South Sudan Provider Behavior Change Toolkit

Providers’ interactions with clients can influence health-seeking behavior, including those related to family planning. Thus, it is critical to understand both what influences provider behavior and how to encourage and support provider behaviors that help clients achieve their reproductive intentions or fertility desires. Furthermore, providers operate in complex systems that directly and indirectly impact who they are and how they act. Provider behavior results from a complex web of interrelated internal (e.g., knowledge, attitudes, beliefs, values, and preferences) and external (e.g., social norms, medical education and training, professional development, workplace environment, and health care financing and resources) factors. Designing impactful, scalable, and sustainable interventions requires a contextual understanding of providers and the people who interact with them.

The South Sudan Provider Behavior Change Family Planning Toolkit supports the design, implementation, and evaluation of effective facility-based provider behavior change initiatives within family planning and reproductive health programs. It guides users through a holistic yet rapid and flexible process for supporting providers in adopting and maintaining positive behaviors.

Visit MOMENTUM Integrated Health Resilience (MIHR) to learn more about how the toolkit was adapted for use in fragile and conflict-affected settings.

Toolkit Contents

Source: Johns Hopkins Center for Communication Programs

Date of Publication: March 18, 2026

Social and Behavior Change Monitoring Guidance

Breakthrough ACTION has distilled guidance on social and behavior change (SBC) monitoring methods into a collection of technical notes. Each note provides an overview of a monitoring method that may be used for SBC programs along with a description of when to use the method and its strengths and weaknesses.

Last modified: March 16, 2026

Language: English

Resources for Social and Behavior Change Advocacy in Family Planning

Do you need to pitch social and behavior change (SBC) approaches to family planning donors, governments, or program managers?

Breakthrough ACTION has developed two short animations and accompanying briefs with compelling examples showing that investment in SBC is critical to meeting global- and country-level family planning goals.

These materials highlight evidence from Nigeria, Rwanda, Indonesia, Zambia, and several OP countries that demonstrates:

  • SBC improves family planning outcomes.
  • SBC complements service delivery.
  • SBC generates a high return on investment.

ENGLISH

Advancing progress in family planning: The impact of social and behavior change [YouTube]

Using Social & Behavior Change to Improve Family Planning Outcomes [PDF]

EN FRANÇAIS

Accélérer les progrès en planification familiale: L’impact du CSC [YouTube]

Utilisation du CSC pour améliorer le bilan du planning familial en Afrique de l’Ouest [PDF]

Last modified: March 16, 2026

Language: English

Integrated Health Social and Behavior Change Programming: Tools and Resources from Breakthrough ACTION-Nigeria

Breakthrough ACTION-Nigeria implemented an integrated health social and behavior change (SBC) strategy in four states (Bauchi, Kebbi, Sokoto, Ebonyi) and the Federal Capital Territory. This work promoted positive shifts for 17 health behaviors. Breakthrough ACTION-Nigeria implemented a coordinated package of continuous community, media, and digital activities. Coordinating and reinforcing these maximized the reach and intensity of audience engagement. Each activity focused on the same behaviors and the same core messages and approaches and was informed by the results from ongoing formative research.

Community SBC and Referrals for Health Services
Working with community health volunteers, Breakthrough ACTION-Nigeria implemented community SBC interventions and made referrals to health services. Community SBC activities included community health dialogues with referrals, compound meetings, and house-to-house visits.

Community Capacity Strengthening
Through an innovative adaptation of the Community Action Cycle, Breakthrough ACTION-Nigeria worked hand-in-hand with Primary Health Care Development Agency staff and other key stakeholders at the state and local government levels to empower Ward Development Committees to plan, finance, and implement their own health initiatives within their communities.

Women’s Empowerment Groups
Breakthrough ACTION-Nigeria used human-centered design to create Women’s Empowerment Groups. These were safe spaces outside the home, where groups of women could support each other, become economically empowered, and learn about reproductive, maternal, newborn, and child health, nutrition, and malaria.

Social and Behavior Change Advocacy Core Groups
Breakthrough ACTION-Nigeria facilitated SBC Advocacy Core Groups that enabled a systematic interaction and engagement of religious and traditional leaders with other opinion leaders in the health and development sectors, including government officials, community service organization representatives, women’s groups, media personnel, and other community opinion leaders. The groups were developed to influence social and gender norms.

Mass Media, Mobile Phones, and Digital
Breakthrough ACTION-Nigeria implemented a wide range of transmedia interventions on radio, television, mobile phone, and social media that were co-created with the government, implementing partners, community members, and other key stakeholders. The co-creation process placed users and communities at the center of designing messages and ensured ownership of the work.

Provider Behavior Change
Breakthrough ACTION-Nigeria worked closely with the federal and state governments to transform professional attitudes, norms, and standards in the areas of respectful maternity care, malaria in pregnancy, and fever case management.

Public Sector Capacity Strengthening
The project’s public sector capacity-strengthening activities were aligned in support of government priorities and strategies across national, state, and local government areas and wards. This work strengthened public sector systems for oversight and coordination of SBC at the national and sub-national levels.

Source: Johns Hopkins Center for Communication Programs

Date of Publication: August 13, 2024

Provider Behavior Change Toolkit for Family Planning

Improving health provider behavior is crucial to achieving health and development goals. Providers, including those who work in family planning, operate in complex systems, and factors such as norms, health systems, client interactions, and individuals’ own beliefs and attitudes influence provider behavior. Designing impactful, scalable, and sustainable initiatives requires a contextual understanding of both providers and the people who interact with them. The Provider Behavior Change Toolkit for Family Planning builds on the Provider Behavior Ecosystem to inspire practical solutions in these areas.

The toolkit helps users:
  1. Identify, understand, and prioritize factors influencing provider behavior.
  2. Design and implement locally appropriate, supportive provider-related initiatives that address root causes of behavior.

The toolkit guides users through an empathy-focused, four-step process that supports providers, clients, and district health teams in identifying and prioritizing the root causes of provider behavior and generating local solutions. To deliver a holistic view of provider behavior, the toolkit employs a systems lens. The toolkit also uses a multi-level approach to gather perspectives and input on provider behavior from a variety of stakeholders. It positions providers as part of the inquiry and solution development process rather than as part of the problem.

What does the Provider Behavior Change Toolkit do?

The Provider Behavior Change Toolkit offers users practical tools for doing the following:

  • Improving service delivery and adherence to family planning.
  • Improving the client experience and boosting trust in and demand for family planning services guidelines.
  • Increasing the adoption or maintenance of desired behaviors among clients.
  • Improving family planning and overall health outcomes.
  • Increasing provider job satisfaction.
How has the toolkit been used?

Read how the Provider Behavior Change Toolkit was used in Uganda to improve provider counseling.

Boite a outils pour le changement de comportement des prestaires de services de planification familiale

Il est essentiel d’améliorer le comportement des prestataires de santé pour atteindre les objectifs de santé et de développement. Les prestataires, y compris ceux qui travaillent dans le domaine de la planification familiale, travaillent dans des systèmes complexes et des environnements où des facteurs tels que les normes, les systèmes de santé, les interactions avec les clients et les croyances et  attitudes des individus influencent leur comportement. La conception d’initiatives efficaces, évolutives et durables nécessite une connaissance du contexte tant des prestataires que des personnes qui interagissent avec eux. La boîte à outils pour le changement de comportement des prestataires de services de planification familiale s’appuie sur l’écosystème du comportement des prestataires pour inspirer des solutions pratiques dans ces domaines.

La boîte à outils permet aux utilisateurs :
  1. D’identifier, de comprendre et de hiérarchiser les facteurs qui influencent le comportement des prestataires.
  2. De concevoir et de mettre en œuvre des initiatives de soutien aux prestataires, adaptées au contexte local, qui traitent les causes profondes du comportement.

La boîte à outils guide les utilisateurs à travers un processus en quatre étapes, axé sur l’empathie, qui aide les prestataires, les clients et les équipes de santé de district à identifier et à hiérarchiser les causes profondes du comportement des prestataires et à générer des solutions locales. La boîte à outils utilise une approche systémique pour fournir une vision holistique du comportement des prestataires. La boîte à outils utilise également une approche à plusieurs niveaux pour recueillir les points de vue et les contributions de diverses parties prenantes sur le comportement des prestataires. Les prestataires sont donc considérés comme faisant partie du processus d’enquête et d’élaboration de solutions plutôt que comme faisant partie du problème.

Quel est l’objectif de la boîte à outils pour le changement de comportement des prestataires ?

La boîte à outils pour le changement de comportement des prestataires offre aux utilisateurs des outils pratiques pour :

  • Améliorer la prestation de services et l’adhésion à la planification familiale.
  • Améliorer l’expérience des clients et renforcer la confiance et la demande de conseils en matière de services de planification familiale.
  • Accroître l’adoption ou le maintien des comportements souhaités chez les clients.
  • Améliorer les résultats de la planification familiale et de la santé en général.
  • Augmenter la satisfaction professionnelle des prestataires.
Comment la boîte à outils a-t-elle été utilisée ?

Découvrez comment la boîte à outils pour le changement de comportement des prestataires a été utilisée en Ouganda pour améliorer les conseils aux prestataires (en anglais).

Last modified: June 10, 2024

Language: English, French

Source: Johns Hopkins Center for Communication Programs

Year of Publication: 2022

Community Health Worker Malaria Social and Behaviour Change Toolkit

The Community Health Worker Malaria Social and Behavior Change Toolkit, developed by the RBM Partnership to End Malaria Social and Behaviour Change Working Group in collaboration with Breakthrough ACTION, provides high-level guidance to incorporate social and behavior change (SBC) content into community health worker (CHW) training and materials. It is designed to be adapted by national malaria programs, implementing partners, and other stakeholders. It is not a training guide or a training manual for CHWs; rather, the content of this toolkit can be added to CHW training to cover essential aspects of SBC for malaria and enhance the work of CHWs. The individual modules in this toolkit can be used selectively for specific circumstances or adapted to meet country or regional needs.

Objectives

The toolkit provides CHW trainers with resources to help CHWs:

  1. Distinguish between social and behavior change (SBC) and social and behavior change communication.
  2. Identify behavioral factors and their roles in influencing malaria behaviors among community members.
  3. Identify and integrate SBC approaches into regular community activities to strengthen the uptake and maintenance of malaria prevention and treatment behaviors.
  4. Understand how to use monitoring and supportive supervision data to improve the quality of care.


La boîte à outils pour le changement social et comportemental des agents de santé communautaires, développée par le groupe de travail sur le changement social et de comportement du Partenariat RBM pour en finir avec le paludisme en collaboration avec Breakthrough ACTION, fournit des conseils de haut niveau pour intégrer le contenu du changement social et de comportement (CSC) dans la formation et le matériel des agents de santé communautaires (ASC). Il est conçu pour être adapté par les programmes nationaux de lutte contre le paludisme, les partenaires de mise en œuvre et les autres parties prenantes. Il ne s’agit pas d’un guide ou d’un manuel de formation pour les ASC. Le contenu de cette boîte à outils peut être ajouté à la formation des ASC afin de couvrir les aspects essentiels du CSC en matière de paludisme et d’améliorer le travail des ASC. Les différents modules de cette boîte à outils peuvent être utilisés de manière sélective dans des circonstances spécifiques ou adaptés pour répondre aux besoins d’un pays ou d’une région.

Objectifs

La boîte à outils fournit aux formateurs d’ASC des ressources pour aider les ASC à:

  1. A faire la distinction entre le changement social et de comportement (CSC) et la communication pour le changement social et de comportement.
  2. Identifier les facteurs comportementaux et leur rôle dans l’influence des comportements liés au paludisme parmi les membres de la communauté
  3. Identifier et intégrer les approches CSC dans les activités communautaires régulières afin de renforcer l’adoption et le maintien des comportements de prévention et de traitement du paludisme.
  4. Comprendre comment utiliser les données de suivi et de supervision pour améliorer la qualité des soins.

Last modified: April 17, 2024

Language: English

Source: Johns Hopkins Center for Communication Programs

Year of Publication: 2024

Communicating on Climate Change and Health: Toolkit for Health Professionals

While climate change is a big threat to health, implementing solutions to address climate change presents a huge opportunity to promote better health and protect people from climate-sensitive diseases. Communicating the health risks of climate change and the health benefits of climate solutions is both necessary and helpful. Health professionals are well-placed to play a unique role in helping their communities understand climate change, protect themselves, and realize the health benefits of climate solutions. This toolkit aims to help health professionals effectively communicate about climate change and health.

Last modified: March 28, 2024

Language: English

Source: World Health Organization

Year of Publication: 2024

Humanitarian Health Quality of Care Toolkit

This toolkit aims to assist humanitarian health field staff in measuring quality of care in humanitarian health programs to inform quality improvement activities and includes operational guidance for each tool. It can be used in all areas of essential health care as defined by the SPHERE guidelines, including communicable diseases, child health, sexual and reproductive health, injury and trauma care, mental health, non-communicable diseases, and palliative care.

Last modified: February 19, 2024

Language: English

Source: FHI 360

Year of Publication: 2022

Responsive Care and Early Learning (RCEL) Addendum Resource Collection

The RCEL Addendum is a global package that gives programs the flexibility to adapt the materials to different country contexts and audiences by adjusting the content and delivery modalities. It can be added or integrated into existing child health, nutrition, or infant and young child feeding (IYCF) counseling packages, including UNICEF’s Community Infant and Young Child Feeding (C-IYCF) Counselling Package, which is the model for the RCEL Addendum.

Last modified: January 2, 2024

Language: English

Source: USAID Advancing Nutrition

Year of Publication: 2023

Promoting Vaccination: A Toolkit for Collaborating with Faith Communities

This toolkit is designed to equip faith actors and related stakeholders—such as Ministries of Health, medical and scientific bodies, and non-profit organizations that partner with or work alongside faith actors—with the information and tools needed to raise awareness, reduce misinformation, and address barriers that prevent faith communities in particular from engaging in vaccination. It includes information on theological dimensions of vaccination, holding discussions on vaccination, messaging on social media, holding inter-faith discussion forums on vaccine promotion, organizing harmonized inter-faith vaccine campaigns, and engaging with faith-based scientific technical bodies. Ultimately, this toolkit is intended to promote innovative partnerships that drive vaccine acceptance and uptake and to inspire increased strategic discussion and investment among stakeholders in the vaccine space.


यह टूलकिट धार्मिक/आस्थावान प्रभावीजनों तथा सम्बंधित स्टेकहोल्डर्स यथा – स्वास्थ्य मंत्रालय, चिकित्स्कीय एवं वैज्ञानिक संस्थानों, टीकाकरण पर व धार्मिक समुदायों के साथ कार्यरत समाज सेवी संस्थाओं के उपयोग के लिए बनायी गयी है ताकि टीकाकरण के प्रति जागरूकता बढ़ाने , भ्रांन्तियों को कम करने, व टीकाकरण के प्रति अविश्वास /संकोच को कम करने में इस टूलकिट में दी गयी जानकारियों का प्रयोग किया जा सके। इस टूलकिट का व्यक्तिगत और संगठन /संस्थानिक स्तर पर टीकाकरण के उपयोग को बढ़ाने के लिए प्रयोग किया जा सकता है। इस टूलकिट में टीकाकरण सम्बन्धी धार्मिक आयाम, टीकाकरण पर परिचर्चा आयोजित करना, सोशल मीडिया पर सन्देश प्रसारित करना, टीकों को बढ़ावा देने के लिए अंतर्धार्मिक परिचर्चा आयोजित करना, संगतपूर्ण अन्तर्धार्मिक टीकाकरण अभियान आयोजित करना तथा धर्म /आस्था आधारित वैज्ञानिक तकनीकि संस्थाए /निकायों को जोड़ने सम्बन्धी विषयों को समाहित किया गया है। मुख्य रूप से इस टूलकिट का प्रमुख उद्देश्य टीकों की स्वीकार्यता को बढ़ावा देने के लिए नवाचार युक्त सहभागिता को प्रोत्साहित करना तथा टीकाकरण के क्षेत्र में रणनीतिक परिचर्चाओं तथा निवेश को प्रोत्साहित करना है।

Last modified: December 4, 2023

Language: English, Hindi

Source: Christian Connections for International Health

Year of Publication: 2023