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Training on Behavior Change Communication to Improve
    Access to and Utilization of MNH and TB Services
          Norfil Training Center   I   21-23 November 2011




BCC: Theory & Practice
             By: RAO Nebrida (PHANSuP)
Behavior Change
Communication
      ???
<videos for discussion: piano stair & deepest bin>
20-minExercise: Per Barangay
1. Introduce each Group Member: nickname, nature
   of work/responsibility, key word to remember
   him/her
2. What is your group’s collective understanding of
   Behavior Change Communication?
3. How long have you been doing BCC? (indicate
   number of years per group member then Group
   Total)
4. Enumerate and discuss your own experience in BCC.
   Be specific.
5. What specific problems, challenges or issues have
   you encountered?
BCC – What is it?
• NATURE:
Any “communication” that helps foster a
  change in behavior in individuals, families,
  groups or communities.

Communication: interpersonal, group talks,
 mass media, visual and print materials, videos,
 etc.
BCC – What is it?
• FUNCTION:
Is a multi-level tool for promoting and
  sustaining risk-reducing behavior change in a
  person/people by distributing tailored health
  messages in a variety of communication
  channels.
BCC – What is it?
• PROCESS:
 listening, understanding, and then
  negotiating with a person/people for long-
  term positive health behaviors.
BCC – What is it?
• APPROACH:
Meaningfully engage target individual/group
  by TALKING with them, LISTENING to them,
  and having them agree (NEGOTIATION) to try
  something new.
Not just telling them to do something
  different!
BC: How it happens?




 http://rkhawks.blogspot.com/2011/03/my-stages-of-change.html
BCC: What to do at each stage?




    http://psychology.about.com/od/behavioralpsychology/ss/behaviorchange_3.htm
BCC: What to do at each stage?
BCC: What to do at each stage?
BCC: What to do at each stage?
BC: What to do?
BC: What to do at each stage?
Action



Maintenance
                                         Contemplation
                                                                 Pre-contemplation
                                                                                       BCC: Activities




              Source: BCC for Improved Infant Feeding, Linkages Project. March 2004.
ACCESS (A) = a1 + a2 + a3 + a4

                   available




     affordable   access       adequate




                  acceptable
PSI’s behavior change framework
Bcc training   concept and practice
BC Determinant: Opportunity
• Opportunity summarizes modifiable societal
  or structural level elements that are thought
  necessary to increase the likelihood that a
  person will be able to use a health product or
  service. These include awareness of methods
  and sources of supply and perceptions of
  social marketing brands and their attributes.
BC Determinant: Ability
• Ability summarizes interpersonal level
  behavior change constructs such as social
  norms and perceptions of self-efficacy and
  affordability that assist or inhibit individuals to
  be able to act, given opportunity and
  motivation.
BC Determinant: Motivation
• Motivation summarizes individual level
  behavior change constructs such as awareness
  of a health problem, its causes and severity.
  This awareness then results in an assessment
  of personal risk.
BCC Core Strategies:
          Education, Law & Marketing
• Education can affect ability and motivation, but is not
  able to create opportunity – such as increasing the
  availability of health services -- for people to behave.
  Law is useful when opportunity and ability to behave
  are present, but motivation is absent and unlikely to be
  induced through marketing or education. Yet, legal
  interventions are considered inappropriate when less
  coercive interventions, like marketing, are effective.
  Marketing complements both law and education by its
  capacity to affect all three summary determinants of
  behavior change -- opportunity, ability and motivation
  – and by permitting targeted audiences to change
  behavior voluntarily.
http://live-the-solution.com/
BCC: People learn best by...




    Source: BCC for Improved Infant Feeding, Linkages Project. March 2004.
Bcc training   concept and practice
Gawin natin... Let’s DOH it!
                Workshop:
Assessing the Malabon RUP BCC Context – In
 search of hindering and facilitating factors...
WS Output 1: Opportunity
           Factor       MNH Services   TB Services
Availability




Brand Appeal or
Reputation
WS Output 2: Ability
          Factor             MNH           TB
Affordability of
services/products



Social norms and support
(customs, laws,
regulations, etc) that are
pertinent to the health
issue

Self-efficacy (experience
with the service or
product)
WS Output 3: Motivation
          Factor             MNH Clients   TB Clients
Awareness of health
problem

Awareness of causes of the
problem

Awareness of severity of
the problem

Outcome expectation

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Bcc training concept and practice

  • 1. Training on Behavior Change Communication to Improve Access to and Utilization of MNH and TB Services Norfil Training Center I 21-23 November 2011 BCC: Theory & Practice By: RAO Nebrida (PHANSuP)
  • 3. <videos for discussion: piano stair & deepest bin>
  • 4. 20-minExercise: Per Barangay 1. Introduce each Group Member: nickname, nature of work/responsibility, key word to remember him/her 2. What is your group’s collective understanding of Behavior Change Communication? 3. How long have you been doing BCC? (indicate number of years per group member then Group Total) 4. Enumerate and discuss your own experience in BCC. Be specific. 5. What specific problems, challenges or issues have you encountered?
  • 5. BCC – What is it? • NATURE: Any “communication” that helps foster a change in behavior in individuals, families, groups or communities. Communication: interpersonal, group talks, mass media, visual and print materials, videos, etc.
  • 6. BCC – What is it? • FUNCTION: Is a multi-level tool for promoting and sustaining risk-reducing behavior change in a person/people by distributing tailored health messages in a variety of communication channels.
  • 7. BCC – What is it? • PROCESS:  listening, understanding, and then negotiating with a person/people for long- term positive health behaviors.
  • 8. BCC – What is it? • APPROACH: Meaningfully engage target individual/group by TALKING with them, LISTENING to them, and having them agree (NEGOTIATION) to try something new. Not just telling them to do something different!
  • 9. BC: How it happens? http://rkhawks.blogspot.com/2011/03/my-stages-of-change.html
  • 10. BCC: What to do at each stage? http://psychology.about.com/od/behavioralpsychology/ss/behaviorchange_3.htm
  • 11. BCC: What to do at each stage?
  • 12. BCC: What to do at each stage?
  • 13. BCC: What to do at each stage?
  • 14. BC: What to do?
  • 15. BC: What to do at each stage?
  • 16. Action Maintenance Contemplation Pre-contemplation BCC: Activities Source: BCC for Improved Infant Feeding, Linkages Project. March 2004.
  • 17. ACCESS (A) = a1 + a2 + a3 + a4 available affordable access adequate acceptable
  • 20. BC Determinant: Opportunity • Opportunity summarizes modifiable societal or structural level elements that are thought necessary to increase the likelihood that a person will be able to use a health product or service. These include awareness of methods and sources of supply and perceptions of social marketing brands and their attributes.
  • 21. BC Determinant: Ability • Ability summarizes interpersonal level behavior change constructs such as social norms and perceptions of self-efficacy and affordability that assist or inhibit individuals to be able to act, given opportunity and motivation.
  • 22. BC Determinant: Motivation • Motivation summarizes individual level behavior change constructs such as awareness of a health problem, its causes and severity. This awareness then results in an assessment of personal risk.
  • 23. BCC Core Strategies: Education, Law & Marketing • Education can affect ability and motivation, but is not able to create opportunity – such as increasing the availability of health services -- for people to behave. Law is useful when opportunity and ability to behave are present, but motivation is absent and unlikely to be induced through marketing or education. Yet, legal interventions are considered inappropriate when less coercive interventions, like marketing, are effective. Marketing complements both law and education by its capacity to affect all three summary determinants of behavior change -- opportunity, ability and motivation – and by permitting targeted audiences to change behavior voluntarily.
  • 25. BCC: People learn best by... Source: BCC for Improved Infant Feeding, Linkages Project. March 2004.
  • 27. Gawin natin... Let’s DOH it! Workshop: Assessing the Malabon RUP BCC Context – In search of hindering and facilitating factors...
  • 28. WS Output 1: Opportunity Factor MNH Services TB Services Availability Brand Appeal or Reputation
  • 29. WS Output 2: Ability Factor MNH TB Affordability of services/products Social norms and support (customs, laws, regulations, etc) that are pertinent to the health issue Self-efficacy (experience with the service or product)
  • 30. WS Output 3: Motivation Factor MNH Clients TB Clients Awareness of health problem Awareness of causes of the problem Awareness of severity of the problem Outcome expectation