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Source: Breakthrough ACTION/Johns Hopkins Center for Communication Programs

Date of Publication: October 21, 2020

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Communication for Health Ethiopia

This project, managed by CCP and JSI, 2015-2020, was designed to contribute to the adoption of healthy behaviors by Ethiopians in four regions (Amhara, Oromia, SNNPR, and Tigray) and build capacity at national, regional, and sub-regional levels to design, implement, and evaluate effective social and behavior change communication (SBCC) programs and interventions.

It had three result areas/objectives:

  1. Public sector health systems and coordination for SBCC strengthened
  2. SBCC design and implementation strengthened
  3. Improved use of data for decision making in SBCC

Communication for Health worked across multiple health areas, including reproductive, maternal, newborn, and child health (RMNCH); malaria; tuberculosis (TB); water, sanitation, and hygiene (WASH); prevention of mother-to-child transmission of HIV (PMTCT); and nutrition. One of the key features of Communication for Health was an integrated campaign platform (ICP) which provided a trusted, recognizable, and credible platform to introduce or build on communication interventions.

Full list of materials below and on this page.

Thematic areas:

Capacity Strengthening

Gender Lens

Generating and Using Evidence for SBC

Global Health Security Agenda – Risk Communication

Leveraging Life-Changing Moments

Sustaining Community Engagement

Utilizing the Power of Entertainment – Education

Source: Johns Hopkins Center for Communication Programs

Date of Publication: October 19, 2020

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Country Focus: Ethiopia

Breakthrough ACTION

Breakthrough ACTION Ethiopia is working closely with EPHI on COVID-19. To date, efforts have included technical assistance, training, tool development, and risk communication materials design, and logistical support to EPHI. The scope also includes focused support to the RCCE TWG, coordination on preparedness and response activities among several implementing partners, and training for Ethiopian Airlines flight and ground crew, as well as urban health extension workers and religious leaders.Breakthrough ACTION Ethiopia’s COVID-19 work is detailed here.

Communication for Health

This project, managed by the Johns Hopkins Center for Communication Programs (CCP) and John Snow International (JSI), 2015-2020, was designed to contribute to the adoption of healthy behaviors by Ethiopians in four regions (Amhara, Oromia, SNNPR, and Tigray) and build capacity at national, regional, and sub-regional levels to design, implement, and evaluate effective social and behavior change communication (SBCC) programs and interventions.

AIDS Resource Center

From 2001-2007, USAID via PEPFAR (through CDC) funded the Ethioopian HIV/AIDS Prevention and Control Office to establish and run an AIDS Resource Center (ARC). Its objectives included:

Source: Johns Hopkins Center for Communication Programs

Date of Publication: October 19, 2020

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Report on Landscape Analysis on Zoonotic Diseases on Anthrax, Avian Flu and Brucellosis in Ethiopia

This landscape analysis is conducted to identify programmatic and geographic focus areas and linkages that inform the design and implementation of risk communication activities in Ethiopia. The analysis used stakeholders and geographic mapping, and literature review focusing on three zoonotic diseases: Anthrax, Avian Influenza, and Brucellosis.

Information was collected from 19 stakeholders (mix of public and private sectors), key informant interviews, review of more than 63 published and unpublished literature which were used to prioritize intervention woredas. The report includes information on the magnitude of the diseases, knowledge, attitude, and practice of communities, existing collaboration, and coordination, as well as recommendations for project interventions. The report is available in English.

Source: Johns Hopkins Center for Communication Programs

Date of Publication: October 19, 2020

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Country Focus: Nigeria

Breakthrough ACTION Nigeria

Breakthrough ACTION Nigeria is a United States Agency for International Development (USAID) funded social and behavior change (SBC) project designed to increase the practice of priority health behaviors in the areas of malaria; maternal, newborn, and child health, including nutrition (MNCH+N); family planning/reproductive health; and tuberculosis. The project works closely with Federal and State Ministries of Health and other USAID implementing partners.

In 2020, BA Nigeria’s COVID-19 project worked to support the Nigerian Government and RCCE country-level pillar leadership (currently the Health promotion division of the FMoH, NCDC, WHO and UNICEF) with technical assistance to adapt and contextualize plans, tools, templates, and materials to support the preparedness and/or response activities required by Nigeria.

NURHI 2

Phase II of the NURHI Project, which commenced in October 2015, is being implemented in three States: five years (2015-2020) in Lagos and Kaduna States, and three years (2015-2018) in Oyo State. The NURHI II Project is built on the premise that demand for family planning is a requirement for increased contraceptive use therefore increasing demand, which will cause improvement in contraceptive service provision. All of the materials, reports, and other information about NURHI 2 can be found in the NURHI toolkit website.

The Challenge Initiative

The Challenge Initiative (TCI) is a project led by the Bill & Melinda Gates Institute for Population and Reproductive Health, Johns Hopkins Bloomberg School of Public Health. The Initiative represents a new approach to providing life-saving reproductive health and family planning information and services to individuals, families, and communities, building on the demonstrated success of the Gates Foundation’s Urban Reproductive Health Initiative (NURHI). Project materials can be found here.

Post Pregnancy Family Planning Project

The Post Pregnancy Family Planning is a four-year Project (2017-2021) funded by the Bill and Melinda Gates Foundation and Merck for Mothers aimed at providing post-pregnancy clients with the information and services they require to commence the use of family planning services. The Project is implemented in the private sector which provides services to 65% of its citizens.

The post pregnancy period is the period of pregnancy through one-year post-pregnancy, it includes miscarriages and any pregnancy that does not result in a live birth. Project interventions are integrated along the Maternal and Child Health (MCH) continuum of care services; antenatal, delivery, immunization, postnatal and any interaction the post-pregnancy client has with the health system.

In-clinic mobilization is the focus of demand generation activities targeting a high number of women during antenatal and immunization clinics with social mobilization materials specifically developed to address the needs of the post-pregnancy woman and her partner.

The demand generation approaches

  • Increase demand for family planning services among post-pregnant women both in the clinic when they are attending MNCH services and in the communities
  • Reduce ideational barriers linked to knowledge, reduce misperception, spousal communication, self-efficacy, risk perception for post-pregnancy women and families
  • Address the low perception of quality family planning services in the private sector.

Project materials here.

Voices for Change

Voices for Change, V4C (Nigeria, 2013-2017) was a program which worked to strengthen the enabling environment for gender equality in Nigeria. The program targeted young women and men aged 16–25 years old and oeprated in four states in Nigeria: Enugu, Kaduna, Kano and Lagos. For some activities it operated at the federal level.

NURHI

In Phase I (2009-2014) NURHI operated in six cities (FCT, Ibadan, Ilorin, Kaduna, Benin and Zaria) and significantly contributed to the increase in family planning contraceptive prevalence rate (CPR) in these cities, which can be seen in the 2013 National Demographic Health Survey (NDHS). To read more about Phase I of the NURHI Project, Click here All of the information and materials about NURHI can be found on the NURHI Toolkit site.

Health Communication Capacity Collaborative (HC3)

HC3 (2004-2018) in Nigeria focused on:

  • Advocacy
  • Social Mobilization & Public Enlightenment
  • Collaboration
  • Training & Capacity Building
  • Materials Production & Distribution
  • Research, Monitoring & Evaluation

The health focus was on: Malaria, HIV/AIDS, Immunization, and Reproductive Health

Project materials

Adolescents 360

Adolescents 360 (A360) is a program of FHI360 which aims to increase voluntary, modern contraceptive use and reduce unintended pregnancy among adolescent girls between the ages of 15 and 19 in Ethiopia, Nigeria and Tanzania.

Source: Johns Hopkins Center for Communication Programs

Date of Publication: October 16, 2020

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Mid-Term Evaluation of The Communication for Health Project in Ethiopia

This mid-term evaluation aimed at reviewing the relevance and effectiveness of Communication for Health to inform programmatic goals for the project and to redesign strategies for the remainder of the project. This report summarizes the results from the mid-term evaluation of the intervention conducted by ICOS Consulting PLC from March to July 2019.

Source: Communication for Health Ethiopia

Date of Publication: October 16, 2020

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Postpartum Family Planning in Bangladesh A Situation Analysis and Way Forward

This publication reviews the policies, programs, and status of PPFP in Bangladesh and seeks to identify the need, gaps, and future focus areas for PPFP in the country.

The evidence suggests that birth spacing has been improving in Bangladesh. However, there is evidence that despite overall improvements, there have been increases in the proportion of women ages 15 to 19 who have birth intervals less than 24 months, while the proportion in the 20 to 24 age group and those above 40 continue to have relatively high proportions of women who have birth intervals less than 24 months.

This publication reviews the policies, programs, and status of PPFP in Bangladesh and seeks to identify the need, gaps, and future focus areas for PPFP in the country.

Source: USAID, MEASURE Evaluation, ICDDR,B

Date of Publication: October 15, 2020

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Country Focus: Tanzania

Tanzania Capacity and Community Project (TCCP)

The Tanzania Capacity and Communication Project (TCCP) was a 5-year (2010-2016), USAID-funded project led by the Johns Hopkins Center for Communication Programs (CCP) in collaboration with Media for Development International (MFDI), CARE Tanzania, and the Tanzania Communication and Development Center (TCDC).

Tulonge Afya

The USAID Tulonge Afya project, 2017-2022, promotes positive health practices in households and communities in Tanzania and targets women and youth (ages 15 to 24). Tulonge afya means “let’s talk about health” in Kiswahili.

Communication and Malaria Initaitive in Tanzania (COMMIT)

This program, 2008-2013, implemented a comprehensive strategy for behavior change and communication to support the prevention and case management of malaria in mainland Tanzania. Specifically, COMMIT supported the NMCP’s communication strategy objectives of influencing positive behavior change among audiences through a comprehensive approach, improving the flow of information to key audiences, and through advocacy to raise the profile of malaria

ISHI Youth HIV/AIDS

ISHI was a behavior change communication campaign directed to Tanzanian youth to help them understand the risks associated with HIV/AIDS and to help them learn ways to protect themselves. The overall campaign objective was to increase the number of young men and women who believe they are at personal risk of contracting HIV/AIDS and to motivate them to adopt protective behaviors. The key message for ISHI phase II was “You cannot tell by knowing.”

Femina Hip

In 1999 Femina Hip was set up as a civil society organization in Tanzania to foster healthy lifestyles by educating and connecting young people around sexual and reproductive health and rights as well as HIV/AIDS prevention at a precarious time of the epidemic.

Source: Johns Hopkins Center for Communication Programs

Date of Publication: October 13, 2020

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Country Focus: Uganda

AFFORD I and AFFORD II

The AFFORD program, 2005–2014, was a health marketing project in Uganda.

AFFORD 1 (2005–2011) established the Uganda Health Marketing Group (UHMG) and implemented an integrated GoodLife health marketing campaign to promote branded health products and services of GoodLife Clinics. Under AFFORD 1, CCP worked in partnership with the Futures Group, Communication for Development Foundation Uganda (CDFU), Malaria Consortium, Pulse and Aclaim Africa. Under AFFORD II, the only partners were CCP and UHMG. Under AFFORD 2 (2011–2014), CCP provided technical support to UHMG which continued to market health products and services. CCP’s support under AFFORD 2 focused primarily on institutional strengthening for UHMG in the areas of governance, administration, and financial management.

Bilharzia Communication Campaign

The Bilharzia Prevention Communication Campaign was implemented by the Uganda Ministry of Health Vector Control Division, with technical assistance from The Johns Hopkins Center for Communication Programs, and funding from an American philanthropist. The campaign ran from August 2017 through May 2018 and reached a large proportion of Ugandans living in endemic areas of the country. It raised awareness about the disease along with how to prevent it, and encouraged many to adopt preventive practices.

Communication for Healthy Communities (CHC)

This program, funded by USAID and managed by FHI360, was designed to help reduce high national rates of HIV infection, total fertility, maternal and child mortality, malnutrition, malaria, and tuberculosis (TB). The program worked to achieve these objectives by increasing the adoption of healthy behaviors — including an uptake of critical health services — through strengthened health communications and by:

  • Designing and implementing high-quality health communication interventions to improve knowledge, attitudes, norms, behaviors and demand for services related to HIV, TB, malaria, nutrition, maternal and child health and family planning
  • Improving the coordination of health communications interventions
  • Increasing research and knowledge management to enhance health communications

Social Behavior Change Activity (SBCA)

This project, awarded in 2020 for five years, has a strong emphasis on capacity strengthening to enable Uganda’s social and behavior change practitioners to create and implement their own programs based on their needs.

The project is designed to accomplish the following:

  • Improve internal, social and structural factors that affect the adoption of healthy behaviors identified and used to inform social behavior change (SBC) interventions
  • Implement evidence-based SBC interventions scaled up to cause change at population level
  • Strengthen and institutionalize SBC capacity
  • Enhance information management systems to increase accountability and inform decision making.\

Health Communication Partnership (HCP) Uganda

2004–2012

Funded by USAID, HCP was a global project managed by JHU CCP, to develop and implement communication strategies and strengthen capacity in social and behavior change communication (SBCC) for improved health in Uganda. Working in partnership with the Ugandan government and its partners, including USAID Implementing Partners, the project focused primarily on HIV prevention, care, treatment, and support; sexual and reproductive health of young people; family planning; malaria control; and TB control; while strengthening national SBCC capacity.

Uganda Schistosomiasis Prevention Communication Campaign

2017–2018

The Bilharzia/Schistosomiasis Prevention Communication Campaign was run in Uganda from 2017–2018. It involved radio programs, jingles, and skits, community outreach, print materials, job aids, and other efforts.

Source: Johns Hopkins Center for Communication Programs

Date of Publication: October 13, 2020

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Health Communication Capacity Collaborative (HC3), Nigeria

The Health Communication Capacity Collaborative (HC3) worked in Nigeria with USAID support from 2014-2018. Materials from the project.

Family Planning

In 2015, HC3 conducted an assessment on family planning use in Bauchi and Sokoto and found several promising approaches: careful efforts focused on child spacing rather than limiting childbearing; service delivery improvements; and a strong focus on demand-side activities to promote family planning use at the community, family and individual level. HC3 worked with the Federal and State ministries of health and other partners to increase the contraceptive prevalence rate (CPR) in Bauchi, Sokoto and Ebonyi states.

Building on work done by Nigerian Urban Reproductive Health Initiative, the program aimed at addressing the full spectrum of family planning needs in the Demand-Services-Advocacy continuum:

  • Demand Generation
  • Improving Service Delivery
  • Advocacy

In addition to supporting Nigeria in reaching its CPR target, HC3 pretested family planning interventions in the country.

Malaria Control and Prevention

The HC3 Nigeria Malaria Project, funded by the U.S. President’s Malaria Initiative (PMI), worked with the National and State Malaria Elimination Programs and other partners to develop comprehensive social and behavior change communication (SBCC) programs for malaria prevention and control. Behavioral objectives included increasing uptake of long-lasting insecticidal nets (LLINs), intermittent preventive treatment in pregnancy (IPTp), rapid diagnostic tests and artemisinin-based combination therapy.

The project also strengthened the capacity of the National Malaria Elimination Program’s (NMEP’s) Advocacy, Communication and Social Mobilisation (ACSM) branch for SBCC leadership. Results from this collaboration included:

Source: Johns Hopkins Center for Communication Programs

Date of Publication: October 13, 2020

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