Women feeding her child

Ideas Addressing SELF-EFFICACY
The primary actor's personal confidence in their ability to exert control over successfully practicing a behavior (Note: This factor may not be applicable in many cases beyond health)

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  • A Review of Evidence for Bystander Intervention to Prevent Sexual and Domestic Violence in UniversitiesView Original Source

    The Big Idea: Violence against women is a critical concern for public health. The growing evidence base for the bystander intervention approach to preventing sexual and domestic violence in university settings shows the potential to engage men, as well as women, positively in ending violence against women.

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  • A Service Concept and Tools to Improve Maternal and Newborn Health in Nigeria and UgandaView Original Source

    The Big Idea: Expectations, needs and values of pregnant women and their families are often not considered in the design of maternity services. A co-design process engaged women, their families and providers, in negotiating expectations and standards of care, resulting in simple, easy-to-use tools.

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  • Changes in Couples’ Communication as a Result of Male-Involvement Family Planning InterventionView Original Source

    The Big Idea: Men are often the decision-makers about contraceptive use but programs usually focus on women. Men often lack the knowledge or skills to make informed decisions as a couple. By engaging men through peers, couples can make joint decisions on spacing births.

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  • Effect of Community-based Behavior Change Management on Neonatal Mortality in Shivgarh, Uttar Pradesh, India: A Cluster-Randomized Controlled TrialView Original Source

    The Big Idea: Neonatal mortality reduction can be achieved with a simple, low-cost package of interventions that includes home visits to whole households by community health workers and consistent community engagement with newborn care stakeholders to change social norms, focusing on locally meaningful practices that community members believe are within their control to change, in this case prevention and management of hypothermia. 

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  • Effect of Health Intervention Integration within Women's Self-Help Groups on Collectivization and Healthy Practices Around Reproductive, Maternal, Neonatal and Child Health in Rural IndiaView Original Source

    The Big Idea: Existing self-help groups of women, even when formed for other sectors, offer sustainable platforms building on women’s social capital and peer networks, to empower them to become change agents for themselves and their peers on maternal, child and newborn health.  

     

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  • Effect of Participatory Women's Groups Facilitated by Accredited Social Health Activists on Birth Outcomes in Rural Eastern India: A Cluster-Randomised Controlled Trial View Original Source

    The Big Idea: This study tested a large-scale community-based strategy to improve newborn health through participatory women's groups facilitated by the government’s community health workers, Accredited Social Health Activists (ASHAs).

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  • Ending Eclampsia, Nigeria: Engaging Community Women’s Groups for Improved Antenatal and Postnatal Care ServicesView Original Source

    The Big Idea: Program managers aiming to improve maternal and neonatal outcomes are familiar with complications such pre-eclampsia (PE) and eclampsia, and are tasked with determining the most effective prevention, early detection and care approaches. One promising initiative bridges the gap between health providers and the community by engaging leaders of women’s groups to empower pregnant women with the knowledge and skills to be engaged clients throughout the pregnancy continuum.

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  • Enhancing Self-efficacy of Elementary School Students to Learn MathematicsView Original Source

    The Big Idea: Self-efficacy is a contributing factor in the practice of many healthy behaviors, but rarely do programs isolate and emphasize self-efficacy as its own key outcome. By breaking down the components of self-efficacy, including goal-setting, skill development, positive feedback loops, and high external expectations, it is a comparatively easy factor to change.

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  • Evaluation of the Effects of Smart Couple Digital Health Tool in Kaduna, Nigeria View Original Source

    The Big Idea: Programs that increase demand for family planning services often address the information needs of women but usually fall short in preparing them to be active and engaged communicators during counseling, and often neglect to engage men as active partners. Mobile technology for women and men shows promise in prompting couple dialogue and increased use of contraceptives.

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  • Exposure to Large-Scale Social and Behavior Change Communication Interventions Is Associated with Improvements in Infant and Young Child Feeding Practices in EthiopiaView Original Source

    The Big Idea: Given resource constraints, communication programmers often field questions about the numbers of channels and numbers of contacts needed to achieve change. This analysis of a program that aimed to improve infant and young child feeding in Ethiopia analyzed the dose response associated with significant behavior change. 

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  • From a Classic Training Approach to an On-Site Training Approach Improves Provider Knowledge and Skills: Lessons from RwandaView Original Source

    The Big Idea: Classic classroom-based trainings show limited effectiveness in improving provider skills, and disrupt busy health facilities when providers are called out for multiple trainings. Alternative models to strengthen provider competency and confidence in delivering family planning services may include on-site training. 

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  • Hello Mama Via Papa: A Nigerian Father Gets the Message about Maternal and Newborn HealthView Original Source

    The Big Idea: Managers who oversee programs that help strengthen maternal, newborn and child health outcomes often directly target the mother.  A novel program in Nigeria targets fathers-to-be through mobile phones, providing them with simple, carefully timed text messages to share with their wives and to learn how to help care for her and the baby. 

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  • Impact of an Intensive Perinatal Handwashing Promotion Intervention on Maternal Handwashing Behavior in the Neonatal Period: Findings from a Randomized Controlled Trial in Rural Bangladesh View Original Source

    The Big Idea: Infections in the neonatal period cause up to on-quarter of neonatal mortality, including pneumonia, sepsis, and infections of the umbilical cord. Handwashing with soap could potentially reduce the risk of infection during the vulnerable neonatal period.

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  • Mitigating Disrespect and Abuse During Childbirth in TanzaniaView Original Source

    The Big Idea: First time and continued use of labor and delivery services is often affected by how they feel they are treated by providers. Most interventions to improve client satisfaction with labor and delivery services often focus on training providers. More successful interventions might also target facility managers and clients.

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  • No Lost Generation: Cash Transfers for Displaced Syrian Children in LebanonView Original Source

    The Big Idea:   Managers tasked with overseeing humanitarian efforts need to work with partners to finance and deliver services to meet the basic needs of displaced refugee children. Poor households often cannot afford even the residual costs of school participation including transport to school. A recent analysis of a monthly cash payment when children enroll in school shows the impact of this transfer on children's health and well-being, as well as school attendance.

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  • Primary HIV Prevention in Pregnant and Lactating Ugandan Women: A Randomized TrialView Original Source

    The Big Idea: SBC programmers recognize the value of good counseling. But to what extent does the quality of counseling impact health outcomes through behavior change? This study assessed enhanced counseling for preventing HIV acquisition during pregnancy and throughout the breastfeeding period.

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  • Promoting Healthy Behaviors among Egyptian MothersView Original Source

    The Big Idea:  Women are often the focus of interventions to improve maternal and newborn health, but they make decisions within the larger context of family and community. This program in Egypt worked through locally embedded community development associations (CDAs), many of which had minimal health programming experience, to engage caregivers, their social networks and their communities to encourage better household decision-making by increasing knowledge and promotion of healthy behaviors.

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  • Rape Prevention through Empowerment of Adolescent GirlsView Original Source

    The Big Idea: In some communities, sexual assault has reached epidemic proportions, which leads to serious short and long-term health consequences, including early pregnancy, HIV and mental health issues. An empowerment and self-defense course may help adolescent girls to decrease sexual assault and harassment.

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  • Savings Groups as A Platform for Women's Political EmpowermentView Original Source

    The Big Idea:  In Sierra Leone, like many countries around the world, women comprise the majority of voters but are underrepresented in national and sub-national decision-making processes. This gap impedes progress in achieving gender equality and advancing inclusive development. Women’s savings group provide a platform to inspire and support women to take office.

     

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  • The Effect of Farmer Nutrition Schools on Household Food Production and Women's Dietary Diversity in Bangladesh View Original Source

    The Big Idea: Even as trends in nutrition improve in rural areas, pregnant and lactating women may lack needed nutrients for their own health and their child’s health and growth. A multi-sectoral model that combined a farmer field school model with nutrition and hygiene education into farmer for the poorest women demonstrated improved results through women’s dietary diversity.

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  • The Effects of Antenatal Education on Fear of Childbirth, Maternal Self-Efficacy and Post-Traumatic Stress Disorder (PTSD) Symptoms following Childbirth: An Experimental StudyView Original Source

    The Big Idea: Many pregnant women who have suffered from a traumatic past pregnancy/delivery, or are pregnant and preparing to deliver for the first time, may fear or lack confidence in the available services. These feelings affect women’s decisions about service use and trauma after childbirth. Antenatal education programs increase women’s confidence and reduce symptoms of post-traumatic stress disorders (PTSD) following delivery.

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  • What Are the Most Effective Techniques in Changing Obese Individuals’ Physical Activity Self-Efficacy and Behaviour: a Systematic Review and Meta-AnalysisView Original Source

    The Big Idea:  For many health behaviors, self-efficacy is a key determinant. This meta-analysis determined the most effective ways to improve self-efficacy related to increasing physical activity.

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