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Associate Awards

Associate Awards under C-Change  

For information on how to access services under the C-Change Leader with Associate Award, please click here.

Albania—ICT support
Ethiopia—Malaria prevention
Madagascar—HIV prevention, environment, and adolescent reproductive health (suspended by USAID until further notice) 
Mekong Delta—Avian and pandemic influenza
Nigeria—HIV prevention
PREVENT—Emerging pandemic threats

Albania: ICT Support

C-Change conducted an information, communication, and technology (ICT) assessment in Albania in May 2010 at the request of USAID/Albania. Results from the assessment are informing USAID’s next steps in supporting the Government of Albania’s push to further develop its ICT sector.  This is particularly crticial in Albania's current bid for accession to the European Union. The assessment is also informing efforts that the Albanian private sector could take to grow the ICT sector and engage on an international level. The momentum is there— in the last three to four years, Albania has experienced tremendous growth in mobile phone penetration and has created an independent telecommunications regulatory authority.

C-Change identified several opportunities where the government and the private sector can further ICT development. They include:

  • promoting collaboration between the government and private sector to develop an affordable broadband internet,
  • supporting transparency and an improved regulatory environment, and
  • facilitating the use of ICT tools for socioeconomic development.


Ethiopia: Malaria Prevention

Malaria Prevention Sticker

USAID awarded a four-year associate award effective October 2008 to AED. Lead partner C-Change and core partner CARE are providing support to the Government of Ethiopia under the President’s Malaria Initiative (PMI) to empower Ethiopian families to take actions to combat malaria. This includes increasing demand for, and correct and consistent use of, insecticide-treated nets; improving treatment-seeking behaviors; increasing community awareness of the effectiveness of indoor residual spraying (IRS); and increasing community knowledge about malaria diagnosis, treatment, prevention, and control. Activities are focused in the Oromiya and Amhara regions.

C-Change and the Health Education Center of Ethiopia’s Ministry of Health hosted a successful Message Harmonization Workshop in Spring 2009 that introduced PMI partners (including local and international NGOs) to the concept of small, doable actions and the development of the Essential Malaria Actions (EMA). The malaria-prevention campaign was launched in August 2009 with a training of trainers (TOT) workshop. It guided attendees through objectives of the campaign and provided skills-building exercises on how to use the tools when making home visits with community groups. Trainers train volunteers from community mobilization committees of participating kebeles (the smallest administrative unit in the Ethiopian government). The volunteers use the tools that C-Change developed. These include the EMA Flipchart with basic information on malaria protection and control, the Malaria Protection Scorecards that assist families to track their malaria prevention actions, and Malaria Protection Stickers that recognize families that successfully carry out malaria prevention actions.

At the request of the Ministry of Health, CARE is integrating its “Community Conversations” approach into the malaria prevention/EMA work it is carrying out in East Shoa in Oromiya Region under C-Change. The “Community Conversations” approach addresses the social factors that influence community behaviors. CARE introduced this approach to Ethiopia in 2003 around HIV prevention activities.


Madagascar: HIV Prevention, Environment, and Adolescent Reproductive Health

Note: USAID has suspended most programs in Madagascar until further notice.

AED was awarded a four-year associate award under C-Change to carry out a “cross-cutting and comprehensive behavior change communication program” in Madagascar, effective March 2009. In cooperation with health professionals, communities, and Malagasy families, C-Change worked to strengthen the capacity of local organizations to carry out SBCC programming; initiate a new generation of health programs that link schools and communities and integrate health with environmental protection; and assist people to advocate for their own health and that of their community.

C-Change worked with the Ankoay Doré program, launched in partnership with Madagascar’s National AIDS Control Committee (CNLS), to engage young people in a series of participatory life skills activities to build young leaders involved in social issues such as environmental degradation, hygiene, adolescent reproductive health, and HIV prevention. Activities included involving youth in community development and peer mentoring, using a mix of individual and collective activities.


Mekong Delta: Avian and Pandemic Influenza

USAID awarded AED a three-year Associate Award on behavior change communication (BCC) to help reduce outbreaks of avian and pandemic influenza (API), malaria, and other infectious diseases in Southeast Asia. Awarded by USAID’s Regional Development Mission/Asia (RDM/A) in Bangkok, activities under the award serve the Greater Mekong Subregion countries.

Building on AED’s work since 2005 in avian and pandemic influenza, the Mekong Infectious Diseases–Behavior Change and Communication (MID-BCC) Project will include malaria and dengue fever in its technical scope, as well as API. The geographical focus includes Cambodia, China, and Thailand, as well as Lao PDR and Vietnam where AED is currently working. MID-BCC will be managed from AED’s Bangkok regional office.

The project is applying what has been learned over the past 4 years from our BCC work with USAID in the Mekong Subregion. Across the region, cases of dengue hemorrhagic fever have increased by more than 70 percent since 2003, and the emergence of malaria resistant to artemisinin combination therapy (ACT) along the Thai-Cambodian border also poses a serious threat. There is urgency to this new work, especially when combined with the current H1N1 pandemic.

AED will collaborate with partners through collaborative and coordination functions (e.g., planning and implementation committees) with key partners such as national and provincial government and community representation; through interactions and MOUs as necessary with international stakeholders such as FAO and UNICEF; and through subcontracts with implementing partners—mostly civic associations. Numerous other local organizations will make their resources and expertise available to the project once implementation is underway and as as needs and opportunities become clearer.

For more information on AED’s work in this area, see: http://mekong.aed.org 


Nigeria: HIV Prevention

Participants in SBCC training in Kaduna, Nigeria make their presentation Awarded to AED for behavior change communication to prevent HIV and AIDS, this Associate Award in Nigeria is intended to fill identified gaps in prevention of sexual transmission of HIV through 1) enhancing coordination of SBCC for alignment with national prevention priorities; 2) building the technical capacity of U.S. Government partners to implement evidence-based, community-informed SBCC programs for abstinence and fidelity that complement the PEPFAR program portfolio; and 3) expanding use of mass media channels and the utilization of interpersonal communication initiatives linked to mass media for sexual prevention and social change.

C-Change/Nigeria began implementation under this award in May 2009. The intervention focuses on Kogi, Cross River, and Abuja, areas experiencing higher than average HIV prevalence. The intervention will prepare master trainers for coaching and support national SBCC implementers to improv evidenced-based SBCC interventions in these focus areas. It will also strengthen national and state coordination of HIV prevention responses in these states and Abuja, supporting tools and processes for improved coordination.


PREVENT: Part of USAID's Emerging Pandemic Threats (EPT) Program

USAID has awarded a five-year cooperative agreement called PREVENT to AED that builds on its avian influenza efforts and will develop and implement effective behavior change and communications interventions to reduce the risk of emerging pandemic threats.

PREVENT is slated to work in four "hot spots": the Gangetic Plain of South Asia, the Amazon region of South America, the Congo River Basin of East and Central Africa, and the Mekong region and other spots in Southeast Asia. It is part of a larger new USAID program on Emerging Pandemic Threats (EPT) that includes PREDICT, RESPOND, and IDENTIFY. AED is engaged in this program in Bangladesh, Cameroon, Gabon, and DR Congo.

AED is also engaged in PREVENT in prevention communication on avian influenza in Bangladesh and in communication capacity building with the Africa Field Epidemiology Network.


In recent times, 75% of all new, emerging, or re-emerging diseases—such as HIV and AIDS, severe acute respiratory syndrome (SARS), H5N1 avian influenza, and H1N1 influenza—have originated in animals. These diseases have had a devastating public health and economic impact on large populations as they spread rapidly across the increasingly interconnected globe. Identification and launch of rapid containment and response as quickly as possible is critical when new diseases emerge. Identifying these viruses before they move to full-scale human-to-human transmission is the underlying objective of this award.

Communication critical to behavior change

Communication can play a critical role in helping control disease outbreaks. AED will identify high-risk practices and groups and formulate the behavior change strategies and interventions to meet the challenges posed by these emerging diseases. This award builds on the work AED has done over the past four years in behavior change and communication related to H5N1 (avian flu) and pandemic H1N1 influenza.

AED is joined by Global Viral Forecasting Incorporated (GVFInc). This company is a leader in conducting research on infectious diseases and piloted the first global early warning system to prevent novel pandemics. By coupling innovative surveillance in field sites throughout the world with a consortium of top laboratories, GVFInc is able to characterize the diversity of viruses and other agents as they move from animals into human populations.

For information about PREVENT activities, see the following websites:





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