Growing Up GREAT! Implementation Guide

Growing Up Great! is a scalable, multi-level intervention designed to improve sexual and reproductive health (SRH) and gender equity among very young adolescents (VYA) and the important adults in their lives. It supports VYAs and their communities to question and break down social barriers that prevent access to health information and services. It was piloted in the Democratic Republic of the Congo in 2017-2018 under the Passages Project, which aims to address a broad range of social norms, at scale, to achieve sustained improvements in family planning and reproductive health. Growing Up GREAT! was evaluated by the Global Early Adolescent Study and shown to be effective at shifting several key SRH attitudes and norms.

The Growing Up GREAT! Implementation Guide is a step-by-step resource for organizations who wish to adopt the intervention. It provides users with guidance, tested tools, and materials for planning, implementing, supervising, and monitoring this successful norms-shifting intervention.

Annex A provides detailed guidance on adapting the Growing Up GREAT! intervention and materials to different contexts:

Annex B includes resources in the VYA Toolkit, a package of interactive, age-appropriate materials used during activities with VYAs:

Other supporting materials for parents, teachers, and health providers are included throughout the guide.

French Implementation Guide:

Source: Save the Children

Date of Publication: January 24, 2023

Curriculum for Change Agent Development Program

This document provides a brief introduction to the background, purpose and targeted participants of the Change Agent Development Programme (CADP). It provides details of the curriculum content and learning objectives particpants can expect to achieve through their involvement.

The purpose of the Change Agent Development Programme is to strengthen individual capacity and fill existing skills and knowledge gaps of select national, regional and district-level staff of the Health Promotion Department to effectively coordinate and deliver SBCC and Health Promotion Campaigns.

Expected outcomes of the CADP are that by the end participants will have:

  • A deeper understanding of, and acquire new skills and knowledge in evidence based SBCC theory and practice
  • Learned strategies and tactics for applying the new knowledge and skills in their work setting
  • Developed insights, new ideas and techniques on how to tackle and influence social norms that negatively impact health
  • A greater awareness of current SBCC campaigns and practical ways to utilise and co-ordinate them effectively at regional, district and community level
  • Increased their understanding of the Health Promotion (HP) role and improvement of individual personal effectiveness
  • Become equipped to transfer SBCC knowledge and skills to peers through an organised system of mentorshipA
  • Acquired the skills required to implementing innovative SBCC interventions at a local level supported through the Change Challenge Fund

Source: Communicate for Health Ghana

Date of Publication: July 19, 2021

Nurturing Connections

The Nurturing Connections curriculum for gender and nutrition, initially developed by Helen Keller International (HKI) in Bangladesh, was inspired by the peer-based “Stepping Stones” program addressing HIV/AIDS and sexual health in Africa.

Both approaches recognize that behavior change is a process that requires internalizing new concepts, that gender norms are driven by community norms and group dynamics, and that adults learn best through action and experience. The curriculum can be adapted to other contexts in Asia. A French language edition, Cultivons les Relations, was developed and tested in West Africa by HKI and the International Center for Research on Women (ICRW).

Nurturing Connections draws on HKI’s decades of experience implementing Enhanced Homestead Food Production (EHFP), an intervention that has been used to empower women in their capacity to produce and contribute to household income while improving the quality and diversity of nutrition for their children and themselves. Nurturing Connections supports not just young women, but also their husbands, fathers-in-law and mothers-in-law, as all family members as well as the surrounding community must work together to confront and overturn gender-based discrimination. The process involves a series of facilitated discussions of two to three hours in length are conducted in each community among peer groups: a group of women (beneficiaries), a group of their husbands, and a group of influential elders.

The curriculum consists of four “Blocks”, or topics, each of which is delivered in weekly discussions over a four week period: 1. Let’s Communicate; 2. Understanding Perceptions and Gender; 3. Negotiating Power; and 4. Acting for Change.

The curriculum is also available in French.

Source: Helen Keller International

Date of Publication: January 21, 2021

Empowering Boys and Girls to Change Gender Norms: CHOICES: A Curriculum for 10 to 14 Year Olds in Nepal

The CHOICES curriculum is designed to help change well-established gender-related attitudes and behavior.

The intervention aims to improve the lives of young girls and women and to help girls feel more respected and empowered to achieve their dreams. The curriculum revolves around eight participatory age- and developmentally-appropriate activities to promote dialogue around respect, communication, fairness and dreams for the future between boys and girls. It explores the themes of gender inequity and power, identifying small actions that can promote gender equity and respect and empower girls.

The results of the CHOICES evaluation clearly show that CHOICES was effective in creating a shift toward more gender-equitable norms in terms of household and school roles and responsibilities among young girls and boys. Included here are the CHOICES curriculum and a brief describing the curriculum and the results of its evaluation.

Source: Save the Children

Date of Publication: November 30, 2020

Tools Together Now! 100 Participatory Tools to Mobilise Communities for HIV/AIDS

This is part two of a two-part community mobilization toolkit for HIV/AIDS that helps communities to become actively and influentially involved in addressing the causes and effects of HIV and AIDS.

The resources are:

All Together Now! Community mobilization for HIV/AIDS guides you through the process of mobilizing communities to address HIV prevention, care, support, impact mitigation and treatment for those affected by HIV and AIDS.

• Tools Together Now! 100 participatory tools to mobilize communities for HIV/AIDS is a set of participatory exercises designed to help put All Together Now! into practice. In this resource, there is a selection of 100 participatory learning and action (PLA) tools which you can use for HIV/AIDS programs. PLA tools are interactive activities which enable communities and organizations to learn together about HIV/AIDS in their community, develop a plan, act on it and evaluate and reflect on how it went. The philosophy of this set of publications is that organizations and communities have to work as closely together as possible if they are to address HIV/AIDS successfully.

This toolkit was specifically designed for communities and organizations to use alongside All Together Now! Community Mobilization for HIV/AIDS to: Uul>

  • Start together to address HIV/AIDS
  • Assess the HIV/AIDS situation together
  • Make a plan together
  • Implement the plan together
  • Evaluate that plan together
  • Decide what they want to do next together
  • Scale up action on HIV/AIDS together.

Source: International HIV/AIDS Alliance

Date of Publication: November 29, 2020

Postpartum Family Planning Materials Development Workshop

This document provides the outline and instructions for a materials development workshop which took place in Nigeria in 2008 to develop materials for postpartum family planning.

The objectives of the workshop were to:

  1. Give an overview of postpartum family planning in the context of emergency obstetric and neonatal care
  2. Review key findings from the formative research to identify facilitators and barriers to FP method use
  3. Review materials development process and agree on materials to be developed
  4. Adapt and/or develop images and messages for about 3-4 counseling cards (pregnancy risk, LAM, other modern methods )and ensure consistency with existing counseling cards
  5. Develop take home materials for a low literacy population
  6. Develop content, images and messages for posters
  7. Discuss pre-test for new materials

Source: USAID

Date of Publication: March 25, 2019

The Prevention and Management of Obstetric Fistula: A Curriculum for Nurses and Midwives

Fistula Care with East Central and Southern Africa Collage of Nurses (ECSACON) developed this modular curriculum.

It is intended for equipping pre-service and in-service nurse and midwives with comprehensive current international standards appropriate attitudes, knowledge and skills in preventing fistula, comprehensive care of women suffering from obstetric fistula before, during and after surgical repair including the nurses and midwives role in community awareness creation and reintegration of women living with fistula post-surgical intervention into their families and community.

Source: EngenderHealth

Date of Publication: March 25, 2019

Captain and Coach Approach

In Rwanda, a flagship community mobilization activity is the ‘Captain and Coach Approach.’ Derived from an entertainment education strategy, it utilizes the popularity of soccer in Rwanda as a mechanism for disseminating health information for hard to reach out-of-school youth.

The key feature of this approach is to equip out-of-school youth with important messages on reproductive health and life skills to enable them to benefit from the adult support provided by the “Coaches.” The program combines a set of objectives and competitive sport-specific activities in order to elicit a behavior change among young people. This is an opportunity for young people to experiment with these behavioral changes collectively as a team and as individuals.

Source: Johns Hopkins University Center for Communication Programs, PSI/Rwanda, CHF International, Rwandan Partner Organizations

Date of Publication: March 25, 2019

Sawa Sawa Positive Prevention

This training material is one of two materials produced for Sawa Sawa, an HIV programme implemented by the Health Communication Capacity Collaborative (HC3) in the Sofala Province of Mozambique. The program ran from January 2017 – December 2017, and sought to reduce stigma in communities in order to improve health seeking behaviors for HIV services, particularly among men.

The program ran Positive Prevention groups for people living with HIV (PLHIV), which were designed to teach clients about the difference between CD4 and viral load and the importance of viral suppression, as well as provide a supporting environment for PLHIV.

In addition, the program led community dialogues which are described in Sawa Sawa: A Community Dialogue Manual to Reduce Stigma.

The goals of the Sawa Sawa Positive Prevention training are for the participants to:

  • Be acquainted with the Sawa Sawa Positive Prevention tool and its objectives
  • Have created an environment where there is confidentiality and all feel welcome
  • Reflect on the reasons that cause men to take less care of their own health
  • Assess the importance of men taking care of their health

The key messages of the session are:

  • It is a man’s responsibility to take care of his own health and the health of his partner.
  • It is important for men to seek health services and guide other men to do the same, in order to:
    • Use condoms to avoid transmitting the human immunodeficiency virus (HIV) to their partner
    • When having a sign/symptom of a sexually transmitted infection (STI), preventing the disease from getting worse or transmitting it to their partner

Source: PEPFAR, USAID, Johns Hopkins University Center for Communication Programs

Date of Publication: March 25, 2019