Type of Material: Guidelines

Cover page of document titled How Theory-Based Programming Can Drive COVID-19 Vaccine Uptake
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Breakthrough ACTION-Nigeria Risk Communication and Community Engagement Tools and Resources

Breakthrough ACTION-Nigeria’s risk communication and community engagement interventions support the GoveBreakthrough ACTION-Nigeria’s risk communication and community engagement (RCCE) interventions support the Government of Nigeria in preventing, detecting, and responding to public health emergencies. As part of these efforts, the project:

  • Produced and implemented a coordinated package of social and behavior change interventions, including mass media campaigns and community-level activities tailored to address specific public health emergencies and infectious diseases like Lassa fever, mpox, and COVID-19.
  • Strengthened the capacity of government, partners, health care providers, and community leaders, as well as other community actors, to effectively communicate health messages and facilitate behavior change during public health emergencies.

Mass Media Campaign Television and Radio Spots

Television and radio spots from mass media campaigns aim to drive health messages and behavior change within communities around public health emergencies. They are designed based on theory and evidence and are relatable to the audience. Breakthrough ACTION-Nigeria designed and implemented two mass media campaigns to increase COVID-19 vaccine uptake.

Community Engagement Resources and Training Materials

These tools for community volunteers and religious leaders are used to encourage community members to adopt preventive measures and address misinformation related to infectious diseases like COVID-19, mpox, and Lassa fever.

One Health Risk Communication and Community Engagement Training Package

Health Care Workers

Health care workers are both an audience and communication channel for interventions due to their own risk for infection, trusted status, direct access to communities, and their potential influence on behavior change. Leveraging health care workers enhances the credibility and effectiveness of RCCE interventions in promoting health behaviors and facilitating behavior change within communities. Breakthrough ACTION-Nigeria developed a package of resources to:

Train health care workers in strengthening interpersonal communication with clients

Leverage peer-to-peer influence among health care workers to increase COVID-19 vaccine uptake

Learning Briefs and Blog Posts

Source: Johns Hopkins University Center for Communication Programs

Date of Publication: August 13, 2024

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Social and Behavior Change to Increase Tuberculosis Care-Seeking in Nigeria: Tools and Resources
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Social and Behavior Change to Increase Tuberculosis Care-Seeking in Nigeria: Tools and Resources

Breakthrough ACTION has developed and implemented social and behavior change (SBC) interventions to increase the number of tuberculosis (TB) cases identified in Nigeria. These resources can be adapted and used by professionals interested in using SBC approaches to address TB or practitioners implementing TB programs.

Check Am O! Campaign

Breakthrough ACTION, the National Tuberculosis, Leprosy and Buruli Ulcer Control Programme (NTBLCP), and other partners in Nigeria developed the first national unified TB SBC campaign in the country. “Check Am O!” (Go and Check It!) was based on an intensive human-centered design approach and rolled out through multiple channels. The campaign encouraged anyone with a cough lasting more than two weeks to seek TB testing and for their families, friends, and acquaintances to support them in doing so.

Print Materials
TB TV Spots
TB-COVID-19 TV Spots

Job Aids for Health Care Workers

These job aids provide user-friendly guidance on TB care and treatment clinical management.

Guidelines and Reports

Implementation and Success Stories

Increasing Tuberculosis Case Notification in Nigeria: The Role of Social and Behavior Change

Source: Johns Hopkins University Center for Communication Programs

Date of Publication: August 13, 2024

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Breakthrough ACTION Nigeria Malaria SBC Tools and Resources

In collaboration with the United States President’s Malaria Initiative, Breakthrough ACTION-Nigeria worked with the Nigeria National Malaria Elimination Programme (NMEP) and other partners to implement social and behavior change programs across a third of Nigeria’s 36 states and the Federal Capital Territory. Through community engagement, provider behavior change initiatives, and widespread media campaigns, Breakthrough ACTION-Nigeria and the NMEP ensured communities and healthcare workers were motivated to prevent, test, and accurately treat malaria. Through community engagement, provider behavior change initiatives, and widespread media campaigns, Breakthrough ACTION-Nigeria collaborated with NMEP to ensure that communities and healthcare workers are motivated to prevent, test, and accurately treat malaria. Here are resources developed by Breakthrough ACTION-Nigeria that can be used by others interested in leveraging the power of SBC into malaria programming.

Community-Based Stakeholder Job Aids

School-Based SBC Tools

Mama Put Campaign

Television Spots
Audio Spots

Malaria Radio Spots

Learning Briefs and Blog Posts

Source: Johns Hopkins Center for Communication Programs

Date of Publication: August 13, 2024

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Optimizing Diets by Using Local Foods for Improved Nutrition for Women and Children
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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

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WHO recommendations on maternal and newborn care for a positive postnatal experience
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WHO recommendations on maternal and newborn care for a positive postnatal experience

This guideline aims to improve the quality of essential, routine postnatal care for women and newborns with the ultimate goal of improving maternal and newborn health and well-being. It recognizes a “positive postnatal experience” as a significant end point for all women giving birth and their newborns, laying the platform for improved short- and long-term health and well-being. A positive postnatal experience is defined as one in which women, newborns, partners, parents, caregivers and families receive information, reassurance and support in a consistent manner from motivated health workers; where a resourced and flexible health system recognizes the needs of women and babies, and respects their cultural context.

This is a consolidated guideline of new and existing recommendations on routine postnatal care for women and newborns receiving facility- or community-based postnatal care in any resource setting.

Last modified: February 5, 2024

Language: English

Source: World Health Organization

Year of Publication: 2022

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

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STANDARD OPERATING PROCEDURE (SOP) for Mental Health & Psychosocial Support (MHPSS) Call Center

The COVID-19 pandemic has different effects on the health, education, and economic situation in the whole world. Bangladesh is also facing similar challenges including anxiety, fear, stress, etc. making the situation more complex. Health workers, who support active management of COVID-19, patients as well as those involved in preventing the spread of the disease, are also facing tremendous psychological trauma. Under this circumstance, having a uniform support mechanism for the Mental Health & Psychosocial Support (MHPSS) call service providers (helpline, call centers, telepsychology centers), in this Standard Operating Procedure (SOP) is helpful.

The objective of the validated SOP is to have a standardized service mechanism/protocol for MHPSS call center support providers throughout the country.

Source: Johns Hopkins Center for Communication Programs

Date of Publication: December 20, 2022

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Communicating risk in public health emergencies: a WHO guideline for emergency risk communication (‎ERC)‎ policy and practice
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Communicating risk in public health emergencies: a WHO guideline for emergency risk communication (‎ERC)‎ policy and practice

These guidelines provide evidence-based guidance on how risk communication should be practiced in an emergency, including guidance to countries on building capacity for communicating risk during health emergencies. This includes guidance on: building trust and engaging with communities and affected populations; integrating risk communication into existing national and local emergency preparedness and response structures; and emergency risk communication practice—from strategizing, planning, coordinating, messaging, channeling, and different methods and approaches of communication and engagement, to monitoring and evaluation—based on a systematic assessment of the evidence on what worked and what did not work during recent emergencies.

This includes guidance on: building trust and engaging with communities and affected populations; integrating risk communication into existing national and local emergency preparedness and response structures; · ERC practice – It covers strategizing, planning, coordinating, messaging, channeling, and different methods and approaches of communication and engagement. It also touches on monitoring and evaluation – based on a systematic assessment of the evidence of what worked and what did not work during recent emergencies.

Communication du risque pendant les urgences sanitaires

Cette ressource offre des conseils stratégiques et pratiques de l’Organisation mondiale de la santé (OMS) sur la communication des risques pendant les urgences. Elle souligne l’importance de fournir des informations exactes de manière précoce et fréquente par le biais de canaux fiables, dans des langues comprises par la population. Ces orientations permettent de s’assurer que les populations à risque comprennent comment se protéger, protéger leur famille et leur communauté des risques sanitaires.

Last modified: March 31, 2022

Language: Arabic, Chinese, English, French, Portuguese

Source: World Health Organization

Year of Publication: 2018

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Message Guide for Ebola Communication

This document compiles current information and key messages about the Ebola outbreak in Liberia to inform activities designed to raise awareness, mobilize communities, and promote safe behaviors to stop the spread of Ebola in Liberia.

Source: UNICEF

Date of Publication: September 30, 2021

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Hulu Beteina Health Bazaars A Guide to Organizing a Hulu Beteina Health Bazaar in Schools

Hulu Beteina Health Bazaars are 2-4 hour long events designed to create opportunities for community members to learn relevant health information and access health services. The events are organized around selected schools in a community. Hulu Beteina Health Bazaars are designed to be slightly different from a typical community health fair.

The activities include fair/ carnival-like events designed to be family-friendly and open to all community members. The events are conducted in schools and serve to bring attention to health topics and services available to members of the community. Ideally, the Hulu Beteina Health Bazaars would coincide with already ongoing health days in communities where such events already exist.

The guide also includes annexes such as a sample of a detailed agenda, a materials checklist, talking points for the events speeches, and a message guide for the drama skit and gender activity. Remember that these are samples to help school coordinators and community organizers get started. The samples can and should be adapted by the organizers and communities to suit local needs.

Source: Communication for Health Ethiopia

Date of Publication: July 19, 2021

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