"This supplement to the 2019 Global Annual Results Reports highlights achievements over the past year which illustrate concrete ways in which C4D approaches strengthen UNICEF programming. The report also highlights challenges identified and immediate priorities to address them. C4D contributes to ad
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dressing the behavioural and often deep-rooted development challenges of a social and behavioural nature, ranging from stigma and discrimination that excludes access to services for vulnerable groups; myths and misconceptions that preclude adoption of key family practices (such as breastfeeding, immunization and menstrual hygiene); perceptions and expectations that hold harmful social norms in place; and empowerment of community networks to engage in participatory planning and monitoring. C4D is also a critical component of humanitarian responses, whether to address disease outbreaks, conflict or natural disasters, and UNICEF C4D is a recognized global lead for Risk Communication and Community Engagement (RCCE). In both development and humanitarian contexts, C4D, with its focus on life-saving information, behaviour change, social norm transformation and community empowerment, prioritizes “people-centred development” which is the core aspiration of the SDGs. The C4D global theory of change (see Annex 1) identifies four main behavioural outcomes that contribute to programme achievements: increased demand for services; uptake of key family and community practices; adoption of positive social and behavioural norms; and engagement and empowerment of communities in both development and humanitarian contexts." (Executive summary, page 2-3)
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"The book contains 85 chapters written by persons who have been on those frontlines of communication and development [...] A variety of case studies appear in the book. For example, Kriss Barker and Fatou Jah – in a chapter titled “Entertainment-Education in Radio: Three Case Studies from Africa
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” – explore in detail projects in Nigeria, Burundi and Burkina Faso that used a communication intervention approach advanced by the Population Media Center. Other chapters in the Handbook take the reader to Spain, Kenya, South Africa, Kazakhstan, and beyond. Song Shi examines “ICTs and Modernization in China,” revealing that assumptions and theories of the modernization paradigm have significantly influenced the policies and projects on ICT4D in contemporary China. And, Song Shi writes, discussion on the potential of other approaches in ICT4D in China has also emerged among scholars. Hina Ayaz discusses the “Multiplicity Approach in Participatory Communication” in Pakistan – wherein the country adopted the Global Polio Eradication Initiative – only to run into negative perceptions and banning of polio vaccinations. However, a shift to a more successful approach, grounded in UNICEF’s social mobilization and communityinvolvement communication strategy, brought significant success. While many of the Handbook case studies incorporate participation as a significant development factor, they also address a wide range of social and political issues including, for example, civic engagement, sexual harassment, empowerment, and community voices. In addition to an abundance of case studies from around the world, the Handbook delves into various research methods that are being used to understand and design communication for development and social change interventions [...] Handbook editor Jan Servaes' own chapter (with Rico Lie), “Key Concepts, Disciplines, and Fields in Communication for Development and Social Change ” identifies five clusters of concepts and practices that are evident in the field today and which determine the activities and approaches in communication for sustainable development and social change interventions: The clusters are (1) a normative cluster of concepts; (2) a cluster of concepts that sets an important context for communication activities for development; (3) a cluster of strategic and methodological concepts; (4) a cluster of concepts that relate to methods, techniques, and tools; and (5) a cluster of concepts that addresses the practices of advocacy, (participatory) monitoring and evaluation, and impact assessment. The authors extend their discussion into three subdivisions: (1) health communication, (2) agricultural extension and rural communication, and (3) environmental communication (including climate change communication). This leads the reader into issues related to (1) right to communicate; (2) education and learning; (3) innovation, science, and technology; (4) natural resource management; (5) food security; (6) poverty reduction; (7) peace and conflict; (8) children and youth, women, and senior citizens; and (9) tourism. Some of the forerunners of development communication have not been forgotten. In “Daniel Lerner and the Origins of Development Communication”, Hemant Shah links Lerner’s 1958 book Passing of Traditional Society to today’s modernization and faith in technology to solve social problems. Also contributing to the foundation of this field is Paulo Freire who contributed much to idea that participation should be a vital part of the development dialogue. Ana Fernández-Aballí Altamirano’s chapter on "The Importance of Paulo Freire to Communication for Development and Social Change" highlights his main work Pedagogy of the Oppressed as a "before-and-after" in the fields of education, research, and communication, initially in Latin America and later in both North and South. Particularly in the case of development communication and communication for social change, the author stresses, Freire’s work had a definitive impact ..." (Review by Royal Donald Colle, Journal of Development Communication, vol. 30 (2), page 92-94)
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"Consideration of social norms is a key component missing from many anti-corruption efforts, and we believe this absence partially explains the difficulty the sector has experienced in stimulating lasting behavior change away from corrupt practices. This is particularly true in fragile and conflict-
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affected states. Yet they are often overlooked in efforts to understand why corrupt patterns of behavior (regardless of the form) exist and why they are so resilient to intervention. Social norms are the mutual expectations held by members of a group about the right way to behave in a particular situation. They matter tremendously to the choices an individual makes about how to behave in certain situations because people want to be liked and to belong. We often follow prevailing group behaviors to gain or avoid losing social appreciation, respect, and acceptance. Whether a corrupt act is supported by mutual expectations within a group will influence an individual’s choice to participate in or resist the corrupt practice in a particular context. The desire to belong and behave “correctly” may lead the individual to engage in corruption, even if he or she believes corruption is wrong and that people should act with integrity. The importance of belonging can override contrary attitudes, morals, and even the prospect of legal penalties, particularly in fragile states where uncertainty and insecurity prevail and one’s social connections are key to survival." (Introduction, page 8-9)
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"Every day we take dozens of decisions that influence the nutrition of our family members, friends, colleagues and our own. These decisions depend on the determinants for good nutrition of the UNICEF Framework and the four dimensions of Food and Nutrition Security: availability, access, use/utilizat
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ion and stability. They are therefore very different in the North of Mali, a mega-city in India or rural Europe. At the same time there is more to food than the socio-economic facts. Food has cultural and religious dimensions; it can define affiliation to groups of society or status. Not only long-term well-being but also short-term personal satisfaction is linked to our food intake.
Therefore, these guidelines cover a topic that goes beyond these four dimensions by addressing the existing scope for behavioural changes in any given environment. Our joint vision to overcome hunger and malnutrition in all its forms by 2030 will only come true, if we not only strengthen the socio-economic capacities of people but also strengthen the capacities to make the right nutrition choices and stick to them. Information on healthy diets is important but not enough to make a difference in the long run. We have to question our approach and develop it further based on evidence not assumptions. Sound analyses of the target group and the underlying factors of nutrition choices are key. Applying the knowledge of behavioural science helps to tap into the psychological and social effects. This tool guides you systematically with concrete examples to work on increasing motivation and breaking barriers for nutrition. With frequency and consistency." (Foreword)
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"This literature review examined selected international research, published from 2010 to the present, to investigate how six fields other than road safety (i.e. healthy eating/physical activity, smoking, alcohol and drug use, workplace health and safety, suicide and juvenile offending) evaluated the
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ir behaviour change communication campaigns. The review also considered best practice for providing evidence of the effectiveness of these campaigns and explored whether these practices could be translated to road safety. Overall, the health and safety literature indicate that there is no single model for best practice in evaluating communication campaigns but there are some general principles that are highly germane to road safety: using a recognised model/theory of behaviour change, multiple measurement methods, measuring target behaviours at each stage, using a control group not exposed to the campaign, and identifying factors that can influence the likelihood of the desired behaviour. While some direct and indirect objective measures of behaviour change were available, by far the most common measure was selfreport surveys. This set of evaluation tools, and their limitations, are consistent with the road safety experience. In conclusion, given adequate resources, all health and safety domains, including road safety, might improve the quality of their evaluations with sound experimental designs and the increased use of objective forms of behaviour measurement, aided by advances in affordable technology." (Abstract)
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"This publication presents the basics of researching, planning, monitoring and evaluating Communication for Development (C4D) interventions, and offers guidance on how such interventions can be used to address violence against children (VAC). It covers the stages of the C4D programme cycle, emphasiz
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ing the role of research and strategic planning in achieving results." (Overview, page 6)
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"Entertainment education (“edutainment”) is a communication strategy that works through mass entertainment media with the aim of promoting a better context for behavior change than the delivery of information alone. We experimentally evaluate season 3 of the edutainment TV series MTV Shuga, prod
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uced by MTV Staying Alive Foundation and filmed in Nigeria. Shuga 3 consists of eight episodes of 22 minutes each. While the main focus of the series is HIV, a subplot involves a married couple with a violent husband. In this paper we focus on this theme and assess the impact of Shuga on attitudes toward domestic violence. We find broadly positive effects. Moreover, the effect seems to be concentrated among people who recall the show and the narrative around the characters well, consistent with the idea of edutainment. We contribute to the nonexperimental literature on the impact of commercial TV on gender outcomes (e.g., Chong and La Ferrara 2009; Jensen and Oster 2009; La Ferrara, Chong, and Duryea 2012; Kearney and Levine 2015) and to recent experimental work that uses edutainment for public policy (e.g., Banerjee, Barnhardt, and Duflo 2015; Ravallion et al. 2015; Berg and Zia 2017). We differ from the latter in focusing on changing norms toward gender based violence."
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"We hope you’ll come away from this report with a clearer understanding that conservation is a behavioral challenge and therefore needs behaviorally-informed solutions. Here is your starting point with the tools and tactics to employ in your efforts to preserve our natural resources for current an
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d future generations." (Foreword)
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"The number of manuscripts (peer-reviewed articles and grey literature) related to the use of C4D approaches to address VAC has steadily increased each year since 2000. Of the 302 manuscripts that were coded, 44 per cent discuss an intervention implemented in a developing country, which speaks to th
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e geographic robustness of this review. A greater proportion of manuscripts discuss interventions in urban contexts as compared to rural contexts. Roughly half of the interventions reviewed do not explicitly reference a conceptual model to underpin the interventions. Those that do, typically cite individual or cognitive conceptual models and a majority (over 80 per cent) focus on the individual level of change. About 11 per cent use community approaches and slightly less than 10 per cent report using an ecological approach. While cognitive and individual-based behaviour change approaches are valid and useful in certain contexts, there is a growing realization that individuals are embedded within a larger social system. Effective interventions must keep in mind the interactions between levels in order to effectuate sustainable change. The social ecological model provides a framework to address the interactions between levels. Interventions that cut across the levels of the social ecological model should work towards addressing social, emotional, and behavioural skills (for example, self-efficacy) of individuals and groups, as well as norms, instead of only addressing individual knowledge and attitudes. Manuscripts reviewed did not necessarily explicitly state the use of C4D approaches. However, upon closer examination, it became apparent that the majority of responses to VAC were inherently communicative. Programmes addressing VAC often use C4D approaches to reduce harmful practices using a ‘harm reduction’ framework. Often in these cases, programme objectives focus on the negative, whereas C4D messages for the same intervention focus on positive changes. Overall programme objectives should be linked to communication objectives, which in turn yield C4D messages." (Executive summary, page 9)
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"As new information technologies facilitate the production and dissemination of broadcast media, entertainment-education interventions are increasingly used in attempts to influence audiences on issues such as political participation, support for democracy, violence against women, and tolerance of e
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thnic, religious, and sexual minorities. What factors make these programs effective in enacting behavior change in their audiences? Insights from social learning theory, which motivate entertainment-education media, highlight that individuals (i) learn about behaviors by observing examples of behavior in their environment and (ii) adopt the behaviors that they believe will help them achieve their goals. We review the existing entertainment-education literature in light of this foundational theory and find that exposure to broadcast media can change behavior by linking desired behaviors to pre-existing goals. Conversely and as expected, the literature does not provide much evidence that media leads to behavior change by persuading individuals to adopt new goals. We conclude the review with a discussion of the prospects for successful broadcast media interventions in two domains: public health, a realm where most interventions focus on linking behavior with existing goals, and countering violent extremism (CVE), where most interventions focus on changing goals." (Abstract)
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"The SRP was piloted in Tanzania following the model of the Sara Communication Initiative (SCI). The main objective of SRP was to improve skills among school children, especially girls, on negotiation, communication skills and positive social behaviour. Activities to foster and support engagement of
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the key target audiences through Sara Radio Programme (SRP) are being piloted in Iringa DC since 2016, with the aim of identifying elements that can be scaled up nationally. Two radio stations are carrying out the broadcast twice a week during school-term; Tanzania Broadcasting Corporation (TBC), which has national coverage and Ebony FM, with coverage that is limited to Mbeya, Iringa and Njombe regions (MIN). The SRP included developing, pre-recording and broadcasting 100 episodes. The radio drama series featured a young girl, Sara and her friends. The SRP was crafted in a way to be fun as well as engaging pupils - girls and boys, teachers and parents in discussions around key messages. Primary standard four to seven school children (10 - 14-year olds) are the main target audience for the programme. Teachers and parents were key secondary audiences that got information through direct listening and messages from children. The programme addressed social norms to promote school girls’ retention and completion. In addition, the SRP aimed at imparting a change in knowledge and attitudes towards HIV/AIDS, sexual and reproductive health, early marriage, early pregnancy, social inclusion and protection. The long-term objective of the programme is to empower girls to decide and control what happens to them, to be safe, and to pursue what they want in life.
[.] Findings on SRP thematic components
SRP Information: Almost all the children (93.5%, N=339) interviewed in Iringa DC confirmed that they were aware of the SRP implemented in their schools. The high percentage of awareness of the SRP by the children can be attributed to the frequency of attendance for listening to the episodes. The majority of children mentioned that Sara radio episodes were broadcasted twice a week, on Tuesday and Thursday between 1530hrs to 1600hrs.
HIV/AIDS: Children were asked whether they have heard of HIV/AIDS and majority 95.9% had heard of HIV/AIDS while a mere 3.9% had not. Regarding source of information on HIV/AIDS, the majority of children (87.0%) mentioned schools/teachers as their main source, followed by parents/guardians/family (33.0%) while radios contributed 17%. On spreading of HIV virus, the majority of children (87.0%) confirmed that unsafe sex increases chances of acquiring HIV virus, against 10.7% who did not. There was a small percentage difference between boys (88.0%) and girls (85.8%) who confirmed the risks of unsafe sex on acquiring the HIV virus. [.]" (Executive summary, p. viii-ix)
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"This review presents evidence about the impact of mass media and digital media on young people’s family planning (FP) attitudes and behaviors. It primarily focuses on the Ouagadougou Partnership countries, but also describes lessons learned from other initiatives implemented more widely in Africa
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and elsewhere." (Executive summary)
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"This compendium of 15 SBCC cases presents results and learning from the Communication for Development (C4D) cross-sectoral interventions from 15 states of India – all implemented during the country programme 2013- 2017. Additionally, a national level C4D Results Report ‘Resonating Change’ has
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also been compiled." (Summary note, page 6)
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"The GSMA mHealth programme, under the mNutrition Initiative funded by UK aid (the UK Department for International Development, DFID), has been working with mobile network operators (MNOs) and other mobile and health sector stakeholders to support the launch and scale of mobile health (mHealth) valu
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e-added services (VAS). As of December 2017, these services have cumulatively delivered lifesaving maternal and newborn child health (MNCH) and nutrition information to over 1.59 million women and their families across eight Sub-Saharan African markets: Malawi, Ghana, Tanzania, Kenya, Nigeria, Zambia, Uganda and Mozambique (Figure 1). Key findings: Adopting a HCD approach to product development and optimisation led to increased user engagement; mHealth service users demonstrated improved nutrition behaviours over non-users across all implementing markets; mHealth services resulted in an average improvement of 12 percentage points in overall nutrition knowledge among users across all eight markets; Mobile information services improve knowledge, even when existing knowledge around certain nutrition topics is reasonably high; Mobile information services have a stronger impact with poorly understood concepts; Repetition of messages about key health practices reinforces the behaviour; Forty-two per cent of mNutrition service users report sharing the information they learn with their family, friends and communities [...]" (Executive summary)
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"From HIV to Ebola, from gender discrimination and violence to infant mortality, from malaria to climate change and access to justice, evidence shows that Social and Behavior Change Communication (SBCC) works. It is critical to strengthening the agency of ordinary people, transforming societies and
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assuring access to life-saving information and support. Uniting us across SBCC’s diverse methodologies and approaches are core principles that came to the fore at this Summit. These constitute the foundation of all our work: Communication is a right. The SDGs are for everyone. We embrace complexity and appreciate the importance of geographical, cultural and social context. We are committed to the active participation of citizens and communities in shaping and implementing public policies and programs. We are committed to rigorous analysis of what works, building on successes and turning failures into lessons. We ensure our work is informed by evidence, and we are also willing to take the risks that go along with innovation. We value participatory evaluation of our SBCC work through which communities actively question, review and weigh the impact of what we do together. We believe that the credibility of our field rests on transparency regarding who decides how social and behavior change investments get prioritized, which behaviors or social norms should be changed, and in whose interest. We keep the ethical dimension of our practice at the forefront of everything we do. We will engage with the media – traditional and new – to shine a light on untold stories of change. We embrace new approaches fuelled by science and breakthroughs in technology." (Declaration of the 2018 International Social and Behavior Change Communication Summit, page 9-10)
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