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Ongoing marginalization or discrimination in societies around the world, caused and perpetuated in large part by unfair public policies, leads to certain people and groups having more or less access to resources and services based on their social class, race/ethnicity, gender, religion, migrant or citizenship status, ability, or other aspects of their identities.

A fishbone diagram helps team members visually diagram a problem or condition's root causes, allowing them to truly diagnose the problem rather than focusing on symptoms. It allows team members to separate a problem's content from its history, and allows for team consensus around the problem and its causes.  

The intended audience for this Toolkit is practitioners, program managers and health, conservation and development professionals interested in projects and policies that integrate community development activities with a focus on environment and health interventions.

Breakthrough RESEARCH, through analysis led by Avenir Health, has developed two briefs exploring the factors related to adolescent childbearing and youth contraceptive use in USAID priority countries to show how social behavior change (SBC) investments can be tailored to focus on the unique circumstances of different young people.

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