सामाजिक और व्यवहार परिवर्तन (एसबीसी) दृष्टिकोण और सामाजिक मानदंडों को संबोधित करके आधुनिक गर्भ निरोधकों के उपयोग को बढ़ा सकते हैं जो मांग को प्रभावित करते हैं. हालांकि, उन्हें अक्सर ध्यान नहीं मिलता, partly because many practitioners are not effectively measuring SBC efforts. Breakthrough RESEARCH interviewed voluntary family planning stakeholders in West Africa to learn why.
Access and demand are crucial levers in voluntary family planning programming. हालांकि, "understanding how these two are linked and when each should be prioritized is difficult,” note Michelle Weinberger, Emily Sonneveldt, and John Stover. This challenge is illustrated by the relatively weak attention to social and behavior change (एसबीसी) approaches in voluntary family planning programs. SBC is an evidence-based, theory-driven process that uses communication to identify and address behavioral determinants, and positively influence individual and collective behaviors to improve health outcomes. Available evidence shows that SBC approaches can increase the use of modern contraceptives by addressing the attitudes and social norms that influence demand. Despite proven results, SBC interventions often do not get as much attention, in part because many practitioners are not effectively measuring SBC efforts.
निर्णायक कार्रवाई interviewed voluntary family planning stakeholders in the Ouagadougou Partnership countries and identified a lack of awareness that SBC is needed to improve outcomes, and a belief that it does not generate the same return as investments in service delivery and procurement.
These responses reflect a broader trend across francophone West Africa, where investments through initiatives like the औगाडौगौ साझेदारी have focused more heavily on access-driven programming. Yet Weinberger, Sonneveldt, and Stover note that without greater investments in strategies to increase demand, efforts to expand voluntary family planning use in countries with a high desired ideal number of children may achieve limited success. Investing in SBC measurement enables programs to engage in continuous learning and improvement, enables them to demonstrate how SBC interventions improve desired outcomes, and provides evidence of SBC’s effectiveness that can be used to mobilize further investment.
SBC voluntary family planning indicators measure the effectiveness and impact of SBC processes and interventions by type of indicator (e.g. output, outcome) and socio-ecological levels. A recent Breakthrough RESEARCH report examined SBC approaches in Burkina Faso, हाथीदांत का किनारा, नाइजर, और टोगो to understand how SBC was measured and identify gaps in measurement. Drawing from more than 1,500 indicators collected from 55 current stakeholders and projects in the four countries, the report provides important insights:
Sustainable investment in voluntary family planning requires coordination across governments, फंडर्स, इसको लागू करने, and civil society organizations. Although the report is not an exhaustive review, it provides recommendations for different stakeholders to assess, अमल में लाना, and monitor current and future voluntary family planning and SBC programs. इसमे शामिल है:
Read Breakthrough RESEARCH’s list of 12 Recommended SBC Indicators (अंग्रेजी और फ्रेंच में) to determine how you can start incorporating SBC approaches and measuring SBC efforts in your voluntary family planning programming.
निर्णायक अनुसंधान catalyzes social and behavior change (एसबीसी) by conducting state-of the-art research and evaluation and promoting evidence-based solutions to improve health and development programs around the world. Breakthrough RESEARCH is a consortium led by the Population Council in partnership with Avenir Health, विचार42, जार्जटाउन विश्वविद्यालय में प्रजनन स्वास्थ्य संस्थान, जनसंख्या संदर्भ ब्यूरो, and Tulane University.