Exploring Pathways to Social and Behavior Change Impact
The Breakthrough RESEARCH Business Case for Investing in Social and Behavior Change for Family Planning showed that
investments in social and behavioral change (SBC) are effective in improving family planning outcomes.
This graphic explores the pathways through which mass media, interpersonal communication interventions, and packages of different types of SBC interventions can increase modern contraceptive use. The amount that an SBC intervention can increase modern contraceptive use depends on existing behaviors and attitudes, the effectiveness of the intervention, and how much the intervention is scaled up.
The graphic can be used to advocate for increased investments in SBC and start conversations about the need to prioritize SBC investments based on country context.
SELECT THE COUNTRY CONTEXTUAL
FACTORS THAT INFLUENCE SBC
PROGRAM IMPACT
Then
SEE HOW DIFFERENT SBC
INTERVENTIONS INCREASE mCPR
Then
SEE HOW DIFFERENT SBC
INTERVENTIONS INCREASE mCPR
LINE THICKNESS REPRESENTS
THE PROJECTED PERCENTAGE
POINT INCREASES IN MODERN
CONTRACEPTIVES USE OVER
FIVE YEARS
Introduction
SBC INTERVENTION
Packages of SBC interventions include community mobilization as well as programs that have multiple components (including IPC and mass media). Many SBC interventions are designed to include multiple approaches; as it's often hard to separate out the impact of each approach, the combined impact of these combinations is captured under packages.
SBC packages were found to be positively associated with all intermediate outcomes and are especially suited to improving communication between partners about family planning.
Many of the components include reaching large groups of individuals, so may be able to achieve higher scale than IPC alone.
SBC INTERVENTION
Interpersonal communication (IPC) interventions include both individual and group efforts to exchange information and explore attitudes and norms.
IPC was found to be positively associated with all intermediate outcomes except communication with others (e.g., friends, family) about family planning. IPC is especially suited to improving attitudes on the benefits, safety and effectiveness of family planning, as well as improving intentions and self-efficacy of family planning.
Because these interventions are fairly intensive (requiring a trained individual to engage with other individuals or small groups) they may not be able to easily achieve the same level of scale as other SBC interventions.
SBC INTERVENTION
Mass media interventions use multiple channels—including TV, radio, digital, and social media—to reach audiences with messages about healthy behaviors.
Mass media was found to be positively associated with all intermediate outcomes and is especially suited to increasing approval of family planning and communication with others (e.g., friends, family) about family planning.
By employing media channels, these interventions are able to achieve wide reach when scaled—for example, utilizing national radio stations to reach all those who regularly listen to radio.
Hover over something and a description will appear here
STARTING mCPR
FAVORABLE ATTITUDES AND COMMUNICATIONS
LEVEL OF INTERVENTION SCALE-UP
The scenarios presented in the interactive infographic are based on modeling developed as part of the Business Case for Investing in Social and Behavior Change for Family Planning that leveraged evidence from 130 studies on the role of SBC in increasing modern contraceptive use. Scenarios were developed varying inputs related to starting levels of modern contraceptive use (mCPR), starting levels of attitudes and communication, and magnitude of scale-up of the three SBC interventions. Results indicate the percentage point increase in modern contraceptive use projected as a result of scaling up SBC over a five-year period. This modeling assumes that SBC scale-up would result in changes to intermediate outcomes and contraceptive use that mirror the median impact seen in the literature, and that family planning services and commodities are accessible so that the projected gains can be realized. See Appendix 4 of the Business Case for more details.
These results are only meant to be illustrative and do not include the additional mCPR increases due to intermediate outcomes not represented here. Contact Breakthrough RESEARCH to find out about developing country-specific modeling results.
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