Approaching Provider Behavior Change Monitoring and Evaluation With a Social-Ecological Lens Brief

The Approaching Provider Behavior Change Monitoring and Evaluation With a Social-Ecological Lens brief builds on Breakthrough ACTON’s suite of provider behavior change (PBC) tools, which support the application of a social-ecological lens to design and implementation of PBC interventions. This suite of tools consists of the Provider Behavior Ecosystem Map and the Provider Behavior Change Toolkit. PBC interventions that are designed and implemented using a social-ecological lens must be monitored and evaluated through the same lens.

This brief explores the new frontiers of applying a social-ecological lens to the monitoring and evaluation of PBC interventions. It uses the organizing structure of the Provider Behavior Ecosystem Map to discuss insights, findings, and recommendations. There is also a list of illustrative indicators for consideration and use.

The primary audience for this brief is program planners and implementers working at the intersection of health systems strengthening, service delivery, and social and behavior change or otherwise working to understand and improve provider behavior through PBC interventions.

Although this brief and set of tools focuses on family planning and reproductive health (FP/RH) service delivery and use related examples, they can be applied more broadly to other health areas. This broader application is important given how commonly FP/RH providers offer services across health areas, especially in integrated service delivery.

A short instructional video in English and French was developed to provide an overview of the brief.

Last modified: June 10, 2024

Language: English, French

Source: Johns Hopkins Center for Communication Programs

Year of Publication: 2024

Addressing stigma and discrimination toward children and youth with disabilities through SBC – Disability Toolkit

This toolkit was developed to help achieve a world where “all children, including those with disabilities, live in barrier-free and inclusive communities, where persons with disabilities are embraced and supported, across the life cycle, to realize and defend their rights, and to achieve full and effective participation” (UNICEF Disability Inclusion Policy and Strategy, 2022-2030).

SBC programming has a critically important and urgent role to play in identifying and implementing solutions that empower children with disabilities and their families and support their social inclusion. We are therefore pleased to share this practical guide to understanding and tackling the social norms and behaviors that limit the inclusion of children with disabilities in their communities.

This toolkit aims to provide insights, tools, and resources to help you understand the barriers to the inclusion of children with disabilities, with a focus on stigma and discrimination, and to offer practical support for designing, implementing, monitoring, and evaluating social and behavior change (SBC) interventions that include children with disabilities and their families and empower them to be included in their communities and enjoy the same opportunities as their peers.

This toolkit comprises an introduction, a foundational module, seven thematic modules, a user guide and a Theory of Change (PowerPoint presentation).

The modules are as follows:

Module 0: Foundation
Module 1: Inclusive evidence generation
Module 2: Empowering children and youth with disabilities and their families
Module 3: Understanding and engaging communities
Module 4: Building disability-inclusive services
Module 5: Strengthening partnerships for advocacy
Module 6: SBC for disability inclusion in humanitarian action
Module 7: Monitoring, Evaluating, and Measuring

Last modified: May 2, 2024

Language: English

Source: UNICEF

Year of Publication: 2024

Using the EAST Framework in the Social and Behavior Change Work of Community Health and Nutrition Volunteers

This document provides guidance on delivering a one-day workshop that aims to increase the ability of the Community Health and Nutrition Volunteers to promote various behaviours in a way that enables and motivates people to adopt them. The acquired skills can be used in the context of group sessions, household visits, and individual counselling. The guidance is meant to be used by people who work on enhancing the community volunteers’ behaviour change capacities.

Last modified: April 17, 2024

Language: English

Source: ADRA Yemen

Year of Publication: 2023

Gender & Power (GAP) Analysis Guidance

Save the Children’s Gender and Power (GAP) Analysis Guidance is an essential tool to examine, understand, and address discrimination and inequality that prevent children, their families, and communities from claiming their full and equal rights. GAP analysis is a type of action research that investigates how gender and power inequalities intersect and helps staff and partners understand the types and depth of discrimination in each context. It supports the design and adaptation of programming that positively transforms unequal power relations and ensures all stakeholders can equitably access, participate in, be decision-makers for, and benefit from activities. Ultimately, this research enables evidence-based programming and advocacy that advance gender equality and social justice.

Resource includes:

Last modified: April 5, 2024

Language: English, Spanish

Source: Save the Children

Year of Publication: 2021

Communicating on Climate Change and Health: Toolkit for Health Professionals

While climate change is a big threat to health, implementing solutions to address climate change presents a huge opportunity to promote better health and protect people from climate-sensitive diseases. Communicating the health risks of climate change and the health benefits of climate solutions is both necessary and helpful. Health professionals are well-placed to play a unique role in helping their communities understand climate change, protect themselves, and realize the health benefits of climate solutions. This toolkit aims to help health professionals effectively communicate about climate change and health.

Last modified: March 28, 2024

Language: English

Source: World Health Organization

Year of Publication: 2024

Improving the quality of care for maternal, newborn and child health: implementation guide for national, district and facility levels

Quality is essential to improved health and survival, a key component for addressing health system inequities and inefficiencies, improving accountability, and providing dignified and respectful service delivery.

This implementation guide provides practical guidance for policymakers, program managers, health practitioners, and other actors working to establish and implement quality of care (QoC) programs for maternal, newborn, and child health (MNCH) at the national, district, and facility levels. The guide is intended to help anyone, throughout the health system, who wants to take action to improve the QoC for MNCH. This can include but is not limited to; national policymakers and legislators, program managers and technical staff at the national, district, and facility levels, health care practitioners working with MNCH, and other actors working to establish and implement quality of care programs for MNCH at national, district, and facility levels.

This implementation guide is a “living document” that builds on previous iterations and incorporates the rich implementation experience emerging from the 10 countries in the Quality of Care Network for improving quality of care (QoC) for maternal, newborn, and child health (MNCH).

Last modified: February 19, 2024

Language: English

Source: World Health Organization

Year of Publication: 2022

Guidance on developing national learning healthcare systems to sustain and scale up delivery of quality maternal, newborn, and child healthcare

This guide provides direction on how countries can develop and strengthen national learning healthcare systems to learn how to improve, sustain, and scale up Quality of Care for Maternal, Newborn, and Child Health. It is a working document that will be updated as new guidance comes in from the field. The guide is meant for health system managers, QoC implementing partners, researchers, policymakers, and healthcare providers involved in developing and implementing QoC programs at the facility, district, and national levels.

Last modified: February 19, 2024

Language: English

Source: World Health Organization

Year of Publication: 2022

Quality, equity, dignity: the network to improve quality of care for maternal, newborn and child health

As a step towards ending preventable maternal, newborn, and child deaths and achieving universal health coverage, countries in the QoC Network will work together to halve maternal and newborn deaths and stillbirths in participating health facilities in a five-year period.

This document sets out the four strategic objectives of the QoC Network: leadership, action, learning, and accountability. The strategic objectives are underpinned by the importance of community engagement in improving the quality of care. They were reached by consensus among the QoC Network countries and partners present at the Network launch meeting in Lilongwe, Malawi, in February 2017.

Last modified: February 19, 2024

Language: English

Source: World Health Organization

Year of Publication: 2018

Social and Behavior Change Design: Handbook for Resilience Food Security Activities During the Refinement Period

SBC is the lynchpin of achieving each purpose in the theory of change (TOC). The refine and implement (R&I) model, especially the refinement period, allows resilient food security activities (RFSAs) to review and test aspects of their TOC, complete necessary formative assessments, and pilot interventions so they can revise the TOC and project implementation plan based on these collective findings. Just as experiences and findings guide the TOC, they will also clarify pathways to social and behavior change and thus lead to modification in priority behaviors and the strategy for improving uptake and sustainability. The evidence-based, locally driven SBC strategy with relevant SBC capacity-strengthening activities should mirror and support the overall RFSA implementation plan.

The purpose of this handbook is to orient RFSA partners with step-by-step instructions for SBC best practices, providing practical tools for each milestone during the refinement period. Seven milestones are used to organize the best practice instructions and tools in (loosely defined) time periods in the refinement period. “Early refinement” lasts from award to the inception workshop. “Mid-refinement” is when partners conduct pilots, learning, and research studies. “Late refinement” is the time prior to the culmination workshop, and “later refinement” is between culmination and the Year 2 Pipeline and Resource Estimate Proposal. Although the milestones are presented within these time periods, SBC uses iterative processes with continual learning and refinement during R&I and throughout the life of the project. This embrace of iteration for all approaches, including SBC, is a RFSA hallmark.

The Bureau for Humanitarian Assistance (BHA) recognizes that many resources are available for RFSAs to design, implement, and measure quality SBC. This handbook pulls together existing resources that RFSA implementing partners can use during the refinement period, but is not prescriptive on any particular resource or approach. This handbook aims to assist in developing a clear roadmap for the end of the refinement period that includes—
• a manageable number of prioritized behaviors for each TOC purpose
• identified factors, or barriers and enablers, that prevent or support priority behaviors and that are informed by learning from relevant information gaps and formative research
• planned activities for each priority behavior in a logical format that address factors and influencers, those people who need to take action to address the factors
• alignment with and updates to the indicators in the monitoring evaluation, and learning (MEL) plan, reports—including the detailed implementation plan (DIP)—and annual reports.

Last modified: February 16, 2024

Language: English

Source: JSI Research & Training Institute, Inc.

Year of Publication: 2023

Optimizing Local Diets through Households and Market Pathways to Improve Nutrition for Women and Children

This guide is for the United States Agency for International Development’s (USAID) Bureau for Humanitarian Assistance (BHA)-funded Resilience Food Security Activity (RFSA) Implementing Partners (IPs) and is intended for use by a multi-disciplinary RFSA team. RFSAs typically include a food assistance resource transfer component, a key benefit of which is to support age-appropriate complementary feeding of children 6–23 months of age and improve women’s or household dietary diversity. However, to sustain these benefits in the long term, RFSAs often look to transition to using local alternatives. This guide aims to support RFSA IPs’ transition from providing resource transfers to using locally available, accessible, and affordable alternatives to sustain nutrition outcomes for women and children under age two. It provides resources, workbooks, templates, and tools with instructions on how to optimize the use of local foods to improve women and children’s nutrition and dietary diversity in a given program area.

Last modified: February 9, 2024

Language: English

Source: USAID Advancing Nutrition

Year of Publication: 2023