Outcome Harvesting Evaluation of Social and Behavior Change Activities Focused on Zoonotic Diseases

This report shares results from an evaluation of the success of Breakthrough ACTION Guinea’s activities in priority zoonotic diseases, including COVID-19 and Ebola.

The findings, obtained using the outcome harvesting methodology, involved collecting evidence of project outcomes from program documentation and identifying ways in which the project contributed to these changes. This process uncovered intended and unintended outcomes, which were externally verified to confirm the link between project activities and specific results. The findings underscore the value of Breakthrough ACTION Guinea’s efforts and its substantial impact since its inception in 2018.

This resource is available in English and French.


Évaluation de la récolte des résultats sur le changement social et de comportement axé sur les maladies zoonotiques

Ce rapport partage les résultats d’une évaluation du succès des activités de Breakthrough ACTION Guinée dans les maladies zoonotiques prioritaires, y compris COVID-19 et Ebola.

Les résultats, obtenus à l’aide de la méthode de récolte des résultats, ont consisté à collecter des preuves des résultats du projet à partir de la documentation du programme et à identifier les façons dont le projet a contribué à ces changements. Ce processus a permis de découvrir les changements voulus et non voulus, qui ont fait l’objet d’une vérification externe afin de confirmer le lien entre les activités du projet et les résultats spécifiques. Les résultats soulignent la valeur des efforts de Breakthrough ACTION Guinée et son impact substantiel depuis son lancement en 2018.

Cette ressource est disponible en anglais et en français.

Source: Johns Hopkins Center for Communication Programs - Breakthrough ACTION

Date of Publication: March 28, 2024

Motivational Counseling: A Training in Advanced Interpersonal Communication Skills

This training curriculum and module presentations address challenges that frontline healthcare workers face in motivating clients within the HIV services continuum to make informed decisions that lead to sustained, positive outcomes. The curriculum focuses on listening and communication skills for addressing risk behaviors related to sex, alcohol and drug use, HIV testing, and treatment adherence.

PowerPoint modules include:

  1. Understanding the Context(French)
  2. Introduction to Motivational Counseling(French)
  3. Reflective Listening(French)
  4. Affirming(French)
  5. Questioning(French)
  6. Ask-Tell-Ask(French)
  7. Recognizing Talk about Change(French)
  8. Eliciting Talk about Change(French)
  9. Dealing with Resistance(French)

*Available in English and French


Conseil de motivation : une formation aux compétences avancées en communication interpersonnelle

Ce programme de formation et les présentations des modules abordent les défis auxquels sont confrontés les travailleurs de santé de première ligne pour motiver les clients dans le cadre du continuum des services VIH à prendre des décisions éclairées qui conduisent à des résultats positifs durables. Le programme se concentre sur les compétences d’écoute et de communication pour aborder les comportements à risque liés au sexe, à la consommation d’alcool et de drogues, au dépistage du VIH et à l’observance du traitement.

Les modules PowerPoint comprennent:

  1. Comprendre le contexte , (français)
  2. Introduction au counseling motivationnel , (français)
  3. Écoute réflexive , (français)
  4. Affirmant , (français)
  5. Interrogatoire , (français)
  6. Demander-Dire-Demander , (français)
  7. Reconnaître le discours sur le changement , (français)
  8. Susciter le discours sur le changement , (français)
  9. Faire face à la résistance , (français)

*Disponible en Anglais et en Français

Last modified: February 16, 2024

Language: English, French

Source: FHI 360

Year of Publication: 2020

Standards for improving quality of maternal and newborn care in health facilities

This framework contains eight domains of quality of care that should be assessed, improved, and monitored within the health system. The health system provides the structure for access to high-quality care in the two important, inter-linked dimensions of provision and experience of care. Within this framework and in line with the Organization’s mandate, WHO will work towards realization of its vision in six strategic areas, which will be the basis for a systematic, evidence-based approach to providing guidance for improving the quality of maternal and newborn care.

Last modified: February 15, 2024

Language: English, French, Russian

Source: World Health Organization

Year of Publication: 2016

The Insights 101 Playbook: A Dynamic Learning Starter Kit

The Insights 101 Playbook is an introductory guide to one of the key building blocks of dynamic social and behavior change (SBC) project design: insights. It has been designed to offer concise and practical guidelines with examples—from identifying insights to applying and sharing them across project partners. Consider insights as the distillation of formative research that allows you to include the research findings in the design.

What’s inside?
The Playbook includes three chapters that use a case example to walk through the different insight phases:

  1. Identify and articulate insights
  2. Convert an insight into an opportunity
  3. Share and apply insights

The chapters provide an overview with clear guidance, a case study, and a capacity-strengthening component. There are insights about teams, approaches, processes, and more.

Last modified: February 9, 2024

Language: English, French

Source: Johns Hopkins Center for Communication Programs

Year of Publication: 2024

MOMENTUM Modular Health Facility Assessment

The Modular Health Facility Assessment (HFA) and user guide provide the MOMENTUM suite of awards with a tool focusing on reproductive, maternal, newborn, child and adolescent health/family planning care and services, including seven modules that collect information on the following: service availability; service readiness; quality and safety of patient care; experience of care; availability of register; community services and mobilization; health facility oversight; quality improvement; and use of data.

Last modified: February 5, 2024

Language: English, French

Source: https://usaidmomentum.org/resource/modular-hfa/

Year of Publication: 2023

CAN 2023 sans paludisme

Breakthrough ACTION Côte d’Ivoire mène une campagne de communication pour promouvoir des comportements sains dans le cadre de la lutte contre le paludisme. Cette campagne se déroule pendant la période de la Coupe d’Afrique des Nations organisée dans le pays. Breakthrough ACTION Côte d’Ivoire a collaboré avec la Super star du football ivoirien Didier Drogba pour toucher le public et les fans du joueur.

Les trois vidéos font la promotion de trois comportements : dormir sous des moustiquaires chaque nuit, recherche précoce de soins en cas de fièvre et la consultation de soins prénatals. Le slogan de la campagne est “gagnons le match contre le paludisme”.


Malaria-free AFCON 2023

Breakthrough ACTION Côte d’Ivoire is conducting a communication campaign to promote healthy behaviors in the fight against malaria. This campaign lasts for the period of the Africa Cup of Nations hosted in the country. Breakthrough ACTION Côte d’Ivoire has collaborated with Superstar Ivorian football player Didier Drogba to reach the audience and fans of the player.
The campaign includes three videos that promote 3 behaviors: sleeping under nets every night, early care seeking for fever, and ANC. The campaign slogan is “Let’s win the match against malaria”.

Source: Johns Hopkins Center for Communication Programs

Date of Publication: January 31, 2024

Designing Effective Nutrition-Sensitive Agriculture Activities Workshop: Facilitator’s Guide and Slides

This guide provides materials needed to facilitate nutrition-sensitive agriculture design workshops. Paired with two PowerPoint slide decks, it provides instructions for facilitators to conduct a three-day workshop that helps activity teams establish contextually appropriate, nutrition-sensitive agriculture outcomes, interventions, and indicators. Workshop participants discuss outcomes to consider that will lead to improved nutritional status and then develop interventions to contain underlying contributors to malnutrition. Originally developed by the USAID-funded Strengthening Partnerships, Results, and Innovations in Nutrition Globally (SPRING) project, USAID Advancing Nutrition updated the guide in 2020.

Last modified: January 1, 2024

Language: English, French

Source: USAID Advancing Nutrition

Year of Publication: 2022

Déterminants sociaux, culturels et individuels des comportements à risque, de prévention et de riposte liés aux six groupes de zoonoses prioritaires en République Démocratique du Congo

L’exploration des déterminants sociaux, culturels et individuels des comportements à risque, de prévention et de riposte liés aux zoonoses prioritaires en République Démocratique du Congo (RDC) est une étude qualitative menée par l’Université John Hopkins- Centre des Programmes de Communication (CCP) à travers leprojet Breakthrough ACTION dans trois provinces du Haut-Lomami, Kongo Central et Sud-Ubangi en RDC. L’étude fait partie des interventions prioritaires du projet et vise l’utilisation des conclusions pour pouvoir développer les supports et les messages de communication adaptés en vue d’un changement social et comportemental.

Elle a eu pour cibles, les personnes en interactions régulières avec les animaux et aussi la population générale pour laquelle l’interaction avec les animaux est plus réduite. Cette étude qualitative a utilisé la combinaison de plusieurs approches : les entretiens individuels (EI), les groupes de discussions (GD), et les observations dans les lieux de ventes des animaux ou des produits animaux, et les lieux d’abattage des animaux.


Exploring the social, cultural and individual determinants of risk, prevention and response behaviors and response behaviors related to priority zoonoses in the Democratic Republic of Congo (DRC) is a qualitative study conducted by the John Hopkins University-Center for Communication Programs (CCP) through the Breakthrough ACTION Breakthrough ACTION project in the three provinces of Haut-Lomami, Kongo Central and Sud-Ubangi in the DRC. The study is one of the project’s priority interventions, and aims to use the findings to develop appropriate communication materials and messages for social and behavioral change.

The targets of the study were people who interact regularly with animals, as well as the general population for whom interaction with animals is more limited. This qualitative study used a combination of of several approaches: individual interviews (EI), focus groups (GD), and observations where animals or animal products are sold, and where animals are slaughtered.

Source: Johns Hopkins Center for Communication Programs

Date of Publication: December 29, 2023

Defining Social and Behavior Change Competencies for Multi-Sectoral Nutrition: A List for Assessing, Developing, and Evaluating Staff Skills

This tool identifies 52 social and behavior change competencies—knowledge, skills, and attitudes—that project staff must demonstrate to design, implement, and evaluate the SBC components of multi-sectoral nutrition programs. It seeks to help program managers define the competencies most relevant to their activities and identify skill gaps across their project teams, and then use those competencies to guide hiring decisions, identify areas for capacity strengthening, and track changes in performance over time.

Last modified: December 29, 2023

Language: English, French

Source: USAID Advancing Nutrition

Year of Publication: 2020

Call to Action for Strengthening Nutrition Content in Pre-Service Training

Investing in pre-service training is an effective and sustainable way to improve nutrition services, but it requires collaboration among governments, academic institutions, professional associations, funders, and technical experts to ensure curricula prepare frontline health workers to deliver quality nutrition services.

On March 1, 2023, USAID Advancing Nutrition engaged key stakeholders in Bangladesh, the Democratic Republic of Congo (DRC), Ghana, Malawi, Mozambique, and the Kyrgyz Republic in a virtual consultative meeting to better understand the complexity of the challenges and opportunities around strengthening the nutrition components of pre-service training for health workers. This brief summarizes the consultation discussions generated, the opportunities highlighted, the lessons shared, and the recommendations jointly formulated as a way forward. It issues a call to action to all stakeholders to better integrate nutrition into pre-service education and more regularly facilitate curriculum review and updates.

Last modified: December 29, 2023

Language: English, French, Portuguese

Source: USAID Advancing Nutrition

Year of Publication: 2023