"Behavior Change Communication (BCC) interventions have become an integral part of many HIV prevention programs. Monitoring and evaluation is expected to be included in the design of any BCC interventions from the beginning on. However, the know-how on how to demonstrate results and impacts of such
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interventions in a methodologically sound way often lags behind. This document aims at enhancing program officials' understanding of the importance of evaluations as well as the most important steps to take and decisions to make in the course of an evaluation, and at enabling them to oversee the work done by the evaluators.
It is divided into three parts. The first part presents the main general aspects that need to be taken into consideration when monitoring and evaluating BCC interventions with a focus on HIV-related BCC approaches. More specifically, a general framework for monitoring and evaluation is presented, including among others information on the use of appropriate indicators, the development of an evaluation plan, different types of evaluation, study designs of summative evaluations, statistical analysis and dissemination of the evaluation results. Based on this theoretical background presented in part one, the second part draws conclusions, presents recommendations and gives practical advice on monitoring and evaluating HIV BCC programs. Three types of HIV BCC interventions, relevant to the work of German Development Cooperation (GDC), are also here discussed; these are the tool Join-in-Circuit, peer education programs and mass media campaigns. The third part presents four country examples of M&E of HIV BCC interventions implemented by GDC programs. These were discussed during a short-course on evaluation of BBC interventions offered by GIZ from 9]10 March, 2012 in Johannesburg, South Africa." (Executive summary)
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"The Gama Cuulu radio serial drama is written and produced in Zambia's Southern Province. It promotes behavior change and service use to prevent HIV transmission. The authors evaluated the effects of Gama Cuulu on intermediate outcomes (e.g., perceived norms), as well as number of sexual partners, c
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ondom use, and HIV testing in the past year among adults between 18 and 49 years of age. The authors used a pretest/posttest assessment with a comparison group design, with Southern Province as the intervention area and Western Province as the comparison area. Approximately 1,500 in-person interviews were conducted in both provinces in 2006 (pretest), 2007, and 2008. Regression models included terms for province, time, and the interaction of the two. Outcomes improved in both provinces (e.g., by 2008, 37.6% of participants in Southern Province and 28.3% participants in Western Province tested for HIV in the past year). Pretest-to-posttest changes in condom use (from 20.2% to 29.4% in Southern Province) and 5 intermediate outcomes were significantly different in the 2 provinces. However, changes in condom use were not associated with listening to Gama Cuulu and changes in other outcomes were similar in both provinces. Weak intervention effects might be attributable to implementation challenges or the saturation of HIV programs in Zambia." (Abstract)
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"[This] is a practical guide to producing effective written materials. The book presents easy-to-understand, evidence-based guidance on providing information, presenting persuasive messages and promoting behaviour change. Topics include: message framing; use of fear appeals; tailoring messages; usin
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g graphics; behaviour change. Each chapter is illustrated with examples - including both good and bad practice and covering a range of health topics." (Publisher description)
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"Acting on HIV offers a sustained and relatively systematic inquiry into drama as an approach to discussion of HIV/AIDS and related attitudes and behaviors. A distinctive feature of the research that is presented in Acting on HIV is the emphasis on the potential for and value of using drama to promo
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te vital social change in addition to individual behaviour change. It has a strong theoretical foundation and seeks to interrogate the ethical, theoretical and practical complexities of using drama to address issues HIV & AIDS. The research that is communicated through the book is original and timely and will make a significant, trans-disciplinary contribution to scholarly conversations about the role/s and significance of drama in addressing issues of HIV & AIDS." (Publisher description)
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This publication outlines four communication approaches used by United Nations organizations: (i) behaviour change communication; (ii) communication for social change; (iii) communication for advocacy; and (iv) strengthening an enabling media and communications environment. The second part provides
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an in-depth exploration of Communication for Development efforts within seven United Nations agencies, programmes and funds: FAO, ILO, UNAIDS, UNDP, UNESCO, UNICEF and WHO, followed by case studies that demonstrate C4D in practice either as part of a larger project or as a ‘stand alone’ project contributing to the strategic objectives of the organization.
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"This guide sets out approaches and tools for public awareness and public education in disaster risk reduction already widely in use by National Societies. It pulls together a range of research on risk communications and public education for behaviour change, and practitioners’ own discoveries in
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applying these. The guide focuses on four key approaches: campaigns, participatory learning, informal education, formal school-based interventions. It considers the following tools for implementing these approaches, including publications, curricula, modules and presentations, e-learning, performing and cultural arts, games and competitions, audio and video materials, web pages and activities, and social media and telecommunications. It then explains how to ensure that these tools are high quality, focusing on powerful images and well-crafted messages that are engaging, proven, adapted and localized. It also highlights the principles needed to apply these effectively: ensuring legitimacy and credibility, consistency and standard messaging, scalability, and sustainability. Through a wealth of examples, the guide highlights integrated experiences, approaches and tools, by region." (Pages 9-10)
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"The Second Edition incorporates developments in marketing practice over the last 10 years and focuses on how to apply the design approach to campaigns to effect behavior change. All organizations can do social marketing, Weinreich insists, if they follow the steps and start to think from a social m
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arketing perspective." (Publisher description)
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"This publication looks closely at cases where Germany has supported the production and broadcast of television soap operas as key components of Behavior Change Communication (BCC) in three very different countries with three very different HIV epidemics: In Kyrgyzstan, the epidemic is largely conce
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ntrated among injecting drug users (IDUs), mostly young males but some female sex workers. It is spreading rapidly and there is concern it could soon spread into the general population. Originally broadcast in 2006, "Love as a Test" aims to get across messages that HIV affects not only "them" but could easily affect you and your loved ones and there are things you can do to prevent its spread and reduce its harm. In Dominican Republic, there are extremely high rates of HIV prevalence among ethnic Haitians who live in bateyes (settlements on agricultural plantations), rural areas and urban barrios. Originally broadcast in 2007, "Amor de Batey" aims to promote the consistent and correct use of low-cost but reliable condoms and, also, to empower women, improve their health and reduce child mortality. In Côte d'Ivoire, there are high rates of HIV prevalence throughout the country but much higher rates among women than men. Contributing factors include the common practice of having multiple concurrent sexual relations and low levels of education and specific knowledge about sexual and reproductive health. Originally broadcast in 1994, "SIDA dans la Cité" has aims similar to those of "Amor de Batey." The first series proved so successful that it lead to a second series, originally broadcast in 1996-97, and then to a third, originally broadcast in 2003. All three series have proved popular throughout French-speaking West and Central Africa. This publication shows how each series was developed, provides brief synopses, summarizes the results of formal evaluations and provides informal assessments. It draws lessons and concludes that television soap operas can make significant contributions to national responses to HIV. The most successful series are based on sound research, reflect the realities of life as it is lived by their target audiences, and are developed in a professional manner that ensures they meet high standards both as entertainment and as educational tools." (Executive summary, page 5)
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"The purpose of the current study was to conduct a 10-year systematic review of HIV/AIDS mass communication campaigns focused on sexual behavior, HIV testing, or both (1998-2007) and to compare the results with the last comprehensive review of such campaigns, conducted by Myhre and Flora (2000). A c
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omprehensive search strategy yielded 38 HIV/AIDS campaign evaluation articles published in peer-reviewed journals, representing 34 distinct campaign efforts conducted in 23 countries. The articles were coded on a variety of campaign design and evaluation dimensions by two independent coders. Results indicated that compared with the previous systematic review (1986-1998 period), campaigns increasingly have employed the following strategies: (1) targeted defined audiences developed through audience segmentation procedures; (2) designed campaign themes around behavior change (rather than knowledge change); (3) used behavioral theories; (4) achieved high message exposure; (5) used stronger research designs for outcome evaluation; and (6) included measures of behavior (or behavioral intentions) in outcome assessments. In addition, an examination of 10 campaign efforts that used more rigorous quasi-experimental designs revealed that the majority (8 of 10) demonstrated effects on behavior change or behavioral intentions. Despite these positive developments, most HIV/AIDS campaigns continue to use weak (i.e., preexperimental) outcome evaluation designs. Implications of these results for improved design, implementation, and evaluation of HIV/AIDS campaign efforts are discussed." (Abstract)
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"The Toolkit provides a step-by-step approach, emphasizing prevention through education, gender awareness and practical support for behaviour change. Its intended users are government authorities, employers’ and workers’ and their organizations, businesses, ILO/AIDS National Project Coordinators
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, national Behavior Change Communication (BCC) consultants and collaborating NGOs. It is designed for those with little or no experience in communications planning. As explained in the introduction, it is divided into several pull-out booklets that can be used either separately to learn more about different elements of BCC, or jointly to design and implement a comprehensive BCC programme at the workplace." (Preface)
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"In this paper we will be looking at the evidence of impact from interventions in the so-called ‘traditional’ media – TV, radio and, to a much lesser extent, print – and factors contributing to that impact. By ‘media interventions’ we mean using mass-media in support of development objec
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tives and as part of development projects to help bring about behaviour change – for instance, the use of TV/radio spots (also known as PSAs – public service announcements) to promote condom use, or radio programmes to promote better agricultural practices. This should not be confused with so-called ‘media development’, which aims to create independent and professional media, recognising the potential of the media as an important independent agent of social and political change, for example in governance." (Introduction)
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"This toolkit is a resource for everyone working in emergency situations caused by natural disasters. It is designed to help programme managers from UNICEF, UN agencies, NGO partners and government personnel to prepare, plan, implement and monitor behaviour change communication initiatives supportin
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g health, hygiene and child protection efforts in emergencies." (Introduction)
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"This article describes the evaluation of the HIV/AIDS communication aspect of the multi media Soul City health promotion intervention in South Africa. The intervention consists of a television and radio drama and print material. The evaluation was multifaceted with a before and after national surve
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y and a national qualitative study. In the before and after survey change was measured and then multiple regression analysis was performed to assess the variables associated with the change. The qualitative study consisted of focus group discussions, which were analysed thematically. The studies show that there are numerous instances of community change and how the change is mediated at the community level. The studies also describe the change at a number of levels of the described behaviour change model for individuals." (Abstract)
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"The concept of a Regional BCC Network for HIV/AIDS for East, Central and Southern Africa (ECSA) grew out of a common interest and understanding among a number of BCC practitioners dealing with HIV/AIDS in the region that something needed to be done to help address common challenges and needs, impro
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ve strategies, and build capacity in the area of BCC. In October 2001, they formed a BCC Task Force to recommend specific activities for addressing key areas of interest in BCC and for coordinating BCC efforts in the region, including organising a wider regional meeting for initiating a formal regional BCC Network [...] The objectives of the meeting were to: share lessons learned and interventions in BCC in the ECSA region; discuss key current issues and BCC tools for HIV/AIDS; discuss the expansion and operationalisation of the BCC Network for HIV/AIDS; foster linkages among BCC practitioners and those in allied professions in ECSA. The main themes of the meeting agenda highlighted the emerging issues in planning and programming for BCC; developing BCC for care and treatment; addressing stigma; reaching youth; and strengthening research, monitoring, and evaluation of BCC interventions [...] This report is an overview of the proceedings of the meeting and is intended to serve as a resource and learning document for meeting participants as well as for other BCC practitioners in the region. The structure of the report follows that of the meeting agenda and includes a summary of all plenary and concurrent session presentations and all group work discussions." (Executive summary)
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