This report presents the results of a qualitative assessment conducted by Breakthrough RESEARCH/Nigeria of the Advocacy Core Group (ACG) model implemented by Breakthrough ACTION/Nigeria. The goal of the study was to examine, through qualitative inquiry, the operation and potential effectiveness of the ACG model, which works through key opinion leaders and influencers to influence community-level health norms and individual behaviors, focusing specifically on the uptake of essential reproductive, maternal, newborn, and child health services. Results inform Breakthrough ACTION/Nigeria’s program implementation and contribute toward the broader social and behavior change (SBC) implementation science literature surrounding the roles, effectiveness, successes, and challenges of leveraging religious and traditional leaders and social structures to improve social normative environments for health. The work further addresses issues surrounding the ACG model within the context of integrated SBC programming. Research was undertaken in two phases to provide a comprehensive and additive approach to the qualitative evaluation. Researchers sought to examine the effectiveness, success, and challenges of the ACG approach, particularly in the context of integrated SBC programming across health areas, per the approved study protocol.
Adetayo, Adetunji, Alessandra N. Bazzano, Mayokun Adediran, Paul Hutchinson, and Eno-Obong Etim. 2023. "Qualitative research on Breakthrough ACTION’s Advocacy Core Group Model for integrated social behavior change programming in Nigeria," Breakthrough RESEARCH Technical Report. Washington, DC: Population Council.