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From 2015 to 2019, USAID and implementing partners worked to control the spread of Zika and promote Zika prevention behaviors in Latin America and the Caribbean. As part of this response, Breakthrough ACTION and Breakthrough RESEARCH implemented social and behavior change (SBC) efforts. This Trending Topic page includes the practical tools, research findings, and resources created by Breakthrough ACTION + RESEARCH throughout the USAID Zika response. It also includes key SBC lessons learned, success stories, and a call to action to implement SBC in outbreak responses. It is our hope that these resources are used to inform current and future SBC programming for Zika and similar epidemics, particularly diseases transmitted by the same mosquito, such as dengue.
Although the Zika virus was first discovered over 50 years ago, its risks during pregnancy have only recently been understood. When Zika transmission surfaced in large urban centers of Brazil in late 2015, an international public health emergency response began. Dozens of organizations and country governments leapt into action to provide awareness and prevention information, with little opportunity to coordinate messaging. During the first year of the USAID Zika response in Latin America and the Caribbean, USAID found that over 30 behaviors were being promoted. This large number of behaviors presented a challenge to the potential effectiveness of social and behavior change (SBC) efforts to prevent Zika at the household and community level.
NOTE: This is an update of a previous Trending Topic.
This update includes recently produced tools and examples. Newly added items are at the top of each list.
Gender roles and relations impact a broad array of health and development issues—from economic empowerment to governance to violence against women and HIV and AIDS. Social norms and expectations of how men and women should behave are a key determinant of health and development outcomes, as are structural issues such as inequitable laws and policies. Over the last decade, the field of gender equality programming has grown in its scope and sophistication, tackling our understanding of femininity and masculinity, as well as addressing gender as a continuum by looking at transgender and intersex issues.
Dans ce Sujet Tendance, nous présentons les outils en français et des exemples de projets qui se focalisent sur l'évaluation des résultats de CSC.
Community engagement is a proven social and behavior change (SBC) strategy that has helped people around the world identify and address pressing health issues. According to UNICEF, community engagement focuses on collective or group participation. It empowers communities and their social networks to reflect on and address a range of behaviors, issues and decisions that affect their lives and to become proactively involved in their community's development. Community engagement is a strategy that raises awareness and strengthens the community's capacity to effect change.
“Human-Centered Design (HCD) is a process, one that requires a deep understanding of people. It starts with observations and then a rigorous attempt to use those observations to determine the true underlying issues and needs, a process that might be called "Problem Defining" (as opposed to problem solving). Then, these needs and issues are addressed through an iterative, evidence-based procedure of observation, ideation, prototyping, and testing, with each cycle of the iteration going deeper and deeper into the solution space. The result is a form of incremental innovation, optimizing the solution through a hill-climbing process” 
The Global Health Security Agenda (GHSA) was launched in February 2014 to advance a world safe and secure from infectious disease threats, to bring together nations from all over the world to make new, concrete commitments, and to elevate global health security as a national leaders-level priority.
Male engagement in family planning (FP) improves reproductive health and gender outcomes.* In many settings, men play a dominant role in decisions such as family size and the use of contraceptives. Men's critical role in FP decisions makes it important to include them in FP programming. Programs engaging men can enhance spousal communication, improve gender-equitable attitudes, and increase FP use.**
HIV-related stigma is a key barrier to testing and treatment. In October 2017, UNAIDS released a report stating that people living with HIV who experience high levels of HIV-related stigma are more than twice as likely to delay enrolment into care than people who do not perceive HIV-related stigma. Stigma plays a role in losses throughout the treatment continuum and remains a key barrier to improving HIV outcomes.