English

Social and behavior change (SBC) for service delivery refers to using SBC processes and techniques to motivate and increase uptake and/or maintenance of health service-related behaviors among intended audiences. SBC for service delivery is distinguished by its focus on service interactions: the use of SBC to motivate clients to access services (before services); to improve the client-provider interaction (during services); and to boost adherence and maintenance (after services). The concept includes considerations of social and cultural norms that impact service use (or non-use) and delivery, the physical environment in which services are delivered, and the communication that takes place between a client and provider.

In 2016, with funding from the Bill and Melinda Gates Foundation and the Children’s Investment Fund Foundation, PSI launched Adolescents 360 (A360), a 4.5-year program that works directly with young people to develop and deliver interventions that aim to increase demand for, and voluntary uptake of, modern contraception among girls aged 15-19 in Ethiopia, Nigeria, and Tanzania. This technical brief presents the case of Smart Start, A360’s intervention in Ethiopia, offering lessons for similar AYSRH programs seeking to design and implement scalable, sustainable, community-based programming for adolescents.

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