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

The Insights 101 Playbook: A Dynamic Learning Starter Kit

The Insights 101 Playbook is an introductory guide to one of the key building blocks of dynamic social and behavior change (SBC) project design: insights. It has been designed to offer concise and practical guidelines with examples—from identifying insights to applying and sharing them across project partners. Consider insights as the distillation of formative research that allows you to include the research findings in the design.

What’s inside?
The Playbook includes three chapters that use a case example to walk through the different insight phases:

  1. Identify and articulate insights
  2. Convert an insight into an opportunity
  3. Share and apply insights

The chapters provide an overview with clear guidance, a case study, and a capacity-strengthening component. There are insights about teams, approaches, processes, and more.

Last modified: February 9, 2024

Language: English, French

Source: Johns Hopkins Center for Communication Programs

Year of Publication: 2024

Early Adolescent Skills for Emotions (EASE)

Early Adolescent Skills for Emotions (EASE) is an evidence-based group psychological intervention to help 10–15-year-olds affected by internalizing problems (e.g. stress and symptoms of anxiety, depression) in communities exposed to adversity. Published by the World Health Organization (WHO) and the United Nations Children’s Fund (UNICEF), EASE aims to support adolescents and their caregivers with skills to reduce distress. The intervention consists of 7 group sessions for adolescents and 3 additional group sessions for their caregivers. It is based on adapted aspects from Cognitive Behavioral Therapy and has been designed to be suitable for delivery by trained and supervised non-specialist helpers. The EASE intervention manual is accompanied by four additional documents to support its delivery.

Download the main publication

Adolescent & Caregiver Posters

Caregiver Handouts

My WorkbookStorybook

Last modified: January 17, 2024

Language: English

Source: World Health Organization

Year of Publication: 2023

Defining Social and Behavior Change Competencies for Multi-Sectoral Nutrition: A List for Assessing, Developing, and Evaluating Staff Skills

This tool identifies 52 social and behavior change competencies—knowledge, skills, and attitudes—that project staff must demonstrate to design, implement, and evaluate the SBC components of multi-sectoral nutrition programs. It seeks to help program managers define the competencies most relevant to their activities and identify skill gaps across their project teams, and then use those competencies to guide hiring decisions, identify areas for capacity strengthening, and track changes in performance over time.

Last modified: December 29, 2023

Language: English, French

Source: USAID Advancing Nutrition

Year of Publication: 2020

Women’s Empowerment Group Operational Guidelines

The Breakthrough ACTION-Nigeria Women’s Empowerment Group creates a safe space for women and strengthens their capacity and agency to:

  • Practice priority health behaviors
  • Engage in discussion and decision making confidently with their spouses
  • Participate in economic empowerment activities

The Women’s Empowerment Group approach was developed based on insights arising from a formative assessment that many women do not have the agency or ability to make decisions—and act—on issues related to pregnancy, childbirth, and child health care. The Women’s Empowerment Group brings together 15–35 women who are committed to their health and the well-being of their children, and family. The women are also willing to work together on financial empowerment through savings and loans and by learning new skills. The group’s operational guidelines provide step-by-step instructions on implementing the Women’s Empowerment Group model. The guidelines are designed for use by any group, organization, or individual interested in systematically supporting and promoting women’s empowerment, with a focus on health-related issues.

Source: Breakthrough ACTION Nigeria - Johns Hopkins Center for Communication Programs

Date of Publication: November 8, 2023