Archive for ‘Policy and Effectiveness’

MannionDaniels has been contracted by Mott MacDonald to undertake two critical reviews for the DFID-funded Evidence for HIV Prevention in Southern Africa Programme.

The reviews focus on HIV prevention for adolescents with the aim of producing two discussion papers that will contribute to and broaden regional debates on issues affecting policy and programming on HIV prevention for adolescents in the Eastern and Southern Africa Region.

The topics of the discussion papers are:

  • The future of social and behaviour change communication (SBCC) in an era of combination prevention; and
  • The impact and value of a more nuanced and disaggregated definition of ‘adolescents’ for HIV prevention programming

The two discussion papers are in the final stages of development. The preliminary findings have been presented at a Technical Forum, hosted by EHPSA in Cape Town in September, with Alex le May present. Participants included researchers, multilaterals, donors, civil society organisations and representatives of national ministries of health and education, national AIDS commissions, and regional bodies.

Further information on the event can be found here on the EHPSA website.

Nnenna Ike, MannionDaniels’ Behaviour Change Communication Specialist, spoke at the MSH Anniversary Event in Abuja, Nigeria.

The event was held to celebrate the work on health system strengthening and community health interventions carried out by a variety of partners in Nigeria.

Nenna Ike MSH Talk

Nnenna’s talk focused on how to promote behaviour change in the community.  Based on MannionDaniels’ experience with the PATHS2 programme in Nigeria, we identified three key strategies:

  1. Inclusion:  If we want people to adopt healthy household behaviours, we have to involve some otherwise ignored informal players in the health sector such as traditional healers, traditional birth attendants and other key influencers in the community. They can feel intimidated by BCC that promotes early care-seeking because it threatens their livelihood.  We have brought them into the program as partners – rather than rivals – by taking their advice, by integrating their responses, and then by linking them to health facilities.  When they have a positive attitude towards health facilities, they promote early care-seeking to their clients.  This has increased the acceptance and utilisation of health facilities.

  3. Acceptability:  Different states in Nigeria have different cultures.  When trying to improve the adoption of healthy household behaviours, we need to work respectfully and sensitively within those cultures and existing traditional structures.  This includes considering the language; in the North, we communicate the intervention in Hausa but have some PhD students in Bayero state University translating it into Arabic to make it more widely accessible.  In the South, messages have been translated into Yoruba and Igbo languages. We even have products in Pidgin English and Egun language (predominant in western Nigeria).  It also involves considering the cultural norms around men and women – for example, in the North, men and women meet separately, whilst in the South they can meet together for community meetings. Also, we incorporate BCC activities into to existing structures like the ‘August meetings’ and the women fellowships or pregnant women support groups in churches and mosques in the southern states.

  5. Involving men: Men are the main decision-makers when it comes to maternal and reproductive health – so they are a very important group to promote early care-seeking to.  The volunteers in the Northern States we work in are largely men, they act as drivers, blood donors and manage the communal purse dedicated to obstetric emergencies.  In the South, there are male leaders in churches who are given responsibilities, for examples they pray with the women in the pregnancy support groups in churches; and women who go to health facilities with their husbands get a special mention by the health providers.

MSH Anniversary Event Nigeria group talk


The last in a series of Joint Annual Reviews of the National Health Sector Programme II (2010-2015) took place at the Everest Hotel in Kathmandu between the 23rd and 25th February 2015.  

Nepal joint annual review

The last in a series of Joint Annual Reviews of the National Health Sector Programme II (2010-2015) took place at the Everest Hotel in Kathmandu between the 23rd and 25th February 2015. The meeting was presided over by the Minister of Health and Population and included all stakeholders in the health sector, including the public and private sectors and development partners.

The meeting highlighted the excellent progress made against ambitious targets set under the MDGs. Both maternal and Child mortality have declined sharply, and progress has been made in improving access and quality of health services. The meeting also discussed the new National Health Policy (2014) and the evolving regulatory framework in health and plans for more decentralised planning and management in the next sector programme.

The draft NHSP III was presented along with its results framework. This draft outlines the main push towards the objective of Universal Health Coverage and emphasised the need for greater equity, quality, reform and working beyond health. The new programme aims to maintain progress on MNCH outcomes and includes greater attention to the emerging burden of disease from Non-Communicable Diseases. It calls for more work to create healthy lifestyles and health environments and aims for increased collaboration between sector to achieve this. The new NHSP III documents will be published later in the year.

David Daniels, Director of MannionDaniels, worked with the Ministry of Health and Population to support the development of the new NHSP III over the preceding year (2012-3).

MannionDaniels collaborates on an annual basis with Countdown 2015 Europe, a consortium of European advocacy organisations, to support the collection and analysis of financial and policy data on European donor contributions to reproductive health and family planning.  The resulting information is used by consortium partners in advocacy activities to hold their respective donor countries to account on RH/FP commitments.

Rolla Khadduri, Technical Team Lead from MannionDaniels, and Clear Knight, Public Health Specialist at MannionDaniels, regularly provide technical support to the consortium to analyse the policy and financial data collected by partners.  They also work together to present this data in meaningful and accessible ways that enable partners to make use of it in advocacy activities.

2015 marks the fifth year that MannionDaniels is involved in this initiative. This ongoing collaboration means that we have built up five years’ worth of data, allowing insightful trends analyses for each of the European donor countries. Country Factsheets (accessed here) provide an overview of the key trends for each country and Country Profiles (accessed here) provide more in-depth policy updates.

A section of the United Kingdom 2014 country fact sheet from

A section of the United Kingdom 2014 country fact sheet from

MannionDaniels was invited to lead a half-day session for masters’ students studying on the Global Health course at the Pasteur Institute in Paris. The title of the session was ‘Global Health in Conflict Zones: the example of Somalia’.

Clea Knight from the MannionDaniels technical team led the session which focussed on the importance of aid effectiveness, conflict sensitivity and an active civil society in fragile and conflict affected states. Clea drew on three case studies from recent work that she has been involved in with MannionDaniels in Somalia: supporting the Health Authorities to develop their first health sector strategic plans for Somalia; undertaking a Conflict and Needs Appraisal in Kismayo; and developing a country profile on female genital mutilation in Somalia.