Newborn Health

Guidance and Sample Behavior Profiles

Using the evidence-based Essential Newborn Action Plan (ENAP) as its guide, the USAID Newborn Health team identified and prioritized behaviors that, if achieved, would contribute to the global goal of ensuring that every newborn survives and thrives. These behaviors are organized into five domains of care. These are listed below with * by the behaviors that have sample Profiles.

Changing these behaviors requires a different approach to social and behavior change (SBC)—one that goes beyond relying on communications alone to change behavior, and instead focuses on resolving all constraints to practicing the behavior at the same time in the same place. A strong analysis of the behaviors, and logical strategic pathways that lead to change, support this new approach.  To illustrate this way of thinking, the Newborn Health team has developed a set of model, global behavior profiles for five of these behaviors. These five newborn health behaviors have relatively poor uptake at a global level and therefore merit more attention to achieve improved newborn outcomes, although a country should determine its own priorities from the longer list. The profiles for these behaviors serve as at-a-glance documents that synthesize global evidence for analysis of these behaviors. These profiles facilitate an analysis of factors inhibiting or motivating practice of each behavior as well as those supporting actors required to enable change. The profiles organize the analysis in a causal pathway from a behavioral outcome through to illustrative strategies.

The five model profiles are intended to serve as examples for Missions or their IPs to use to develop profiles tailored to their own country context. They include a selection of available global evidence and are not based on exhaustive or systematic reviews. There is no weighting included in these profiles to reflect the amount of available evidence on a particular topic. Profiles should be constructed for a country context based on local evidence. Once contextualized, behavior profiles can be used to plan, review your portfolio and dialogue with IPs.

Practical applications might include:

  • Defining a research agenda tailored to filling identified information gaps in the existing data.
  • Developing project strategy and designing activities that address all identified factors and leverage all supporting actors.
  • Ensuring all interventions are part of the logical pathway to change. Do they connect to an identified factor? Are all factors being addressed?
  • Coordinating interventions to ensure all necessary activities are happening in the same time at the same place.
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