Learning Brief: Handwashing Behavior Change

This brief presents approaches and lessons learnt with regard to improving hand-washing behaviors across 15 countries. It is based on a rapid scan of the secondary sources available from Water for Women projects, including mid-term reviews, knowledge and learning products, and project reporting. The brief describes strategies partners have adopted to improve handwashing with soap (HWS).

Source: Water for Women

Date of Publication: April 26, 2023

Enquête sur les Connaissances, Attitudes et Pratiques (CAP) dans le cadre de la prévention contre la COVID-19 Côte d’Ivoire, Phase 3

Depuis l’émergence du virus SARS-CoV-2 et sa première détection en Côte d’Ivoire en mars 2020, le pays a recensé 87 891 cas et 830 décès (novembre 2022). Le Ministère de la Santé a pris diverses mesures pour réduire la propagation et l’impact du COVID-19, notamment l’autorisation de vaccins contre le COVID-19 que sont AstraZeneca, Pfizer, Sinopharm et Johnson & Johnson (J&J). Avec des objectifs ambitieux de vacciner 70% de la population ivoirienne, comprendre les facteurs de confiance et d’adoption des vaccins est essentiel pour la réponse au COVID-19 et atteindre cet objectif.

Breakthrough ACTION Côte d’Ivoire a menée une enquête auprès des ménages à trois phases portant sur les connaissances, les attitudes et les pratiques afin d’informer la communication des risques et l’engagement communautaire.

  • Toutes les 3 phases réalisées à Abidjan
  • La phase 3, menée à Abidjan et trois sites intérieurs
  • Échantillonnage aléatoire en grappes
  • Les données ont collecté sur des tablettes et extraites quotidiennement pour être nettoyées et analysées

Survey on Knowledge, Attitudes, and Practice (KAP) in the Context of COVID-19 Prevention in Côte d’Ivoire, Phase 3

Since the emergence of the SARS-CoV-2 virus and its first detection in Côte d’Ivoire in March 2020, the country has recorded 87,891 cases and 830 deaths (November 2022). The Ministry of Health has taken various measures to reduce the spread and impact of COVID-19, including the authorization of COVID-19 vaccines from AstraZeneca, Pfizer, Sinopharm, and Johnson & Johnson (J&J). With ambitious goals of vaccinating 70% of the Ivorian population, understanding the drivers of vaccine confidence and uptake is critical to the response to COVID-19 and achieving this goal.

Breakthrough ACTION Côte d’Ivoire conducted a three-phase household survey of knowledge, attitudes and practices to inform risk communication and community engagement.
• All 3 phases conducted in Abidjan
• Phase 3, conducted in Abidjan and three inland sites
• Random cluster sampling
• Data collected on tablets and extracted daily for cleaning and analysis

Source: Johns Hopkins Center for Communication Programs

Date of Publication: February 28, 2023

Leçons tirées de la recherche sur les perceptions de la vaccination COVID-19 pour les personnes vivant avec une comorbidité en Côte d’Ivoire I Janvier 2023

La Côte d’Ivoire a enregistré 87 966 cas de COVID-19 confirmés, 87 129 guéris et 833 décès et 25 263 932 doses administrées, et 59% de couverture de cible vaccinale (au 09/02/23, MSHPCMU). Éligible au vaccin depuis le début de la vaccination en Côte d’Ivoire, ce sont 9% de porteurs de pathologies chroniques qui ont reçu au moins une dose et 5% complètement vaccinés (Point du 09/02/23, MSHPCMU). Le projet Breakthrough ACTION à travers le financement USAID, appuie le gouvernement de Côte d’Ivoire par le biais des interventions pour le changement social et de comportement (CSC), y compris la recherche et le suivi pour informer sur les activités de vaccination COVID-19. Breakthrough ACTION a recueilli des données qualitatives sur trois sites (Abidjan – Bouaké – San Pedro) afin d’évaluer les perceptions du vaccin contre la COVID-19. Cette analyse se focalise sur les perceptions de la COVID-19 chez les personnes vivant avec une comorbidité (Diabète, HTA, Obésité, VIH..).

Lessons Learned from Research on Perceptions of COVID-19 Vaccination for People Living With Comorbidity in Côte d’Ivoire I January 2023

Côte d’Ivoire has recorded 87,966 confirmed cases of COVID-19, 87,129 cured and 833 deaths, and 25,263,932 doses administered, with 59% coverage of the vaccine target (as of 09/02/23, MSHPCMU). Eligible for the vaccine since the beginning of vaccination in Côte d’Ivoire, 9% of chronic disease carriers have received at least one dose and 5% have been fully vaccinated (as of 09/02/23, MSHPCMU). The Breakthrough ACTION project, through USAID funding, is supporting the government of Côte d’Ivoire through social and behavior change interventions (SBC), including research and monitoring to inform COVID-19 immunization activities. Breakthrough ACTION collected qualitative data in three sites (Abidjan – Bouaké – San Pedro) to assess perceptions of the COVID-19 vaccine. This analysis focuses on perceptions of COVID-19 among people living with co-morbidities (diabetes, hypertension, obesity, HIV, etc.).

Source: Johns Hopkins Center for Communication Programs

Date of Publication: February 28, 2023

Consensus Statement on Repurposing ITNs: Applications for BCC Messaging and Actions at the Country Level

There is a growing demand for guidance on what to do with old or worn-out ITNs throughout their life cycle. This consensus statement provides National Malaria Control/Elimination Programs (NMCPs) and implementing partners with clear recommendations and key messages on three categories of repurposing: beneficial repurposing, neutral repurposing, and misuse. With the introduction of universal coverage strategies and the ongoing distribution and sale of ITNs, more people have access to and are using ITNs. Older ITNs accumulate in households as they are replaced with new ITNs, and given the lack of environmentally sustainable disposal options, households are instead repurposing the old ITNs. Households have demonstrated countless ways to repurpose an old ITN, including protecting seedlings, creating screening for window and doors, or using under a mattress as pest control. There are also reports of community leaders instituting fines or penalties for families who repurpose or misuse ITNs. This consensus statement provides guidance on preventing ITN misuse and repurposing ITN materials without reprisal.

Source: Johns Hopkins Center for Communication Programs

Date of Publication: November 16, 2022

Getting to 2030: Maternal and Child Health and Nutrition Technical Roadmap

The Getting To 2030: Maternal and Child Health and Nutrition Technical Roadmap is a framework that guides USAID’s maternal and child survival programs. It serves as a foundational component of USAID’s commitment to Prevent Child and Maternal Deaths alongside the Agency’s investments in family planning, malaria, and health systems strengthening.

This roadmap:

  • Shapes collaborative efforts across USAID Bureaus, Missions, U.S. Government agencies, external stakeholders, and partners.
  • Supports a coordinated, strategic approach to strengthening essential services for women and children and health systems
  • Informs the development, measurement, and adjustment of country level strategic plans led by host country governments with support from USAID missions and other stakeholders.

Source: USAID

Date of Publication: November 9, 2022

Community Approaches to Child Health in Malawi: Applying the Community Integrated Management of Childhood Illness (C-IMCI) Framework

The C-IMCI Framework is made up of three elements: (1) improving partnerships between health facilities and the communities they serve; (2) increasing appropriate and accessible health care and information from community-based providers; and (3) integrating promotion of key family practices critical for child health and nutrition, and a multi-sectoral platform. The intent of the C-IMCI Framework is to enable NGOs and governments to categorize their existing community-based program efforts and develop and implement a coordinated, integrated strategy to improve child health. The framework is designed to address each of the three key elements and a multi-sectoral platform that would be most effective in improving child health.

This paper documents World Relief’s approach to C-IMCI interventions at the household level in Malawi, where the government is dedicated to implementing C-IMCI through its community network of health surveillance assistants. Included are sections on: background, Care Group Model, Programming, Results, Lessons Learned, and Scale Up / Costs.

Source: Core Group, World Relief

Date of Publication: October 17, 2021

Engaging Boys and Men in Gender Transformation: The Group Education Manual

This 11-chapter manual offers trainers an array of participatory experiential exercises to reach men (and their partners), exploring gender socialization and its impact on HIV prevention and care. Piloted in Ethiopia, Namibia, South Africa and Tanzania, the manual is designed to assist master trainers in developing curricula to work with men and boys on gender, HIV and AIDS issues.

After a short background discussing the scientific rationale, chapter topics include: Gender and Power, Sexuality, Men and Health, Substance Use, Healthy Relationships, STI and HIV prevention, Living with HIV, Fatherhood, Violence and Making Change-taking Action. This educational manual allows men to question non-equitable views about masculinity and develop more positive attitudes to prevent unhealthy behaviors that put them and their partners and families at risk. It can also be used to train facilitators who will implement workshop activities with groups of men.

The activities are intended for use with men of all ages, although some adaptations might have to be made depending on the ages of the men and the country and community context. These activities can also be adapted for use with groups of men and women.

Source: EngenderHealth, Promundo

Date of Publication: October 15, 2021

Guide to Prevention and Control of Covid-19 in Services of Health

The Coronavirus topic was included in the Guide for the Prevention and Control of Covid-19 in Health Services of the Ministry of Public Health and Social Assistance of Guatemala.

To facilitate dissemination, a brochure and poster were produced. In addition, workshops were held with staff from the MOH and the municipalities of Nebaj, Chajul, Nebaj and Sacapulas in Quiché.

Source: Save The Children, Breakthrough ACTION /Johns Hopkins Center for Communication Programs, USAID, The Ministry of Public Health and Social Assistance, Guatemala

Date of Publication: May 31, 2021

Considering Intersectionality in Africa

This is an entire issue of the journal Agenda (Volume 31, Issue 1) which focuses on intersectionality and gender in Africa.

The contributions in this issue consider the traction that the concept of intersectionality may have in scholarship in and about Africa. They variously address questions of how to do intersectional research; how intersectionality is lived and subjectively experienced; how intersectionality might inform our understanding of practices of resistance; how context – place and history – informs the identities at stake; how social status, such as marital status and profession, might be important identity categories in African contexts, independent of class; and how to expand an intersectional approach beyond social relations, to include intersections of social power with material resources such as water.

The various works in this issue are examples of both the durability of the concept, and the possibilities and richness that African perspectives can offer scholarship on intersectionality. We are optimistic that future calls for contributions in this area will elicit inputs from a wider range of African contexts.

Source: Agenda

Date of Publication: April 7, 2021