This brief summarizes findings from a mixed methods evaluation of an integrated social and behavior change (SBC) approach implemented in the Maradi and Zinder regions of Niger. It is intended to inform the Resilience in the Sahel Enhanced (RISE) II program implemented by the United States Agency for International Development (USAID) funded Resilience Food Security Activities (RFSA) to further improve reproductive, maternal, and child health outcomes. This brief provides an overview of the integrated SBC approach and evaluation methods and then guided by the program theory of change, describes the mechanisms through which the intervention contributed to change in health behaviors by considering programmatic exposure, behavioral determinants, and contextual factors. The brief then presents findings on the effectiveness of integrated SBC programming on family planning, maternal health outcomes, nutrition and water, sanitation, and hygiene behaviors. The brief concludes with recommendations to improve implementation to achieve improved health outcomes.
Breakthrough RESEARCH. 2023. “Findings from a mixed methods evaluation of an integrated social and behavior change approach to improve health outcomes in Niger,” Breakthrough RESEARCH Programmatic Research Brief. Washington DC: Population Council.