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

VIVA! Healthy Family, Thriving Family Integrated Campaign

Breakthrough ACTION collaborated with the Ministry of Health and other partners in the Democratic Republic of the Congo to develop and implement a community-based campaign promoting the adoption of essential household healthy practices and facility-based care seeking. The VIVA! Healthy Family, Thriving Family integrated campaign addressed six health areas: cholera, family planning, malaria, nutrition, tuberculosis, and water, sanitation, and hygiene.

The project and its partners used human-centered design and behavioral economics approaches along with a fun, easy, attractive, social, and timely conceptual model. The campaign featured a coordinated package of interventions, including social, educational, interactive, and entertaining activities to engage community members, interventions at the health facilities, and mass media to deliver social and behavior change messages on health priority behaviors related to the six health areas.

Using Human-Centered Design to Encourage Essential Practices and Health Care Seeking

Mass Media

Community Interventions

Cost Comparison and Savings Box

This activity helped community members compare the costs of non-essential daily living needs and health care. The comparative cost activity helped people overcome the perception that health services are too expensive. The activity was carried out in community settings, at the market, health facilities, and other places where community members congregated. The savings boxes encouraged women, households, and communities to save for health care or to use other means of savings depending on income-generating activities.

Couples Parties

Community health workers led these fun events for married couples, particularly for parents of children under 5 years old. The parties allowed men and women to participate as a couple in a social, educational activity. Research shows that couples who communicate are more likely to discuss the health of their household, and these parties facilitated couple communication through knowledge tests and by strengthening dialogue between couples. The intervention promoted practicing essential family health behaviors, speaking with a family planning provider, and sharing health information.

Listening Clubs

These clubs, mostly composed of community health workers, met regularly to learn more about health by listening to and discussing reliable information through a toll-free telephone line. Community health workers used this platform to strengthen their understanding of health issues before engaging in community education. By fostering dialogue and sharing knowledge, the clubs aimed to build collective capacity and address health problems in a coordinated way. The use of the toll-free service ensured access to accurate, up-to-date health information without requiring a significant financial investment.

Market Quiz

This interactive activity engaged people in marketplaces by using health-related question-and-answer games. The market quiz game promoted essential family practices and health services to people who were not exposed to home visits or community engagement activities because they were working at the market. The cost comparison activity was added to the marketplace quiz because this was the perfect location to discuss daily expenses.

Reminder Tickets

Breakthrough ACTION distributed tickets during VIVA! community activities to remind participants to use health services. The tickets helped improve the traceability of health service use following participation in VIVA! interventions. In 2021, the proportion of reminder tickets that were redeemed for services was between 6 and 21%, depending on the province. Men and women redeemed the tickets to receive health services for fever, antenatal care, and cough. The tickets collected at health centers were distributed at couple’s parties (25%), listening clubs (23%), and market quizzes (21%).

Campagne VIVA ! Famille en bonne santé, famille épanouie

Breakthrough ACTION a collaboré avec le Ministère de la Santé et ses partenaires en République démocratique du Congo (RDC) pour élaborer et mettre en œuvre une campagne communautaire promouvant l’adoption de pratiques familiales essentielles de santé (PFE) et la recherche de soins dans les établissements. La campagne, connue sous le nom de « VIVA ! Famille en bonne santé, famille épanouie » est une campagne intégrée qui s’adresse à six domaines de la santé (la PF, le palu, la tuberculose, le WASH, cholera, et la nutrition. Le développement de VIVA ! a été guidé par un design centré sur l’humain, l’économie comportementale (EB) et le modèle conceptuel FEAST (amusant, facile, attrayant, social, et opportun). La campagne comprenait un ensemble coordonné d’interventions, y compris des interventions communautaires pour impliquer les membres de la communauté dans des activités éducatives, sociales, interactives et divertissantes, des interventions dans les établissements de santé et les médias de masse pour diffuser des messages CSC sur les comportements prioritaires en matière de santé liés aux six domaines de santé.

Comparaison des coûts et les caisses d’epargne

Activité menée par les membres de la communauté pour réfléchir à la comparaison entre les coûts des achats de la vie quotidienne et les coûts des soins de santé. À l’aide d’une grande affiche, les membres de la communauté sont invités à comparer les coûts des soins de santé avec ceux des achats quotidiens. L’activité « coût comparatif » aide les gens à surmonter la perception selon laquelle les services de santé sont trop chers. Elle encourage l’utilisation des services de santé. Elle peut être facilement combinée avec d’autres activités et peut se dérouler dans la communauté, au marché, dans les établissements de santé, etc. Les caisses d’épargne encouragent les femmes, les ménages et la communauté à épargner pour les soins de santé ou à utiliser tout autre moyen d’épargne en fonction des activités génératrices de revenus menées.

Fetes de couples

Des événements ludiques sont organisés pour les couples mariés (parents d’enfants de moins de 5 ans) animés par un relais communautaire ou un agent communautaire. Ces événements étaient des occasions rares pour les hommes et les femmes de participer en couple à une activité sociale et éducative. La recherche montre que les couples qui communiquent sont plus susceptibles de discuter de la santé de leur foyer et ces fêtes ont facilité la communication du couple grâce à des tests de connaissances sur la santé, renforçant ainsi le dialogue entre les couples. Cette intervention a permis de promouvoir les pratiques essentielles de santé familiale, de parler à un prestataire de PF et de partager des informations sur plusieurs sujets de santé.

Quiz du marché

Une activité interactive qui se déroule au marché à l’aide de jeux de questions et réponses sur quelques sujets liés à la santé. Le quiz au marché permet de promouvoir les pratiques familiales de santé et les services de santé essentiels auprès de cibles qui ne sont pas exposées aux visites à domicile et autres activités de santé vu leurs activités commerciales. L’activité de Coûts comparatifs a été ajoutée puisque le marché était un excellent endroit pour parler des dépenses quotidiennes.

Tickets de rappel

Ces billets ont été distribués à la fin des activités communautaires VIVA ! pour rappeler les participants à utiliser les services de santé. Ils ont permis d’améliorer la traçabilité de l’utilisation des services à la suite de la participation aux interventions. En effet, en 2021, la proportion de billets de rappel échangés contre des services se situait entre 6 et 21 %, selon les provinces. Des hommes et des femmes ont échangé leurs billets contre des services tels que la fièvre, les soins prénatals et la toux. Les tickets collectés dans les centres de santé ont été distribués lors des fêtes de couple (25%), des 42502 clubs d’écoute (23%) et des quiz du marché (21%).

Source: Johns Hopkins Center for Communication Programs

Date of Publication: August 1, 2026

Community Empathways

Designed for community settings across West Africa, this interactive card-based activity fosters intergenerational empathy and breaks down socio-cultural barriers surrounding youth reproductive health. The tool guides young people and adult community leaders through structured conversations that build mutual understanding and prompt adults to actively support adolescent family planning needs. The comprehensive package includes a card deck, a detailed facilitator guide with sample scripts, and a step-by-step instructional video that incorporates video assets from the Merci Mon Héros campaign. SBC practitioners, local organizations, and community facilitators can utilize this toolkit to create safe spaces that transform adult attitudes and expand youth access to essential health services.


Version Communautaire d’Empathways

Conçu pour les milieux communautaires en Afrique de l’Ouest, cet outil basé sur un jeu de cartes interactif favorise l’empathie intergénérationnelle et lève les barrières socio-culturelles entourant la santé reproductive des jeunes. L’activité guide les jeunes et les leaders communautaires adultes à travers des conversations structurées qui renforcent la compréhension mutuelle et incitent les adultes à soutenir activement les besoins des adolescents en matière de planification familiale. Le kit complet comprend un jeu de cartes, un guide du facilitateur avec des exemples de scripts et une vidéo tutorielle intégrant les vidéos de la campagne Merci Mon Héros. Les praticiens du CSC, les organisations locales et les animateurs peuvent utiliser cet outil pour créer des espaces sûrs qui transforment les attitudes des adultes et améliorent l’accès des jeunes aux services de santé.


Guide de Facilitateur
 [PDF]

Vidéo Tuto [YouTube]

Last modified: July 20, 2026

Language: English, French

Source: Johns Hopkins Center for Communication Programs

Year of Publication: 2022

Proud Parents Media Campaign in Guinea

Breakthrough ACTION Guinea, in collaboration with National Health Promotion Service / Service national de promotion de la santé (SNPS), developed the “Parents Fiers” mass media campaign to reach young and new parents with children under five. The campaign included radio spots, interactive programs, visual materials, and social media. A survey conducted three months later showed that 75% of participants recalled the campaign messages, with 87% planning to vaccinate their children and 71% intending to use family planning.


Campagne médiatique parents fiers en Guinée

Breakthrough ACTION Guinea, en collaboration avec Service national de promotion de la santé (SNPS), a développé la campagne médiatique « Parents Fiers » pour atteindre les jeunes et nouveaux parents ayant des enfants de moins de cinq ans. La campagne comprenait des spots radio, des programmes interactifs, des supports visuels et des médias sociaux. Une enquête menée trois mois plus tard a montré que 75 % des participants se souvenaient des messages de la campagne, 87 % d’entre eux prévoyant de faire vacciner leurs enfants et 71 % ayant l’intention d’utiliser le planning familial.

Des spots radio et des programmes radiophoniques interactifs [Vidéo]

Bannière d’espacement des naissances

Bannière de vaccination des enfants

Bannière des services intégrés

Bannière sur l’allaitement des enfants – Graphique 1

Bannière sur l’allaitement des enfants – Graphique 2

Bannière sur l’allaitement des enfants – Graphique 3

Last modified: July 20, 2026

Language: English, French

Source: Johns Hopkins Center for Communication Programs

Year of Publication: 2021

Materials to Promote the Malaria Vaccine in the Democratic Republic of the Congo

Social and behavior change (SBC) is critical for the successful rollout of the malaria vaccine, as it builds community understanding and acceptance, addresses concerns, and promotes trust in vaccination efforts. Through coordinated messaging and targeted materials, SBC ensures that communities are informed and motivated, which is essential for increasing vaccine uptake and achieving long-term health impact.

Breakthrough ACTION developed posters, audiovisual spots, and banners for the launch of the R21/Matrix M malaria vaccine in the Democratic Republic of the Congo. These materials aim to promote the acceptance and utilization of the malaria vaccine. This effort involved collaboration with technical experts from various partners and members of the Malaria Communication Task Force, the National Malaria Control Program, and the Extended Program on Immunization.


Matériel de promotion du vaccin contre le paludisme en République démocratique du Congo

Le changement social et de comportement (CSC) est essentiel à la réussite du déploiement du vaccin contre le paludisme, car il permet à la communauté de comprendre et d’accepter le vaccin, de répondre aux préoccupations et de promouvoir la confiance dans les efforts de vaccination. Grâce à des messages coordonnés et à du matériel ciblé, le CSC garantit que les communautés sont informées et motivées, ce qui est essentiel pour augmenter l’utilisation du vaccin et obtenir un impact à long terme sur la santé.

Breakthrough ACTION a développé des affiches, des spots audiovisuels et des bannières pour le lancement du vaccin antipaludique R21/Matrix M en la République du Congo. Ces messages visent à promouvoir l’acceptation et l’utilisation du vaccin contre le paludisme. Cet effort a impliqué une collaboration avec des experts techniques de divers partenaires et des membres de la Task-Force Communication Paludisme, le Programme National de Lutte contre le Paludisme, ainsi qu’avec le Programme Elargi de Vaccination.


Affiches
 [PDF]

Bannières [PDF]

Bannière enroulable [PDF]

Spots audiovisuels

Last modified: July 15, 2026

Language: French

Source: Johns Hopkins Center for Communication Programs

Year of Publication: 2024

Seeds of Change Video Series (Semillas de Cambio)

Produced by Breakthrough ACTION, Semillas de Cambio (Seeds of Change) is an immersive social and behavior change video series highlighting the daily lives and transformations of individuals in Quiché and Huehuetenango, Guatemala. Through powerful, first-hand testimonials, the series serves as tangible evidence that positive behavioral and social shift is achievable within indigenous and rural communities. By showcasing local women and men who have overcome systemic barriers to become role models, the stories inspire viewers to reflect on their own lives and adopt healthier family practices. To maximize localized impact and ensure deep cultural relevance, the series is uniquely available in Spanish as well as the indigenous languages of K’iche’, Ixil, and Mam.

Last modified: July 8, 2026

Language: Ixil, K'iche', Mam, Spanish

Source: Johns Hopkins Center for Communication Programs

Year of Publication: 2025

Miners’ Buzz

Miners’ Buzz represents an innovative approach to entertainment education, weaving authentic narratives from mining life with crucial malaria prevention, testing, and treatment messages. This features miner narrating their own stories via brief audio and video clips, deftly integrating key information on malaria. It is crafted for distribution across multiple accessible channels to maximize reach and engagement.

Miners’ Buzz is important because it will help to leverage the power of entertainment and storytelling as engaging ways to connect with the mining community, overcome literacy barriers, and foster a unique peer-to-peer engagement platform, with content created “by miners, for miners,” enhancing relatability and impact.

Video Clips

Source: Johns Hopkins Center for Communication Programs

Date of Publication: June 24, 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