Poster Space Poster Presentations
Dec 05, 2022 03:15 PM - 04:00 PM(Africa/Casablanca)
20221205T1515 20221205T1600 Africa/Casablanca Poster Presentations - Getting It Right! Strategic Design, Formative Research & HCD Poster Space International Social and Behavior Change Communication Summit info@sbccsummit.org
276 attendees saved this session
Lessons on sustainability learned from a menstrual health programme in Bangladesh
Poster Session 03:15 PM - 04:00 PM (Africa/Casablanca) 2022/12/05 14:15:00 UTC - 2022/12/05 15:00:00 UTC
Presenters Muzib Mehdy
No Any Preference, Bangladesh Nari Progati Sangha (BNPS)
Co-authors
MK
Mahbuba Kumkum
Simavi
HA
Hilda Alberda
Simavi
SP
Shahida Parvin
BNPS
ZH
Zobair Hasan
DORP
Surfacing Data-Informed Partnerships in Mainstreaming SBC in the Human Rights Sector in the Philippines
Poster Session 03:15 PM - 04:00 PM (Africa/Casablanca) 2022/12/05 14:15:00 UTC - 2022/12/05 15:00:00 UTC
Presenters Myrnelle Cinco
The Asia Foundation
Micheline Rama
The Asia Foundation
Engaging youth in West Africa in a co-design process to steer their nations and people into an era of quality adolescent and reproductive health.
Poster SessionPractice-oriented proposals 03:15 PM - 04:00 PM (Africa/Casablanca) 2022/12/05 14:15:00 UTC - 2022/12/05 15:00:00 UTC
frica is home to the youngest population in the world, and it is expanding quickly. By 2055, the continent's population aged 15-24, is expected to more than double.  Yet, "the continent remains stubbornly inhospitable – politically, economically, and socially – to young people" (UNDP). One of the main challenges that Africa will have to face in the 21st century will be to turn its youth explosion into growth and prosperity that includes and benefits everyone.   

In this context, poor management of population growth will have serious consequences. To avoid this, African countries will need new strategies in terms of leadership, institutions and policies. And much of that starts with tapping in the potential of the continent's youth.  

That's why designers from ThinkPlace US recently brought together 40 amazing young minds from more than 10 countries across West Africa for a Youth Design Challenge. Over 13 hours spread across 4 days in Abidjan, Côte d'Ivoire youth leaders were assembled together, given a challenge and provided with expert mentors to help them solve it using Human-Centered Design.   

As part of the Francophone Social and Behavior Change (SBC) Summit in 2019, the Youth Design Challenge was created to build innovation skills among participants by asking them to design a regional campaign promoting the potential of youth to steer their nations and people into an era of quality adolescent and reproductive health.  
Presenters
JR
Juanita Rodriguez
ThinkPlace
Drivers and barriers to adoption of nutrition-sensitive business models by private sector food system actors in Bangladesh
Poster SessionResearch-oriented proposals 03:15 PM - 04:00 PM (Africa/Casablanca) 2022/12/05 14:15:00 UTC - 2022/12/05 15:00:00 UTC
Much of the literature on utilizing social and behavior change (SBC) principles to understand and influence adoption of nutritious diets has focused on individual consumers. However, food choices occur in the context of the food environment, which is directly shaped by food system actors, nearly all of whom are private sector companies.
Nutrition-sensitive business models (NSBM) are profit-oriented plans and processes that contribute to improving nutrition broadly, such as through increasing the affordability, accessibility, and desirability of nutritious foods. NSBM offer a unique value proposition to companies while also contributing to the global effort to eliminate malnutrition. However, research on adoption of NSBM-especially through the lens of SBC principles-is scant.
This research, conducted as part of the USAID-funded Feed the Future Bangladesh Rice and Diversified Crops (RDC) Activity, seeks to answer the question: what are the main barriers and motivations that drive adoption of innovative NSBM by food system companies? Guided by the Diffusion of Innovation framework, we conducted and analyzed three commodity-specific focus groups with 28 mid-to-large-sized commodity input and purchasing firms. We found significant interest in and results from NSBM investments. Barriers included insufficient skillsets and technical capacity, uncertainty about roles and responsibilities, and concern that the broader political and market environment would inhibit realization of the full benefits of NSBM.
This evidence offers SBC and market systems development practitioners actionable insights for encouraging food system companies to adopt NSBM that are profitable and competitive while also contributing to reducing malnutrition.
Presenters Kathryn Merckel
ACDI/VOCA
Are the voices of Filipino teenagers and male adults ignored in food-related decisions in the home?
Poster SessionResearch-oriented proposals 03:15 PM - 04:00 PM (Africa/Casablanca) 2022/12/05 14:15:00 UTC - 2022/12/05 15:00:00 UTC
Despite teenagers having some control over what they eat and despite male adults having some responsibility in feeding children, the emphasis on maternal influences and behaviors overlooks the opportunities for amplifying the voices of other members in the household. In 2021, WFP Philippines assessed these behaviors from which to co-create targeted messages. Three focus group discussions were held with a total of 15 teens. Among the male adults, such as a spouse or an adult son, 3 focus groups were also held with 14 participants. These 90-minute, in-person groups explored influences on food decisions, perceptions about healthy and unhealthy eating, social norms and taboos, and other food-related thoughts and feelings. Though the teens and male adults were in separate discussion groups, a common theme emerged: their inputs in food-related decisions were small or negligible. They described how the mealtime behaviors, preferred diets, and feeding practices of mothers and other female caregivers were preferred. Teens have some degree of influence over their food habits. When parents and caregivers validate and mirror these choices, teens are more likely to make healthier ones. Paternal male behaviors, too, can drive children's long-term eating habits. If inputs from male adults are put aside in preference for maternal inputs, there is lost opportunity to maximize paternal responsibility and influence as well as father-child bonding. Cultivating the intrapersonal and interpersonal skills of teens and male adults can be a key focus of any communication strategy.
Presenters Ronald Del Castillo
UN World Food Programme Philippines
WE ARE OPEN-MINDED BUT NOT LIBERATED: USING HUMAN-CENTERED DESIGN TO HEAR TEENAGE VOICES IN THE PHILIPPINES
Poster Session 03:15 PM - 04:00 PM (Africa/Casablanca) 2022/12/05 14:15:00 UTC - 2022/12/05 15:00:00 UTC
Presenters Cathy Church-Balin
Johns Hopkins Center For Communication Programs (CCP)
Co-authors
BP
Billie Puyat Murga
Johns Hopkins Center For Communication Programs (CCP)
JL
Jeffry Lorenzo
Johns Hopkins Center For Communication Programs (CCP)
AG
Algin Gultia
Johns Hopkins Center For Communication Programs (CCP)
LL
Lindsey Leslie
Johns Hopkins Center For Communication Programs (CCP)
Costing of Mass Media Campaigns for Improving Breastfeeding in Bangladesh, Burkina Faso, Nigeria and Vietnam
Poster Session 03:15 PM - 04:00 PM (Africa/Casablanca) 2022/12/05 14:15:00 UTC - 2022/12/05 15:00:00 UTC
Presenters
AO
Abdulaziz Ali Oumer
FHI360
Co-authors
TS
Tina Sanghvi
RH
Rick Homan
FHI360
TF
Thomas Forissier
FHO 360
Roger Mathisen
FHI Solutions
Exploring barriers for uptake and adherence to Iron and Folic Acid supplementation in Ethiopia to inform a Human Centered Design Process
Poster Session 03:15 PM - 04:00 PM (Africa/Casablanca) 2022/12/05 14:15:00 UTC - 2022/12/05 15:00:00 UTC
Presenters Habtamu Tamene
Johns Hopkins Center For Communication Programs (CCP)
TT
Tewabech Tesfalegn
Johns Hopkins Center For Communication Programs (CCP)
Co-authors
YL
Yihunie Lakew
Johns Hopkins Center For Communication Programs (CCP)
BA
Biruk Melaku Ayalew
Johns Hopkins Center For Communication Programs (CCP)
NK
Nandita Kapadia Kundu
Johns Hopkins Bloomberg School Of Public Health
The Role of Supportive Home Environments for Maternal Nutrition in Liberia
Poster Session 03:15 PM - 04:00 PM (Africa/Casablanca) 2022/12/05 14:15:00 UTC - 2022/12/05 15:00:00 UTC
Presenters
JK
J Ben Kitson
Johns Hopkins Center For Communication Programs (CCP)
Co-authors Joseph Millward
Johns Hopkins Center For Communication Programs (CCP)
NK
Nandita Kapadia Kundu
Johns Hopkins Bloomberg School Of Public Health
ST
Samantha Tsang
EG
Eric Gaye
Johns Hopkins Center For Communication Programs (CCP)
GD
G. Dackermue Dolo
Research And Innovations Hub
JB
Jen Boyle
Johns Hopkins Center For Communication Programs (CCP)
User Generated Content: Partnering with private youth-led media to build an SRH brand for Indonesia’s unmarried youth
Poster SessionPractice-oriented proposals 03:15 PM - 04:00 PM (Africa/Casablanca) 2022/12/05 14:15:00 UTC - 2022/12/05 15:00:00 UTC
DoktergenZ.hipwee.com combines CCP's family planning expertise and Hipwee's influence and expansive online community to engage Indonesia's unmarried adolescents around topics relating to sexual and reproductive health, personal growth, lifestyle and relationships. This public-private partnership was built with sustainability and youth capacity strengthening a core objectives. 
In 2017, MyChoice Indonesia, a Bill and Melinda Gates-funded project led by the Johns Hopkins Center for Communication Programs, began exploring approaches to expand access to sexual and reproductive health information to Indonesia's unmarried youth. From our formative research and participatory design workshops with youth, we determined that the best way to reach Indonesia's over 48 million adolescents, is to meet them where they already are. Where are Indonesia's youth?  Over one million of them are following Hipwee's social media. Hipwee is a youth-led and operated news and media company based in Yogyakarta, Indonesia. For the earlier moments of conceptualizing what became the Dokter Gen Z platform, CCP worked with Hipwee to explore content, formats, features and branding. CCP and Hipwee co-manage the Dokter Gen Z website and social media, working closely with the Youth Directorate of the National Family Planning Board (BKKBN) and the Youth Technical Working Group. 
Dokter Gen Z provides ASRH contents in various formats such as articles, infographics, video, e-book, and online chat feature. In two years of its establishment, Dokter Gen Z received over 8 million pageviews and monthly average 250,000 pageviews, largely due to our ability to leverage Hipwee sizable initial social media following.  
Presenters Nenden Fathiastuti
Johns Hopkins Center For Communication Programs (CCP)
Through a child’s eyes: Using co-discovery, co-creation and co-design to understand barriers and motivators to child and adolescent nutrition in Armenia
Poster Session 03:15 PM - 04:00 PM (Africa/Casablanca) 2022/12/05 14:15:00 UTC - 2022/12/05 15:00:00 UTC
Presenters Nanna Skau
WFP
Co-authors Rowena Merritt
UNICEF NYHQ
Profiling Male Perpetrators of Intimate Partner Violence during the COVID-19 pandemic using human centered design approach in Zimbabwe
Poster Session 03:15 PM - 04:00 PM (Africa/Casablanca) 2022/12/05 14:15:00 UTC - 2022/12/05 15:00:00 UTC
Presenters
KC
Kumbirai Chatora
PSI
The "IYCF Campaign-in-a-box" toolkit in Tanzania: Improving IYCF through the design and pretest of SBCC campaign and materials at several stages of development.
Poster SessionPractice-oriented proposals 03:15 PM - 04:00 PM (Africa/Casablanca) 2022/12/05 14:15:00 UTC - 2022/12/05 15:00:00 UTC
Improving Infant and Young Child Feeding (IYCF) practices is required to ensure children's healthy growth and development. The Global Alliance for Improved Nutrition (GAIN), in partnership with the Southern African Development Community (SADC), Tanzania Ministry of Health (MoH) and United Nations Children's Fund (UNICEF), developed a toolkit for guiding the design, implementation and evaluation of communication campaigns and materials for promoting adequate IYCF. The "IYCF Campaign-in-a-box" toolkit was designed to create an inspirational campaign idea to promote exclusive breastfeeding (EBF), dietary diversity (DD), responsive feeding, among others. The development of a communication idea and materials for the "IYCF Campaign-in-a-box" toolkit involved the following process:  a) situation analysis that focused on public health needs, the prevalence of the targeted behaviour and recent SBCC interventions that covered the behaviours, b) concept testing, c) stakeholder reviews, d) pretesting of the creative elements and e) field testing though a campaign pilot. Initial learnings suggest that the pretest of the SBCC campaign and materials can improve the understandability and appeal to the target audience. This process allows for the necessary revisions to avoid the risk of releasing materials that could be misunderstood or rejected by the target audience. The "IYCF Campaign-in-a-Box" creative elements attempt to elevate the conversation beyond nutrition to connect culturally and emotionally with the target audience. These elements can be adapted and used alongside existing communication materials to reinforce the emotional benefits of adopting adequate IYCF practices.
Presenters Winfrida Mayilla Meshack Mollel
N/A, GLOBAL ALLIANCE FOR IMPROVED NUTRITION
IK
Issack Kitururu
Jamii Intergrated Development Initiative
TE
Tuzie Edwin
UNICEF
Co-authors
WG
Wendy Gonzales
ZF
Zineb Felix
No, Global Alliance For Improved Nutrition (GAIN)
MS
Miriam Shindler
GLOBAL ALLIANCE FOR IMPROVED NUTRITION
What helps school children wash their hands? Using nudges to promote behavior change with rural schools in Timor-Leste
Poster Session 03:15 PM - 04:00 PM (Africa/Casablanca) 2022/12/05 14:15:00 UTC - 2022/12/05 15:00:00 UTC
Presenters Kay Klumpyan
Mercy Corps
What Does it Take to Provide Nurturing Care? Measuring caregiver resources
Poster Session 03:15 PM - 04:00 PM (Africa/Casablanca) 2022/12/05 14:15:00 UTC - 2022/12/05 15:00:00 UTC
Presenters
KD
Katherine Dickin
USAID-Advancing Nutrition
SM
Stephanie Martin
University Of North Carolina At Chapel Hill
Getting it right! Stepwise SBC best practice through user-tested tools
Poster SessionPractice-oriented proposals 03:15 PM - 04:00 PM (Africa/Casablanca) 2022/12/05 14:15:00 UTC - 2022/12/05 15:00:00 UTC
People and their behaviors are at the heart of any nutrition program; however, it can be challenging to implement the high-quality SBC needed to address these behaviors. Nutrition is complex, often requiring multiple sectors and actors to align and harmonize efforts, while also trying to change behaviors that require multiple actions each day and that change with age. USAID Advancing Nutrition developed a suite of user-friendly, stepwise tools to help programmers achieve high-quality nutrition SBC across the program cycle. The tools help align priorities for nutrition programming across sectors to improve behaviors while navigating the complexities of nutrition behaviors and programming. They are based on global best practice and tailored to the nutrition sector's unique needs, though they can be adapted and applied to programming for other technical areas.


The suite of tools includes-
a tool to prioritize the most important behaviors to strengthen given available resources and potential impact
a tool to design an SBC strategy based on formative research by creating pathways from influencing factors to activities
a tool to monitor behaviors and influencing factors.


Join this session to learn how these tools can give your programs a helpful boost! Programs will share their experiences using tools, including challenges and recommendations. Participants will walk away with ideas on how to use these tools to improve the quality of their SBC programming, regardless of sector. 
Presenters
KT
Kelsey Torres
USAID Advancing Nutrition
LI
Laura Itzkowitz
USAID
Brian Mdawida
The Manoff Group
AG
Amelia Giancarlo
USAID Advancing Nutrition
Learning from health providers: quality counseling for child nutrition
Poster SessionResearch-oriented proposals 03:15 PM - 04:00 PM (Africa/Casablanca) 2022/12/05 14:15:00 UTC - 2022/12/05 15:00:00 UTC
Counseling can be an effective way to support improved practices. Many programs focus on training health workers to improve counseling, yet numerous factors, beyond health worker knowledge and skills, hinder its delivery. Research and program experience have documented multiple systemic, social, and individual level challenges to high quality counseling–from too little time with each client, to inequitable power dynamics between health workers and clients, to limited skills to listen and tailor recommendations. Global health and nutrition practitioners must find new ways to support health workers deliver this critical service. 
Through interviews and observations during two country case studies, health workers in Ghana and Nepal shared their perspectives and experiences with counseling during growth monitoring and promotion services. They identified numerous challenges, most notably time constraints, but they demonstrated strong capacity. They suggested ways to create a more enabling environment to support quality counseling and encourage positive practices. This session will share the voices of health workers in contributing solutions to this key SBC challenge, and how their solutions are being tested in Ghana and used in nutrition quality improvement processes in Nepal.
Presenters
KT
Kelsey Torres
USAID Advancing Nutrition
Co-authors
LS
Lisa Sherburne
USAID Advancing Nutrition
LI
Laura Itzkowitz
USAID
Going to scale using digital health communication to improve maternal newborn and child health outcomes: Sharing seven lessons learned from evidence and practice in India.
Poster SessionResearch-oriented proposals 03:15 PM - 04:00 PM (Africa/Casablanca) 2022/12/05 14:15:00 UTC - 2022/12/05 15:00:00 UTC
Direct to consumer (D2C) mobile communication programmes – delivering health information direct to families - offer great potential to disseminate maternal and child health information rapidly, at scale and at low cost. Similarly mobile health (mHealth) tools designed to support client-provider interaction have potential for improving the reach and quality of health information and advice in low-and middle-income countries (LMICs). Yet,  new evidence from India suggests these two different approaches can reach and impact different audience segments reinforcing the critical role for gender-intentional design in digital social and behaviour change communication (SBCC). 

This evidence was gathered from two independent evaluations of a SBCC project delivered as part of a wider initiative with the Government of Bihar to improve reproductive, maternal, newborn and child health and nutrition (RMNCHN). Multiple communication tools were designed to disseminate health information at a population level and support frontline worker (FLHW) outreach alongside mass media, community events and listening groups. Drawing on these evaluations and a decade of digital development, this presentation will share seven lessons for using digital and non-digital communication to shape health practices and demand.  It will reflect on the programme's use of human-centred design and share evidence from the first randomised controlled trial conducted to date of a D2C mobile communication programme in a LMIC operating at scale. It will demonstrate the important role of SBCC tools for FLHW to reach rural populations who don't have the education and income to benefit from digital D2C programmes.
Presenters Anna Godfrey
BBC Media Action
Co-authors
RM
Radharani Mitra
BBC Media Action
SC
Sara Chamberlain
Promoting Caregiver Early Childhood Development Behaviors through a Social and Behavior Change Communication Intervention in Tanzania
Poster Session 03:15 PM - 04:00 PM (Africa/Casablanca) 2022/12/05 14:15:00 UTC - 2022/12/05 15:00:00 UTC
Presenters
JW
Joshua West
Brigham Young University
Co-authors
EB
Eliza Broadbent
GM
Generose Mulokozi
IMA World Health
KD
Kirk Dearden
Corus International
ML
Mary Linehan
IMA World Health
DC
Dennis Cherian
Corus International
ST
Scott Torres
RTI International
BC
Benjamin Crookston
Brigham Young University
Cougar Hall
No, Brigham Young University
Contextualizing a gender-transformative approach: Adapting Program P for men and women in rural Mayan communities of Guatemala.
Poster SessionResearch-oriented proposals 03:15 PM - 04:00 PM (Africa/Casablanca) 2022/12/05 14:15:00 UTC - 2022/12/05 15:00:00 UTC
Your browser does not support HTML5 video.To promote gender transformative norms aimed at violence prevention, the USAID Health and Nutrition Project, implemented by Jhpiego in Guatemala (2021-2024), carried out a preparation process prior to implement an evidence-based tool, Program P, originally developed by Promundo, to ensure a culturally relevant and adapted approach for the Mayan population. It included:  
Facilitate reflective sessions on gender and sexual and reproductive health (SRH): Using the Jhpiego Gender Transformation for Health toolkit, 95 people with role of facilitators participated.Train trainers: Using the evidence-based methodology of successful Program P (Promundo), 76 people were trained as facilitators/trainers.Validate GEM Scale: GEM scale was translated into six Mayan languages, a facilitation methodology was standardized, validation was carried out in the field and a data collection tool was developed.Prepare edu-entertainment material: job aids were designed for the facilitator, including educational games, and material for program participants ensuring a culturally relevant approach, are under validation process with men and women of rural communities.Coordinate with key partners: to support the implementation of Program P.Before implementing, it is necessary to train in basics of gender and SRH to sensitize on the importance of gender transformative norms to improve health outcomes; validate/adapt interventions to the local context; and make alliance with partners.
The presentation will focus on how we prepared and contextualized the gender-transformative approach before implementing Program P in rural Guatemala.  Implementation just started in March 2022 and results will be shared at the end of the year.
Presenters Haydee Lemus
Jhpiego Guatemala
Co-authors
MC
Mirian Calel
Jhpiego Guatemala
EG
Efren Gutierrez
Jhpiego Guatemala
MB
Myra Betron
Jhpiego Corporation
LD
Laura De Leon
Jhpiego In Guatemala
“Healthy Child, Bright Future”: Multisectoral evidence-based SBC approaches to alleviate stunting in two provinces of Indonesia
Poster Session 03:15 PM - 04:00 PM (Africa/Casablanca) 2022/12/05 14:15:00 UTC - 2022/12/05 15:00:00 UTC
The Better Investment for Stunting Alleviation (BISA) Project is jointly implemented by Nutrition International and Save the Children to support the Government of Indonesia in stunting reduction by integrating nutrition-specific and nutrition-sensitive interventions at the community level across multiple sectors, multiple platforms. The Human-centred design approach was adopted to develop the multisectoral SBC strategy based on formative research, baseline study and consultative meetings and identified a critical unifying theme of "Healthy Child, Bright Future" to engage community and stakeholders across sectors. Versatile SBC approaches and materials were developed and disseminated through multiple platforms. Nutrition champions, Health facility staff, teachers, and Student organizations were trained to deliver effective health and nutrition counselling/education. Program monitoring visits confirmed that the SBC materials are influential in removing myths and misconceptions and, provides vital information about healthy behaviours, a balanced diet, and establishes the importance of nutrition and other determinants in the first 1000 days of life, under five years of age and during adolescence among the target audiences and their influencers. The Government of Indonesia recognized the project and used SBC materials nationally during different national events. The project will be scaled up to eight more districts. Considering the popularity of these multisectoral SBC materials has led to interest in expanding the use of these SBC approaches across Indonesia. These multidisciplinary SBCC materials can be used through different digital platforms and channels to reach the target audiences and contribute significantly to shifting knowledge, attitudes, and behaviours that are expected to contribute to stunting reduction.  
Presenters Ritu Ghosh
Nutrition International
Co-authors Tutut Sri Purwanti
EA
Eriana Asri
Nutrition International
MO
Mariance Octavia
Save The Children
Exploring digital modalities to increase youth engagement in Sexual Health Gender transformative programs
Poster SessionPractice-oriented proposals 03:15 PM - 04:00 PM (Africa/Casablanca) 2022/12/05 14:15:00 UTC - 2022/12/05 15:00:00 UTC
Many Ways of Beings (MWB) is an innovative sexual health promotion program focused on addressing harmful gender norms and promoting healthy relationships among youth aged 15-19 experiencing health and well-being disparities due to gender, race and ethnicity. The program was adapted drawing on two evidence-based gender transformative curricula, Manhood 2.0 and Sisterhood 2.0 (designed for boys and girls respectively), that promote critical reflection on gender norms and stereotypes, the power dynamics that drive relationships, sexual and reproductive health behavior and underpin the use of violence. Building upon formative research and promising findings from Manhood 2.0 and Sisterhood 2.0, Promundo-US, with Healthy Teen Network, Child Trends and Latin American Youth Center conducted a human centered design research and redesign of the curriculum to strengthen its content with an intersectional lens to better address the lived realities of black and Latino youth of all genders in the greater Washington DC area. A digital engagement strategy co-developed with teens will address the challenges of sustaining meaningful engagement, and to reinforce the skills and behavior change content covered during the in-person program delivered in schools and non-school settings. We will present how the MWB curriculum was adapted and redesigned, piloted in 2022, and what we learnt from the results of the pilot and the feedback from participating youth. An experimental impact evaluation will be conducted after its full implementation in 2023 and 2025 to determine if a gender-synchronous model can yield significant improvements in healthy relationships and sexual health behaviors among Black and Latino teens.
Presenters Clara Alemann
Equimundo
Cross-cutting Findings from Human Centered Design Qualitative Research on Increasing Healthcare Service Utilization by Mothers of Young Children Across Four Regions of Madagascar
Poster SessionResearch-oriented proposals 03:15 PM - 04:00 PM (Africa/Casablanca) 2022/12/05 14:15:00 UTC - 2022/12/05 15:00:00 UTC
Since 2018, the Accessible Continuum of Care and Essential Services Sustained (ACCESS) Project has worked to increase the adoption of healthy behaviors related to maternal and child health, water and sanitation, family planning, and malaria. Healthcare seeking by women of reproductive age, for themselves and their children under 5, serves as a cross-cutting behavior with linkages to these health areas. In 2020 and 2021, ACCESS conducted Human Centered Design (HCD) across four regions (n=697) to understand the drivers and barriers to accessing healthcare in Madagascar and identify possible innovative solutions.  


A team consisting of researchers, program staff, and Ministry of Health (MoH) staff conducted in-depth individual interviews with formal and informal healthcare providers and focus group discussions with mothers, fathers, and grandmothers of children under 5. To gain greater understanding of the participants' lived experience, team members also conducted observations by spending additional time with mothers, fathers, and informal healthcare providers.


After both rounds of research, three cross-cutting findings emerged. First, distance and cost surfaced as important barriers to healthcare service utilization. Second, acceuil (hospitality) was a key driver to care seeking. Third, depending on the gravity of the healthcare need, women may rely on different providers/treatments, including self-medication. The presentation will further detail these and other findings and discuss several prototypes of possible solutions to the challenge of increasing healthcare service utilization among women of reproductive age and mothers of young children. These findings suggest the value of conducting empathy-focused qualitative research, such as HCD. 
Presenters
KS
Kathryn Sugg
Johns Hopkins Center For Communication Programs (CCP)
Co-authors
EL
Elizabeth Larson
Tovonony Ranaivomino
USAID ACCESS Program
DN
Domoina Nivoharitsima
ACCESS
Leveraging co-design and diverse perspectives to create a scalable game that can boost couples’ communication in family planning
Poster Session 03:15 PM - 04:00 PM (Africa/Casablanca) 2022/12/05 14:15:00 UTC - 2022/12/05 15:00:00 UTC
Presenters
RK
Rahin Khandker
Ideas42
Co-authors
EM
Elizabeth McElwee
Ideas42
EZ
Emily Zimmerman
Ideas42
ST
Susan Tino
IntraHealth International Inc.
KB
Katelyn Bryant-Comstock
IntraHealth International Inc.
DA
Denis Ako-Arrey
IntraHealth International Inc.
JN
James Nyara
Johns Hopkins Center For Communication Programs (CCP)
Leanne Wolff
Johns Hopkins Center For Communication Programs (CCP)
Réduction des hésitations face aux vaccins COVID-19: Une approche d'Engagement communautaire pour améliorer l couverture vaccinale contre le COVID--19 en RDC
Poster Session 03:15 PM - 04:00 PM (Africa/Casablanca) 2022/12/05 14:15:00 UTC - 2022/12/05 15:00:00 UTC
Presenters
AK
Aschbel Kazadi
Save The Children
Co-authors
FN
FRANCINE NGALULA NTUMBA
Telesphore Kabore
Save The Children
DO
Djingri OUOBA
Save The Children International
,
The Asia Foundation
,
UN World Food Programme Philippines
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