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

Investing in Social and Behavior Change is Cost-effective for Improving Malaria Behaviors in Tanzania

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 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 Tanzania 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 Tanzania, an integrated SBC program includes mass media campaigns, interpersonal communication, community events, and text message reminders related to malaria treatment.

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

Source: Avenir Health

Date of Publication: September 19, 2021

Using Social Listening to Inform Integrated Social and Behavior Change Programs in Burkina Faso

Breakthrough RESEARCH, in collaboration with resource partner M&C Saatchi, is using social listening as a research strategy to understand the types of health information shared through social media in Francophone West Africa.

Social listening is the process of tracking and analyzing conversation content and related metrics for a particular topic on social media. For social and behavior change (SBC) programs, social listening can be an important tool for better understanding people’s beliefs, attitudes, and behaviors. Social listening research analyzes the content and sentiment behind messages—including misinformation—and uses that information to inform program design and adaptive management.

Using social listening to Inform Integrated SBC programs in Burkina Faso shares findings specific to Burkina Faso and discusses how this information can be used to inform integrated SBC activities in RISE II program countries.

For more information, contact Leanne Dougherty, ldougherty@popcouncil.org

Source: Population Council/Breakthrough RESEARCH

Date of Publication: September 19, 2021

Breakthrough ACTION Liberia Rural Sanitation Report 2021

This technical report from a 2021 study on rural sanitation in Lofa and Nimba Counties was conducted by the Johns Hopkins Unversity Center for Communications Programs and Save the Children.

The objectives of the study were to:

  • Determine the current sanitation and open defecation free (ODF) status among previous USAIDsupported communities within Lofa and Nimba counties
  • Deepen understanding of the individual, community and political drivers and barriers to household toilet/latrine adoption and sustained use or “slippage” in both rural Liberia (Lofa & Nimba)
  • Assess the determinants of “drop outs” of sustained toilet use

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

Source: Breakthrough ACTION/Johns Hopkins Center for Communication Programs, Save the Children

Date of Publication: August 30, 2021

Evaluation of the COMPRI-A Social Marketing Program by USAID in the Islamic Republic of Afghanistan

This four year project (2012-2016) in the Islamic Republic of Afghanistan (IRoA) worked to harness the resources and infrastructure of the private/ commercial sector in the supply of family planning and a range of Maternal and Child Health (MCH) products and services aimed, particularly, at women and children under five years of age.

The primary focus of the project was to build the capacity of the private sector to provide affordable health and family planning products to low-income groups, presently comprising condoms, OC pills, injectable contraceptives, a chlorine safe-water product and ORS. The project’s behavioral change initiatives specifically targeted women of reproductive age and the health needs of children under 5 designed to increase knowledge, understanding and use of the range of family planning and child-survival products along with a range of other health interventions, as well as targeting influencers around these behaviors, and building an advocacy environment around social marketing and the utilization of public/ private partnerships in meeting the family planning and health goals of the nation.

Source: USAID

Date of Publication: August 19, 2021

Compendium of Gender Scales

The identification of appropriate gender-related measures is important for developing and evaluating interventions that aim to promote positive health outcomes by addressing the gender norms that function as barriers to health. A scale is a numerical score aggregating multiple indicators believed to reflect an underlying concept. Because there is no single “gold standard” for measuring gender norms, gender attitudes, women’s empowerment, and other aspects of gender, researchers often use multiple measures. Using a single measure is not possible because gender operates in multiple spheres and has many facets.

When a single measure is preferred, a scale combining several items creates a more valid measure than any single scale item used alone. Scales selected for the compendium have all been tested for their ability to measure gender attitudes and predict behaviors of interest, such as gender-based violence and partner reduction. The scales include those developed by working group participants as well as other scales they identified. The compendium is not exhaustive. It does not encompass all scales appropriate for studying gender and health outcomes, and it does not identify which scale is best for a specific study or evaluation. The scales included are:

  • Couple Communication on Sex Scale
  • Women’s Empowerment Scale
  • Gender Beliefs Scale
  • Gender Equitable Men (GEM) Scale
  • Gender Norm Attitudes Scale
  • Gender Relations Scale
  • Household Decision-Making Scale
  • Sexual Relationship Power Scale

Last modified: July 23, 2021

Language: English

Source: FHI 360

Year of Publication: 2011