Language: French

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Provider Behavior Ecosystem Map

The Provider Behavior Ecosystem Map is a thinking tool to help those working in family planning and reproductive health:

  • Understand and consider diverse factors that influence facility-based provider behavior
  • Understand how those factors interact with one another in a system
  • Think more holistically about provider behavior change (PBC)
  • Design, implement, and evaluate more supportive, effective PBC initiatives

The Ecosystem Map presents healthcare providers as people whose behavior is influenced by many factors at multiple levels of a system. It emphasizes the need for systemic thinking and supportive action when designing and implementing PBC programming. Using the ecosystem map is a first step in the design—or adjustment—of supportive provider behavior change initiatives.

The Provider Behavior Ecosystem Map is available in both English and French.

ENGLISH

How to Use the Ecosystem Map

Provider Behavior Ecosystem Map Guide [PDF]

Provider Behavior Ecosystem Map Brief [PDF]

Prioritization Worksheet [PDF]

Provider Behavior Change Toolkit

Approaching Provider Behavior Change Monitoring and Evaluation with a Social-Ecological Lens: New Frontiers Brief

EN FRANÇAIS

Comment utiliser la carte de l’écosystème

Comportement du prestataire : Résumé de la carte de l’écosystème [PDF]

Fiche de travail [PDF]

Learn to Use the Ecosystem Map

Last modified: July 31, 2026

Language: English, French

Source: Johns Hopkins Center for Communication Programs

Year of Publication: 2021

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One Health Information Guide and Key Messages on PZDs in Mali

This guide provides standardized, evidence-informed messages to support risk communication and community engagement around priority zoonotic diseases in Mali. Developed under the coordination of the national “One Health” platform, it focuses on promoting preventive behaviors and improving response capacities for nine priority zoonoses, including Ebola, rabies, anthrax, avian influenza, and others. Breakthrough ACTION Mali played a key facilitation role, supporting a literature review, formative research, and participatory message development workshops with stakeholders from human, animal, and environmental health sectors. The guide equips frontline health workers, community leaders, and media actors with consistent, actionable messages adapted to Malian cultural and behavioral contexts, and is aligned with Mali’s International Health Regulations commitments and its Global Health Security priorities.

Guide d’informations et des messages clés Une Seule Santé sur les maladies zoonotiques prioritaires au Mali

Ce guide fournit des messages standardisés et fondés sur des données probantes pour soutenir la communication sur les risques et l’engagement communautaire autour des zoonoses prioritaires au Mali. Développé sous la coordination de la plateforme nationale « Une Seule Santé », il se concentre sur la promotion des comportements préventifs et l’amélioration des capacités de réponse pour neuf zoonoses prioritaires, dont Ebola, la rage, l’anthrax, la grippe aviaire et d’autres. Breakthrough ACTION Mali a joué un rôle clé de facilitation, en soutenant une analyse documentaire, une recherche formative et des ateliers participatifs d’élaboration de messages avec des parties prenantes des secteurs de la santé humaine, animale et environnementale. Le guide fournit aux agents de santé de première ligne, aux leaders communautaires et aux acteurs des médias des messages cohérents et exploitables, adaptés aux contextes culturels et comportementaux maliens. Il est conforme aux engagements du Mali en matière de Règlement sanitaire international et aux priorités de matière de sécurité sanitaire mondiale.

Last modified: July 31, 2026

Language: French

Source: Johns Hopkins Center for Communication Programs

Year of Publication: 2020

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Community Empathways Dialogue Results Brief

This brief focuses on the results of a light-touch monitoring effort in Côte d’Ivoire and Togo conducted with adult community Empathways participants to gauge whether the card deck contributed to reducing social barriers for youth to access family planning/reproductive health information and services.

Résumé sur les résultats issus des discussions communautaires autour d’Empathways

Ce résumé s’articule autour des résultats observés suite à un effort de suivi discret effectué par WABA en Côte d’Ivoire et au Togo auprès d’adultes, membres de la communauté, ayant participé à Empathways, le but étant d’évaluer la contribution du jeu de cartes à la réduction des barrières sociales qui empêchent les jeunes d’accéder aux informations et aux services de PF/SR.

Source: Johns Hopkins Center for Communication Programs

Date of Publication: July 31, 2026

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Leveraging HCD to Improve Gender-Equitable Adolescent Programming

As part of Breakthrough ACTION’s efforts to advance innovative social and behavior change approaches for youth, the project applied human-centered design to develop gender-equitable interventions with very young adolescents in three of the Global Early Adolescent Study’s multi-year cohort sites: Kinshasa, in the Democratic Republic of the Congo, and Denpasar and Semarang, in Indonesia. HCD was selected as a methodology to allow for meaningful youth engagement in designing programs that shape their lives. Breakthrough ACTION produced several resources to document the human-centered design process, including a brief that outlines learnings from Indonesia and the Democratic Republic of the Congo [ Bahasa Indonesia | English | French ].

VYA Pilot Package

Source: Johns Hopkins Center for Communication Programs

Date of Publication: July 31, 2026

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Engaging Parents in Sexual and Reproductive Health Programs for Very Young Adolescents in the DRC

Engaging parents and other caregivers to create a supportive environment is a key component of successful very young adolescents (VYA) programs. A recent global review of parenting programs found that improved parent-child communication was the most important determinant of improvements in other adolescent well-being outcomes. Parent and caregiver involvement is particularly essential for programs that aim to shift or promote more equitable gender and social norms. Such programs must intervene at multiple levels and be rooted in local values to achieve the positive social change they seek.

Breakthrough ACTION produced this document, Engaging Parents in Sexual and Reproductive Health [ English | French ], to share key learnings from a human-centered design process with VYAs in the Democratic Republic of the Congo that suggests three key implications for programs and policies:

  1. Invest in activities that bring families and communities together to address gender norms.
  2. Explore game-based solutions.
  3. Integrate activities into existing community-based health platforms and organizations.

VYA Pilot Package

Source: Johns Hopkins Center for Communication Programs

Date of Publication: July 30, 2026

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Provincial Assessment of Barriers to the Adoption of MNCH Accelerator Behaviors in the DRC

To better understand and address the barriers to adopting timely maternal health services, Breakthrough ACTION conducted a contextual assessment in select provinces in the Democratic Republic of the Congo. This analysis involved close collaboration with health care providers to develop solutions to help resolve persistent challenges and behavioral barriers to seeking services.

The evaluation report highlights key findings and offers actionable recommendations that address cultural, religious, and socioeconomic barriers. These insights can guide others interested in designing targeted strategies to improve access to and uptake of essential health care services.

Evaluation provinciale des obstacles liés à l’adoption des comportements accélérateurs relatifs aux services de santé maternelle et infantile en Republique Democratique du Congo

Afin de mieux comprendre et d’éliminer les obstacles à l’adoption de services de santé maternelle opportuns, Breakthrough ACTION a mené une évaluation contextuelle dans certaines provinces de la RDC. Cette analyse a impliqué une étroite collaboration avec les prestataires de soins de santé afin de développer des solutions pour aider à résoudre les défis persistants et les barrières comportementales à la recherche de services de santé.

Le rapport d’évaluation met en évidence les principaux résultats et propose des recommandations concrètes pour lever les obstacles culturels, religieux et socio-économiques. Ces informations peuvent guider d’autres personnes désireuses de concevoir des stratégies ciblées pour améliorer l’accès et l’utilisation des services de santé essentiels.

Last modified: July 26, 2026

Language: French

Source: Johns Hopkins Center for Communication Programs

Year of Publication: 2023

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National Multisectoral Strategic Plan for Nutrition Communication in the DRC

Despite several nutrition interventions, malnutrition is a significant public health problem and an underlying cause of many other health problems in the Democratic Republic of the Congo. Given the persistence of nutrition problems, with their multiple origins and impacts on different development sectors, the National Nutrition Program (PRONANUT) developed this social and behavior change (SBC) plan in collaboration with Breakthrough ACTION. SBC is critical for nutrition efforts at a national strategic level as it addresses the underlying social, cultural, and behavioral factors that influence dietary practices, breastfeeding, and the utilization of nutrition services, ensuring that interventions lead to sustained improvements in health outcomes. The plan allows agencies to intensify advocacy and adopt an improved and uniform approach to communication.

Banque d’Indicateurs de CSC dans le Cadre de la PF et la Prestation de Services

Malgré plusieurs interventions en matière de nutrition, la malnutrition est un problème majeur de santé publique et une cause sous-jacente de nombreux autres problèmes de santé en République démocratique du Congo. Compte tenu de la persistance des problèmes de nutrition, de leurs origines multiples et de leurs impacts sur les différents secteurs de développement, le Programme National de Nutrition (PRONANUT) a élaboré ce guide sur le changement social et comportemental, en collaboration avec Breakthrough ACTION. Le changement social et comportemental (SBC) est essentiel pour les efforts de nutrition à un niveau stratégique national car il aborde les facteurs sociaux, culturels et comportementaux sous-jacents qui influencent les pratiques alimentaires, l’allaitement et l’utilisation des services de nutrition, garantissant que les interventions conduisent à des améliorations durables des résultats en matière de santé. Ce plan stratégique national multisectoriel pour la communication sur la nutrition permet aux agences d’intensifier leurs activités de plaidoyer et d’adopter une approche améliorée et uniforme de la communication.

Last modified: July 26, 2026

Language: French

Source: Johns Hopkins Center for Communication Programs

Year of Publication: 2023

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Ten Lessons Learned from Breakthrough ACTION’s SBC for FP/RH Programs

Social and behavior change (SBC) is an essential component in achieving global development goals, including family planning (FP). SBC is a discipline that uses a deep understanding of human and societal behavior and evidence-based interventions—such as mass media, community group engagement, and interpersonal communication—to increase the adoption of healthy behaviors and influence the social norms that underpin those behaviors. Living up to the international community’s commitment to achieving universal access to reproductive health (RH) by 2030—including FP information and services—requires an understanding of the barriers to modern contraception use and what can facilitate that usage. FP programs need to consistently and systematically apply a behavioral lens to identify barriers and facilitators and implement strategically designed SBC interventions.

Since it was launched in 2017, Breakthrough ACTION has implemented a wide array of activities to improve FP outcomes, including both global and regional level advocacy, technical assistance, and capacity strengthening, as well as the country-level implementation of SBC campaigns and solutions.

This overview brief (English | French) shares the top ten key learnings from the project’s work on SBC for FP. Three complementary briefs dive into the details and project examples of these lessons learned and provide recommendations to implementing partners, governments, and donors looking to improve their SBC for FP/RH programming.

The three complementary briefs are:

  • Going Beyond Engagement: Community-Centered Social and Behavior Change for Family Planning and Reproductive Health Programming (English | French)
  • Strengthening Social and Behavior Change for Service Delivery: Tailoring Interventions for Different Stakeholders in Family Planning and Reproductive Health (English | French)
  • Ensuring Effective Partnerships and Coordination for Social and Behavior Change for Family Planning and Reproductive Health (English | French)

Last modified: July 26, 2026

Language: English, French

Source: Johns Hopkins Center for Communication Programs

Year of Publication: 2022

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Super Tata Women’s HIV Prevention Program

Designed for women ages 30 and older in Cote d’Ivoire, this community-based program provides tailored health education to reduce HIV transmission risks and mitigate sexually transmitted infections. The initiative creates safe spaces where adult women discuss reproductive health, healthy relationships, condom negotiation strategies, and partner communication. It actively promotes HIV testing uptake, links participants to facility-based care, and equips women with skills to encourage testing among their partners. Program managers, health facilitators, and community workers can utilize these implementation materials to strengthen gender-sensitive HIV prevention strategies for priority adult populations.

Super tata : un programme de prévention du VIH pour les femmes

Conçu pour les femmes âgées de 30 ans et plus en Côte d’Ivoire, ce programme communautaire fournit une éducation sanitaire adaptée afin de réduire les risques de transmission du VIH et des infections sexuellement transmissibles. L’initiative crée des espaces sûrs où les femmes adultes discutent de santé reproductive, de relations saines, de négociation du préservatif et de communication au sein du couple. Elle encourage activement le dépistage du VIH, oriente les participantes vers les soins de santé et donne aux femmes les compétences nécessaires pour inciter leurs partenaires à se faire dépister. Les responsables de programmes, les facilitateurs de santé et les relais communautaires peuvent utiliser ces documents de mise en œuvre pour renforcer les stratégies de prévention du VIH adaptées au genre pour les populations adultes prioritaires.

Last modified: July 26, 2026

Language: French

Source: Johns Hopkins Center for Communication Programs

Year of Publication: 2024

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Menstrual Health Promotion Materials in the Democratic Republic of the Congo

Addressing socio-cultural taboos surrounding menstruation, this pioneering social and behavior change resource package promotes dignified menstrual hygiene practices in the Democratic Republic of the Congo. The collection features a standardized National Strategic Communication Plan message guide alongside a visual image box educational tool designed for low-literacy community settings. These materials facilitate open dialogues, dispel myths, and provide adolescent girls and their support systems with accurate hygiene management guidance. Community health facilitators, educators, and program implementors can deploy these resources across school, community, and clinical settings to build inclusive awareness and foster supportive environments.

Resources

Guide des messages [PDF]

Boite à images [PDF]

Dépliant pour les filles [PDF]

Posters [PDF]

Matériel de promotion de la santé menstruelle en République démocratique du Congo

Répondant aux tabous socioculturels entourant la menstruation, cette collection de ressources de changement social et comportemental promeut des pratiques d’hygiène menstruelle dignes en République démocratique du Congo. Le paquet comprend un guide de messages aligné sur le plan national stratégique ainsi qu’une boîte à images conçue pour les milieux communautaires à faible niveau d’alphabétisation. Ces outils facilitent un dialogue ouvert, dissipent les mythes et fournissent aux jeunes filles et à leur entourage des conseils précis sur la gestion de l’hygiène. Les relais communautaires, les éducateurs et les responsables de programmes peuvent déployer ces ressources à l’école, dans la communauté et dans les centres de santé pour renforcer la sensibilisation et créer un environnement favorable.

Guide des messages [PDF]

Boite à images [PDF]

Dépliant pour les filles [PDF]

Posters [PDF]

Source: Johns Hopkins Center for Communication Programs

Date of Publication: July 26, 2026

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