Program Briefs: Changing Attitudes to Shift Contraceptive Demand

Transform/PHARE (PHARE), a USAID-funded and PSI-powered social and behavior change program, worked across Benin, Burkina Faso, Côte d’Ivoire, and Niger to break down social barriers as an entry point to generate demand for voluntary family planning and reproductive health (FP/RH) care.

This Knowledge Success blog introduces readers to several of the process and technical briefs developed under the PHARE program, presenting considerations for application in future FP/RH social behavior change (SBC) programs.

Source: PSI

Date of Publication: February 23, 2021

Reaching the Youngest Mothers to Save Lives

In Madagascar, Nigeria and Mozambique the Maternal and Child Survival Program has been testing approaches designed to connect first time / young parents (FT/YPs) to health services.

Key lessons from these studies include:

  • Applying an approach that engages key influencers of young parents (particularly mothers and mothers-in-law) in addition to engaging FT/YPs directly.
  • Ensuring these individuals with significant influence over FT/YPs have accurate information about safe delivery, postnatal care (including postpartum FP for healthy timing and spacing of pregnancy), and newborn care – while challenging attitudes and social norms that stigmatize FT/YPs.
  • Implementing an approach that also engages young fathers, addressing gender norms, building capacity for couple communication, and encouraging positive male involvement in postpartum FP and parenting.
  • Strengthening health system capacity to provide services that are friendly and attractive to adolescents and young people.
  • Using messaging to emphasize the benefits of health service use, particularly the reduction of risk to both mother and baby.

Source: Maternal and Child Survival Program, USAID

Date of Publication: June 11, 2020

SIMILIAR RESOURCES

Tools

Examples

Setting Newlyweds Up for Success: A Young Couple Talks Straight about Family Planning in Congo

This blog relates the story of a young couple who made a choice that broke the mold for newly married youth in the Democratic Republic of the Congo (DRC): they decided to use contraception to delay having their first child.

Source: Institute for Reproductive Health, Georgetown University

Date of Publication: June 10, 2020

Disinformation and Disease: Social Media and the Ebola Epidemic in the Democratic Republic of the Congo

The proliferation of disinformation online amidst the DRC’s outbreak of the Ebola virus is a serious threat to global health.

Efforts to curb bad information and conspiracy theories on social media about the disease and other health issues have been no more successful in health than in other contexts. Read this blog post to learn more.

Source: Council on Foreign Relations

Date of Publication: April 10, 2020

The Importance of Prioritizing and Being Specific in Key Community Messages/La importancia de ser específicos y prioritarios en los mensajes clave comunitarios

This is a blog/report on a 2018 training of trainers (TOT) refresher workshops held by the Community Action on Zika (CAZ) project in four countries (Honduras, Dominican Republic, Colombia, El Salvador).

The trainings were led by the CAZ project, with support in curriculum development and facilitation by Breakthrough ACTION. The workshops were aimed at project community technicians with the goal of updating knowledge around the key Zika behaviors, exchanging experiences and lessons learned, strengthening capacities, and providing tools that contribute to improving daily work.

The workshops mainly focused on improving the delivery of key messages about Zika to achieve the adoption of healthy practices in the prevention of the virus and lasting behavior change in the communities where the CAZ project works. In addition, the training curriculum included step-by-step guidance to carry out household visits, activities with children in schools, and during support group meetings. The curriculum also included a “how-to” on the correct use of materials depending on the audience, interpersonal communication to reinforce public speaking and counseling skills, and the tools to deal with the different barriers and difficulties that exist when working with communities. In addition, the sessions were accompanied by a field visit on the third day, where technicians were able to put what they learned into practice during a household visit, school activity, or a pregnant women’s support group meeting.

The experience demonstrated a need to emphasize the promotion of the key Zika behaviors with communities

Source: Johns Hopkins Center for Communication Programs

Date of Publication: August 30, 2019

Taking Aim at Zika (and Other Mosquito-Borne Illnesses)

This blog describes CCP’s Breakthrough ACTION‘s work in five Central American and Caribbean nations to train upwards of 500 people in interpersonal communication skills for those who go door-to-door to help people prevent Zika – and other illnesses carried by the Aedes aegypti mosquito, such as dengue, chikungunya and yellow fever.

In an additional four Caribbean countries, the project has also led trainings in how to use social and behavior change approaches to deliver the messages far and wide. The main issue everyone was encountering was that more than two years after WHO announced that Zika was no longer a public health emergency, many people no longer saw it as a threat.

The trainings focused on skills for household visits to talk about Zika, this being a better way to deliver the messages to motivate families to change their behaviors and how to deal with common myths and misperceptions.

The team developed seven recommended behaviors for Zika prevention:

  1. Use mosquito repellent (DEET, Picaridin, IR3535 and eucalyptus lemon oil only), as directed by each product manufacturer during pregnancy to reduce the risk of Zika transmission from mosquito bites.
  2. Use condom to prevent sexual transmission of Zika during pregnancy.
  3. Regularly remove unintentional standing water both inside and outside of the house, and in communal areas.
  4. Cover water storage containers at all times with a cover that is tight fitting and does not warp or touch the water.
  5. Eliminate mosquito eggs from the walls of frequently used water storage containers weekly.
  6. Attend prenatal check-ups to monitor the pregnancy and learn about the risk of contracting Zika and how to prevent it.
  7. Seek counseling from a trained provider about modern family planning methods if you do not plan to become pregnant.

Source: Johns Hopkins Center for Communication Programs

Date of Publication: August 30, 2019