Social and Behavior Change Communication

McKee, Neill; Becker‐Benton, Antje; Bockh, Emily

doi:10.1002/9781118505328.ch17

Cited by 19 publications

(13 citation statements)

References 15 publications

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“…Using a theory of change to guide all stages of program development, implementation, and evaluation is a best practice for program planning (Breuer et al, 2015; Ghate, 2018; McKee et al, 2014; Schiavo, 2013). A total of 12.8% of programs utilized theory in all three stages (planning, implementation, and evaluation).…”

Section: Resultsmentioning

confidence: 99%

What Works to Address Violence Against Children (VAC) in and Around Schools

Sood

Kostizak

Mertz

et al. 2021

Trauma, Violence, & Abuse

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Violence against children (VAC) is a pervasive, global issue with both short- and long-term health, social, and economic consequences. This systematic review sought to identify best practices for designing and implementing social and behavior change communication (SBCC) programs targeting VAC in and around schools. Combinations of key search terms within five domains were entered into four databases: PubMed Central, Google Scholar, Sociological Abstracts, and EBSCOhost. Results were screened according to the inclusion and exclusion criteria. Namely, articles had to be published in English, be published after March 2014, focus on VAC in and around schools, focus on children, and use SBCC approaches. The searches produced 892,271 results. Of these, 63,183 were screened and 54 articles were selected. These articles were combined with 16 articles, gathered from a previous systematic review using the same databases and search domains conducted by the same research team, for a total of 70 articles. Articles were quantitatively analyzed using a coding guide in STATA and qualitatively analyzed using Nvivo. Results showed that most programs addressed bullying, were implemented in high-income countries, and included children aged 10 and older. Best practices in program design were using theory, conducting formative research, and involving program beneficiaries. Best practices in implementation were combining whole-school and targeted approaches, including special and hidden populations, involving secondary and tertiary audiences, using nonclassroom settings, using peer leader/mentor and cascade training models, and conducting process monitoring. Implications and avenues for future planning and implementation of SBCC interventions to address VAC in and around schools are discussed.

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Section: Resultsmentioning

confidence: 99%

What Works to Address Violence Against Children (VAC) in and Around Schools

Sood

Kostizak

Mertz

et al. 2021

Trauma, Violence, & Abuse

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“…These would have been difficult to conceive without the insights and guidance obtained through an interactive process that negotiated the relationship between communication practices and potentials for health communication. Furthermore, the evaluation of the CCT highlighted the capacity of Action Media to identify conceptual approaches to non-traditional communication that supported critical thinking in group settings ( 36 , 37 ). This contrasts with the emphasis of some peer education approaches that are weighted toward information delivery and didactic methods ( 38 ).…”

Section: Discussionmentioning

confidence: 99%

Experiences in Conducting Participatory Communication Research for HIV Prevention Globally: Translating Critical Dialog into Action through Action Media

Parker

Becker‐Benton

2016

Front. Public Health

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ProblemDeveloping communication to support health and well-being of vulnerable communities requires a multifaceted understanding of local perspectives of contextual challenges and potentials for change. While participatory research enhances understanding, robust methodologies are necessary to translate emerging concepts into viable communication approaches. Communicators and change agents need to clarify pathways for change, barriers and enablers for change, as well as the role, orientation, and content of communication to support change. While various approaches to participatory action research with vulnerable communities have been developed, there is a dearth of methodologies that address the formulation of communication concepts that can be applied at scale.MethodsThe Action Media methodology has been refined over a period of two decades, being applied to addressing HIV, related aspects such as gender-based violence, as well as broader issues, such as maternal and child health, sanitation, and malaria in Africa, The Caribbean, and Asia. The approach employs a sequence of interactive sessions involving communicator researchers and participants from one or more communities that face social or health challenges. Sessions focus on understanding audiences through their engagement with these challenges and leading to shaping of relevant communication concepts that can be linked to mobilization for change.ResultsThe Action Media methodology contributes to processes of shared learning linked to addressing social and health challenges. This includes determining priorities, identifying barriers and facilitators for change, understanding processes of mobilizing knowledge in relation to context, determining appropriate communication approaches, and integrating indigenous language and cultural perspectives into communication concepts. Emerging communication strategies include support to systematic action and long-term mobilization.RecommendationsCommunication to address public health concerns is typically developed through expert-led didactic approaches that, at best, engage audiences at the end of the development cycle through pretesting of communication concepts. Action Media provides an alternative approach that can be utilized to inform communication by integrating community perspectives at the outset. Notwithstanding the focused engagement with small group representative of health-vulnerable subpopulations, Action Media findings have informed large-scale communication interventions. The approach is directly linked to enabling ownership, critical thinking, and mobilization of knowledge for change.

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“…The nutrition interventions included complementary feeding activities and education through community-based growth promotion sessions; caregiver groups; home visits; and conditional cash transfers (CCTs) linked to the utilization of key health and nutrition services focusing on first 1,000 days of life. The sanitation interventions consisted primarily of CLTS as it was delivered here, latrine vouchers coupled with supply-side support for sanitation and hygiene products, and social behaviours change communications (SBCC) 40 . Intervention activities and frequency are summarized in Table 1, and additional details about the interventions are described in the Supplemental Information.…”

Section: Methodsmentioning

confidence: 99%

Independent and combined effects of nutrition and sanitation interventions on enteric pathogen carriage and child growth in rural Cambodia: a factorial cluster-randomised controlled trial

Lai

Ambikapathi

Cumming

et al. 2021

Preprint

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Background Childhood exposure to fecal pathogens contributes to growth faltering, which is linked with adverse side effects later in life. The prevalence of stunting remains high in rural Cambodia, despite rapid economic development over the last two decades. This study aimed to assess the independent and combined effects of nutrition and sanitation programming on child growth outcomes in rural Cambodia. Methods We conducted a factorial cluster-randomized controlled trial of 4,015 households with 4,124 children (1-28 months of age) across rural Cambodia. Fifty-five communes (clusters) were randomly assigned to a control arm or one of three treatments: a nutrition-only arm, a sanitation-only arm, and a combined nutrition and sanitation arm receiving both treatments. The primary outcome was length-for-age Z-score (LAZ). Secondary outcomes were weight-for-age Z-score (WAZ), weight-for-height Z-score (WHZ), stunting, wasting, underweight, and caregiver-reported diarrhea. Analysis was by intention-to-treat. The trial was pre-registered with ISRCTN Registry (ISRCTN77820875). Findings Compliance in the arms receiving the nutrition intervention was high, but compliance in the arms receiving the sanitation intervention was low. Compared with a mean LAZ of -1.04 (SD 1.2) in the control arm, children in the nutrition-only arm (LAZ +0.08, 95% CI: -0.01-0.18) and combined nutrition and sanitation arm (LAZ +0.10, 95% CI: 0.01-0.20) experienced greater linear growth; there were no measurable differences in LAZ in the sanitation-only arm. Similarly, compared with a mean WAZ of -1.05 (SD 1.1) in the control arm, children in the nutrition-only arm (WAZ +0.10, 95% CI 0.00-0.19) and combined-intervention arm (WAZ +0.11, 95% CI 0.03-0.20) were heavier for their age; there was no measurable difference in WAZ in the sanitation-only arm. There were no differences between arms in prevalence of stunting, wasting, underweight status, or one week period prevalence of diarrhea. Interpretation Improvements in child growth in nutrition and combined nutrition and sanitation arms are consistent with other recent trials but we found no evidence that this sanitation intervention improved child growth. The sanitation intervention achieved only modest changes in sanitation access and use suggesting that more effective approaches are needed to reduce open defecation in this setting.

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Social and Behavior Change Communication

Cited by 19 publications

References 15 publications

What Works to Address Violence Against Children (VAC) in and Around Schools

What Works to Address Violence Against Children (VAC) in and Around Schools

Experiences in Conducting Participatory Communication Research for HIV Prevention Globally: Translating Critical Dialog into Action through Action Media

Independent and combined effects of nutrition and sanitation interventions on enteric pathogen carriage and child growth in rural Cambodia: a factorial cluster-randomised controlled trial

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