Nigeria Provider Behavior Change Tools and Resources

Health care providers in Nigeria are working to deliver client-centered care and adhering to national guidelines. However, while providers care deeply about serving clients, gaps in knowledge, misconceptions, biases, poor communication skills, inattention to client rights, and challenging work environments make it difficult for them to provide quality health services. Breakthrough ACTION-Nigeria worked closely with the federal and state governments to support facility-based providers by:

  • Identifying the factors that impede and facilitate client-centered care and adherence to guidelines in varied settings across Nigeria.
  • Developing, testing, and scaling innovative, evidence-based approaches that could be adapted to varied service delivery contexts.
  • Transforming professional norms and standards in respectful maternity care, malaria in pregnancy, and fever case management.
  • Strengthening interpersonal communication/counseling capacity among providers.
  • Building trust between communities and facilities.

The resources developed by Breakthrough ACTION-Nigeria can be used by service delivery and social and behavior change practitioners interested in integrating a social and behavioral lens within their work with health care professionals.

Using Behavioral Science to Uncover New Insights on Provider Behavior

Strengthening Community and Facility Relationships

Improving Interpersonal Communication Skills

Leveraging Peer-to-Peer Influence to Transform Norms and Standards

Learning Briefs, Videos, and Blog Posts

Impact Stories

Last modified: August 1, 2026

Language: English

Source: Johns Hopkins Center for Communication Programs

Year of Publication: 2024

Nigeria Community Capacity Strengthening Resources and Tools

From 2019 to 2024, Breakthrough ACTION-Nigeria trained 659 Ward Development Committees to plan, fund, and implement Community Health Action Resource Plans. The project supported the committees in implementing their plans in two stages. The first stage focused on delivering immediate benefits to the community, such as free emergency transport to health services for pregnant women and children under five and for other emergencies, delivery kits for pregnant women, funds to renovate health facilities and procure commodities, and community health information boards to track data. The second stage focused on strengthening committee capacity by addressing gender disparities in health care through tailored training and by forming Gender Economic and Empowerment Committees, equipping Ward Development Committees with social and behavior change resources to promote health-seeking and preventive behaviors, strengthening committees’ financial management skills, training them in decision-making and stakeholder collaboration, and encouraging community involvement in decision making.

Training Package and Community Engagement Tools

This training package was created for individuals and groups working on community-led health interventions. It contains manuals for both facilitators and participants, along with accompanying tools that provide practical guidance for community engagement, identifying issues, and developing community health action resource plans.

Mobilizing Communities for Health and Social Change
Fostering Leadership in Community Development
Community Dialogue Tools for Leaders
Ward Development Committee Gender Champions

Impact Stories

Last modified: August 1, 2026

Language: English

Source: Johns Hopkins Center for Communication Programs

Year of Publication: 2023

Together for Each Other: Transforming South Sudan

Sawa Le Baad: Tahwil Junub Sudan (Together for Each Other: Transforming South Sudan) promotes gender equity, participatory development, and community action by bringing women and men together to explore and discuss how various aspects of gender impact their well-being. This includes discussing harmful and positive social norms and expectations as well as assumptions around gender roles and responsibilities. Through these discussions, existing norms are identified and challenged.

Behavioral Objectives

  • Promote gender equity, participatory development, and community action
  • Engage women and men in a critical exploration of how gender norms operate in their lives (positively and negatively), how to take action to eliminate harmful norms and practices, and how to reconstitute new equitable norms
  • Demonstrate equitable communication and decision-making around health
  • Model community reflection and dialogue

The modules include:

  1. Introduction to the Workshop and Key Concepts
  2. Social Roles
  3. Traditional and Cultural Norms
  4. Couples’ Communication/Conflict Resolution
  5. Gender-Based Violence
  6. Women’s and Men’s Reproductive Health
  7. Safe Motherhood
  8. Water, Sanitation, and Hygiene

How to Use

The toolkit has two main components: one is a series of real personal stories of women, men, and couples who have overcome gender barriers to reach their goals and improve their lives as well as those of their families. These personal stories are available in video and audio versions.

The personal stories are to be used with the Facilitator’s Guide, which leads women and men through a series of exercises and questions to explore the role of social and gender norms in their lives. The personal stories form the centerpiece of each session in the guide and serve to ground the discussion in the reality of people’s lives.

Facilitators Guide

This guide is designed to help people explore thoughts, ideas, and behaviors and make positive changes in their lives using a technique called “participatory learning.” Participatory learning uses facilitation to encourage people to actively participate in their own learning. The role of the facilitator is key to the success of the program and to enabling participants to use their own experiences and knowledge as a basis for solving problems. Therefore, a section of the guide includes a section on training facilitators and strengthening their facilitation skills.

Sawa Le Baad Facilitator’s Guide [PDF]

Together for Each Other: Transforming South Sudan Guide

The Together for Each Other: Transforming South Sudan Guide is designed to be used along with the video and/or audio personal stories.

Video and/or Audio Personal Stories

The personal stories, as well as the other activities in the individual sessions, help participants analyze their experiences, learn new information, improve their skills of interaction, and understand and identify opportunities for change.

Stories of Transformation

Social Roles

This video reflects and discusses the different roles and tasks society teaches women and men what they should do. Nyantong Garang is a woman who challenges gender norms through her job as a pump mechanic in her community.

English | Juba ]

Traditional and Cultural Norms

This video explores cultural practices and norms that affect men and women. Chief Madalina Ihisa Tito is the only female head chief in Eastern Equatoria and is a role model for women and men alike.

English | Juba ]

Couples’ Communication and Conflict Resolution

This video explores issues around couples’ communication and conflict resolution. Angua and Abdulwahab share how making decisions together and supporting one another leads to harmony in the home and enables their family to thrive.

English | Juba ]

Gender-Based Violence

This video reflects and discusses violence between partners and identifies ways of addressing and preventing violence. Yar Makuei is a survivor of gender-based violence who stayed in an abusive marriage for the sake of her children and was eventually able to leave and stand on her own.

English | Juba ]

Women’s and Men’s Reproductive Health

This video reflects on and discusses the different reproductive needs of men and women and the benefits of making decisions together about family planning. Peter and Veronica share how spacing their children has led to improved pregnancy outcomes and better opportunities for their family.

English | Juba ]

Safe Motherhood

This video explores issues around safe motherhood. Abdulwahab shares how he supports his wife during and after her pregnancy, including by going with her for antenatal visits and sharing household and childcare responsibilities.

English | Juba ]

Water, Sanitation, and Hygiene

This video explores issues around healthy water, sanitation, and hygiene behaviors and the roles that both women and men play in ensuring improved hygiene and sanitation at the household level and within their communities. Data Gordon advocates with boys and men to raise menstrual hygiene awareness and provides girls and women with menstrual hygiene products.

English | Juba ]

Last modified: August 1, 2026

Language: Arabic, English

Source: Johns Hopkins Center for Communication Programs

Year of Publication: 2022

Entre Nosotras: Guide to Form Support Circles

The Entre Nosotras (Amongst Ourselves) guide, developed by Breakthrough ACTION in Guatemala, outlines a group methodology that encourages mothers to share experiences and learn from each other. The topics covered include health, nutrition, feeding, and other issues related to the 1,000-day window.


Entre Nosotras: Guía Metodológica de Formación de Círculos de Apoyo

La guía “Entre Nosotras,” desarrollada por Breakthrough ACTION en Guatemala, presenta una metodología grupal que promueve espacios de aprendizaje donde las madres comparten experiencias y se escuchan entre sí para aprender entre pares. Los temas que se abordan son la salud, nutrición, alimentación y otros temas relacionados a la ventana de los 1,000 días.

Last modified: August 1, 2026

Language: Spanish

Source: Johns Hopkins Center for Communication Programs

Year of Publication: 2024

One Health Risk Communication Training for Media Professionals and Public Health Communicators

Designed to build regional capacity for outbreak response, this comprehensive training package prepares journalists, broadcast reporters, and government communicators to report effectively on emerging health threats. The curriculum equips participants with foundational skills in One Health principles, risk communication strategies, and ethical reporting during public health emergencies. Through interactive modules and practical exercises, media personnel learn to translate complex epidemiological data into clear, accurate news coverage that prevents public panic. SBC specialists, media trainers, and public health agencies can adapt these training materials to foster strong partnerships between technical health experts and news organizations.

Annexes 1–3: One Health Risk Communication Training for Media Professionals and Public Health Communicators [PDF]

Last modified: July 31, 2026

Language: English

Source: Johns Hopkins Center for Communication Programs

Year of Publication: 2020

Community Empathways

The West Africa Breakthrough ACTION Community Empathways card deck is an activity designed to take young people and adult community leaders on a dynamic and engaging journey from awareness to empathy to action. The aim is to forge greater understanding between these groups and ultimately increase adult support for young people seeking reproductive health and family planning information and services.

Facilitator’s Guide

This facilitator guide includes an introduction to the tool, planning tips, and a sample script for a Community Empathways activity session leader.

How-to Video

This how-to video gives step-by-step instructions for organizing a community conversation using selected Merci Mon Héros campaign videos and the Empathways community cards. The video is for any group, organization, or collaborator that wishes to increase youth access to contraceptive, family planning, and reproductive health information and services.


Version Communautaire d’Empathways

Ce “paquet” de cartes est une activité conçue pour emmener les jeunes et les leaders adultes de leur communauté dans un voyage dynamique et engageant, de la prise de conscience à l’empathie, puis à l’action. L’objectif est de forger une meilleure compréhension entre ces groupes et, en fin de compte, d’accroître le soutien des adultes aux jeunes qui recherchent des informations et des services en matière de santé de la reproduction et de planification familiale.

Guide de facilitateur

Ce guide de facilitateur comprend une présentation de l’outil, des conseils de planification et un exemple de script pour l’animateur d’une session Empathways communautaire.

Vidéo tuto

Cette vidéo donne des instructions étape par étape sur l’organisation d’une conversation communautaire à l’aide de vidéos sélectionnées de la campagne Merci Mon Héros et des cartes de la version communautaire d’Empathways. La vidéo est destinée à tout groupe, organisation ou collaborateur qui souhaite améliorer l’accès des jeunes aux informations et aux services de contraception, de planification familiale et de santé reproductive.

Last modified: July 31, 2026

Language: French

Source: Johns Hopkins Center for Communication Programs

Year of Publication: 2021

Compassionate Care Intervention for Maternal, Newborn, and Child Health Services

The Compassionate Care intervention is a comprehensive set of solutions designed for health care providers, facility managers, mentors, and supervisors in maternal, newborn, and child health (MNCH) services. It provides strategies to enhance compassion and empathy in health facilities, particularly during the extended postnatal period (up to one year postpartum).

The intervention is intended to foster a compassionate health care environment, benefiting providers and clients by improving job satisfaction, client experiences, and overall service quality. The intervention includes several key components:

  • Practicing Compassion Training: Equips facility leaders and staff with skills to practice compassion in the workplace with one another as well as their clients and address challenges with empathy [ English ]
  • Self-care Practices: Encourages healthcare providers to prioritize their own mental health through mindfulness and relaxation techniques to prevent burnout
  • Client Feedback Mechanisms: Implements an anonymous feedback tool to give clients a voice in evaluating the care they receive, fostering continuous improvement
  • Compassion Champion of the Month: Recognizes staff who consistently demonstrate compassionate care based on client feedback, with rewards and incentives [ English ]
  • Provider Self-Assessment: Enables providers to reflect on their own compassionate care practices and improve further [ English | Swahili]
  • Mentorship and Supervision: Incorporates compassionate care into regular mentorship sessions, helping providers refine their skills and support each other [ English ]
  • Visit Observation Assessment Form: A tool for discreetly assessing client-provider interactions during health visits to ensure compassionate care and identify areas for improvement [ English ]
  • Client Rights Poster: A public declaration of clients’ rights to respectful and compassionate care, displayed prominently in health care facilities so clients can easily see what their rights are [ English | Swahili ]

In addition, Implementation Guidance for the Compassionate Care Intervention aids social and behavior change practitioners and service delivery partners in how to implement each component.

Source: Johns Hopkins Center for Communication Programs

Date of Publication: July 31, 2026

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

La Voz de las Abuelas: Guide for Participatory Sessions

The Voz de las Abuelas (Voices of Grandmothers) guide, developed by Breakthrough ACTION in Guatemala, can be used to conduct participatory sessions that encourage grandmothers to reflect on health, nutrition, and hygiene issues related to their ancestral Mayan wisdom. The discussions are aimed at strengthening the role of grandmothers within the family.

La Voz de las Abuelas: Guía metodológica para sesiones participativas

La guía “La Voz de las Abuelas,” desarrollada por Breakthrough ACTION en Guatemala, se usa para llevar a cabo sesiones participativas en las cuales se propicia un foro de reflexión entre abuelas que permite discutir temas de salud, nutrición e higiene conectados a su ancestral sabiduría Maya y orientada al papel decisivo en el fortalecimiento del hogar.

Source: Johns Hopkins Center for Communication Programs

Date of Publication: March 16, 2026

Breakthrough ACTION-Nigeria Risk Communication and Community Engagement Tools and Resources

Breakthrough ACTION-Nigeria’s risk communication and community engagement interventions support the GoveBreakthrough ACTION-Nigeria’s risk communication and community engagement (RCCE) interventions support the Government of Nigeria in preventing, detecting, and responding to public health emergencies. As part of these efforts, the project:

  • Produced and implemented a coordinated package of social and behavior change interventions, including mass media campaigns and community-level activities tailored to address specific public health emergencies and infectious diseases like Lassa fever, mpox, and COVID-19.
  • Strengthened the capacity of government, partners, health care providers, and community leaders, as well as other community actors, to effectively communicate health messages and facilitate behavior change during public health emergencies.

Mass Media Campaign Television and Radio Spots

Television and radio spots from mass media campaigns aim to drive health messages and behavior change within communities around public health emergencies. They are designed based on theory and evidence and are relatable to the audience. Breakthrough ACTION-Nigeria designed and implemented two mass media campaigns to increase COVID-19 vaccine uptake.

Community Engagement Resources and Training Materials

These tools for community volunteers and religious leaders are used to encourage community members to adopt preventive measures and address misinformation related to infectious diseases like COVID-19, mpox, and Lassa fever.

One Health Risk Communication and Community Engagement Training Package

Health Care Workers

Health care workers are both an audience and communication channel for interventions due to their own risk for infection, trusted status, direct access to communities, and their potential influence on behavior change. Leveraging health care workers enhances the credibility and effectiveness of RCCE interventions in promoting health behaviors and facilitating behavior change within communities. Breakthrough ACTION-Nigeria developed a package of resources to:

Train health care workers in strengthening interpersonal communication with clients

Leverage peer-to-peer influence among health care workers to increase COVID-19 vaccine uptake

Learning Briefs and Blog Posts

Source: Johns Hopkins University Center for Communication Programs

Date of Publication: August 13, 2024