HIPs Implementation Tools Project

Launched in 2022, the HIPs Implementation Tools project aims to compile crucial resources for FP/RH practitioners, that provide guidance on effectively implementing and expanding the Family Planning High Impact Practices (HIPs). Responding to the growing need for resources that not only explain the effectiveness of the family planning HIPs, but that also offer practical guidance on implementing and scaling up these practices, the project collaborated in 2023 with FP/RH technical experts and implementers. Together, they published an initial set of resource collections focused on implementing and scaling up 7 selected Service Delivery and Social and Behavior Change HIPs. In October 2024, with additional expert support, the project released a new set of resource collections covering 8 additional family planning HIPs and HIP enhancements. Within each collection, viewers can find accessible knowledge products designed to help FP/RH professionals strengthen the implementation and scale-up of these HIPs in their programming. (Un petit nombre de ressources et d’études de cas sont disponibles en français pour chaque dossier.)

Source: Johns Hopkins Center for Communication Programs

Date of Publication: November 15, 2024

Social and Behavior Change to Increase Tuberculosis Care-Seeking in Nigeria: Tools and Resources

In 2021, Nigeria accounted for 4.4% of the world’s tuberculosis (TB) cases, ranking sixth among nations with the highest case rate. About 500,000 Nigerians are infected with TB annually. Testing and treatment for TB are free at government health facilities in Nigeria. Despite this, Nigeria struggles to identify TB cases; in 2018, the country’s National TB, Leprosy, and Buruli Ulcer Control Programme (NTBLCP) was only able to track 24% of cases. Several factors have kept Nigerians from seeking care for cough and fever and getting tested for TB. People presumed to have TB often delay seeking care until the advanced stages of the disease, and those who do seek care tend to do so at patent and proprietary medicine vendors (PPMVs) and community pharmacies rather than health facilities.

Through a strategic package of SBC interventions, Breakthrough ACTION-Nigeria has contributed to the NTBLCP’s goal of increasing the number of TB cases and is currently supporting 8 states in the country. Breakthrough ACTION has developed and implemented social and behavior change interventions to increase the number of tuberculosis (TB) cases identified in Nigeria. These resources can be adapted and used by professionals interested in using SBC approaches to address TB or practitioners implementing TB programs.

Source: Johns Hopkins University Center for Communication Programs

Date of Publication: August 13, 2024

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

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 is included in the Provider Behavior Change Toolkit?

  • Diagnostic tools to help users identify and prioritize provider-related barriers and facilitators to the delivery of quality health services in multiple contexts.
  • Synthesis tools that help users summarize information from the diagnostic process and prioritize challenges to be addressed by programmatic activities.
  • Programmatic tools that help users design and implement more effective provider-related initiatives.
  • An instruction booklet that guides users through the process of implementing the toolkit.

A companion instructional video is also available in English and French.

Last modified: June 10, 2024

Language: English, French

Source: Johns Hopkins Center for Communication Programs

Year of Publication: 2022

HIPs Implementation Tools

Tools for Implementing and Scaling Up the High Impact Practices

The HIPs Implementation Tools project aims to compile crucial resources for family planning practitioners, such as policymakers and program managers, to effectively implement and expand Family Planning High Impact Practices (HIPs). In response to the growing need for resources that not only explain the effectiveness of family planning HIPs, but also offer practical guidance on implementing and scaling up these practices, the project collaborates with experts and implementers to curate a summary collection of existing guidance documents that are hosted on the FP insight platform. These resources are vetted for relevance and accessibility, ensuring they offer actionable insights, supporting the implementation and scaling up of the HIPs for the benefit of the wider FP/RH community. 

Last modified: May 28, 2024

Source: Family Planning High Impact Practices

Year of Publication: 2024

The Insights 101 Playbook: A Dynamic Learning Starter Kit

The Insights 101 Playbook is an introductory guide to one of the key building blocks of dynamic social and behavior change (SBC) project design: insights. It has been designed to offer concise and practical guidelines with examples—from identifying insights to applying and sharing them across project partners. Consider insights as the distillation of formative research that allows you to include the research findings in the design.

What’s inside?
The Playbook includes three chapters that use a case example to walk through the different insight phases:

  1. Identify and articulate insights
  2. Convert an insight into an opportunity
  3. Share and apply insights

The chapters provide an overview with clear guidance, a case study, and a capacity-strengthening component. There are insights about teams, approaches, processes, and more.

Last modified: February 9, 2024

Language: English, French

Source: Johns Hopkins Center for Communication Programs

Year of Publication: 2024

Needs Assessment and Design Methodology to Guide Large-Scale Food Fortification and Broader Programming to Improve Diets: Tools 1 and 2 in the LSFF Methodology Series

The LSFF Operational Overview describes the purpose and target audience for tools to assess diets, markets, and diet cost and affordability, and summarizes the key steps in the methodology, including a decision tree on how to select existing data to conduct a needs assessment and design/redesign LSFF and broader programming. The Methods Guide describes the “how” of each step in the methodology. The Operational Overview and Methods Guide complement the USAID Large-Scale Food Fortification Programming Guide and results framework by providing methods to use existing data to better understand the contribution of LSFF programs to improve micronutrient intake, and ultimately, to help achieve the strategic objective and intermediate results in the USAID LSFF results framework.

Last modified: January 2, 2024

Language: English

Source: USAID Advancing Nutrition

Year of Publication: 2023

Defining Social and Behavior Change Competencies for Multi-Sectoral Nutrition: A List for Assessing, Developing, and Evaluating Staff Skills

This tool identifies 52 social and behavior change competencies—knowledge, skills, and attitudes—that project staff must demonstrate to design, implement, and evaluate the SBC components of multi-sectoral nutrition programs. It seeks to help program managers define the competencies most relevant to their activities and identify skill gaps across their project teams, and then use those competencies to guide hiring decisions, identify areas for capacity strengthening, and track changes in performance over time.

Last modified: December 29, 2023

Language: English, French

Source: USAID Advancing Nutrition

Year of Publication: 2020

Family Planning Sermon and Messaging Guide for Faith Communities

This guide is designed to support faith communities, congregations and religious leaders who want to improve family planning (FP) literacy and acceptance through sermons and other messaging opportunities. The sermon guide addresses how religious texts and sacred traditions can help break the silence on FP and correct misinformation. The guide addresses sacred texts and norms from Christianity, Islam, Hinduism, Buddhism, the Baha’i faith, and Sikhism and includes messages that can be tailored to each faith. The messages can be delivered in a variety of settings, including at worship services, faith community ceremonies, or other events.

Last modified: November 29, 2023

Language: English

Source: Christian Connections for International Health (CCIH)

Year of Publication: 2023

Tutorat: A Comprehensive Approach to Empowering Health Care Providers and Their Facilities in Senegal

This brief details the Tutorat approach, which emphasizes capacity building of health service providers within their health centers by trained peers through intensive on-site, on-the-job, tailored mentorship over the period of several months. Providers participating in this approach had impressive gains in the reproductive health modules: Management of pregnancy, deliveryand post-partum and Family planning.

This resource is also available in French.

Source: IntraHealth

Date of Publication: March 31, 2023