The United States Agency for International Development (USAID)’s Resilience in the Sahel Enhanced (RISE) II programs target chronically vulnerable populations through programming to improve priority behaviors in maternal, newborn, and child health, family planning, nutrition, and water, sanitation, and hygiene.

Breakthrough RESEARCH is conducting mixed methods research to assess successes and challenges of integrated social and behavior change (SBC) programming, including its effectiveness on priority behaviors and cost-effectiveness in a climate-stressed setting. Breakthrough RESEARCH’s evaluation activities will improve the design and implementation of SBC programming in RISE II and inform USAID’s global portfolio of integrated SBC programming.

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Generating Evidence to Inform Integrated Social and Behavior Change Programming in the Sahel

The Breakthrough RESEARCH portfolio of core-funded and Sahel Regional Office funded activities that support work in the RISE II program are described in the RISE II activity brief.

Activity brief: “Generating Evidence to Inform Integrated Social and Behavior Change Programming in the Sahel” [EnglishFrench]

Evidence to Inform an Integrated Social and Behavior Change Strategy in the Sahel

Breakthrough RESEARCH completed this literature review, which summarized the evidence, or lack thereof, in the Sahel, to establish a rationale for the planned RISE II SBC evaluation as described in the study protocol. The literature review provides an overview of the health and development challenges in the region, along with priority health behaviors and their determinants followed by a description of SBC programmatic approaches that have addressed behavioral determinants and health outcomes in the region.

  Technical report: “Evidence to Inform an Integrated Social and Behavior Change Strategy in the Sahel

Application of the Breakthrough RESEARCH Social and Behavior Change Costing Guidelines to the RISE-II Project in Niger

Understanding the costs of SBC interventions is important for budgeting, price setting, and conducting cost-effectiveness studies, which can inform policy decisions to efficiently achieve health and development goals. In March 2020, Breakthrough RESEARCH began applying these guidelines to the RISE II program in Niger for a cost-effectiveness analysis (CEA). Baseline behavioral health data will be captured prior to the delivery of the health-related SBC interventions and at endline. The purpose of this document is to share the findings of the application of the guidelines and provide an example and guidance for SBC researchers and implementers on how these guidelines can be applied to other case study applications.

Technical report: “Application of the Breakthrough RESEARCH Social and Behavior Change Costing Guidelines to the RISE-II Project in Niger

Strengthening Social and Behavior Change Measurement in the RISE II Program

In RISE II, the RFSA partners use a variety of SBC approaches, including community mobilization, interpersonal communication through peer group activities, and mass media, to address priority health behaviors. Breakthrough RESEARCH conducted a mapping of family planning (FP); maternal, newborn, and child health (MNCH); nutrition; and water, sanitation, and hygiene (WASH) indicators in Niger and Burkina Faso to assess the availability of SBC-related data, including standardized indicators that could inform RISE II partner programs and support the identification and selection of standardized SBC indicators for routine programmatic data collection. We found that current SBC measures related to FP; MNCH; nutrition; and WASH in Niger and Burkina Faso are extremely limited and are mostly concentrated at output-level measures and individual health outcomes.

Programmatic Research Brief:  Strengthening Social and Behavior Change Measurement in the RISE II Program

Activity Snapshot

Lead Research Partners
Population Council and Avenir Health

Collaborating Partners
Ministries of Health (Burkina Faso and Niger), Ministries of Agriculture (Burkina Faso and Niger), Breakthrough ACTION, RFSA implementing partners, TANGO, in-country research institutions

Anticipated Timeline
August 2019 – August 2022

Geographic Location
Burkina Faso and Niger

Contact
Leanne Dougherty