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बेहतर मापन फ्रैंकोफोन पश्चिम अफ्रीका में स्वैच्छिक परिवार नियोजन के लिए सामाजिक और व्यवहार परिवर्तन में निवेश में वृद्धि की कुंजी है?


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.

What Have We Learned About SBC Indicators?

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:

  • Most indicators are collected at the output level, largely because of the ease and comparative low cost of collecting data on programmatic activities.
  • Nationally representative household surveys largely exclude SBC-related indicators beyond knowledge, which limits the information that can be used to improve and create programs.
  • Few indicators measure SBC at the provider level, such as provider attitudes, विश्वासों, and communication practices.
  • Very few indicators measured costs, such as cost per person reached by SBC interventions.
  • The limited number of policy indicators, particularly at the outcome level, may reflect challenges with measurement.

The Path Forward: Measuring SBC Efforts

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:

  • Incorporate SBC indicators in national monitoring systems to enable more reliable and valid national reporting.
  • Capture cost measures, such as cost per person reached, to facilitate budgeting and support for further investment.
  • Ensure that behavioral determinants, such as attitudes and norms, are included in large-scale surveys.
  • Include indicators focused on SBC programming, such as attitudes, विश्वासों, and communication practices, at the provider level.

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.

बेहतर मापन फ्रैंकोफोन पश्चिम अफ्रीका में स्वैच्छिक परिवार नियोजन के लिए सामाजिक और व्यवहार परिवर्तन में निवेश में वृद्धि की कुंजी है?
लिसेले यॉर्के

Senior PR Manager, पीआरबी

Liselle Yorke is the Senior Public Relations Manager at PRB, where she spearheads communications initiatives and writes on a range of development issues. She holds a master’s degree in communications from Howard University and a bachelor’s degree in history from the University of the West Indies.

लीन डौघर्टी

वरिष्ठ कार्यान्वयन विज्ञान सलाहकार, निर्णायक अनुसंधान

एमएस. डौघर्टी एक जन स्वास्थ्य विशेषज्ञ हैं जिनके पास अधिक है 20 अनुसंधान में वर्षों का अनुभव, प्रबंधन और तकनीकी सहायता. एमएस. डौघर्टी का शोध सार्वजनिक स्वास्थ्य उत्पादों और सेवाओं के लिए मांग निर्माण रणनीतियों को सूचित करने और उप-सहारा अफ्रीका में सामाजिक और व्यवहार परिवर्तन दृष्टिकोणों की निगरानी और मूल्यांकन करने पर केंद्रित है।. वह निर्णायक अनुसंधान के लिए वरिष्ठ कार्यान्वयन विज्ञान सलाहकार हैं, बेहतर स्वास्थ्य और विकास परिणामों के लिए एसबीसी प्रोग्रामिंग को मजबूत करने के लिए सबूत पैदा करने और इसके उपयोग को बढ़ावा देने पर केंद्रित एक वैश्विक पहल.

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