Breakthrough RESEARCH, through work led by Avenir Health, is gathering, analyzing, and sharing evidence on the costs and impact of social and behavior change (SBC) interventions to make the case that investing in SBC is crucial for improving health and advancing development. The project is:

  • Reviewing and synthesizing existing literature on SBC program effectiveness, costs, cost-effectiveness, and cost-benefit analysis.
  • Developing and piloting costing guidelines for donors, implementing organizations, and researchers for collecting and analyzing SBC cost data.
  • Developing modeling approaches to estimate SBC cost-effectiveness and cost-benefit ratios using existing country-level data.

The activity will provide an evidence-based rationale for donors, policymakers, and program managers to invest in SBC, and will also make guidance available to program implementers in other health and development sectors to analyze the costs, cost-effectiveness, and cost-benefit of their own programs.

Social and Behavior Change Business Case and Costing  

Webinar | Slides [PDF]

On July 2, 2019, Breakthrough RESEARCH held a webinar to review why costing is important to the SBC community and preview three Breakthrough RESEARCH resources designed to improve and increase the use of costing analysis: an SBC Cost Repository, SBC Costing Guidelines, and an SBC Business Case. As these resources become available, stakeholders can use the information to incorporate discussion of costing into SBC working groups and communities of practice and inform SBC budgeting, planning, and advocacy. For example,

  • Donors can commission studies to assess SBC costs using the standardized methodology detailed in the SBC Costing Guidelines;
  • Implementing partners can leverage evidence from the SBC Business Case to advocate with donors for greater SBC investment;
  • Ministries of Health can apply principles from the SBC Costing Guidelines to improve annual budgeting and long-term planning; and
  • Researchers and cost analysts can draw on the SBC Cost Repository to model costs and develop investment cases.

Stakeholders can also incorporate discussion of costing into existing SBC working groups and communities of practice.


Jim Rosen, Senior Technical Advisor for Costing and Financing, Avenir Health

Willyanne DeCormier Plosky, Senior Policy Analyst, Avenir Health

Michelle Weinberger, Senior Associate, Avenir Health