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This technical report presents results from the Behavioral Sentinel Surveillance (BSS) endline survey undertaken by Breakthrough RESEARCH/Nigeria in Kebbi, Sokoto, and Zamfara states between October 1 and November 10, 2022. BSS surveys are intended to assess changes in indicators targeted by the integrated social and behavior change (SBC) activities of the USAID-funded Breakthrough ACTION/Nigeria project. The Breakthrough ACTION/Nigeria project, which began in 2019 and is slated to run until 2025, focuses on the health areas of malaria; family planning; and maternal, newborn, and child health plus nutrition (MNCH+N) in Kebbi and Sokoto states, as well as malaria-only SBC activities in Zamfara State. The project uses three primary SBC approaches: advocacy outreach to opinion leaders and community influencers at the state and local government area (LGA) levels, direct engagement of community members through community dialogues and group meetings, and SBC messaging campaigns through mass media and digital media. The primary objective of this study is to compare the effectiveness of integrated SBC programming, as implemented by Breakthrough ACTION/Nigeria in Kebbi and Sokoto states, with single-focused vertical SBC programming, used by Breakthrough ACTION/Nigeria to target malaria outcomes in Zamfara state.






Breakthrough RESEARCH