Type of Material: Framework or Model

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Know, Care, Do: Case Studies

These Know, Care, Do case studies showcase how the male engagement approach was applied to programs and projects implemented in the Democratic Republic of the Congo, India, Nigeria, and South Sudan. Each case study follows the structure of the theory of change to illustrate how it can be applied to program design and implementation across diverse country contexts. The programmatic examples highlight ways to work with a variety of actors, institutions, and channels (such as religious leaders and the health system) to engage men and boys in family planning across the key roles as clients, partners, and agents of change and the core components of Know, Care, Do.

Ces études de cas Savoir, Veiller, Agir

Ces études de cas Savoir, Veiller, Agir montrent comment l’approche de l’engagement masculin a été appliquée aux programmes et projets mis en œuvre en République démocratique du Congo, en Inde, au Nigéria et au Sud-Soudan. Chaque étude de cas suit la structure de la théorie du changement pour illustrer comment elle peut être appliquée à la conception et à la mise en œuvre de programmes dans divers contextes nationaux. Les exemples de programmes mettent en évidence les façons de travailler avec une variété d’acteurs, d’institutions et de canaux (tels que les chefs religieux et le système de santé) pour engager les hommes et les garçons dans la planification familiale à travers les rôles clés de clients, de partenaires et d’agents de changement et les composantes essentielles de Savoir, Veiller, Agir.

Source: Johns Hopkins Center for Communication Programs

Date of Publication: August 1, 2026

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More Capacity Strengthening Resources

Malaria Service Delivery Assessment Tool: Four Steps to Identify Challenges and Opportunities

Despite progress, challenges remain in delivering high-quality malaria services. Stakeholders articulated a need for a rapid and flexible tool to help holistically examine the complex web of factors that influence the delivery of quality malaria services.

Breakthrough ACTION collaboratively developed the Malaria Service Delivery Assessment Tool: Four Steps to Identify Challenges and Opportunities to provide national malaria programs with a structured, holistic, and participatory process for investigating and responding to service delivery concerns. Such tools can empower providers and other health system actors to truly understand the challenges impacting services within a given facility by applying a behavioral lens.

An accompanying technical brief describes the pilot test in the Democratic Republic of the Congo as a use case for applying the Malaria Service Delivery Tool. The brief is helpful for those interested in learning more about the tool’s implementation and what insights can be generated from it.

Ferramenta de avaliação da prestação de serviços contra a malária [PDF]

Last modified: July 31, 2026

Language: English

Source: Johns Hopkins Center for Communication Programs

Year of Publication: 2024

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More Behavioral Economics Resources

Contraception Discontinuation Testing Toolkit

Contraceptive discontinuation among women and adolescent girls who want to delay or prevent pregnancy is a challenge in many countries; however, there has been little attention paid to identifying programmatic approaches to address this challenge. In 2021, Breakthrough ACTION, in conjunction with USAID ReachHealth Philippines, the Philippines Commission on Population and Development, and the Philippines Department of Health, used human-centered design to create solutions to reduce contraceptive discontinuation in that country.

The solutions were compiled into this Contraception Discontinuation Testing Toolkit, which guides social and behavior change and family planning (FP) practitioners on testing six solutions that address contraception discontinuation in their local context.

Tested once in the Philippines, these prototypes are meant to be tested again and adapted to the needs of FP providers and women in other countries. The toolkit provides step-by-step instructions for testing the prototypes, along with details on who should test them, and testing requirements.

INSIGHTS REPORT

Examining and Designing Women-Centered Solutions to Reduce Contraceptive Discontinuation in the Philippines [PDF]

TOOLKIT AND TESTING RESOURCES

1. Testing Toolkit

2. Capacity Strengthening Slides

3. Testing Summary

4. Prototypes for Testing

5. Questionnaires and Note-taking Templates

6. Analysis Tools

7. Prototypes for Adaptation

Last modified: July 31, 2026

Language: English

Source: Johns Hopkins Center for Communication Programs

Year of Publication: 2023

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More Health Equity Resources

Expanding the “S” in SBC: Addressing Social Determinants of Health and Health Equity

Re-evaluating traditional social and behavior change frameworks, this technical document highlights how prioritizing social factors addresses structural health inequities. The resource outlines methodologies for incorporating social determinants of health into social and behavior change strategies, moving beyond individual behavior to encompass community-level systems and social conditions. It examines how systemic discrimination, economic inequality, and environmental barriers impact health outcomes, offering guidance for program adaptation. Practitioners, program managers, and policy makers can utilize this framework to design inclusive health interventions that advance health equity for vulnerable populations.

EN FRANÇAIS

Élargir le « S » du changement social et de comportement [PDF]

Recent Webinars

Why Do We Need to Elevate the S in SBC to Improve FP/RH Outcomes?

This webinar made the case for explicitly considering and addressing equity and social determinants of health in social and behavior change programming for family planning and reproductive health.

How Can SBC Programming Address Equity and Social Determinants of Health?

This webinar focused on how social and behavior change programming is well suited to addressing equity and social determinants of health in family planning/reproductive health.

How can Incorporating Social Accountability Into SBC Improve Equity?

This webinar focused on social accountability as a critical process that can be further leveraged across social and behavior change programming to address equity and social determinants of health to shape and influence family planning and reproductive health outcomes.

RELATED RESOURCES

Intentionally Incorporating the Social Determinants of Health into SBC Programming for FP

Measuring Equity in SBC Programming for Family Planning and Sexual and Reproductive Health

The Road to Equity in FP: Incorporating the Social Determinants of Health

Last modified: July 26, 2026

Language: English

Source: Johns Hopkins Center for Communication Programs

Year of Publication: 2022

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The Road to Equity in Family Planning: Incorporating the Social Determinants of Health

Highlighting the intersection between structural factors and healthcare access, this technical resource provides a practical framework for integrating the social determinants of health into voluntary family planning programs. The document outlines how underlying socio-economic conditions, educational attainment, gender dynamics, and geographic barriers shape individual health choices and access to quality care. It presents operational strategies for program planners to design equitable behavioral interventions that address root systemic inequities alongside individual behavior change. SBC practitioners, global health advocates, and policy makers can utilize these insights to foster health equity and ensure voluntary family planning services reach underserved populations.

Recent Webinars

Why Do We Need to Elevate the S in SBC to Improve FP/RH Outcomes?

This webinar made the case for explicitly considering and addressing equity and social determinants of health in social and behavior change programming for family planning and reproductive health.

How Can SBC Programming Address Equity and Social Determinants of Health?

This webinar focused on how social and behavior change programming is well suited to addressing equity and social determinants of health in family planning/reproductive health.

How can Incorporating Social Accountability Into SBC Improve Equity?

This webinar focused on social accountability as a critical process that can be further leveraged across social and behavior change programming to address equity and social determinants of health to shape and influence family planning and reproductive health outcomes.

RELATED RESOURCES

Expanding the “S” in SBC: Addressing Social Determinants of Health and Health Equity [ENGLISH / FRANÇAIS]

Intentionally Incorporating the Social Determinants of Health into SBC Programming for FP [ENGLISH / FRANÇAIS]

Measuring Equity in SBC Programming for FP and SRH [ENGLISH]

Last modified: July 26, 2026

Language: English

Source: Johns Hopkins Center for Communication Programs

Year of Publication: 2023

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Nigeria Multi-Hazard Risk Communication Guidelines

Establishing a standardized national framework, these comprehensive guidelines strengthen public health emergency preparedness and response across Nigeria. The document provides multi-hazard protocols for addressing infectious disease outbreaks, natural disasters, and health crises through evidence-based risk communication and community engagement strategies. Grounded in a One Health approach, it defines coordination structures, institutional roles, social listening procedures, and behavioral science principles to foster public trust and community resilience. Public health officials, emergency response agencies, and program managers can utilize these national guidelines to harmonize messaging and implement effective, proactive health communication interventions.

Last modified: July 23, 2026

Language: English

Source: Johns Hopkins Center for Communication Programs

Year of Publication: 2023

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More Family Planning and Reproductive Health Resources

Family Planning Social Norms Taxonomy for East Africa

Serving as an analytical framework for public health practitioners, this technical resource maps out the complex social norms surrounding family planning across ten East African nations. The classification system synthesizes evidence from an extensive regional literature review covering countries such as Kenya, Ethiopia, Uganda, and the Democratic Republic of the Congo. It organizes identified normative drivers into five overarching categories and various detailed subcategories to aid behavioral diagnostic mapping. Program managers and researchers can utilize this taxonomy to design targeted interventions, guide formative research, and systematically address deeply rooted community norms.

Last modified: July 23, 2026

Language: English

Source: Johns Hopkins Center for Communication Programs

Year of Publication: 2021

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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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More Family Planning and Reproductive Health Resources

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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