Breakthrough ACTION Guyana – Evaluation Report

The Breakthrough ACTION Guyana Report is the result of collaborative efforts between Breakthrough ACTION Guyana, the Guyana National Malaria Program, Vector Control Services, and a local research firm, The Consultancy Group.

Breakthrough ACTION implemented innovative evidence and theory-based social and behavior change interventions to achieve two sets of intermediate results: (1) the development and implementation of targeted, innovative, and effective solutions to high-priority social and behavioral challenges, and (2) increased SBC coordination and collaboration at national and subnational levels.

Overall, this evaluation report shows positive results supporting the implementation of multilevel interventions for malaria elimination by including innovative SBC interventions promoting malaria prevention, testing, and treatment.

Source: Johns Hopkins Center of Communication Programs

Date of Publication: April 16, 2024

Outcome Harvesting Evaluation of Social and Behavior Change Activities Focused on Zoonotic Diseases

This report shares results from an evaluation of the success of Breakthrough ACTION Guinea’s activities in priority zoonotic diseases, including COVID-19 and Ebola.

The findings, obtained using the outcome harvesting methodology, involved collecting evidence of project outcomes from program documentation and identifying ways in which the project contributed to these changes. This process uncovered intended and unintended outcomes, which were externally verified to confirm the link between project activities and specific results. The findings underscore the value of Breakthrough ACTION Guinea’s efforts and its substantial impact since its inception in 2018.

This resource is available in English and French.


Évaluation de la récolte des résultats sur le changement social et de comportement axé sur les maladies zoonotiques

Ce rapport partage les résultats d’une évaluation du succès des activités de Breakthrough ACTION Guinée dans les maladies zoonotiques prioritaires, y compris COVID-19 et Ebola.

Les résultats, obtenus à l’aide de la méthode de récolte des résultats, ont consisté à collecter des preuves des résultats du projet à partir de la documentation du programme et à identifier les façons dont le projet a contribué à ces changements. Ce processus a permis de découvrir les changements voulus et non voulus, qui ont fait l’objet d’une vérification externe afin de confirmer le lien entre les activités du projet et les résultats spécifiques. Les résultats soulignent la valeur des efforts de Breakthrough ACTION Guinée et son impact substantiel depuis son lancement en 2018.

Cette ressource est disponible en anglais et en français.

Source: Johns Hopkins Center for Communication Programs - Breakthrough ACTION

Date of Publication: March 28, 2024

Respectful Maternity Care Charter: Universal Rights of Women and Newborns

This updated charter further clarifies and clearly articulates the rights of women and newborns in the context of maternity care provided within a healthcare facility. It specifically delineates how human rights are implicated in the context of pregnancy and childbirth and affirms the basic inalienable rights of women and newborns. Many of these rights are well established in international law and have been interpreted and applied to issues arising during pregnancy, childbirth, and the care provided immediately after birth. These rights are articulated in separate human rights conventions and to affirm their application in the context of pregnancy and childbirth, it is important to compile them in one document that focuses on this period.

The social media toolkit for the promotion of the updated Respectful Maternity Care Charter can be found here.

Last modified: February 19, 2024

Language: English

Source: Healthy Newborn Network

Year of Publication: 2019

Improving Metrics and Methods for Assessing Experience of Care Among Children and Caregivers in Low- and Middle-Income Countries

There is a growing recognition of the importance of conceptualizing and measuring young children’s and their families’ experience of care in health facilities in low- and middle-income countries. This landscape review considers the importance of pediatric experience of care (PEoC) and related frameworks, metrics, and tools. Following the development of this framework, MOMENTUM Knowledge Accelerator carried out a qualitative study soliciting expert feedback on the proposed framework. The accompanying technical brief summarizes the study’s findings.

Last modified: February 5, 2024

Language: English

Source: USAID MOMENTUM

Year of Publication: 2023

What is Patient Experience?

Understanding patient experience is a key step in moving toward patient-centered care. This resource provides a definition of patient experience, shows its difference to patient satisfaction and how it is measured.

Patient experience encompasses the range of interactions that patients have with the healthcare system, including their care from health plans, and from doctors, nurses, and staff in hospitals, physician practices, and other healthcare facilities. As an integral component of healthcare quality, patient experience includes several aspects of healthcare delivery that patients value highly when they seek and receive care, such as getting timely appointments, easy access to information, and good communication with healthcare providers.

Last modified: February 5, 2024

Language: English

Source: AHRQ (Agency for Healthcare Research and Quality)

Year of Publication: 2016

Operationalizing Health & Education Coordination

This report commissioned by the Child Health Task Force presents recommendations for operationalizing school health and education that surfaced through interviews with USAID Africa Bureau Missions. It addresses the question: How do countries, practitioners, and development partners bridge the gap between knowing ‘what to do’ and ‘how to do it’ when it comes to school health?

The report was authored by Linda Schultz and Luke Shors and jointly financed by the USAID Bureau for Africa Office of Sustainable Development and JSI Research & Training Institute, Inc. (Secretariat of the Child Health Task Force).

Last modified: January 30, 2024

Language: English

Source: Child Health Task Force

Year of Publication: 2021

Methods, Tools, and Metrics for Evaluating Market Food Environments in Low- and Middle-Income Countries

With the U.S. Agency for International Development (USAID) Bureau for Resilience and Food Security, USAID Advancing Nutrition conducted a series of activities to identify assessments (methods, tools, and metrics) suitable for food environments in LMICs. This report presents findings from three activities—a landscape assessment, a ranking exercise, and a survey—that led to a priority list of methods, tools, and metrics for evaluating informal and formal market food environments in LMICs. The report links to a Supplementary Table of the methods, tools, and metrics reviewed.

Last modified: January 2, 2024

Language: English

Source: USAID Advancing Nutrition

Year of Publication: 2021

Déterminants sociaux, culturels et individuels des comportements à risque, de prévention et de riposte liés aux six groupes de zoonoses prioritaires en République Démocratique du Congo

L’exploration des déterminants sociaux, culturels et individuels des comportements à risque, de prévention et de riposte liés aux zoonoses prioritaires en République Démocratique du Congo (RDC) est une étude qualitative menée par l’Université John Hopkins- Centre des Programmes de Communication (CCP) à travers leprojet Breakthrough ACTION dans trois provinces du Haut-Lomami, Kongo Central et Sud-Ubangi en RDC. L’étude fait partie des interventions prioritaires du projet et vise l’utilisation des conclusions pour pouvoir développer les supports et les messages de communication adaptés en vue d’un changement social et comportemental.

Elle a eu pour cibles, les personnes en interactions régulières avec les animaux et aussi la population générale pour laquelle l’interaction avec les animaux est plus réduite. Cette étude qualitative a utilisé la combinaison de plusieurs approches : les entretiens individuels (EI), les groupes de discussions (GD), et les observations dans les lieux de ventes des animaux ou des produits animaux, et les lieux d’abattage des animaux.


Exploring the social, cultural and individual determinants of risk, prevention and response behaviors and response behaviors related to priority zoonoses in the Democratic Republic of Congo (DRC) is a qualitative study conducted by the John Hopkins University-Center for Communication Programs (CCP) through the Breakthrough ACTION Breakthrough ACTION project in the three provinces of Haut-Lomami, Kongo Central and Sud-Ubangi in the DRC. The study is one of the project’s priority interventions, and aims to use the findings to develop appropriate communication materials and messages for social and behavioral change.

The targets of the study were people who interact regularly with animals, as well as the general population for whom interaction with animals is more limited. This qualitative study used a combination of of several approaches: individual interviews (EI), focus groups (GD), and observations where animals or animal products are sold, and where animals are slaughtered.

Source: Johns Hopkins Center for Communication Programs

Date of Publication: December 29, 2023

2021 Enquête Démographique et de Santé – Côte d’Ivoire

Les résultats de l’EDS-CI 2021 révèlent une nette amélioration de l’état de santé des populations, en particulier la situation des mères et des enfants. En effet, la mortalité infantile et la mortalité maternelle connaissent un recul, passant respectivement de 112 décès pour 1 000 naissances vivantes en 2012 à 52 décès en 2021 et de 614 décès pour 100 000 naissances vivantes en 2012 à 385 décès en 2021. En outre, la prise en charge des mères et des nouveaux nés s’est considérablement améliorée, en référence au taux de consultation prénatale (CPN4) qui passe de 44 % en 2012 à 57 % en 2021 et le taux d’accouchement assisté par un personnel de santé qualifié qui évolue de 58 % en 2012 à 84 % en 2021.
Riche en informations, le Rapport de l’EDS-CI 2021 présente la mise en œuvre de l’enquête et les indicateurs des relatifs aux secteurs concernés. C’est un outil stratégique d’aide à la décision qui participe au renforcement du processus de planification et de développement de la Côte d’Ivoire.


2021 Demographic and Health Survey – Côte d’Ivoire

The results of the EDS-CI 2021 show a clear improvement in the state of health of the population, in particular the situation of mothers and children. Infant mortality and maternal mortality have declined from 112 deaths per 1,000 live births in 2012 to 52 deaths in 2021, and from 614 deaths per 100,000 live births in 2012 to 385 deaths in 2021. In addition, care for mothers and newborns has improved considerably, with the prenatal consultation rate (CPN4) rising from 44% in 2012 to 57% in 2021 and the rate of births attended by skilled health personnel rising from 58% in 2012 to 84% in 2021.
Rich in information, the EDS-CI 2021 Report presents the implementation of the survey and the indicators for the concerned sectors. It is a strategic decision-making tool that will help to strengthen Côte d’Ivoire’s planning and development process.

Source: Institut National de la Statistique Abidjan Côte d’Ivoire

Date of Publication: October 25, 2023

Social and Behavior Change Capacity Assessment Endline Report

In February 2022, Breakthrough ACTION Guyana facilitated a virtual endline capacity assessment workshop with the Ministry of Health (MOH) National Malaria Program (NMP) and the Public Relations/Health Promotion Unit (PR/HPU). The endline capacity assessment was a follow-up to the baseline capacity assessment conducted in July 2018 and took participants through a discussion of specific skill sets and indicators involved in the implementation of the Social and Behavior Change (SBC) Flow Chart, the SBC process supported by Breakthrough ACTION. This report details the workshop process and results, including priorities moving forward.

Source: Johns Hopkins Center for Communication Programs

Date of Publication: September 27, 2023