Intentionally Incorporating the Social Determinants of Health into Social and Behavior Change Programming for Family Planning

The field of social and behavior change (SBC) recognizes that factors beyond the biomedical model of health affect health and well-being at individual, household, community, and societal levels. However, to date, SBC interventions in family planning and reproductive health (FP/RH) have primarily focused on identifying and shifting behaviors in individuals, groups, and communities; therefore, SBC programs too often overlook the root causes of health disparities related to FP/RH and how SBC approaches can and should be used to address them.

The purposes of this brief are to:

  1. Synthesize what is known about addressing the social determinants of health (SDOH) inequities in FP/RH.
  2. Propose considerations for future SBC programmingto address the SDOH inequities in FP/RH based on the existing evidence.
  3. Identify implementation research gaps that should be explored to support the use of SBC to address inequities in FP/RH that result from the SDOH.

This document provides evidence to guide strategic decision-making among donors and governments in support of SBC initiatives to reduce inequities in FP/RH. Though the brief focuses on examples from the field of FP/RH, its content is broadly applicable to SBC across all health and development areas. Breakthrough ACTION developed this brief alongside a programmatic tool with practical guidance for SBC practitioners. This resource contributes to work under the “supporting social change in family planning” priority in the Global Shared Agenda for SBC in Family Planning.

ENGLISH

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

EN FRANÇAIS

Intégrer délibérément les déterminants sociaux de la santé dans les programmes de CSC dans le domaine de la PF [PDF]

Last modified: March 18, 2026

Language: English

Social and Behavior Change Guidance for Anopheles stephensi in Africa

Anopheles stephensi, a dominant malaria vector in south Asia and Arabian Peninsula, has been identified by researchers in Africa in recent years, and has the potential to threaten malaria control and elimination efforts. Social and behavior change will play a critical role in the response to this growing threat. This document provides evidence-based guidance on individual, household, and community level behaviors for potential support of An. stephensi mitigation and control interventions in Africa.

Last modified: March 18, 2026

Language: English

Elevating Social and Behavior Change as an Essential Component of Family Planning Programs

Citing “no product, no program,” family planning (FP) interventions have traditionally focused on delivering commodities. But ensuring long-term uptake means addressing behavioral and cultural attitudes and practices regarding FP. While social and behavior change (SBC) plays an essential role—backed by almost 50 years of data—it is often underutilized. In a newly-published commentary in Studies in Family Planning, USAID and Breakthrough ACTION make a clear case and a clarion call for more intentionally integrating and funding proven SBC approaches into FP programs. The data outlined in this commentary serves as a cornerstone for advocacy efforts to help increase SBC in FP programs.

Last modified: March 17, 2026

Language: English

Communication Plan to Combat Antimicrobial Resistance in Côte d’Ivoire

This communication plan helps optimize the coordination of interventions and develop more appropriate communication strategies as part of the fight against antimicrobial resistance in Côte d’Ivoire. The document was developed under the leadership of the Antimicrobial Resistance Technical Working Group, with support from Breakthrough ACTION and USAID.

Plan de communication pour la lutte contre la résistance aux anti-microbiens en Côte d’Ivoire

Ce document de plan de communication permet d’optimiser la coordination des interventions et de développer des stratégies de communication plus appropriées, dans le cadre de la lutte contre la résistance aux antimicrobiens en Côte d’Ivoire. Ce document a été élaboré sous le leadership du Groupe de Travail Technique sur la Résistance aux Antimicrobiens, avec l’appui de Breakthrough ACTION et de l’USAID.

Last modified: March 16, 2026

Language: English, French

Using SBC to Enhance Programs to End Child, Early, and Forced Marriage

Child, early and forced marriage (CEFM), defined as marriage before age 18 or marriage that occurs without the consent of those in the marriage, affects an estimated 15 million girls each year.

CEFM is perpetuated by many factors, including but not limited to poverty, conflict, gender inequality, social and cultural norms, religious beliefs, and economic incentives. Looking forward, efforts to reduce the number of girls at risk for CEFM will increasingly struggle to keep pace with population growth; leading to virtually the same number of girls at risk for CEFM within the next few decades if actions to end CEFM are not accelerated.

This series of briefs proposes social and behavior change (SBC) approaches to strenghten the collective effort to reduce CEFM.

There are seven briefs in the series that focus on:

  1. Advanced Audience Segmentation: By learning more about your audience and segmenting them into smaller groups you can better target your interventions and influence behavior change to end CEFM.
  2. Collective Action: By bringing together members of a community to discuss CEFM and envision a different future for their community, progress can be made at a larger scale and with greater chance of lasting change.
  3. Gender Synchronization: When designing a gender synchronized approach for CEFM, you should consider the needs of all genders and address the power imbalances that often exist in communities.
  4. Human-Centered Design: Human-centered design can help you discover new approaches that put empathy at the core and ensure the community leads the design of programming.
  5. Social Norms programming: Different social norms are often contributing factors in the persistence of CEFM in communities. By designing norms-shifting interventions, you can begin to tackle these long-standing influencers.
  6. Theories: Using theories can help you to develop effective programs to reduce CEFM. Theories can provide a framework to build your program around to lead to behavior change.
  7. Youth Engagements: By engaging youth in CEFM programing from design through to evaluation, and including activities to strengthen youth’s agency, you can increase the sustainability and impact of your program.

Each brief was developed from analyzing successful interventions conducted all over the world. Interventions and programs that are creative, multi-faceted, and innovative will be required in order to address the factors contributing to the prevalence and impact of CEFM.

Last modified: March 16, 2026

Language: English

Social and Behavior Change Monitoring Guidance

Breakthrough ACTION has distilled guidance on social and behavior change (SBC) monitoring methods into a collection of technical notes. Each note provides an overview of a monitoring method that may be used for SBC programs along with a description of when to use the method and its strengths and weaknesses.

Last modified: March 16, 2026

Language: English

Resources for Social and Behavior Change Advocacy in Family Planning

Do you need to pitch social and behavior change (SBC) approaches to family planning donors, governments, or program managers?

Breakthrough ACTION has developed two short animations and accompanying briefs with compelling examples showing that investment in SBC is critical to meeting global- and country-level family planning goals.

These materials highlight evidence from Nigeria, Rwanda, Indonesia, Zambia, and several OP countries that demonstrates:

  • SBC improves family planning outcomes.
  • SBC complements service delivery.
  • SBC generates a high return on investment.

ENGLISH

Advancing progress in family planning: The impact of social and behavior change [YouTube]

Using Social & Behavior Change to Improve Family Planning Outcomes [PDF]

EN FRANÇAIS

Accélérer les progrès en planification familiale: L’impact du CSC [YouTube]

Utilisation du CSC pour améliorer le bilan du planning familial en Afrique de l’Ouest [PDF]

Last modified: March 16, 2026

Language: English

HIPs Implementation Tools Project

Launched in 2022, the HIPs Implementation Tools project aims to compile crucial resources for FP/RH practitioners, that provide guidance on effectively implementing and expanding the Family Planning High Impact Practices (HIPs). Responding to the growing need for resources that not only explain the effectiveness of the family planning HIPs, but that also offer practical guidance on implementing and scaling up these practices, the project collaborated in 2023 with FP/RH technical experts and implementers. Together, they published an initial set of resource collections focused on implementing and scaling up 7 selected Service Delivery and Social and Behavior Change HIPs. In October 2024, with additional expert support, the project released a new set of resource collections covering 8 additional family planning HIPs and HIP enhancements. Within each collection, viewers can find accessible knowledge products designed to help FP/RH professionals strengthen the implementation and scale-up of these HIPs in their programming. (Un petit nombre de ressources et d’études de cas sont disponibles en français pour chaque dossier.)

Source: Johns Hopkins Center for Communication Programs

Date of Publication: November 15, 2024

Strategic Selection of Malaria Social and Behavior Change Activities Using results from the Malaria Behavior Survey

This guidance includes practical instructions on how to use results from the Malaria Behavior Survey (MBS) to inform data-driven aspects of developing national malaria SBC strategies and the strategic selection of audiences, activities, and other aspects of SBC programs. Because the MBS delves into the factors associated with malaria-related behaviors, its findings equip program planners with evidence for making strategic decisions for SBC strategies and programs and thus help to justify SBC investments by malaria programs.

Last modified: September 23, 2024

Language: English

Source: Johns Hopkins Center for Communication Programs

Year of Publication: 2024

Risk Communication Plan for the first case of Ebola

This document describes possible risk communication activities supporting the public announcement of a possible first case of Ebola diagnosed in your country.

Last modified: August 5, 2024

Language: English

Source: Pan American Health Organization

Year of Publication: 2014