Making the case for SBC
Social and Behavior Change (SBC) for Sexual and Reproductive Health (SRH) Resources
Click on a topic below to find related resources.
Resources that demonstrate the effectiveness of SBC and show how to advocate for SBC in sexual and reproductive health (SRH) programming
Service delivery and provider behavior change
Resources about using SBC in service delivery contexts, including ways to positively influence provider behavior
Integrated programming
Resources about integrating SBC with existing SRH programming and other health and development sectors
Male engagement
Resources about using SBC to engage men and boys in SRH programming and address key drivers and barriers to their engagement
Meeting the needs of youth
Resources about using SBC to meet the SRH needs of youth, and improve youth-related family planning/reproductive health (FP/RH) access and outcomes
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SBC approaches
Resources about various SBC approaches, including human-centered design, behavioral economics, community engagement, and audience segmentation
Equity, gender, and social systems
Resources about using SBC to understand and address gender dynamics and other social and structural determinants of health and inequities
Measurement and costing
Resources about measuring and costing SBC for family planning/reproductive health (FP/RH) programming and interventions
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Resources that demonstrate the effectiveness of SBC and show how to advocate for SBC in family planning programming
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Social and Behavior Change for Family Planning: Global Influence Landscape and Strategy
This document provides an overview of the objectives and rationale for an SBC for family planning influence strategy and can be used by SBC program implementers, governments, and donors.
Click for English
Synthèse des champs d'influence et stratégies réssortantes – région PO
This is an overview of the objectives and rationale for the Ouagadougou Partnership (OP) SBC for Family Planning Influence Strategy, to be used by implementers, governments, and donors in OP countries.
Advocating for Social and Behavior Change in Family Planning Programs: A Message Framework
This framework provides guidance and talking points on messages to use with stakeholders who may be unaware of the benefits of SBC or have limitations in their ability to include SBC in their investments.
It Takes a Village: A Shared Agenda for Social and Behavior Change in Family Planning
This resource presents a common agenda which seeks to catalyze coordination of efforts among governments, funders, and program implementers seeking to create impact in family planning through SBC.
It Takes a Village: A Shared Agenda for Social and Behavior Change in the Ouagadougou Partnership Region
The Ouagadougou Partnership (OP) Shared Agenda seeks to catalyze coordination among governments, donors, and implementers to create greater family planning impact through SBC interventions in OP countries.
SBC in Family Planning Message Framework
This interactive quiz provides a tailored message framework that can be used to advocate with a particular stakeholder for the inclusion of SBC in family planning programs.
Guidance on Social and Behavior Change for Family Planning During COVID-19
This short guide provides important considerations, messages, and resources to support implementers in adapting their SBC for family planning programming in response to the challenges presented by COVID-19.
Click for French
Global
OP COUNTRIES
Behavior Change Impact: Evidence in Action
This website provides access to five databases of evidence-based SBC. The research studies in these databases make the case for the value of SBC in multiple health areas, including family planning.
Using Social and Behavior Change to Improve Family Planning Outcomes
This brief highlights three reasons why SBC should be included in family planning programs, using supporting examples from various programs. This resource is intended for implementers, researchers, and policymakers.
GLOBAL
Utilisation du changement social et comportemental pour ameliorer le bilan du planning familial in Afrique de'Ouest
This brief highlights three reasons why SBC should be included in family planning programs, using supporting examples from various programs. This resource is intended for implementers, researchers, and policymakers in Francophone West Africa.
The Business Case for Investing in Social and Behavior Change for Family Planning
This technical report presents an evidence-based approach for implementers and researchers to advocate for investment in SBC for family planning by detailing the effectiveness, cost, and return on investment of SBC.
Using Social and Behavior Change to Increase Family Planning Uptake in Zambia: Making the Case
This case study highlights how Breakthrough ACTION worked with partners in Zambia to advocate to policymakers to include specific SBC approaches in their next costed implementation plan.
Zambia
Elevating Social and Behavior Change as an Essential Component of Family Planning Programs
This commentary explores how an increased investment in SBC can help advance the achievement of global, regional, and national goals related to family planning demand, access, and use.
Prioritizing and Targeting SBC Investments in Family Planning for Married Youth in USAID Priority Countries
This brief is intended for policymakers and implementers in USAID family planning priority countries and underscores the need for investments in SBC interventions in family planning programming for married young women.
Guide de message harmonisé pour les comportements prioritaires en Guinée / Harmonized Message Guide for Priority Behaviors in Guinea
This guide provides harmonized messages for implementers and policymakers to use to promote 20 priority health behaviors (including family planning-related behaviors) in Guinea.
Guinea
Prioritizing and Targeting SBC Investments to Address Adolescent Pregnancy
This brief underscores the need for investments in adolescent and youth sexual and reproductive health programming that include SBC interventions, and illustrates a targeted approach for programming.
Click for Spanish
Exploring Pathways to SBC Impact
This interactive graphic presents a framework of the pathways through which mass media, interpersonal communication interventions, and packages of different types of SBC interventions can increase modern contraceptive use.
Understanding Family Planning Outcomes in Northwestern Nigeria: Analysis and Modeling of Social and Behavior Change Factors
This journal article can be used to inform researchers and implementers how Breakthrough RESEARCH’s study assessed the effects of intermediate determinants of contraceptive use/uptake and demonstrated their potential impacts.
Nigeria
Un programme d’action commun de changement social et de comportement en faveur de la planification familiale dans les pays du Partenariat de Ouagadougou
This report, intended for use by implementers, provides an overview and description of why joint, coordinated action in SBC for family planning is needed in the OP region.
Investing in Social and Behavior Change is Cost-effective for Increasing Modern Contraceptive Use in Guinea
This brief summarizes Breakthrough RESEARCH's SBC Business Case's modeled application of SBC cost-effectiveness and return on investment for family planning in Guinea.
Investing in Social and Behavior Change is Cost-effective for Increasing Modern Contraceptive Use in Niger
This brief summarizes Breakthrough RESEARCH's SBC Business Case's modeled application of SBC cost-effectiveness and return on investment for family planning in Niger.
Niger
Investing in Social and Behavior Change is Cost-effective for Increasing Modern Contraceptive Use in Togo
This brief summarizes Breakthrough RESEARCH's SBC Business Case's modeled application of SBC cost-effectiveness and return on investment for family planning in Togo.
Togo
Investing in Social and Behavior Change is Cost-effective for Increasing Modern Contraceptive Use in Zambia
This brief summarizes Breakthrough RESEARCH's SBC Business Case's modeled application of SBC cost-effectiveness and return on investment for family planning in Zambia.
This report, intended for use by implementers, provides an overview and description of why joint, coordinated action in SBC for FP is needed in the OP region.
Ouagadougou Partnership
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Investing in Social and Behavior change is Cost-effective for Increasing Modern Contraceptive Use in Guinea
Social and Behavior Change for Family Planning User Journey Tool
The tool helps SBC advocates communicate the need for SBC in family planning and reproductive health programming in an easy-to-grasp visual format.
Ensuring Effective Partnerships and Coordination for Social and Behavior Change for Family Planning and Reproductive Health
This technical brief presents lessons learned and key examples from Breakthrough ACTION's experience working with partners and coordinating SBC for sexual and reproductive health efforts and provides recommendations to implementing partners, governments, and donors.
This brief highlights three reasons why SBC should be included in family planning programs, using supporting examples from various programs. This resource is intended for implementers, researchers and policymakers in Francophone West Africa.
Why Invest in Social and Behavior Change for Family Planning and Reproductive Health? A Resource Collection Guide for Donors
This guide and accompanying FP insights collection was developed by Breakthrough ACTION to help donors address the challenges that they face in investing in SBC for FP/RH.
Click for Guide (English)
Click for FP insights collection
Why Invest in Social and Behavior Change for Family Planning and Reproductive Health? A Resource Collection Guide for Country-Level Decision-Makers
This guide and accompanying FP insights collection was developed by Breakthrough ACTION to help country-level decision-makers address the challenges that they face in investing in SBC for FP/RH.
Why Support Social and Behavior Change for Family Planning and Reproductive Health? A Resource Collection Guide for Service Delivery Implementing Partners
This guide and accompanying FP insights collection was developed by Breakthrough ACTION to help service delivery implementing partners address challenges in supporting SBC for FP/RH and advocating for its inclusion in FP/RH programming.
Increasing Investment in Social and Behavior Change for Family Planning/Reproductive Health
This insight brief presents findings on behavioral barriers to increased investment in social and behavior change for family planning and reproductive health programming. The analysis focuses on the barriers and needs of three key groups: (1) country offices of government assistance agencies, (2) private foundations, and (3) country decision makers.
From Vision to Action: Guidance for Implementing the Circle of Care Model
This resource provides guidance for implementers wanting to use the Circle of Care—a holistic model that shows how SBC can be applied across the service continuum to improve health outcomes.
Provider Behavior Ecosystem Map
This thinking tool helps users understand the factors that shape facility-based provider behavior and consider behavior from a systems lens to enable more supportive and effective provider initiatives.
Tested Solutions for Quality Family Planning Counseling
This brief gives implementers and researchers an in-depth look at how to adapt and implement four solutions tested by Breakthrough ACTION to promote and improve quality family planning counseling.
Breakthrough ACTION Malawi Provider Behavior Change Activity: Handoff Package for Postpartum Family Planning and Improved Counseling
This package provides information on how to operationalize a set of provider-facing solutions, which help providers deliver family planning counseling to women in a way that facilitates informed choice.
Supporting Sexual and Reproductive Self-Care through Social and Behavior Change: A Conceptual Framework
This framework explores what drives sexual and reproductive self-care, demonstrates the importance of incorporating SBC approaches into self-care initiatives, and provides guidance on how to do so.
Social and Behavior Change Indicator Bank for Family Planning and Service Delivery
This indicator bank provides validated indicators, particularly for program implementers and researchers using SBC approaches for family planning and service delivery.
Provider Behavior Change Approaches to Improve Family Planning Services in the OP Countries: A Landscaping Review
This review summarizes evidence on the effectiveness of provider behavior change interventions for improving family planning services in OP countries and presents current or recent interventions not yet formally evaluated.
OP countries
Evidence Review and Analysis of Provider Behavior Change Opportunities
This literature review presents the existing evidence of the promise of behavioral economics to improve health outcomes through provider-facing interventions in five critical health areas, including family planning.
Feasibility Study Insights: Initiative to Improve Postpartum Family Planning in Malawi
This document provides results and lessons learned from a study conducted in health facilities across Malawi to assess the operational feasibility of solutions for improving postpartum family planning counseling.
Malawi
Evaluation Results: Encouraging Family Planning Counseling that Promotes Meaningful Choice in Malawi
This brief describes results and lessons learned from an evaluation of solutions to encourage community health workers in Malawi to counsel postpartum women on all methods and account for individual preferences.
Social and Behavior Change for Service Delivery Community of Practice: Spearheading Progress Through a Shared Agenda
This resource outlines a shared agenda for SBC for service delivery, highlighting goals, commitments, and priority areas for the SBC for Service Delivery Community of Practice.
Encouraging Counseling that Promotes Meaningful Choice: Behavioral Design for Provider Behavior Change in Family Planning Services in Malawi
This brief documents process and lessons learned from applying a behavioral design approach to investigate factors driving provider behavior and developing provider-facing behavioral solutions in Malawi.
Confiance Totale Leaflets
These leaflets were developed as part of the Confiance Totale (Total Confidence) campaign to promote confidence in health centers, providers, and the safety and efficacy of modern family planning methods.
Burkina Faso, Côte d’Ivoire, Niger, and Togo
Maternity Waiting Home Videos
This series of informational videos speaks to women, their partners, and implementers in Ethiopia. They focus on various health areas and related behaviors to ensure their families stay healthy.
Click for Amharic (with English subtitles)
Ethiopia
Confiance Totale PSAs
These public service announcements from the Confiance Totale (Total Confidence) campaign can be used by implementers to provide calls to action related to family planning and reproductive health behaviors for individuals and couples to consider.
Barriers Inhibiting Detection and Management of Postpartum Hemorrhage by Providers in Madagascar
This brief summarizes gaps in provider behavior best practices for the detection and management of postpartum hemorrhage, including behavioral factors that may contribute to non-compliance with certain best practices.
madagascar
Barriers Inhibiting Effective Detection and Management of Postpartum Hemorrhage During Facility-based Births in Madagascar: Findings From a Qualitative Study Using a Behavioral Science Lens
This article discusses how perceived low risk of postpartum hemorrhage, limited feedback on compliance with best practices and the context of scarcity may negatively affect provider decision-making and clinical practices.
Madagascar
Barriers to Provision of Respectful Maternity Care in Zambia: Results From a Qualitative Study Through the Lens of Behavioral Science
This article discusses application of behavioral design methodology to identify specific and concrete contextual cues that targeted solutions could address in order to facilitate respectful maternity care in Chipata, Zambia.
Enhancing Respectful Care During Labor and Delivery
This brief informs national ministries of health, implementing partners, and donors on innovative ways to improve women's experiences during labor and delivery.
Tap for English
Piloting Respectful Maternity Care Solutions: Research Findings from a Study in Zambia
This brief details the implementation and the key learnings from of a pilot phase of respectful maternity care solutions in Chipata, Zambia, under the Breakthrough RESEARCH project.
Provider Provision of Respectful Maternity Care: Findings from a Small-scale Evaluation in Chipata, Zambia
This brief outlines key findings and insights on the effect of a 5-component solution package on clients’ experience of care during labor and delivery.
Service Providers as an Audience for Behavior Change
This Trending Topic focuses on service providers as an audience for SBC interventions and includes peer-reviewed literature and also highlights several resources that support the design and planning of provider behavior change interventions.
Tap for French
Provider Behavior Change Toolkit for Family Planning
This 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.
Reproductive Health Innovation Exchange Resource Page
This page compiles resources and videos of 16 reproductive health innovations that use SBC for service delivery and are freely available for others to take up and adapt for their programming.
Strengthening Social and Behavior Change for Service Delivery: Tailoring Interventions for Different Stakeholders in Family Planning and Reproductive Health
This brief presents lessons learned and key examples from Breakthrough ACTION's work strengthening SBC for sexual and reproductive health service delivery across various contexts, and provides recommendations to implementing partners, governments, and donors.
global
Using Social and Behavior Change to Strengthen Self-Care for Sexual and Reproductive Health
This brief describes how self-care practitioners can utilize proven and emergent SBC approaches to avoid or address pressing challenges to SRH self-care interventions.
Advancing Provider Behavior Change Programming
This research and learning agenda (RLA) from Breakthrough RESEARCH for advancing provider behavior change programming provides a summary of evidence gaps, key implementation science questions, and a call to action to put the RLAs into practice.
Expressions of Power in Health Care Providers' Experiences and Behavior
This Breakthrough RESEARCH brief investigates how power manifests and can be shifted to optimize provider behavior change approaches across health areas and geographical contexts.
Social and Behavior Change for Sexual and Reproductive Health Service Delivery Online Course
This online course is intended for service delivery program managers and coordinators to learn how SBC can be integrated into SRH services to improve acceptability, access, quality, and outcomes.
Using Social and Behavior Change to Foster Trust in Sexual and Reproductive Health: Evidence Synthesis and Recommendations
This report and accompanying brief provide SBC practitioners with a summary of the evidence around fostering trust as part of a supportive SRH environment, including an overview of the determinants of trust in SRH. They also provide programmatic guidance on how to better foster trust in SRH-focused SBC programs.
Tested Solutions for Supporting Facility-based Delivery
This guide provides a set of evidence-informed solutions developed by Breakthrough ACTION to support women and their families to follow through on their intentions to deliver in a health facility. The guide also provides instructions and considerations for adapting these solutions to local contexts and using them in concert with other solutions to promote respectful maternity care in facilities.
Resources about integrating SBC with existing family planning programming and other health and development sectors
MULTI-SBC: Programmatic Aid for Multisectoral Integration of Social and Behavior Change Programming
This framework provides tools for integrating SBC within existing family planning programs and with related fields. It acts as a starting point for family planning program implementers looking to integrate their programs with new or unfamiliar sectors.
Integrated SBC FlipChart Discussion Guide
This discussion guide is intended for use by community volunteers in Nigeria to enable them to engage and facilitate conversations between men and women about family planning and reproductive health.
Getting Practical: Integrating Social Norms into Social and Behavior Change Programs
This tool guides programmers in designing and modifying their SBC programs to be aware of, fortify, or shift social norms that influence their program’s behavioral objectives, as well as monitor the effects of those programs on social norms.
This package provides information on how to operationalize a set of provider-facing solutions, which help providers deliver FP counseling to women in a way that facilitates informed choice.
This brief gives implementers and researchers an in-depth look at how to adapt and implement four solutions tested by Breakthrough ACTION to promote and improve quality FP counseling.
This short guide provides important considerations, messages, and resources to support implementers in adapting their SBC for FP programming in response to the challenges presented by COVID-19.
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Evidence to Inform an Integrated Social and Behavior Change Strategy in the Sahel
This literature review on SBC programming summarizes the evidence, and lack thereof, related to programmatic approaches that have addressed behavioral determinants and health outcomes in the Sahel region.
Burkina Faso and Niger
Behavioral Sentinel Surveillance Survey in Nigeria: Baseline Technical Report
This Breakthrough RESEARCH technical report presents baseline results of an ongoing assessment of the effectiveness of the Breakthrough ACTION/Nigeria integrated SBC activities (including family planning) vs malaria-only SBC activities.
Increasing Modern Contraceptive Use Among Women in Kebbi State
This Breakthrough RESEARCH infographic maps out three important SBC factors for increasing modern contraceptive use in Kebbi State, Nigeria.
Increasing Modern Contraceptive Use Among Women in Sokoto State
This Breakthrough RESEARCH infographic maps out three important SBC factors for increasing modern contraceptive use in Sokoto State, Nigeria.
Increasing Modern Contraceptive Use Among Women in Zamfara State
This Breakthrough RESEARCH infographic maps out three important SBC factors for increasing modern contraceptive use in Zamfara State, Nigeria.
Documenting Lessons from an Integrated Social and Behavior Change Program Linked to Integrated Health Services in Zambia
This brief documents lessons learned from an integrated SBC program in Zambia and is intended for use by SBC programmers and researchers involved in multi-health, community-based SBC programming.
Hormonal Contraception and HIV Trending Topic
This Trending Topic provides information and resources for implementers, researchers, and policymakers working on SBC aspects of addressing the relationship between hormonal contraception and HIV.
Multi-Sectoral Integration of SBC Programming: A High-Level Exploration of Integrating Family Planning with Other Development Sectors
This report presents results of an assessment to integrate family planning with SBC programs outside of the health and development sector and includes recommendations for program implementers on future assessments.
GLObal
Increasing Use of Antenatal Care Services Among Women in Kebbi State
This Breakthrough RESEARCH infographic maps out three important SBC factors for improving women’s attendance of four or more antenatal visits during pregnancy (ANC 4+) in Kebbi State, Nigeria.
Increasing Use of Antenatal Care Services Among Women in Sokoto State
Breakthrough RESEARCH infographic that maps out three important SBC factors for improving women’s attendance of four or more antenatal visits during pregnancy (ANC 4+) in Sokoto State, Nigeria.
Increasing Use of Antenatal Care Services Among Women in Zamfara State
Breakthrough RESEARCH infographic that maps out three important SBC factors for improving women’s attendance of four or more antenatal visits during pregnancy (ANC 4+) in Zamfara State, Nigeria.
Pregnancy and Childbirth—Insights for Improving Malaria, Family Planning, and Maternal and Child Health Outcomes in Northwestern Nigeria Through Social and Behavior Change Programming
This brief provides rigorous, evidence-based insights to implementers and researchers of SBC programs that seek to improve knowledge, attitudes, norms, and behaviors for women during pregnancy and delivery.
Cost-Effectiveness Analysis Comparing Integrated and Malaria-Only Social and Behavior Change Programming in Nigeria: Initial Costing Data
This Breakthrough RESEARCH report estimates the costs for the initial stage of Breakthrough ACTION’s integrated SBC programming in Nigeria.
nigeria
NiGeria
Seeking Breakthroughs in Social and Behavior Change at the Intersection of Family Planning and Intimate Partner Violence
This package presents key takeaways from a technical consultation on linkages between family planning and intimate partner violence and illustrates the use of SBC theories and approaches to address this intersection.
Advancing Integrated SBC Programming
This research and learning agenda (RLA) from Breakthrough RESEARCH for advancing integrated SBC programming provides a summary of evidence gaps, key implementation science questions, and a call to action to put the RLAs into practice.
Evaluation of RISE II Integrated Social and Behavior Change Activities in Niger—Baseline Report
This Breakthrough RESEARCH technical report shares the baseline results of an effectiveness assessment of RISE II integrated SBC programming in Niger.
Findings from a Mixed Methods Evaluation of the RISE II Integrated Social and Behavior Change Approach to Improve Health Outcomes in Niger
This Breakthrough RESEARCH brief shares the endline results of an effectiveness assessment of RISE II integrated SBC programming in Niger.
Behavioral Sentinel Surveillance Survey in Nigeria: Endline Technical Report
This Breakthrough RESEARCH technical report presents endline results from an effectiveness assessment of the Breakthrough ACTION integrated SBC activities in Nigeria versus malaria-only SBC activities.
Behavioral Sentinel Surveillance Survey in Nigeria: Endline Technical Report for Couples
This Breakthrough RESEARCH technical report presents results from a couples-focused analysis of effectiveness assessment of the Breakthrough ACTION integrated SBC activities in Nigeria versus malaria-only SBC activities.
Qualitative Evaluation of Breakthrough ACTION/Nigeria’s Community Capacity Strengthening Approach to Sustaining Integrated Social and Behavior Change Programming
The technical report from Breakthrough RESEARCH presents results from a qualitative study to assess early success, threats, and opportunities for Breakthrough ACTION/Nigeria’s Community Capacity Strengthening approach.
Qualitative Research on Breakthrough ACTION’s Advocacy Core Group Model for Integrated Social Behavior Change Programming in Nigeria
This technical report from Breakthrough RESEARCH describes results from a qualitative assessment of the Advocacy Core Group (ACG) model implemented by Breakthrough ACTION/Nigeria.
Evaluation of Breakthrough ACTION-Nigeria’s Social and Behavior Change Public Sector Capacity Strengthening Approach
This technical report from Breakthrough RESEARCH presents the results of a qualitative study evaluating the extent to which the Public Sector Capacity Strengthening (PSCS) approach, implemented by Breakthrough ACTION in Nigeria, has strengthened capacity.
Cost-Effectiveness Analysis Comparing Integrated and Malaria-Only Social and Behavior Change Programming in Nigeria: Midline Analysis
This Breakthrough RESEARCH report estimates the costs for Breakthrough ACTION’s integrated SBC programming in Nigeria at midline.
This brief from Breakthrough RESEARCH documents the lessons learned from an integrated SBC program in Zambia and is intended for use by SBC programmers and researchers involved in multi-health, community-based programming.
zambia
Social and Behavior Change and the Enabling Environment for Family Planning
This legacy resource document from Breakthrough RESEARCH highlights synthesized learnings for advancing integrated SBC and the enabling environment and shares key resources produced over the life of the project.
Lessons for Integrated Social and Behavior Change Programming – Exploring Family Planning, Maternal and Child Health, and Nutrition Behavioral Determinants in Niger
This blog from Breakthrough RESEARCH discusses the lessons learned for integrated SBC programming through an exploration of behavioral determinants in Niger.
NIGER
Resources about using SBC to engage men and boys in family planning programming and address key drivers and barriers to their engagement
Advancing Male Engagement in Family Planning + Reproductive Health: An Advocacy Tool
This tool offers guidance for program implementers on advocating with various audiences for increased investment in, commitment to, and implementation of male engagement approaches to improve family planning and reproductive health outcomes.
Vasectomy Message Framework: A Tool to Help Advocates Prepare for Conversations with Key Stakeholders
This framework can be used by implementers and advocates to prepare for advocacy conversations with various stakeholders to increase support for vasectomy programming and improve method choice.
Know, Care, Do: A Theory of Change for Engaging Men and Boys in Family Planning
This theory of change is intended for implementers working to increase and strengthen the engagement of men and boys in family planning services and programs.
Men's Wellness Days: A Toolkit for Implementers
This integrated design package is intended for implementers to address various family planning and reproductive health behaviors among men in Zambia.
Engaging Men as Contraceptive Users: The Time is Now
This tool provides presentation materials for implementers to advocate for vasectomy with key stakeholders in government, coordinating bodies, and donor organizations.
Underfunded & Underutilized: An Argument for Vasectomy Advocacy for Method Choice
This resource provides evidence for implementers and advocates to increase attention to vasectomy as a family planning method and spur advocacy for its inclusion in SBC investments.
Engaging Men for Effective Family Planning in Togo
This resource page provides links to a brief and technical report which detail Breakthrough RESEARCH's assessment of how two couple communication interventions in Togo might have influenced pathways and decision-making associated with family planning behaviors for participating couples.
TOGO
Together We Decide: Using Behavioral Science to Improve Postpartum Contraceptive Uptake
This brief focuses on male engagement and couples' communication to increase postpartum family planning uptake in eastern Uganda and discusses the behavioral design approach used to create an interactive game and planning card.
Partners in Progress: Innovating to Improve and Increase Male Engagement in Family Planning
This interactive webpage presents lessons learned for male engagement in family planning using examples from the Transform/PHARE project in Côte d'Ivoire and Burkina Faso.
Family Planning and Intimate Partner Violence: An Intersection Deserving of More Attention
This blog post highlights critical linkages between FP and intimate partner violence across the life course and the need for SBC theories and approaches to better address this intersection.
This report presents results of an assessment to integrate FP with SBC programs outside of the health development sector and includes recommendations for program implementers on future assessments.
Gender and social norms
Increasing Use of Antenatal Care Services among Women in Kebbi State
Increasing Use of Antenatal Care Services among Women in Sokoto State
Increasing Use of Antenatal Care Services among Women in Zamfara State
Piloting Respectful Maternity Care Solutions: research findings from a study in Zambia
Provider Provision of Respectful Maternity Care: findings from a small-scale evaluation in Chipata, Zambia
Investing in social and behavior change is cost-effective for increasing modern contraceptive use in Zambia
This technical report presents an evidence-based approach for implementers and researchers to advocate for investment in SBC for FP by detailing the effectiveness, cost, and return on investment of SBC.
Côte d'Ivoire and Burkina Faso
UGANDA
“When You Live in Good Health with Your husband, then Your Children are in good health ….” A qualitative exploration of how households make healthcare decisions in Maradi and Zinder Regions, Niger
This manuscript from Breakthrough RESEARCH explores how households make decisions about family planning, child health, and nutrition in the Maradi and Zinder regions, Niger.
"When You Live in Good Health with Your Husband, Then Your Children Are in Good Health": A Qualitative Exploration of How Households Make Healthcare Decisions in Maradi and Zinder Regions, Niger
Know, Care, Do: A Theory of Change for Engaging Men and Boys in Family Planning Online Course
This online course is intended for program implementers who are working to increase and improve the engagement of men and boys in FP programs and services. Course participants will deepen their understanding of what engaging men and boys in FP means.
Know, Care, Do: Case Studies
These case studies, available in English and French, showcase how male engagment approaches were applied in the DRC, India, Nigeria, and South Sudan. Each case study follows the Know, Care, Do structure to illustrate how it can be applied to program design and implementation across diverse country contexts.
Resources about using SBC to meet the family planning needs of youth, and improve youth-related family planning access and outcomes
Empathways: An Empathy-building Card Activity
This card activity guides implementers in helping forge greater empathy between youth and family planning service providers to improve youth family planning service delivery.
Adolescent Wellness Days: A Toolkit for Implementers
Ishibeni Utuntu, or Adolescent Wellness Days, is an integrated package for implementers and researchers interested in improving youth healthcare access and service delivery.
Social and Behavior Change Programming Landscape for Out-of-School Adolescent and Youth Reproductive Health Programs in the Philippines: A Scoping Review
This brief presents key findings for implementers and researchers to consider past and present SBC initiatives targeting male and female out-of-school youth aged 15 to 19 in the Philippines.
Phillipines
Improving Reproductive Health and Family Planning Outcomes Among Out-of-School Adolescents and Youth in the Philippines
This brief presents the results of a targeted qualitative research study in the Philippines for implementers to consider on ways to facilitate positive family planning and reproductive health behavior change among out of school youth.
Listen Up! How can Social and Behavior Change Programming Improve Reproductive Health and Family Planning Behaviors of Out-of-School Youth in the Philippines?
This infographic factsheet shares highlights from an intervention in the Philippines for implementers and researchers to consider best practices on reaching out-of-school youth with family planning and reproductive health messages.
What Does YOLO Mean to Me?
This video series presents young people sharing the lessons related to family planning and reproductive health they learned from the “YOLO” (“You only live once”) series in Ghana for consideration by implementers.
GHana
Breakthrough ACTION Zambia: Testimonial Videos for Youth
These informational videos were created for implementers as part of the “Life is Precious, Take Care of It” campaign supported by Breakthrough ACTION in Zambia and aim to encourage youth to be responsible with their family planning and reproductive health behaviors.
Zambia Family Planning for Adolescents - Life is Precious, Take Care of It
This informational video for implementers provides a brief overview of the issue of adolescent pregnancy in Zambia and youth access to family planning and reproductive health resources and services.
Radio Spots, Zambia
These radio spots, which are intended for youth and implementers in Zambia, discuss information related to family planning for young couples and male adolescent engagement in family planning.
Using Digital Technologies in Youth-Focused SBC Programs for FP/RH
This resource shares five program recommendations from Breakthrough ACTION's assessment to understand how youth in LMICs seek, vet, and share information about reproductive health using digital platforms.
Family Planning and Youth in West Africa: Mass Media, Digital Media, and Social and Behavior Change Communication Strategies
This review presents evidence and lessons learned about the impact of mass media and digital media on young people’s family planning attitudes and behaviors primarily in the OP countries.
Op COUNTRIES
Regional Interactive FP/RH Information Center
This resource page connects users to an online regional chatbot, called DSSR-Bot, which allows youth in the nine Ouagadougou Partnership countries to easily access information on family planning and reproductive health using popular messaging applications (including WhatsApp and Messenger).
This Breakthrough RESEARCH brief provides insights for improving knowledge, attitudes, and norms, focused on married adolescents’ uptake of services and health knowledge.
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
Using a Multi-media Strategy with Young People to Break Family Planning Taboos
This page shares the lessons learned, results, and key resources from the multi-media, regional Merci Mon Héros (MMH) youth FP campaign. The resource is designed for donors, designers, and implementers that wish to learn from MMH's experience, or replicate the campaign in their own context.
Determining the Most Significant Changes on Intergenerational Communication and Young People’s Family Planning and Reproductive Health Outcomes: Qualitative Evaluation of the Merci Mon Héros Media Campaign in Niger and Côte d’Ivoire
This Breakthrough RESEARCH report presents the results of the qualitative component of monitoring and evaluation activities of the MMH campaign in Niger and Côte d’Ivoire.
Niger and Côte d’Ivoire
Resources about various SBC approaches, including human-centered design, behavioral economics, and audience segmentation
Accelerating Family Planning Demand Through Advanced Audience Segmentation: Designing Better Social and Behavior Change Strategies to Address Diverse Family Planning Wants and Needs
This interactive webpage for program implementers documents key lessons learned and the implementation experience of using advanced audience segmentation to improve family planning and reproductive health outcomes in Niger and Côte d'Ivoire.
Using a Behavioral Economics Approach for Family Planning
This brief highlights opportunities and recommendations for implementers and advocates interested in using behavioral economics to influence positive family planning outcomes.
Leveraging Human-Centered Design for Family Planning
This brief highlights opportunities and recommendations for implementers and advocates interested in using human-centered design in family planning programs.
Analyse situationnelle de la capacité de changement social et comportemental des principaux partenaires gouvernementaux, internationaux et locaux du Ministère de la Santé
This technical report, originally intended for implementers in Guinea, presents an assessment of the capacity of stakeholders to manage SBC programs, including for planning, implementation, and monitoring and evaluation.
Using Audience Segmentation Approaches to Inform Integrated Family Planning and Maternal Health Programs in Niger
This Breakthrough RESEARCH programmatic research brief provides information on audience profiles among women in Niger that can inform strategies to increase the use of maternal and reproductive health services.
Evaluation of the Confiance Totale Campaign in Togo
This report shares results from a campaign exposure evaluation of the Confiance Totale radio broadcast campaign in Togo, which aimed to investigate the relationship between campaign exposure and sexual and reproductive health outcomes of interest.
Niger AND Côte d'Ivoire
Applying Segmentation to SBC in Family Planning
This online course is intended for program implementers and provides insight into how segmentation can be an asset in SBC programming within family planning and other health areas.
Vasectomy Advocacy: The Time is Now
This blog, written for implementers and policymakers, serves as a call to action for greater investment in vasectomy and advocacy on the subject.
Accelerating Family Planning Demand Through Advanced Audience Segmentation Trending Topic
This Trending Topic provides an overview of audience segmentation in family planning and related resources for implementers and researchers to explore.
Social and Behavior Change 101: An Introduction Online Course
This online course is intended for program managers, donor organizations, and FP/RH practitioners to learn how SBC interventions can guide and amplify the effectiveness of FP/RH programming. The course is structured around the three steps of the SBC flowchart developed by Breakthrough ACTION: Define, Design and Test, and Apply.
Obtain how to guidance
Going Beyond Engagement: Community-Centered Social and Behavior Change For Family Planning and Reproductive Health
This brief presents lessons learned and key examples from Breakthrough ACTION's community-based sexual and reproductive health programming and provides related recommendations to implementing partners, governments, and donors.
This manuscript from Breakthrough RESEARCH models how social and behavior change programs may effectively change contraceptive behaviors by targeting the influences of intermediate determinants.
Engaging Communities for Reproductive Health and Family Planning Online Course
This online course, available in English and French, is intended for Ministry of Health staff, NGO program managers, and donor organization staff to learn how to work with communities to build local strengths and support community-led action around desired FP/RH behaviors.
Planification et mise en œuvre de programmes de changement social et de comportement en matière de planification familiale et de santé reproductive
This course is intended to enhance the ability of FP/RH program managers and designers to effectively plan and implement FP/RH activities using SBC methods, including the SBC Flow Chart.
Resources using SBC to understand and address gender dynamics and other social and structural determinants of health and inequities in FP/RH programming
Audience Segmentation in Child, Early, and Forced Marriage (CEFM) Programming
This brief provides guidance and examples for implementers interested in using advanced audience segmentation as an SBC strategy to reduce CEFM.
Collective Action in Child, Early, and Forced Marriage Programming
This brief provides guidance and examples for implementers interested in using collective action as an SBC strategy to reduce CEFM.
Gender Synchronization and Child, Early, and Forced Marriage Programming
This brief provides guidance and examples for implementers interested in using gender synchronization in CEFM programming.
Social Norms and Child, Early, and Forced Marriage Programming
This brief provides guidance and examples for implementers and researchers interested in addressing and integrating social norms in CEFM programming.
SBC Theory in Child, Early, and Forced Marriage Programming
This brief provides guidance and examples for implementers interested in incorporating SBC theories into their programming and using these theories to enhance efforts to end CEFM.
Youth Engagement and Child, Early, and Forced Marriage Programming
This brief provides guidance and examples for implementers on how to use SBC to enhance youth engagement efforts to end CEFM.
GLobal
Using SBC to Enhance Programs to End Child, Early, and Forced Marriage (CEFM)
This webpage introduces CEFM and provides briefs for implementers and advocates interested in using SBC approaches to reduce CEFM.
A Taxonomy for Social Norms that Influence Family Planning in East African Countries
This taxonomy can be used by implementers and researchers interested in understanding and addressing social norms that impact the uptake and use of family planning in East Africa.
east africa
Gender Synchronization for Family Planning in Niger
This fact sheet outlines recommendations for policymakers and implementers interested in adopting a gender synchronized approach to their interventions.
Gender Norms, Contraceptive Use, and Intimate Partner Violence: A six-country analysis
This study examined correlations between couple concordance on gender norms and contraceptive use and reduced intimate partner violence (IPV). Findings suggest that family planning programs should support joint decision-making as it was positively associated with contraceptive use and is a proxy for shared economic power.
Increasing the Use of Social and Behavior Change in Health Systems Strengthening: Evidence and Recommendations to Improve Primary Health Care
This brief summarizes findings from a literature review and technical consultations related to integrating SBC within health systems strengthening (HSS) programming. It also provides recommendations and identifies promising opportunities to increase the use of effective SBC in HSS programming.
The Road to Equity in Family Planning: Incorporating the Social Determinants of Health
This technical brief highlights key learnings and recommendations from Breakthrough ACTION's efforts in recent years for shaping investments and SBC programming that directly address inequities and social determents of health, which impact family planning and reproductive health outcomes and beyond.
Human-Centered Design and Child, Early, and Forced Marriage Programming
This brief provides guidance and examples for implementers and researchers interested in using human-centered design as a strategy in CEFM programming.
Expanding the “S” in Social and Behavior Change: Addressing Social Determinants of Health and Health Equity in SBC Programming
This resource serves as a thinking tool for implementers as they consider how to identify, prioritize, and address the social determinants of health through their programming.
This document provides evidence to guide strategic decision-making among donors and governments in support of SBC initiatives to reduce inequities in family planning and reproductive health.
Intentionally Incorporating the Social Determinants of Health into Social and Behavior Change Programming for Family Planning
This brief provides rigorous, evidence-based insights for implementers and researchers of SBC programs to improve knowledge, attitudes, norms and behaviors among pregnant and postpartum female adolescents.
Adolescent Female Empowerment, Ideations, and Health Behavior
NIGERIA
A Taxonomy for Social Norms that Influence Family Planning in the Ouagadougou Partnership Countries
This resource presents a taxonomy of social norms impacting family planning uptake and use in OP countries and can be used by researchers and implementers in their SBC for family planning programming.
This resource presents case studies, best practices, and lessons from Breakthrough ACTION programming in West and Central Africa for implementers and researchers interested in integrating gender into SBC activities.
Moving the Needle Towards Gender Transformation in Diverse Social and Behavior Change Programming Across West and Central Africa
WEST AND CENTRAL AFRICA
Opinion: Achieving Family Planning Equity Starts with a Power Analysis
This opinion piece considers the role of SBC in achieving equity in family planning and makes a call to action for SBC practitioners and researchers to be more intentional about addressing the relationship between structural inequities, the social determinants of health, and family planning access and use.
Scoping Report: Gender Integration in Social and Behavior Change
This technical report from Breakthrough RESEARCH reviews SBC-focused program literature that highlights integration of gender considerations into health and non-health SBC interventions.
Strengthening Social Accountability to Improve Reproductive Health and Family Planning Services
This technical brief presents the WABA and RISE II project experiences in addressing social accountability while implementing community engagement efforts in the context of social and behavior change for health.
Leveraging Human-Centered Design to Improve Gender-Equitable Adolescent Programming in DRC and Indonesia: Process Brief & Learnings
This process brief documents key steps and lessons learned from the process of co-designing, prototyping, and testing a package of interventions to create a more gender-equitable environment for VYAs in Indonesia and the DRC.
Click for Bahasa Indonesia
Creating a Gender-Equitable Environment for Very Young Adolescents: Messages and Evidence to Persuade Decision Makers
This Message Framework is designed for advocates working to increase funding for, and improve the implementation of, programs that seek to create a gender-equitable environment for very young adolescents (VYAs) (aged 10-14). It provides a core set of key messages and recommendations tailored to specific contexts.
Advocating for Programs to Create A More Gender-equitable Environment for Very Young Adolescents in the DRC
This advocacy brief share key learnings from the human-centered design process implemented by Breakthrough ACTION with very young adolescents (VYAs) in the DRC. It provides reflections and implications for programs and policies that center around engaging parents.
Human-Centered Design to Promote a Gender-Equitable Environment for Very Young Adolescents in Indonesia Design & Test Report: High-Fidelity Prototyping
This report details a process overview, results, and recommendations from the low-, medium-, and high-fidelity design and test activities in Denpasar and Semarang, Indonesia conducted by Breakthrough ACTION.
Comparing the Attitudes, Norms, and Beliefs of Husbands and Wives for Reproductive, Maternal, and Child Health
This research brief from Breakthrough RESEARCH details health attitudes, norms, and knowledge of husbands and wives related to reproductive, maternal, and child health behaviors in Kebbi State, Nigeria.
This case study from Ethiopia examines the feasibility and acceptability of simplified Cognitive Behavioral Therapy (CBT), delivered by community health workers, to address depression and/or anxiety in postpartum women. Specifically, the study focuses on how CBT can help address barriers to FP/RH services, as well as obstacles to contraceptive use.
Testing an Approach to Address Barriers to Family Planning for Postpartum Women Experiencing Depression and Anxiety: Case Study
Contraceptive Discontinuation Testing Toolkit
This toolkit and testing resources provide step-by-step instructions and considerations to SBC and FP/RH practitioners on testing six solutions that address contraception discontinuation among women and adolescent girls. Developed and intially tested by Breakthrough ACTION in the Philippines, these solution prototypes are meant to be tested and adapted to the needs of users in their local contexts.
Advocating for Programs to Create A More Gender-equitable Environment for Very Young Adolescents in Indonesia
This advocacy brief share key learnings from the human-centered design process implemented by Breakthrough ACTION with very young adolescents (VYAs) in Indonesia. It provides reflections and implications for programs and policies that center around addressing gender inequities in early adolescence.
Shifting Social and Gender Norms as Part of Social and Behavior Change, Part 1: Online Course
This online course was developed by Breakthrough ACTION and adapted from the in-person and virtual Social Norms Training Curriculum developed by the Passages Project. Part 1 offers an overview of social and gender norms and an introduction to using norms assessments for designing SBC programs.
Resources about measuring and costing SBC for family planning programming and interventions
Informing Social and Behavior Change Programs: Using Social Listening and Social Monitoring
This brief provides an overview of how social listening and monitoring can be utilized by implementers and researchers to collect information about SBC interventions.
Guidelines for Costing of Social and Behavior Change Health Interventions
These guidelines, developed by Breakthrough RESEARCH, provide a consistent set of methodological principles and best practices for implementers and researchers to consider in their SBC costing efforts.
Application of the Breakthrough RESEARCH Social and Behavior Change Costing Guidelines to the RISE-II Project in Niger
This report explores the development of guidelines for SBC costing and their application to programming in Niger and provides guidance for those interested in exploring the costs and impacts of SBC interventions.
The SBC Checklist to Develop and Assess Costed Implementation Plans for Demand Creation
This checklist and accompanying guide can help governments, donors, and implementation planning teams to ensure that they integrate best practices in SBC in their costed implementation plans (CIPs).
How to Use a Theory of Change to Monitor and Evaluate Social and Behavior Change Programs
This how-to guide from Breakthrough RESEARCH outlines how researchers and monitoring and evaluation staff can use a theory of change to ensure they have the programmatic data required to track results.
Strengthening Social and Behavior Change Monitoring and Evaluation for Family Planning in Francophone West Africa
This brief summarizes findings from a mapping of family planning investments and technical approaches, and it provides recommendations for policymakers and implementers to improve measurement of SBC for family planning activities.
Burkina Faso, Côte d’Ivoire, Niger, And Togo
Technical Report: Strengthening Social and Behavior Change Monitoring and Evaluation for Family Planning in Francophone West Africa
This report presents findings from a mapping of family planning investments and technical approaches and provides recommendations for policymakers and implementers to improve measurement of SBC for family planning activities.
Burkina Faso, Côte d’Ivoire, Niger, AND Togo
Findings from the Merci Mon Héros Social Listening Endline Report
This report presents social listening findings from the youth-led Merci Mon Héros media campaign led by Breakthrough ACTION, for use by implementers and researchers.
Estimating the Cost of the Design, Production, and Dissemination of the Social Media Videos for Social and Behavior Change: Evidence from Merci Mon Héros in Niger and Côte d'Ivoire
This journal article describes a costing study implemented by Breakthrough RESEARCH to capture costs associated with the design, production, and dissemination of 11 Merci Mon Héros campaign videos in Côte d'Ivoire and Niger.
Strengthening Social and Behavior Change Measurement in the RISE II Program
This brief presents an overview of SBC-related indicators utilized in family planning programming in Niger and is aimed for implementers and researchers in the Sahel region.
Twelve Recommended SBC Indicators for Family Planning: Indicator Reference Sheets
These indicator reference sheets help implementers and researchers define measurable indicators of their programs’ successes and failures, ensure data quality, and correctly interpret data produced by an organization.
Understanding the Costs of SBC Social Media Interventions
This brief identifies key considerations for implementers and researchers to consider for costing SBC via social media and provides an applied example from the Merci Mon Héros campaign.
The Added Value of Costing Social & Behavior Change Interventions
This brief provides an overview of how investment in high-quality costing of SBC interventions can benefit the work of government ministries, donors, implementers, and researchers.
Twelve Recommended SBC Indicators for Family Planning
This brief describes 12 SBC indicators that policymakers and programmers can adopt to monitor and evaluate their family planning programs to strengthen SBC measurement and improve program performance.
Using Social Listening to Inform Integrated Social and Behavior Change Programs in Burkina Faso
This report summarizes themes emerging from social listening related to various health areas (including family planning) and explores how implementers and researchers in the Sahel can use this information for integrated SBC activities.
BURKINA FASO
Monitoring the Quality Assurance Branding Campaign Confiance Totale in Côte d’Ivoire
This report summarizes results from a study to monitor the Confiance Totale (Total Confidence) quality assurance branding campaign in Côte d’Ivoire.
Côte d’Ivoire
Can Social Listening and Social Media Monitoring Benefit your SBC Activities?
This trending topic provides an overview of social listening and monitoring and describes how Breakthrough ACTION + RESEARCH applied it to the Merci Mon Héros program in francophone West Africa.
Côte d’Ivoire and Niger
Considerations and Guidance for Using Routine and Program Monitoring Data for Social and Behavior Change Evaluation
This brief discusses considerations of using routinely collected data for design and analysis, illustrates steps in undertaking an evaluation, and demonstrates how results can be applied to SBC programming.
Aligning Measures of Social and Behavior Change for Family Planning
This blog post provides an overview for implementers and researchers on approaches and tools from Breakthrough ACTION + RESEARCH to measure SBC for family planning.
How to Leverage Social Listening to Inform Social and Behavior Change Programs
This how-to guide from Breakthrough RESEARCH provides an overview of how social listening and monitoring can be used by implementers and researchers to collect information about SBC interventions.
How to Measure Provider Behavior Change Impact
This how-to guide from Breakthrough RESEARCH is intended to help program planners and designers better understand provider behavior change initiatives and their impact on service delivery and quality.
Using the Provider Authoritarian Attitude Scale
This technical reference sheet from Breakthrough RESEARCH provides information to monitoring, evaluation, and research practitioners on the resulting 14-item scale and instructions and resources for fielding and analyzing providers’ authoritarian attitudes using these measures.
The Social and Behavior Change Business Case Model for Family Planning: An Interactive Tool
This tool from Breakthrough RESEARCH guides program planners through a series of steps necessary to see how SBC interventions might impact mCPR and the cost-effectiveness of those interventions.
Costing for Family Planning Social and Behavior Change
This legacy resource document from Breakthrough RESEARCH highlights synthesized learnings for advancing SBC costing and cost effectiveness and shares key resources produced over the life of the project.
Advancing Social and Behavior Change Measurement in Family Planning
This legacy resource document from Breakthrough RESEARCH highlights synthesized learnings for advancing SBC measurement in FP and shares key resources produced over the life of the project.
