Déterminants sociaux, culturels et individuels des comportements à risque, de prévention et de riposte liés aux six groupes de zoonoses prioritaires en République Démocratique du Congo

L’exploration des déterminants sociaux, culturels et individuels des comportements à risque, de prévention et de riposte liés aux zoonoses prioritaires en République Démocratique du Congo (RDC) est une étude qualitative menée par l’Université John Hopkins- Centre des Programmes de Communication (CCP) à travers leprojet Breakthrough ACTION dans trois provinces du Haut-Lomami, Kongo Central et Sud-Ubangi en RDC. L’étude fait partie des interventions prioritaires du projet et vise l’utilisation des conclusions pour pouvoir développer les supports et les messages de communication adaptés en vue d’un changement social et comportemental.

Elle a eu pour cibles, les personnes en interactions régulières avec les animaux et aussi la population générale pour laquelle l’interaction avec les animaux est plus réduite. Cette étude qualitative a utilisé la combinaison de plusieurs approches : les entretiens individuels (EI), les groupes de discussions (GD), et les observations dans les lieux de ventes des animaux ou des produits animaux, et les lieux d’abattage des animaux.

Exploring the social, cultural and individual determinants of risk, prevention and response behaviors and response behaviors related to priority zoonoses in the Democratic Republic of Congo (DRC) is a qualitative study conducted by the John Hopkins University-Center for Communication Programs (CCP) through the Breakthrough ACTION Breakthrough ACTION project in the three provinces of Haut-Lomami, Kongo Central and Sud-Ubangi in the DRC. The study is one of the project’s priority interventions, and aims to use the findings to develop appropriate communication materials and messages for social and behavioral change.

The targets of the study were people who interact regularly with animals, as well as the general population for whom interaction with animals is more limited. This qualitative study used a combination of of several approaches: individual interviews (EI), focus groups (GD), and observations where animals or animal products are sold, and where animals are slaughtered.

Source: Johns Hopkins Center for Communication Programs

Date of Publication: December 29, 2023

2021 Enquête Démographique et de Santé – Côte d’Ivoire

Les résultats de l’EDS-CI 2021 révèlent une nette amélioration de l’état de santé des populations, en particulier la situation des mères et des enfants. En effet, la mortalité infantile et la mortalité maternelle connaissent un recul, passant respectivement de 112 décès pour 1 000 naissances vivantes en 2012 à 52 décès en 2021 et de 614 décès pour 100 000 naissances vivantes en 2012 à 385 décès en 2021. En outre, la prise en charge des mères et des nouveaux nés s’est considérablement améliorée, en référence au taux de consultation prénatale (CPN4) qui passe de 44 % en 2012 à 57 % en 2021 et le taux d’accouchement assisté par un personnel de santé qualifié qui évolue de 58 % en 2012 à 84 % en 2021.
Riche en informations, le Rapport de l’EDS-CI 2021 présente la mise en œuvre de l’enquête et les indicateurs des relatifs aux secteurs concernés. C’est un outil stratégique d’aide à la décision qui participe au renforcement du processus de planification et de développement de la Côte d’Ivoire.

2021 Demographic and Health Survey – Côte d’Ivoire

The results of the EDS-CI 2021 show a clear improvement in the state of health of the population, in particular the situation of mothers and children. Infant mortality and maternal mortality have declined from 112 deaths per 1,000 live births in 2012 to 52 deaths in 2021, and from 614 deaths per 100,000 live births in 2012 to 385 deaths in 2021. In addition, care for mothers and newborns has improved considerably, with the prenatal consultation rate (CPN4) rising from 44% in 2012 to 57% in 2021 and the rate of births attended by skilled health personnel rising from 58% in 2012 to 84% in 2021.
Rich in information, the EDS-CI 2021 Report presents the implementation of the survey and the indicators for the concerned sectors. It is a strategic decision-making tool that will help to strengthen Côte d’Ivoire’s planning and development process.

Source: Institut National de la Statistique Abidjan Côte d’Ivoire

Date of Publication: October 25, 2023

Breakthrough ACTION Liberia: Baseline Report for Adolescents

Breakthrough ACTION is a global project funded by the United States Agency for International Development (USAID) to lead social and behavior change (SBC) programs around the world. The project ignites collective action and encourages people to adopt healthier behaviors. This work harnesses the demonstrated power of communication and integrates innovative approaches from marketing science, behavioral economics, and human-centered design.

In Liberia, Breakthrough ACTION supports the increased adoption of health behaviors among individuals, families, and communities. The Breakthrough ACTION Liberia project uses an integrated health approach to promote a full suite of healthy behaviors across the areas of malaria; reproductive, maternal, newborn, child, and adolescent health (RMNCAH); family planning (FP); nutrition; zoonotic diseases; and water, sanitation, and hygiene (WASH)—all areas that have been identified as priority areas by the Liberian Ministry of Health and USAID.

This report focuses on female youth who are married/in a union and on single male and female youth. Youth refers to participants who are 15- to 19-years-old. It defines baseline levels of the priority health behaviors along with intermediate outcomes that offer the potential to affect the priority behaviors in one or more health areas, including malaria, RMNCAH, WASH, zoonotic diseases, nutrition, COVID-19, and the Global Health Security Agenda. The intermediate outcomes include couple communication, decision-making, knowledge, attitudes, and perceived norms around the priority behaviors, and patient-provider interaction experiences. In addition, the report captures the recall of Breakthrough ACTION Liberia program-related messages and describes how various demographic, psychosocial, cultural, and relational factors are associated with priority health behaviors. There are two other reports that also discuss findings gathered from the baseline study– one with baseline findings from adult men and women in Liberia and one specifically focused on family planning baseline findings for adult men and women in Liberia.

Source: Johns Hopkins Center for Communication Programs

Date of Publication: January 17, 2023

Breakthrough ACTION Liberia Baseline Report: FP and LARCs Report

This report describes the baseline study conducted by Breakthrough ACTION Liberia on family planning (FP) and long-acting reversible contraceptive (LARC) use. The objectives of this report are as follows:

To identify key determinants of modern FP and LARC use
To set benchmarks for evaluation of impact
To assess the roles of gender equitable norms, social norms, couple communication in the adoption of FP behaviors
To identify selected audiences for FP promotion

Source: Johns Hopkins Center for Communication Programs

Date of Publication: January 17, 2023

Breakthrough ACTION Liberia: Baseline Report for Women and Men

To assess relevant baseline indicators and inform the SBC strategy across several health areas and audiences, Breakthrough ACTION Liberia conducted a household survey among men and women of reproductive age in three counties between September and October 2021. The baseline survey was cross-sectional and had the following objectives:

Identify key determinants of health behaviors in the areas of maternal health, maternal and child nutrition, malaria, COVID-19
Set benchmarks for impact assessment of the integrated SBC Breakthrough ACTION Liberia program
Assess the roles of gender-equitable norms, social norms, couple communication, and decision-making in the adoption of health behaviors
Inform an SBC strategy across several health areas and audiences
Establish baseline measures to assess the effects of project activities

This report focuses on partnered women and men of reproductive age. We baseline the levels of priority health behaviors along with intermediate outcomes that offer the potential to affect priority behaviors in one or more health areas, including malaria, RMNCAH, WASH, zoonotic diseases, nutrition, COVID-19, and Global Health Security Agenda (GHSA). The intermediate outcomes include couple communication, decision-making, knowledge, attitudes, perceived norms around priority behaviors, and patient-provider interaction experiences. In addition, the report captures recall of Breakthrough ACTION Liberia program-related messages and describes how various demographic, psychosocial, cultural, and relational factors are associated with priority health behaviors.

Source: Johns Hopkins Center for Communication Programs

Date of Publication: January 17, 2023

Mid-Term Evaluation of The Communication for Health Project in Ethiopia

This mid-term evaluation aimed at reviewing the relevance and effectiveness of Communication for Health to inform programmatic goals for the project and to redesign strategies for the remainder of the project. This report summarizes the results from the mid-term evaluation of the intervention conducted by ICOS Consulting PLC from March to July 2019.

Source: Communication for Health Ethiopia

Date of Publication: October 16, 2020

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Baseline Study Findings: A Brief Overview

This report of a study conducted in Ethiopia as part of the Communication for Health program, contains findings from a cross sectional survey covering six health areas that identified key behavioral determinants including three gateway behaviors (Early ANC, Family Health Guide & Hand washing Station), and Gender. The report provides estimates of health services uptake and health behaviors by rural women in Ethiopia

Key results were:

Significant regional variation was found across multiple health behaviors
Three gateway behaviors, defined as a behavior that can lead to the adoption of several healthy behaviors in the life cycle, were identified for immediate SBCC programming focus:
1. Early antenatal care (ANC) registration (<12 weeks)
2. Having a family health guide (FHG)
3. Having a proper hand washing station
Gender was a cross-cutting issue across all six health areas with the norms related to gender inequality adversely impacting several health behaviors
Media exposure is a key component to uptake of key health behaviors

Source: Communication for Health Ethiopia

Date of Publication: February 6, 2020

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SHOPS Plus India Knowledge, Attitudes and Practice (KAP) Survey: Key Findings

SHOPS Plus collected data from married couples, caregivers of children under five, and adults in urban India to understand knowledge, attitudes, and practices related to family planning, diarrhea management, and stigma related to tuberculosis. The project is using the findings to inform behavior change campaigns in these health areas. This presentation details the findings of the survey and how the data are being used to inform project activities.

The project teams conducted the survey to gain insight into people’s knowledge, attitudes, and practices. It used the findings to develop key messages and to determine how the messages should be delivered. The campaigns’ strategies involve spreading messages through mass media, digital media, community events, and workplace interventions.

The survey was conducted in the capital cities of six states in India where SHOPS Plus is operating, and its findings are helping the project develop and deliver tailored messaging to target populations in each of the priority health areas:

Child health
Family Planning
Tuberculosis
Diarrhea

Source: SHOPS Plus

Date of Publication: January 22, 2020

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Baseline Survey for PAC Project, Kenya

A baseline data collection exercise was carried out from May to June 2010 in Naivasha District to provide a benchmark against which the RESPOND intervention may be measured during endline evaluation. The evaluation used
a quasi-experimental design with intervention and control groups covering six study sites within Naivasha District, with measurements taken at baseline and endline. The baseline data collection comprised three components

A community-based survey of approximately 600 women between the ages of 18 and 49
An inventory of all public and private health facilities in the study area (n=11)
Interviews with providers working at the identified facilities

Results included the following

There is a clear need for PAC services at the evaluation sites
Utilization of health services during pregnancy and delivery is limited
Knowledge of family planning is high, but actual use is significantly lower
Reasons for nonuse of family planning highlight the need for the intervention

Source: EngenderHealth

Date of Publication: March 25, 2019

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Evaluating the Impact of Mass Media on Breastfeeding Practices in Viet Nam

This document presents the findings of a 2011 survey that served as the baseline for the evaluation of the Viet Nam mass media campaign.

This report lays out that evaluation plan and shows how a series of surveys over three years will assess the media campaign’s impact on exclusive breastfeeding. Initial analyses of the baseline data show how these early findings are aiding in refining this mass media evaluation plan, particularly the items to track over the life of the campaign, and in identifying the precise triggers of breastfeeding behaviors.

Déterminants sociaux, culturels et individuels des comportements à risque, de prévention et de riposte liés aux six groupes de zoonoses prioritaires en République Démocratique du Congo

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2021 Enquête Démographique et de Santé – Côte d’Ivoire

2021 Demographic and Health Survey – Côte d’Ivoire

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Breakthrough ACTION Liberia: Baseline Report for Adolescents

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Breakthrough ACTION Liberia Baseline Report: FP and LARCs Report

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Breakthrough ACTION Liberia: Baseline Report for Women and Men

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More Communication for Health Ethiopia Resources

Mid-Term Evaluation of The Communication for Health Project in Ethiopia

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Baseline Study Findings: A Brief Overview

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SHOPS Plus India Knowledge, Attitudes and Practice (KAP) Survey: Key Findings

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More PAC Kenya Spotlight Resources

Baseline Survey for PAC Project, Kenya

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