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  • Multisectoral Integration of Social and Behavior Change Programming

Multisectoral Integration of Social and Behavior Change Programming

Well-established linkages between outcomes in family planning (FP) and other development sectors can be leveraged through integrated social and behavior change (SBC) programs. However, as the evidence from integrated programming accumulates, professionals working on multisectoral SBC integration must strengthen these linkages by disseminating programmatic findings in a systematic and coordinated way; sharing useful tools and instruments; and communicating enablers and barriers to integration in funding, design, implementation, and evaluation.

To this end, a new Breakthrough ACTION report outlines enablers and barriers relevant to integration across multiple development sectors. The report includes examples of enablers, such as shared target populations, one development sector providing a convenient entry point to other sectors, and engaged community stakeholders. Among the barriers identified in the report are siloed funding streams, lack of relevant SBC evidence, and disconnected team structures in multisectoral projects.

Another commonly cited barrier, faced by both new and experienced practitioners, is difficulty in identifying and accessing relevant tools and instruments. These desired resources include evidence repositories, guides to design and implement social norms interventions, SBC frameworks, strategy documents, indicator lists, and program results. Such resources are often disseminated shortly after production but can be difficult to find later on. So, despite the existence of a significant number of SBC resources supporting multisectoral integration, practitioners still struggle to find what they need, when they need it. To address these gaps, Breakthrough ACTION developed a web-based repository—MULTI-SBC—that helps SBC professionals easily locate a range of current, relevant SBC resources. The resources housed on this platform are cross-categorized by development sector (e.g., agriculture, food security, and nutrition; population, health, and environment; democracy, rights, and governance) and specific project stages (project design; implementation; monitoring and evaluation), allowing practitioners to narrow their searches to resources best fitting their needs. The list of resources will be updated on a regular basis.

This Trending Topic features a selection of materials, also housed on the MULTI-SBC platform, documenting the work done by various successful multisectoral integrated programs.

Resources

  • Tools
  • Examples

Multisectoral Integration of SBC Programming A High-Level Exploration of Integrating Family Planning with Other Development Sectors

This report presents the result of an assessment carried out by Breakthrough ACTION to identify opportunities to integrate FP SBC programs with SBC programs outside of the health development sector. The report describes the process used to carry out the analysis along with recommendations for future assessments.

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MULTI-SBC: The Programmatic Aid for Multi-Sectoral Integration of SBC for FP Practitioners

MULTI-SBC provides easy access to relevant tools for integrating social and behavior change (SBC) with existing family planning programs and with fields related to family planning. MULTI-SBC is the starting point for family planning practitioners looking to integrate their programs with new sectors or sectors that they may not be familiar with.

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K4Health Guide to Conducting Needs Assessments

A reference for health care professionals, this guide provides a methodology for conducting assessments of information needs among individuals working at different levels of the health system and includes sample instruments, templates, and training materials.

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K4Health Theory Primer: Diffusion of Innovations

Global health achievements require highly innovative knowledge management approaches. The diffusion of innovations theory helps explain and predict factors that influence the adoption of public health innovations.

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Designing for Behavior Change For Agriculture, Natural Resource Management, Health and Nutrition [Workshop Curriculum]

This field-tested, six-day curriculum responds to community development program managers’ and planners’ need for a practical behavioral framework that strategically aids them in planning for maximum effectiveness.

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Integrating Family Planning into Other Development Sectors

The FHI 360 PROGRESS project (2008-13) added to the evidence base on multi-sector integration, providing guidance on how development organizations can successfully expand their program model to include family planning services. 

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Healthy People, Healthy Ecosystems: A Manual on Integrating Health and Family Planning into Conservation Projects

This manual provides guidance for field-based conservation practitioners in developing countries on integrating health and family planning into community conservation projects.

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Designing for Behavior Change For Agriculture, Natural Resource Management, Health and Nutrition

This field-tested, six-day curriculum enables private voluntary organizations (PVOs) and partners to replicate the BEHAVE workshops conducted with CORE Group members in multiple countries and regions around the globe. The curriculum combines handouts and facilitator materials with easy-to-use training guidelines.

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List of Integrated Development Tools

A list of publications and tools demonstrating the value and best practices of integrated design, delivery and evaluation of programs.

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USAID Mission Brief Integrated Social and Behavior Change Communication

This brief is intended for USAID Mission and Washington technical and management staff who are considering designing integrated social and behavior change communication (SBCC) projects, or who would like to better understand and manage existing projects. 

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Social and Behavior Change for Nutrition - Online Course

Interventions to foster changes in behaviors and social norms are an important aspect of efforts to reduce malnutrition around the world. This course aims to demystify SBC design as well as share useful SBC-related resources.

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Biodiversity Results and Integrated Development Gains Enhanced Project (BRIDGE)

BRIDGE is a five-year project (2015-2020) managed by USAID’s E3 Forestry and Biodiversity Office. The project advances the second goal of USAID’s Biodiversity Policy, to “integrate biodiversity as an essential component of human development.” 

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USAID Advancing Nutrition Project

Adavancing Nutrition is USAID's flagship multi-sectoral nutrition project.

It has three primary goals:

  • Scale up high-impact nutrition interventions and services
  • Strengthen country commitment and capacity for multi-sectoral nutrition programming
  • Generate evidence and facilitate learning and innovation for improved nutrition
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Strengthening Partnerships, Results, and Innovations in Nutrition Globally (SPRING) Project

The SPRING project is dedicated to strengthening global and country efforts to scale up high-impact nutrition practices and policies. 

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BALANCED Project Mid-Term Evaluation

The BALANCED (USAID Building Actors and Leaders for Advancing Community Excellence in Development) Project project aims to advance and support wider use of effective Population, Health, and Environment (PHE) approaches worldwide.

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Transform/PHARE

Transform/PHARE is a USAID funded five-year project that introduces innovative practices from marketing, advertising, human-centered design and behavioral economics to strengthen health-related behavior change programming.

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Population, Health, and Environment Integration Programming Manual

Ethiopia
The purpose of the manual is to provide basic, easy to use, and quick information across the range of topics that organizations need to be familiar with at different stages of a PHE program cycle.

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Integrating Family Planning into Development Food Security Activities: Formative Research with the Njira Project in Malawi

Malawi

This study investigated the demand and supply side barriers to accessing family planning that women with young children, adolescent girls and young women face. 

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Health of People and the Environment in the Lake Victoria Basin (HoPE-LVB)

Kenya

The  Health of People and the Environment in the Lake Victoria Basin (HoPE-LVB) project was developed to promote “a complete status of well-being” of individuals and families by converging activities related to the three sectors of population, health and environment."

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Landscape Conservation in Western Tanzania

Tanzania

The Landscape Conservation in Western Tanzania (LCWT) activity works to protect endangered chimpanzee populations, safeguard their habitat through effective land use planning, and empower local communities by supporting more productive and sustainable livelihoods in the Gombe-Masito-Ugalla (GMU) landscape.

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Livelihoods, Agriculture and Health Interventions in Action (LAHIA) Project

Niger

The LAHIA project is funded by the USAID Office of Food for Peace with the goal to reduce food insecurity and malnutrition among poor, rural households (HH). 

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Wadata Project, Niger

Niger

Wadata means “prosperity” in Hausa, and represents the vision of collaborating with individuals, households, communities and government as co-creators to generate growth. 

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Tchova Tchova: Adapting Material from African Transformations

Mozambique

In Mozambique, the Tchova Tchova project worked to reduce HIV transmission and stigma and increase the use of services. To better understand the drivers of HIV transmission and stigma, the project conducted formative research. Formative research results helped the project determine an appropriate theoretical foundation for their work.

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Governance for Local Development (GOLD) Annual Report - Senegal

Senegal

The GOLD project aims to strengthen responsive democratic governance through three intermediate results: increased capacity of local government to respond to citizen demand; improved mobilization and management of local public resources; and increased community participation in service delivery management including health, education water, sanitation, and hygiene [WASH], and agriculture.

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Sriram Sridharan
Stephanie Levy

This website is made possible by the support of the American People through the United States Agency for International Development (USAID) under the Breakthrough-ACTION Project, supported by USAID’s Office of Population and Reproductive Health, Bureau for Global Health, under Cooperative Agreement #AID-OAA-A-17-00017 with the Johns Hopkins University.

Breakthrough-ACTION is based at the Johns Hopkins Bloomberg School of Public Health’s Center for Communication Programs (JHU∙CCP). The contents of this website are the sole responsibility of JHU∙CCP. The information provided on this website is not official U.S. Government information and does not necessarily represent the views or positions of USAID, the United States Government, or The Johns Hopkins University.

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