The Breakthrough RESEARCH project is conducting mixed methods research to inform the delivery of social and behavior change (SBC) programming among mothers within the first 1,000-day window of opportunity, including integrated interventions to promote malaria prevention and treatment behaviors, antenatal care attendance, delivery with a skilled attendant, early and exclusive breastfeeding, child immunization, timely care-seeking for common childhood illnesses, and postpartum contraceptive use.

The first phase of a behavioral sentinel surveillance (BSS) survey has been completed. The BSS rigorously assessed current practices and behavioral determinants of health outcomes over the lifespan of the Breakthrough ACTION integrated SBC project in Nigeria.

Results from the baseline have been released in the form of a series of programmatic research briefs, webinars, and slide decks by health area, a full report, and an overall key findings webinar. These results will help to improve the delivery of integrated SBC programming across health areas and behaviors in Nigeria and elsewhere.

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Overall information and results

Activity brief: Generating Evidence to Inform Integrated Social and Behavior Change Programming in Nigeria

Technical report: Behavioral Sentinel Surveillance Survey in Nigeria: baseline technical report

Webinar: Evaluation of Integrated SBC in Nigeria Behavioral Sentinel Surveillance Survey: MNCH+N baseline results

Pregnancy and childbirth

Programmatic research brief: Pregnancy and Childbirth—Insights for improving malaria, family planning, and maternal and child health outcomes in northwestern Nigeria through social and behavior change programming

Slides: Psychosocial Influences on Breastfeeding Practices in Sokoto, Kebbi, and Zamfara States: Breakthrough RESEARCH Nigeria behavioral sentinel surveillance key baseline results

Webinar: Pregnancy & childbirth—Insights for improving malaria, FP, & MCH outcomes in northwestern Nigeria

Infographic factsheets: Increasing Use of Antenatal Care Services Among Women in Northern Nigeria [English and Hausa]

Journal article: Psychosocial Influences on Pregnancy and Childbirth Behaviours in North-western Nigeria: A cross-sectional analysis [Go to journal article on Journal of Biosocial Science website]

Breastfeeding

Programmatic research brief: Breastfeeding—Insights for improving malaria, family planning, and maternal and child health outcomes in northwestern Nigeria through social and behavior change programming

Slides: Psychosocial Influences on Breastfeeding Practices in Sokoto, Kebbi, and Zamfara States: Breakthrough RESEARCH Nigeria behavioral sentinel surveillance key baseline results

Webinar: Breastfeeding—Insights for improving malaria, FP, & MCH outcomes in northwestern Nigeria

Journal article: Socioeconomic Inequality in Exclusive Breastfeeding Behavior and Ideation Factors for Social Behavioral Change in Three North-western Nigerian States: A cross-sectional study [Go to journal article on International Journal for Equity in Health website]

Journal article: The Role of Maternal Ideations on Breastfeeding Practices in Northwestern Nigeria: A cross‑section study [Go to journal article on International Breastfeeding Journal website]

Pneumonia

Programmatic research brief: Pneumonia‐related Ideations, Care‐seeking, and Treatment Behaviors among Children Under 2 Years with Pneumonia Symptoms in Northwestern Nigeria

Journal article: Pneumonia‐related Ideations, Care‐seeking, and Treatment Behaviors among Children Under 2 Years with Pneumonia Symptoms in Northwestern Nigeria [Go to journal article on Pediatric Pulmonology website]

Routine childhood immunization

Programmatic research brief: Routine childhood immunization—Insights for improving malaria, family planning, and maternal and child health outcomes in northwestern Nigeria through social and behavior change programming [Brief]

Slides: Psychosocial Influences on Routine Childhood Immunization in Sokoto, Kebbi, and Zamfara States: Breakthrough RESEARCH Nigeria behavioral sentinel surveillance key baseline results

Webinar: Vaccination—Insights for improving malaria, FP, & MCH outcomes in northwestern Nigeria

Blog: Understanding Hesitancy for Childhood Vaccines in Nigeria–It’s Not Just About COVID-19 [Go to blog on the Wilson Center’s New Security Beat website]

Sick child care-seeking

Programmatic research brief: Sick Child Care-seeking—Insights for improving malaria, family planning, and maternal and child health outcomes in northwestern Nigeria through social and behavior change programming

Slides: Psychosocial Influences on Sick Child Care and Treatment in Sokoto, Kebbi, and Zamfara States: Breakthrough RESEARCH Nigeria behavioral sentinel surveillance key baseline results

Webinar: Sick Child Care-seeking—Insights for improving malaria, FP, and MCH outcomes in northwestern Nigeria via SBC programming

Infographic factsheets: Increasing Care Seeking for Children with Fever Among Women in Northern Nigeria [English and Hausa]

Family planning

Slides: Psychosocial Influences on Modern Contraceptive Use in Sokoto, Kebbi, and Zamfara States: Breakthrough RESEARCH Nigeria behavioral sentinel surveillance key baseline results

Webinar: Family Planning—Insights for improving malaria, FP, and MCH outcomes in northwestern Nigeria via SBC programming

Infographic factsheets: Increasing Modern Contraceptive Use Among Women in Northern Nigeria [English and Hausa]

Journal article: Understanding Family Planning Outcomes in Northwestern Nigeria: Analysis and modeling of social and behavior change factors [Go to journal article on BMC Public Health website]

Malaria

Programmatic research brief: Malaria—Insights for improving malaria, family planning, and maternal and child health outcomes in northwestern Nigeria through social and behavior change programming

Slides: Psychosocial Influences on Malaria Prevention and Treatment in Sokoto, Kebbi, and Zamfara States: Breakthrough RESEARCH Nigeria behavioral sentinel surveillance key baseline results

Webinar: Malaria—Insights for improving malaria, FP, & MCH outcomes in northwestern Nigeria

Adolescents

Programmatic research brief: Adolescent female empowerment, ideations, and health behavior—Insights for improving malaria, family planning, and maternal and child health outcomes in northwestern Nigeria through social and behavior change programming

Programmatic research brief: Health and ideations of married female adolescents—Insights for improving malaria, family planning, and maternal and child health outcomes in northwestern Nigeria through social and behavior change programming

Nutrition

Programmatic research brief: Diet diversity among pregnant women and young children—Insights for improving malaria, family planning, and maternal and child health outcomes in northwestern Nigeria through social and behavior change programming

Cost-effectiveness Analysis

Technical Report: Cost-effectiveness analysis comparing integrated and malaria-only social and behavior change programming in Nigeria: Initial costing data

Technical Report: Cost-effectiveness analysis comparing integrated and malaria-only social and behavior change programming in Nigeria: Midline analysis

Activity Snapshot

Collaborating Partners
Breakthrough ACTION

Anticipated Timeline
2017─2022

Geographic Location
Nigeria

For more information, contact Dele Abegunde