Type of Material: Framework or Model

Supporting Sexual and Reproductive Self-Care through Social and Behavior Change - Cover Page
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Supporting Sexual and Reproductive Self-Care through Social and Behavior Change

Developed by Breakthrough ACTION, this foundational conceptual framework highlights the critical role of social and behavior change (SBC) in advancing sexual and reproductive health (SRH) self-care initiatives. Recognizing that self-care is deeply shaped by cultural, structural, and behavioral determinants—including provider attitudes, social norms, and individual agency—the resource offers a comprehensive mapping of the user’s behavioral journey. It provides clear, actionable guidance to help policymakers, donors, and program implementers understand what drives these behaviors across the socio-ecological spectrum. Ultimately, the framework serves as a practical roadmap to design, invest in, and execute effective SBC interventions that create an enabling environment for scaled-up self-care practices.

Self-Care Framework [PDF]

Core Actors’ Influence on Self-Care Practice [PDF]

Self-Care Behavioral Determinants by Actor and Stage [PDF]

Soutenir l’Auto Administration des Soins en Matière de Santé Sexuelle et Reproductive Grâce au Changement Social et Comportemental

Développé par Breakthrough ACTION, ce cadre conceptuel fondamental met en évidence le rôle crucial du changement social et comportemental (CSC) dans l’avancement des initiatives d’auto-administration des soins de santé sexuelle et reproductive (SSR). Reconnaissant que l’auto-prise en charge est profondément façonnée par des déterminants culturels, structurels et comportementaux—notamment l’attitude des prestataires, les normes sociales et l’autonomie individuelle—la ressource propose une cartographie complète du parcours comportemental de l’utilisateur. Elle fournit des orientations claires et exploitables pour aider les décideurs politiques, les donateurs et les responsables de programmes à comprendre les leviers du changement à tous les niveaux de l’écosystème socio-écologique. En fin de compte, ce cadre sert de feuille de route pratique pour concevoir, financer et mettre en œuvre des interventions de CSC efficaces qui favorisent l’adoption durable de l’auto-prise en charge.

Ressources connexes

Soutenir l’auto-administration des soins en matiére de santé sexuelle et reproductive grâce au CSC : un cadre conceptuel [PDF]

Cadre de soins auto-administrés [PDF]

Influence des acteurs principaux sur la pratique de soins auto-administrés [PDF]

Facteurs comportementaux, par acteur et niveau du CSC [PDF]

Last modified: July 8, 2026

Language: English, French

Source: Johns Hopkins Center for Communications

Year of Publication: 2021

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Family Planning Norms Taxonomy: Categories and Sub-Categories
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Family Planning Norms Taxonomy: Categories and Sub-Categories

Developed by Breakthrough ACTION, this technical resource provides a clear classification system for organizing and labeling social norms that impact family planning behaviors. The framework was created following an extensive evidence review of reproductive health interventions across the nine francophone West African countries of the Ouagadougou Partnership. By clustering similar normative drivers into distinct categories and sub-categories, the taxonomy helps practitioners systematically analyze complex behavioral barriers. Ultimately, this structural tool allows public health actors to better understand, discuss, and design strategic interventions targeting deeply rooted social norms.

Taxonomie des normes sociales impactant la planification familiale dans les pays du Partenariat de Ouagadougou

Développée par Breakthrough ACTION, cette ressource technique fournit un système de classification clair pour organiser et identifier les normes sociales qui impactent la planification familiale. Ce cadre a été créé à la suite d’une analyse approfondie des interventions de santé reproductive menées dans les neuf pays francophones d’Afrique de l’Ouest du Partenariat de Ouagadougou. En regroupant les facteurs normatifs similaires en catégories et sous-catégories distinctes, la taxonomie aide les praticiens à analyser systématiquement les barrières comportementales complexes. En fin de compte, cet outil structurel permet aux acteurs de la santé publique de mieux comprendre, d’aborder et de concevoir des interventions stratégiques ciblant les normes sociales profondément ancrées.

Accéder à la ressource

Last modified: June 23, 2026

Language: English, French

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Supporting Sexual and Reproductive SelfCare through Social and Behavior Change: A Conceptual Framework
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Supporting Sexual and Reproductive SelfCare through Social and Behavior Change: A Conceptual Framework

This conceptual framework explores sexual and reproductive health (SRH) self-care through a social and behavioral lens, demonstrating how social and behavior change (SBC) approaches can optimize self-care initiatives. Drawing from the stages of change and socio-ecological models, the framework illustrates an individual’s person-centered behavioral journey from awareness to behavior championing. It helps policymakers, donors, and implementers identify the critical individual, household, community, and health system factors that facilitate or hinder self-care adoption. By addressing normative, attitudinal, and structural drivers, this resource provides actionable insights to create an enabling environment for scaled-up SRH self-care practices.

Last modified: June 23, 2026

Language: English

Source: Johns Hopkins Center for Communication Programs

Year of Publication: 2021

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Using SBC to Strengthen Self Care for SRH
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Using Social and Behavior Change to Strengthen Self-Care for Sexual and Reproductive Health – A Technical Brief

This technical brief outlines how social and behavior change (SBC) approaches can be utilized to advance self-care interventions for sexual and reproductive health (SRH). Acknowledging that self-care is heavily influenced by individual, interpersonal, social, and structural factors, the brief provides practitioners with actionable strategies to navigate core programmatic hurdles. It explicitly addresses key implementation challenges, including understanding user needs, engaging healthcare providers, cultivating community support, and defining quality in crowded markets. This resource serves as a practical companion piece to the overarching SBC self-care conceptual framework.

Last modified: June 23, 2026

Language: English

Source: Johns Hopkins Center for Communication Programs

Year of Publication: 2023

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Sawa Le Baad - Together for Each Other
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Sawa Le Baad – Together for Each Other: An Integrated Social and Behavior Change Strategy for Family Planning and Maternal, Newborn and Child Health

Developed by Breakthrough ACTION South Sudan, the Sawa Le Baad (Together for Each Other) strategy provides a comprehensive blueprint for integrated social and behavior change (SBC) interventions. The strategy aims to significantly reduce maternal, newborn, and child mortality by increasing demand for family planning, boosting timely health-seeking behaviors, and addressing provider bias. Grounded in evidence, it utilizes an adapted version of the Johns Hopkins Center for Communication Programs’ Pathways™ model to build a more supportive community environment. This framework guides practitioners in promoting equitable gender norms, community dialogue, and improved experiences at health facilities.

Together we are planning our family.

Last modified: June 23, 2026

Language: English

Source: Johns Hopkins Center for Communication Programs

Year of Publication: 2022

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Applying Social and Behavior Change Approaches to Improve Sexual and Reproductive Health Service Delivery A Technical Brief
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Applying Social and Behavior Change Approaches to Improve Sexual and Reproductive Health Service Delivery – A Technical Brief

This technical brief shares evidence and lessons learned from Breakthrough ACTION’s social and behavior change (SBC) activities focused on sexual and reproductive health (SRH) service delivery. Utilizing data from project monitoring and evaluation, it offers actionable recommendations for implementing public sector SBC programming. The brief highlights how SBC approaches can be applied across the entire service continuum using the Circle of Care Model©. This resource is designed to help practitioners optimize client motivation, enhance provider-client interactions, and improve long-term service adherence.

Last modified: June 21, 2026

Language: English

Source: Johns Hopkins Center for Communication Programs

Year of Publication: June 2023

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SBC Related Resources
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Malaria Social and Behavior Change Toolkit for Community Health Workers

This collection of resources from the RBM Partnership to End Malaria focuses on Malaria Social and Behavior Change (SBC) strategies, programs, and communications. It includes comprehensive guides, templates, and strategic frameworks designed to support the development, implementation, and evaluation of national malaria SBC initiatives. Additionally, the repository features specialized toolkits for community health workers, monitoring and evaluation guidelines, and policy recommendations for specific contexts like COVID-19 and Anopheles stephensi. Most of these essential materials are available in English, French, and Portuguese to support global malaria control efforts.

Last modified: June 21, 2026

Language: English, French, Portuguese

Source: RBM Partnership to End Malaria

Year of Publication: 2018-2025

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WHO competency framework, risk communication and community engagement
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WHO competency framework, risk communication and community engagement

The risk communication and community engagement (RCCE) competency framework is a resource that details the essential behaviors and activities necessary for effective communication and engagement with communities before, during, and after public health emergencies. The purpose of this framework is to establish and promote a common understanding of behavioral competencies and how they should be applied for high-performing and community-centered health emergency programs. It is intended to support the development of standardized training programs, professional development, and talent acquisition and to enhance the capabilities of public health professionals involved in RCCE. Its goal is to inform the establishment of a skilled, well-trained RCCE workforce that consistently understands and executes the necessary behaviors and activities required to conduct RCCE activities with competence and professionalism.

Last modified: July 21, 2024

Language: English

Source: World Health Organization

Year of Publication: 2024

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Standards for improving quality of maternal and newborn care in health facilities
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Standards for improving quality of maternal and newborn care in health facilities

This framework contains eight domains of quality of care that should be assessed, improved, and monitored within the health system. The health system provides the structure for access to high-quality care in the two important, inter-linked dimensions of provision and experience of care. Within this framework and in line with the Organization’s mandate, WHO will work towards realization of its vision in six strategic areas, which will be the basis for a systematic, evidence-based approach to providing guidance for improving the quality of maternal and newborn care.

Last modified: February 15, 2024

Language: English, French, Russian

Source: World Health Organization

Year of Publication: 2016

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