Impact of Social and Behavior Change on Service Delivery Continuum
Explore the critical role of Social and Behavior Change (SBC) in improving service delivery by targeting provider ideation, enhancing client-provider interactions, and implementing SBC interventions. Learn about the impact and measurement of SBCC strategies in service delivery contexts.
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Critical Role of Social and Behavior Change (SBC) Across the Service Delivery Continuum Impact and measurement of SBCC in service delivery Mojisola Odeku June 8, 2017
Outline Background/Context Service provider ideation for SBCC intervention Data source Impact of targeting provider ideation on quality of provider interaction, counseling, and provider bias in service delivery
Service delivery context among providers Provider bias is high, more than half of providers do not offer some methods based on parity, marital status and age Interpersonal communication and counselling (IPCC) needs improvement Client-provider interaction (CPI) is poor Clinical training has not yielded much in improving provider attitude and interaction with clients 3/20/2025 3
Service Provider Ideation NURHI research showed that provider ideation affects quality of interaction and counseling. To improve IPCC we used SBC to improve these ideational factors: provider rejection of myths and rumors perceived peer contraceptive attitudes and prescribing behaviors perceived social/religious approval for family planning gender-related attitudes.
NURHI implemented SBC Interventions for service delivery providers to focus on: How to: counsel and communicate with clients in a non-judgmental and client-focused way provide information that allows clients make informed choices. 3/20/2025 5
Platforms adopted for SBCC interventions Interactive distant learning videos Client-provider Dialogue/Feedback meetings Guidelines & Job Aids Know your provider initiative Whole site orientation
Data source: NURHI study on the effect of IPCC intervention for Providers in Zaria and Benin NURHI/MLE facility survey at baseline and endline in six urban cities Both studies were funded by the Bill and Melinda Gates Foundation 3/20/2025 7
Mean index score1 on information provided by providers on modern methods increased across cities *** *** *** 1 Out of a possible total score of 40 Notes: *** p<0.001
% of providers that talked about different methods, how used, and side effects increased post intervention *** *** *** *** *** p<0.001
% of providers that restrict provision of methods based on parity and marital status (respectively) decreased at endline 10
Conclusion: Provider ideation is related to the quality of family planning services, information provision and provider bias. Focusing on Provider ideation using SBCC should be a critical part of effective service delivery interventions. 3/20/2025 11
