Stopping Dog Bites Helps Stop Rabies

In Sierra Leone, rabies is among the most highly prioritized zoonotic diseases responsible for hundreds of deaths per year. As access to vaccines and therapeutics remains a challenge, and as the majority of rabies cases are caused by dog bites, Breakthrough ACTION developed a social and behavior change campaign “Stopping Dog Bites Helps Stop Rabies”. The dog bites and rabies campaign was developed in close collaboration with the One Health Risk Communication and Community Engagement (RCCE) technical working group (TWG) and featured a campaign song, two radio spots, a job aid for providers, a reminder card to be used by for community engagement by community health workers and community animal health workers, and a poster for community members.

Since 2019, Breakthrough ACTION has conducted three rounds of dog bites and rabies campaigns in Kenema, Western Area Urban, and Moyamba and Western Area Rural, where the campaign reached 109,000 individuals, 350,456 individuals, and 105,265 individuals, respectively. The dog bites and rabies campaign trained 914 community mobilizers to conduct house-to-house visits and outreach to schools, colleges, healthcare facilities, markets, and parks. In addition to reaching community members with messages about key prevention behaviors related to dog bites, the campaign also prompted multiple communities to take action by establishing bylaws to decrease exposure to dog bites and rabies (i.e., bylaws around responsible dog ownership).


Source: Johns Hopkins Center for Communication Programs

Date of Publication: November 21, 2023


Ces ressources sont issues de la Semaine nationale de la résistance aux antimicrobiens qui s’est tenue en Côte d’Ivoire du 18 au 24 novembre 2019.

Date of Publication: September 6, 2023

“Building Trust and Empathy Around COVID-19” training curriculum

Breakthrough ACTION supports the Government of Nigeria (GON) to create an enabling environment for preparedness, response, and recovery from emerging pandemic threats and infectious disease outbreaks. Working with and through healthcare workers (HCWs) during the COVID-19 response efforts has been key to this support. Research shows:

  • HCWs are trusted messengers for social and behavior change (SBC) interventions. Results from the U.S. Centers for Disease Control and Prevention/Sydani Vaccine Hesitancy Study in Nigeria showed that 83% of participants said they would seek advice from an HCW in the decision to get vaccinated for COVID-19.
  • HCWs were largely more likely to be vaccinated than the general population for COVID-19. However, many remained vaccine-hesitant. This was largely due to a lack of confidence in the vaccines, followed by a lack of trust in government/public figures, fear of adverse effects, constraints to access, and a low perception of the risk of disease.
  • HCWs reported that they lacked sufficient information on COVID-19 and COVID-19 vaccines and required more information on COVID-19 and vaccination.

In response to this demonstrated need, Breakthrough ACTION in collaboration with partners in Nigeria developed the “Building Trust and Empathy Around COVID-19” training curriculum, which aims to not only build the skills of HCWs in providing empathetic care but also support them in navigating their own self-care to avoid burnout during an emergency. The training combines an in-person component along with virtual coaching support and reference materials. These include:

A blog on Breakthrough ACTION’s website describes the training curriculum and lessons learned.

Source: Johns Hopkins Center for Communication Programs

Date of Publication: February 3, 2023

Breakthrough ACTION Sénégal Matériel de campagne Une Seule Santé/ PZD Imprimé

Une série de fiches d’information et d’affiches de deux pages traitant de la grippe aviaire, d’Ebola, de la rage, de la fièvre de la vallée du Rift, de la tuberculose bovine, de l’anthrax, du lavage des mains après avoir manipulé des animaux et de la manipulation sûre des animaux.

Source: Breakthrough ACTION Johns Hopkins Center for Communication Programs

Date of Publication: September 28, 2022

Job Aid: Diagnosis of Obstetric Fistula

This is a checklist-type job aid for health professionals to use when a woman presents with leakage of urine at a primary health center. The yes/no flowchart guides the health care worker through a series of questions to determine if the diagnosis is indeed obstetric fistula. If it is, there is a list of recommendations to prepare the patient for repair surgery.

Source: EngenderHealth

Date of Publication: November 16, 2021

How to Use Chlorhexidine Job Aid

This one page job aid is an instructional sheet developed in pictorial format inorder to instruct healthworkers about how to apply CHX on the umbilical cords of newborns.

SI Research & Training Institute, Inc./Chlorhexidine Navi (Cord) Care Program Nepal (JSI/CNCP) is funded as a part of Saving Lives at Birth: A Grand Challenge for Development through USAID. Chlorhexidine for cord care is implemented both at health facility and community through out Nepal by September 2017.

Source: FHI 360, Permission taken from Nepal government

Date of Publication: November 5, 2021

Going to the American Tropics?

A poster warning people planning to travel to the American Tropics of the dangers of mosquito bites – for prevention of dengue, Zika virus, and Chikungunya.

Prevention information includes:

  • Use insect repellent
  • Use air conditioning or window/door screens
  • Wear long-sleeved shirts and long pants

Source: US Centers for Disease Control and Prevention

Date of Publication: October 20, 2021

Client-Centered Reproductive Health Counseling following Fistula Repair

This poster provides guidance on how to advise women following fistula repair, depending on whether they wish to become pregnant or are willing to wait up to one year before becoming pregnant.

Source: EngenderHealth

Date of Publication: October 19, 2021

Facts about Ebola Infographic

This poster mentions four ways that Ebola virus is not transmitted: through air, through water, and through food. It also states, “You can only get Ebola from touching bodily fluids of a person who is sick with or has died from Ebola, or from exposure to contaminated objects, such as needles.” It is directed to US audiences, as it also mentions that Ebola poses no significant risk in the United States.

Source: US Centers for Disease Control and Prevention

Date of Publication: October 15, 2021