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

In 2021, Nigeria accounted for 4.4% of the world’s tuberculosis (TB) cases, ranking sixth among nations with the highest case rate. About 500,000 Nigerians are infected with TB annually. Testing and treatment for TB are free at government health facilities in Nigeria. Despite this, Nigeria struggles to identify TB cases; in 2018, the country’s National TB, Leprosy, and Buruli Ulcer Control Programme (NTBLCP) was only able to track 24% of cases. Several factors have kept Nigerians from seeking care for cough and fever and getting tested for TB. People presumed to have TB often delay seeking care until the advanced stages of the disease, and those who do seek care tend to do so at patent and proprietary medicine vendors (PPMVs) and community pharmacies rather than health facilities.

Through a strategic package of SBC interventions, Breakthrough ACTION-Nigeria has contributed to the NTBLCP’s goal of increasing the number of TB cases and is currently supporting 8 states in the country. Breakthrough ACTION has developed and implemented social and behavior change 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.

Source: Johns Hopkins University Center for Communication Programs

Date of Publication: August 13, 2024

Malaria Vaccine SBC Audio Materials – Republic of Liberia

Breakthrough ACTION Liberia supported the Liberian Government to develop print and audio materials to promote the uptake of the malaria vaccine in Liberia. Four audio and five print materials were refined and pretested across multiple regions, including Montserrado, Grand Gedeh, and River Cess counties.

Below are descriptions of the four malaria vaccine audio materials.

Audio Materials:

Source: Johns Hopkins Center for Communication Programs

Date of Publication: May 29, 2024

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).

Resources:

Source: Johns Hopkins Center for Communication Programs

Date of Publication: November 21, 2023

‘Protecting You, Protecting Us’ COVID-19 Campaign Materials, Guyana

Breakthrough ACTION Guyana’s ‘Protecting you, Protecting us’ COVID-19 campaign produced a set of materials to inform the public about protection from the virus and to bring to their attention other issues regarding COVID-19.

The materials include:

Radio Spots

TV Spots

  • Physical Distancing – addresses a common COVID-19 myth in Guyana that drinking wine can prevent COVID-19, and it also covers physical distancing. Includes Spanish subtitles
  • Wearing Masks – emphasizes wearing masks in public. It includes Spanish subtitles
  • Handwashing – promotes hand washing. It includes Spnaish substitiles

Posters

Source: Breakthrough ACTION/Johns Hopkins Center for Communication Programs

Date of Publication: August 9, 2021

Safe Love PMTCT [Radio Spot]

This ad is part of the Safe Love campaign, a comprehensive HIV prevention campaign that addresses key drivers of HIV/AIDS in Zambia, including multiple and concurrent sexual partnerships, low and inconsistent condom use, and mother-to-child transmission of HIV. The ad encourages men to take part in protecting their unborn children. Several men are talking about what it means to be a real man. One says that being a real man means going with one’s partner to get antenatal care and HIV testing as soon as they know she’s pregnant. A real man, he says, will give his child the best start in life that he can and protect his baby from HIV. In a rapid survey of the Safe Love Campaign conducted in May 2012, it was shown that 66.5% of respondents were exposed to the Safe Love campaigns, 56% learned at least one message from the campaigns, 39% reported changing their sexual behavior as a result of the campaign, 91% felt that Safe Love messages were relevant for Zambians, and 93% reported that they had a positive reaction to the campaign’s messages.

Source: Chemonics

Date of Publication: March 25, 2019