Type of Material: Case Study

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Hygiene Behaviour Change Coalition Case Study

This case study, presented as an interview with the project coordinator, describes the development, implementation and impact of using murals as tools for social and behavior change.

The program intervention embraced the use of art as a powerful tool in touching and reaching everyone to promote and trigger key COVID-19 prevention behaviors.

All artistic creation and production processes were led by and in collaboration with the target communities. Sixty-five murals were painted by local artists in an interactive and partially improvisatory way with the goal of being relatable, locally-relevant, and easy for a large and diverse audience to engage with.

Each mural visually depicts one of the main COVID-19 preventive behaviors (i.e. handwashing with soap, face mask wearing and physical distancing) or other relevant hygiene behaviors, in alignment with the broader ‘PASSWORD’ campaign in Kenya.

Source: AMREF

Date of Publication: August 18, 2021

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Stories from the Forefront: Interviews with Social and Behaviour Change Communications Media Professionals

USAID’s Feed the Future EatSafe – Evidence and Action Toward Safe, Nutritious Food (EatSafe) tests whether the consumer and their behaviors and actions can shape informal markets to adopt better food safety behaviors. The EatSafe project will use a variety of media-based SBCC interventions to reach market vendors and consumers to help change attitudes and behaviors around food safety.

This report presents stories from top practitioners in the field of SBC media worldwide – including executive directors, country directors, producers, and researchers – in order to uncover the nuances of program development that can guide more effective EatSafe SBC media productions and help implement more sustainable programs.

At the conclusion of interviews with six SBC professionals, two broad themes emerge that have practical implications for the design of EatSafe SBC media interventions.

Source: Global Alliance for Improved Nutrition (GAIN), USAID, Pierce Mill Media, Weinreich Communications

Date of Publication: August 12, 2021

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More African Transformation Resources

African Transformation Written Profiles

African Transformation is a participatory tool that enables men and women to examine critically gender and social norms, including masculinity, and how they affect their well-being; to overcome gender barriers in their own life: and to work on eliminating harmful gender norms and supporting positive ones. “African Transformation” is an adaptation of the successful “Arab Women Speak Out” (AWSO) model to the African context.

The key component of AWSO is a series of video profiles showing positive role models of women from relatively low socio-economic status who overcame gender barriers and reached goals they had determined for themselves. The profiles are shown during a participatory, facilitative training, whereby participants review these women’s stories, and explore resources and strategies they can use to attain their own goals. The guide has been designed to help people explore thoughts, ideas, and behaviors and make positive changes in their lives using a technique called “participatory learning.”

Participatory learning uses facilitation to encourage people to actively participate in their own learning. The role of the facilitator is key to the success of the program and to enabling participants to use their own experiences and knowledge as a basis for solving problems. The guide should be used along with the video, audio, and written profiles. The profiles, as well as the discussions, role-plays, small and large group discussions, in the individual sessions help participants analyze their experiences, learn new information, improve their skills of interaction and understand and identify opportunities for change.

Source: Johns Hopkins University Center for Communication Programs

Date of Publication: August 5, 2021

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More Arab Women Speak Out Resources

Arab Women Speak Out: Profiles of Self Empowerment

Arab Women Speak Out™ was conceived in 1999 as an innovative documentary, training, and advocacy project designed to promote women’s empowerment and active participation in social development throughout the Near East.The project features print and video profiles of women in Egypt, Lebanon, Palestine, Tunisia, and Yemen who are perceived and respected as innovators within their communities. The primary purpose of the Arab Women Speak Out™ project is to share these women’s experiences and skills with their peers throughout the Arab region, as well as with development workers, health providers, community leaders, policy-makers, donors, and interested others. The campaign includes videos, a training module, and these profiles.

Nearly 30,000 women were reached in the governorate of Irbid through a unique two-tiered approach of AWSO™message dissemination. 98% of AWSO™Participants reported that they had benefitted from participating in AWSO™, in the form of increased self-confidence (43%); improved relationships with their spouse (32%), their families (29%), and their communities (23%); engaging in discussions about family planning with relatives (21%) as well as with friends and neighbors (23%); and speaking with someone about FP as a direct result of participation (44%).

Source: Johns Hopkins University Center for Communication Programs, The Center of Arab Women for Training and Research

Date of Publication: July 26, 2021

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More Spotlight - Malaria SBC during COVID-19 Pandemic Resources

Malaria Social and Behaviour Change during COVID-19 Case Study: The Call of the Trumpet, Ethiopia

The COVID-19 pandemic has wreaked havoc on malaria control and elimination efforts. Modeling predictions suggested the annual malaria death toll in sub-Saharan Africa could double because of the COVID-19 pandemic.

The World Health Organization (WHO) urged countries not to scale back their planned malaria prevention, diagnostic, and treatment activities during the COVID-19 pandemic or the gains made in saving lives from malaria and other diseases over the past 20 years may be lost.

Malaria SBC programs had to think afresh and re-strategize to tackle new limitations to reach audiences and convince them to change their behaviors to prevent and manage malaria. Malaria SBC workers increased their efforts while also closely following COVID-19 guidelines.

This Ethiopia case study offers insight into leveraging community members’ existing social capital to reinforce insecticide-treated net use and prompt care-seeking for fever during COVID-19. They literally blew trumpets to drive home their messages.

Source: RBM Partnership to End Malaria Social and Behavior Change Working Group

Date of Publication: July 15, 2021

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Malaria Social and Behaviour Change during COVID-19 Case Study: Inside the Jungle, Cambodia

The COVID-19 pandemic has wreaked havoc on malaria control and elimination efforts. Modeling predictions suggested the annual malaria death toll in sub-Saharan Africa could double because of the COVID-19 pandemic.

The World Health Organization (WHO) urged countries not to scale back their planned malaria prevention, diagnostic, and treatment activities during the COVID-19 pandemic or the gains made in saving lives from malaria and other diseases over the past 20 years may be lost.

Malaria SBC programs had to think afresh and re-strategize to tackle new limitations to reach audiences and convince them to change their behaviors to prevent and manage malaria. Malaria SBC workers increased their efforts while also closely following COVID-19 guidelines.

The Cambodia case study reveals the benefits of long-term investments in community structures and the importance of local ownership and SBC capacity to reach the country’s hardest-to-reach communities.

Source: RBM Partnership to End Malaria Social and Behavior Change Working Group

Date of Publication: July 15, 2021

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Malaria Social and Behaviour Change during COVID-19 Case Study: The Mobile Classroom, Nigeria

The COVID-19 pandemic has wreaked havoc on malaria control and elimination efforts. Modeling predictions suggested the annual malaria death toll in sub-Saharan Africa could double because of the COVID-19 pandemic.

The World Health Organization (WHO) urged countries not to scale back their planned malaria prevention, diagnostic, and treatment activities during the COVID-19 pandemic or the gains made in saving lives from malaria and other diseases over the past 20 years may be lost.

Malaria SBC programs had to think afresh and re-strategize to tackle new limitations to reach audiences and convince them to change their behaviors to prevent and manage malaria. Malaria SBC workers increased their efforts while also closely following COVID-19 guidelines.

This case study from Nigeria showcases the ability to innovate and build the SBC capacity of field staff with limited resources. It demonstrates that even simple technologies like interactive voice response can provide practical solutions during a crisis.

Source: RBM Partnership to End Malaria Social and Behavior Change Working Group

Date of Publication: July 15, 2021

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Engaging Girls with Kuwa Mjanja

This presentation offers an overview of the Kuwa Mjanja campaign in Tanzania, managed by FHI360, which delivers entrepreneurial skills and contraceptive counseling sessions— tailored to and branded for the unique needs of girls. Across disciplines and in partnership with girls, Kuwa Mjanja supports girls aged 15-19 to explore the role contraception plays in helping them achieve their life dreams.

The key program elements were:

  • Branding
  • Messaging
  • Demand Creation
  • Sustained Engagement
  • Learning Experiences
  • Girl-centered Service Delivery

Source: FHI360

Date of Publication: June 29, 2021

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Can You Make an Impact on HIV Testing in West Africa in Just Three Weeks?

With a national HIV prevalence rate estimated at 4.7%, Côte d’Ivoire is the most affected country in West Africa where the HIV/AIDS pandemic has risen since 1985, when the first cases were discovered. The impact of the HIV/AIDS pandemic is such that it represents the first cause of death for men and the second for women.

This team, coordinated by ThinkPlace, conducted three sprints of rapid iteration, prototyping and testing. Users, community members, NGO members/facilitators, and Johns Hopkins Center for Communication Programs staff participated in these workshops and prototyped alongside ThinkPlace. Drawing on the principles of co-design, these workshops repositioned participants of the Brothers for Life program from being ‘targets’ of public health interventions to being stakeholders whose opinions, behaviors, and experiences matter most.

From the first round of workshops, four concepts emerged and were turned into prototypes. One of the challenges of the program was to recruit older men (35+), whose HIV rate is superior to all age groups (7.4% compared to national average of 3.2%). Over the course of three weeks, twelve prototypes were developed, deployed and tested, often with a few iterations per prototype.

In order to understand if the prototypes were effective, ThinkPlace measured the prototypes against 2-5 variables. The intention was to understand, through these indicators, how awareness and sensitization can translate to action and, ultimately, to behavior change.

ThinkPlace managed to recruit over 500 men in 3 weeks, demonstrating that prototyping fast to show whether an idea can achieve a goal is a very successful approach. New Brothers for Life groups have been formed and as a result of our intervention, more men can be tested for HIV and treated.

Source: ThinkPlace

Date of Publication: June 29, 2021

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Institutionalizing State-Led Social and Behavioral Change (SBC) Capacity Strengthening

The Challenge Initiative (TCI) Nigeria commenced its technical support to the government of Nigeria in late 2016. It uses an innovative, demand-driven approach that encourages cities to assume an active role in the design and implementation of high impact interventions (HIIs).

At the same time, local and global partners provide a supporting and facilitating role. States self-select and apply to participate in TCI. They demonstrate their commitment to TCI by pledging significant resources, either monetary or in-kind, to financing the HIIs. In return, TCI provides technical assistance and coaching support to governments to design a family planning and AYSRH program that is cost-effective and tailored to meet the needs and circumstances of each state.

This document, ‘Institutionalizing State-Led Social and Behavior Change (SBC) Capacity Strengthening’ is a concise guide designed to support the implementation of state-led SBC interventions in Nigeria. The document outlines the technical aspects of a demand-driven approach in which state SBC programs or interventions are led by state players from conception to monitoring in order to ensure a greater likelihood of sustained interventions and outcomes. This demand-driven strategy for SBC capacity strengthening uses family planning as an entry point and can be applied to other primary health care areas throughout Nigeria and in other African countries.

Source: Gates Institute/Johns Hopkins University

Date of Publication: June 18, 2021

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