided technical knowledge about puberty & adolescence and conducted another group activity to demonstrate the same.
Dr. Sequiera explained adolescence in a positive light and changed many pre-conceptions that the participants had in mind.
Dr. Sequiera finally passed around chits with possible questions that could be asked by adolescents during the sex education sessions.

PARTIPANTS’ RESPONSE

Participants were extremely receptive to the speaker and the topic.
Each one shared extensively during the activities.
Gauging from the queries, group sharing and presentations, it was obvious that the participants had learned immensely from this session.
After this session, participants had completely warmed up to the topic of adolescence education and were geared up for sessions to come.
Excellent choice of resource person.

Session Three

This began at 3.30 pm and lasted till the end of the first day of the workshop. Dr. Kavita Bhatia was the speaker and the topic that she handled was Gender, Gender Roles, Adolescence And Sexuality.

Dr. Kavita Bhatia picked up the rhythm from where the last speaker (Dr. Sequiera) had left.
Dr. Kavita Bhatia used an effective mode of training. She assumed the role of a teacher and asked the participants to think and react like adolescents. Role playing throughout the session helped participants get into the skin of their target audience – students.
Through the use of simple activities, Dr. Kavita Bhatia explained the sensitive topic of gender & sexuality very effectively. At the end of the session, participants were competent to take a lecture on the same topics.
Dr. Kavita Bhatia conducted an energetic and lively session and managed to finish within time.
Most importantly, Dr. Kavita Bhatia got the participants to think like trainers.
Using the AEP module as reference, Dr. Kavita Bhatia covered each topic using examples.
Dr. Kavita Bhatia conducted a ‘Free Association’ activity with participants to explain the concept of Gender.
After debriefing the first activity, Dr. Kavita Bhatia divided class into groups and gave them a gender based situation and asked them to react like adolescent boys and girls would.

PARTICIPANTS’ RESPONSE

Second activity strengthened the participants understanding of gender roles.
Third group activity allowed for group presentations which demonstrated the comfort level on the topic that the participants developed through the course of the day
After a very in-depth and informative previous session by Dr. Sequiera, Participants were highly motivated for the second session.
Their interest levels were visible through the number of questions asked as well as their willingness to participate in group activities and presentations.
Participants donned the roles of adolescent students in good spirit, as requested by Dr. Kavita Bhatia. This helped them understand the psyche of the students better.

Session Four

This was on November 22, 2012 at 11 am and lasted for almost 3 hours. Dr. Pranita Tipre conducted a workshop on the topic Reproductive System, Process Of Conception.

Dr. Pranita Tipre was very informative and had an extensive knowledge on the subject.
A particular discussion about 'adolescent like' questions about sexuality was raised and answered adequately by Dr. Pranita Tipre. An example: 'What should a teacher do to intervene if an adolescent is being sexually abused?' These practical examples made the educative process more than merely imparting information.  
Dr. Pranita Tipre had a teacher-student approach and a holistic view on sexuality.
The session was successful in equipping the teachers with content and a basic outline of ways to handle problem situations in class.
Each segment was explained skillfully and practical tips were given for classroom management of such a sensitive topic.
Many myths and misconceptions were cleared regarding normal delivery, vaginal closing, twin formation, etc. The speaker gave relevant real life examples.
The speaker was easy to understand and her language was simple and technical terms used were well explained.
There were discussions initiated by the participants and the speaker was able to answer the questions put forth to her.

PARTICIPANTS’ RESPONSE

The audience was attentive and had a deeper understanding of the birth process and the reproductive system by the end of the session.
Participants successfully managed to discuss possible challenges and how to solve them.

Session Five

This was from 2.30 pm onwards and was conducted by Dr. Shanbaug. She took a workshop on the topic Mental Health & Assertiveness.

Dr. Shanbaug discussed many techniques about communicating with teenagers like role plays, games and reflection of student’s statements.
The participants were very involved as the trainer spoke in Marathi which they were all more comfortable with than English.
This made understanding much simpler for them and also encouraged more sharing and questioning.
Dr. Shanbaug allowed for group discussion and sharing of multiple personal experiences, while many practical issues were dealt with eg: Student attitude about open discussions in the class, saying ‘no’ to sex.
Being an experienced speaker on this topic, Dr. Shanbaug discussed a lot of examples and situations with the group.

PARTICIPANTS’ RESPONSE

The participants were more equipped to deal with adolescents and were prepared for a number of possible future challenges that they could have to face and their solutions. The session was more skill based for participants and more practical for application to the programme.

Session Six

This session started at 11 am on the third day – November 23, 2012. Ms. Priyanka Gadre was speaker who conducted a workshop on the topic Substance Abuse.

Ms. Priyanka Gadre explained the situation of Substance Abuse and what the trainers need to keep in mind while dealing with such situations with the help of real life examples.
She stressed the link between Substance Abuse and HIV. She covered all the relevant content and was open to questions and discussions.

PARTICIPANTS’ RESPONSE

Many of them liked the session and could understand very well what was being discussed.
Some of them had never heard of the knowledge that was imparted to them during this session. They were quite happy to receive so much information.
Session was highly informative and experiential.
Good choice of trainer, as she came with a lot of relevant experiences, and such topics can be understood better only through situations and cases.

Session Seven

This session began at 2 pm and Ms. Priyanka Gadre spoke on the topic of Sexual Abuse.

Besides covering content on what is sexual abuse, how to identify children who have been sexually abused, Ms. Priyanka Gadre also stressed the importance of creating an atmosphere conducive for children to come forward with a complaint of sexual abuse.
Ms. Priyanka Gadre had all the information and was up to date with respect to statistics, laws and the grey areas in dealing with these situations.
The speaker emphasized the importance of confidentiality, support and open communication when dealing with problem cases with students.
She essentially shared practical information about what the BMC teachers need to do specifically in such situations. The trainer was also open to audience questions and discussions.

PARTICIPANTS’ RESPONSE

The participants were engaged throughout the session as they shared a lot of experiences.
The session encouraged a lot of discussion and multiple questions from the participants.
The audience put forth a lot of cases and personal experiences.

Session Eight

This was the last session for the day and it began at 3 pm. Dr. Evelett was the one who took the workshop on Life Skills and HIV.

Topic was interesting; and with the practical approach bought in by Dr. Evelett, the participants were able to understand the topic clearly and learn about methods in which they could disseminate this information.
With the help of examples and personal experiences, the speaker demonstrated how to explain and convey this (HIV) information to the students.
The speaker followed the structure given in the module and taught and gave examples accordingly.
Dr. Evelett encouraged interaction and discussions and managed her time well.
The session was useful as it did not just provide information, but explained the “how to” conduct these sessions with the students.

PARTICIPANTS’ RESPONSE

The session was informative and interesting. The participants took part enthusiastically despite it being the last session.
The participants could well relate to what was being taught as Dr. Evelett used a number of real life experiences.
The speaker also allowed a lot of interaction and discussion from the participants ensuring that they got the proper knowledge of the subject.