Impact

HC3 By the Numbers

HC3 set out in 2012 to increase the capacity of organizations to design, implement, manage and evaluate evidence-based health communication interventions as well as to establish proven systems for professional development in SBCC. Below are examples of programmatic work undertaken as part of HC3 that are illustrative of the projects’ overarching goals.

Nigeria

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In Nigeria, HC3 worked under the President’s Malaria Initiative (PMI) to increase the use of proven malaria prevention and treatment measures, including: the use of long-lasting insecticide treated nets (LLINs); indoor residual spraying; accurate diagnosis and prompt treatment with artemisinin-based combination therapies and intermittent preventive treatment of pregnant women, via mass-media interventions as well as though community outreach activities.

In a recent national market survey conducted by a Nigerian research firm, among households with at least one LLIN, the results showed that exposure to two or more PMI- sponsored mass media activities is strongly associated with increased LLIN use. Compared to households who were not exposed to any PMI mass media materials, those exposed to two materials were 2.6 times more likely to sleep inside an LLIN, and those exposed to three or more materials were 6.7 times more likely to sleep inside an LLIN. (See chart at right.)

The mass media interventions and community outreach activities also covered symptoms of malaria and encouraged parents to act as soon as symptoms arose HC3’s impact is acutely highlighted in the 28,224 children under the age of five with fever who were referred to testing and treatment by community health workers as well as the 22,231 referrals of pregnant women to antenatal care who had never been prior to the health workers’ visit.

The picture above was taken during the Malaria Operational Planning team visit to Kebbi in 2015.

Click here for a comprehensive look at HC3’s work in Nigeria.

Odds of sleeping inside LLIN, by number of PMI mass media materials seen/heard

Bangladesh

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In Bangladesh, under the the Bangladesh Knowledge Management Initiative (BKMI), HC3 designed a comprehensive approach to capacity strengthening at three levels in order to:

Improve the knowledge and skills of individuals who work in the three SBCC units of the Bangladesh Ministry of Health and Family Welfare (MoHFW)
Develop tools and establish processes within those units to strengthen organizational capacity
Work to optimize coordination of SBCC activities and integration of health, nutrition and family planning topics at the system level

cover of social and behavior change communication strategy document

Bangladesh’s first national comprehensive Health, Nutrition and Population social and behavior change communication strategy

BKMI also developed digital solutions for SBCC capacity strengthening. Examples include digital archives for the three MoHFW SBCC units (BHE, IEM, IPHN) of their print and audiovisual SBCC materials; an eToolkit and eLearning for SBCC Program Managers; and an eToolkit and eLearning for Field Workers.

National policy was created as a result of this work. Bangladesh’s first national comprehensive social and behavior change communication (SBCC) strategy for its Health, Nutrition and Population (HPN) sector was officially released August 30, 2016 at an event in Dhaka.

A pilot study of the e-toolkit, conducted from May to August 2013, found that using the e-toolkit increased field worker credibility as the first point of contact for information on general health (from 18 to 59 percent), family planning (from 38 to 54 percent) and nutrition (from 29 to 50 percent).

Click here for a comprehensive look at HC3’s work in Bangladesh.

Increase in Field Worker Credibility in Health, Family Planning and Nutrition

“This strategy is a pathway towards a theory-based, consistent, coordinated and audience-specific SBCC.”

– Roxana Quader, Additional Secretary with the Ministry of Health and Family Welfare

Nepal

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Fully 56 percent of Nepal’s adult women, aged 15-49, are below 30 years old (Nepal DHS 2011). Health research shows that only 12 percent of young married couples are using Family Planning (FP) to delay the first birth, fewer than 32 percent adopt FP to have birth-space between their first and second child and fewer than 13 percent are using FP within 2 months after delivery. In Nepal, HC3 works to reduce unintended pregnancies by increasing the use of modern contraceptives among young, low parity men and women. Additionally, HC3 works with the ministry of health and partners to design evidence-based health communication initiatives.

This work led to the creation of the Smart Couple campaign, with the message, Family Planning Makes a “Smart Life”.

Click here for a comprehensive look at HC3’s work in Nepal and to read more about the Smart Couple campaign..

13 HC3 Districts – Client Contacts and Referrals

Smart Couple campaign has decreased shyness among couples. Main slogan is now on everyone’s tongue.

Health Facility Operations and Management Committee member, Siraha

“Don’t just educate me. Educate my husband and mother-in-law.”

Young married woman, KaskiDistrict

“Now when I develop messages, I first try to understand what the target audience is thinking and feeling.”

Chief Family Planning, Family Health Division

HC3 By the Numbers

Nigeria

Odds of sleeping inside LLIN, by number of PMI mass media materials seen/heard

Bangladesh

Increase in Field Worker Credibility in Health, Family Planning and Nutrition

Nepal

13 HC3 Districts – Client Contacts and Referrals

HC3 has made – and continues to make – an impact around the world through the use of social and behavior change communication.

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