Breakthrough ACTION Liberia Peri-Urban Water Study Report 2021

This technical report from a 2021 study on peri-urban water access, quality, and use in Montserrado county was conducted by the Johns Hopkins University Center for Communications Programs and Save the Children.

The primary objectives of the study were to:

  • Deepen understanding of the drivers and barriers to household water source selection in peri-urban communities of Montserrado
  • Explore households preferences and practices related to storage, treatment and use in peri-urban communities of Montserrado County

The main findings of this study are the following:

  • A large proportion (63%) of the respondents from the three study sites have challenges securing the minimum quantity of water for daily use as outlined by WHO’s 20 liter/person/day minimum.
  • Household access to improved water sources is relatively high, although water sources vary based on season, convenience, perceived water quality, and distance
  • Despite close proximity to water sources, household water collection burdens are extremely high.
  • Household water storage practices and sanitation practices create significant drinking water quality risks and affect household confidence in water quality
  • Gender disparities in household water responsibilities remain high.
  • Household access to safe and sufficient water resources is hampered by cost, convenience, and reliability of water systems.

For questions or comments, contact
Dr. Nandita Kapadia-Kundu: nkapadi4@jhu.edu
Dr. Stephen Sara: ssara@savechildren.org

Source: Johns Hopkins University Center for Communication Programs, Save the Children

Date of Publication: November 22, 2021

Project m-Maitri: Interactive Voice Response (IVR) for Parent-to-Child Transmission

In 2016, Solidarity and Action Against the HIV Infection in India began a partnership with Janssen Global Public Health, an initiative of the Janssen Pharmaceutical Companies of Johnson & Johnson. The initiative, named m-Maitri, aimed to complement on-the-ground efforts at ensuring retention in the prevention of parent-to-child transmission cascade with interactive voice response (IVR) to consenting pregnant women and mother-baby pairs until the babies reach 18 months of age.

Messages commence in the antenatal period and until 18 months post-delivery. The service delivers customized messaging relevant to the woman’s stage of pregnancy and her infant’s development, and covers issues such as nutrition for mother and child, immunization, infections such as HIV, TB and malaria, anti-retroviral prophylaxis and treatment, safe delivery, early infant diagnosis and retention in care, and many other health behaviors. SAATHII’s technology partner in this initiative is Mahiti, and IVRS partner is IMIMobile.

A case study reveals more details about the program.

Source: SAATHI

Date of Publication: November 5, 2021

Club Risky Business

This is a USAID case study about Club Risky Business, a 10-episode fictional mini-series launched in 2009 on Zambian television. The series examined multiple and concurrent sexual partnerships (MCP) through the engaging stories of three male friends and their partners in the age of HIV.

The case study explains the formative research, the program objectives, design, monitoring and evaluation, and lists what worked well and what the challenges were. It also lists ideas for future programming and recommendations.

Source: JSI

Date of Publication: October 19, 2021

Formative Research on Infant and Young Child Feeding in Vietnam, Phase I

Alive & Thrive is an initiative in Vietnam aimed at improving infant and young child feeding by increasing rates of exclusive breastfeeding and improving complementary feeding practices. This report summarizes methods and findings of a qualitative study in 2009 to identify current infant and young child feeding practices in Viet Nam and barriers to facilitators of optimal practices.

Source: Alive & Thrive

Date of Publication: October 17, 2021

The Response of Caribbean Youth To HIV/AIDS Prevention Messages & Campaigns

The aim of this 2008 study was not only to discover the effectiveness of HIV prevention messages but also to find out from the target audience how such campaigns could be more effective at reaching them and bringing about the required behavior modification to lead to HIV and AIDS prevention.

The questionnaire designed for the study and the focus group sessions questioned respondents and participants on such areas as their knowledge of HIV/AIDS – what it is and how it is contracted, their attitudes and their sexual habits. The target audience for this study ranged in age from 14 to 18. Generally speaking, in the Caribbean, that refers to school-aged children from fourth form to upper sixth or second year college students.

Source: UNICEF Office For Barbados and the Eastern Caribbean

Date of Publication: October 15, 2021

Real-Time Monitoring of Rural Sanitation at Scale in Zambia Using Mobile-to-Web Technologies

This brief describes an innovative Mobile-to-Web (M2W) real-time monitoring system used in Zambia in 2013-2014.

The effective rollout of M2W in rural Zambia has demonstrated how a mobile system combined with simple protocols for reporting and analysis has the potential for nation-wide monitoring of open, defecation-free (ODF) water supplies. The M2W system was developed in 2013 for monitoring rural sanitation and hygiene by UNICEF and its technical partner Akros, under the lead of the Ministry of Local Government and Housing of Zambia. The system utilizes the Short Message Service (SMS) text delivery system found on most basic mobile phones and is coded using the open source District Health Information Software 2 (DHIS 2). This is a free, open-source software originally designed for health applications, but is currently being used in 40 countries under various sectors, from water management to agriculture and forestry.

The M2W system demonstrated how a mobile system combined with simple protocols for reporting and analysis has the potential for nationwide monitoring of ODF.

Source: UNICEF

Date of Publication: September 30, 2021

The Situation Analysis of Children and Women in Belize: An Ecological Review

This document serves as the guiding document for the elaboration of the Country Programme of Cooperation between UNICEF and the Government of Belize (2013-20161 ), and will contribute to the development of the new Common Country Assessment (CCA) and the United Nations Development Assistance Framework (UNDAF).

It incorporates a substantial number of surveys, assessments, evaluations and studies that have been conducted by the government of Belize (GOB), the National Commission on Families and Children (NCFC), Non-Governmental Organisations, UNICEF and other UN agencies, and other development and local organisations, updating and providing additional information on the status of women and children in Belize and the factors contributing to their current status. Impacts of the changing economic environment in Belize as a consequence of the global recession are documented.

Source: UNICEF

Date of Publication: September 30, 2021

The Business Case for Social and Behavior Change for Malaria with Applications for Côte d’Ivoire and Tanzania

Social and behavior change (SBC) interventions like mass media, interpersonal communication, and community engagement play a critical role in improving health outcomes. Yet gaps in information on the costs and impacts of SBC interventions mean an incomplete picture of the value of SBC interventions, their contributions to social and health outcomes, and potential cost savings from implementing SBC programming for malaria.

This document summarizes research to address these gaps, including a synthesis of SBC effectiveness and cost literature and cost-effectiveness modeling applications for Tanzania and Côte d’Ivoire.

Source: Avenir Health

Date of Publication: September 19, 2021

Health and Ideations of Married Female Adolescents

This brief provides rigorous evidence-based insights to social and behavior change (SBC) program implementers and researchers seeking to improve health-related knowledge, attitudes, norms, and behaviors of married female adolescents.

The brief focuses on married adolescents’ uptake of services and health knowledge in Kebbi, Sokoto, and Zamfara states in northwestern Nigeria. Findings show that married female adolescents ages 15–19 differ from their older counterparts in nearly all health behaviors. Ideational factors—particularly knowledge of the benefits of health services and self-efficacy to act—appear to explain much of these differences.

This is one of a series of briefs that present findings from a Breakthrough RESEARCH study in Nigeria that uniquely captures data on a wide range of psychosocial drivers of behavioral outcomes in the areas of family planning, malaria, and maternal, newborn, and child health, and nutrition.

Source: Population Council/Breakthrough RESEARCH

Date of Publication: September 19, 2021

Investing in Social and Behavior Change is Cost-effective for Improving Malaria Behaviors in Côte d’Ivoire

Social and behavior change (SBC) programming is considered an essential part of malaria prevention and treatment interventions, yet gaps in information on the cost and impact of SBC mean that decision-makers have underappreciated the value of SBC for contributing to improved health outcomes.

To address this issue, Breakthrough RESEARCH has leveraged evidence from 112 studies on the impact of SBC interventions on malaria health behaviors and 70 studies on general SBC intervention costs to model the cost-effectiveness of SBC programming for malaria in the Business Case for Investing in Social and Behavior Change for Malaria.

The Breakthrough RESEARCH malaria business case modeled the cost-effectiveness of malaria SBC for malaria-related health behaviors in Côte d’Ivoire by combining the evidence on cost and effectiveness of SBC for malaria-related health behaviors with country-specific data on the current context and an estimated five-year investment scenario based on national planning and implementation reports.

SBC interventions aim to improve the use of insecticide-treated bed nets and care seeking for fever and treatment adherence. In Côte d’Ivoire, interventions include mass media, interpersonal communication, and SBC packages, including community engagement.

For more information, contact Nicole Bellows, NBellows@avenirhealth.org

Source: Avenir Health

Date of Publication: September 19, 2021