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The Resources library enables the user to search for publications produced by C-Change, including our country programs. For additional resources, tools, and communication materials produced by the C-Change project, visit              C-Hub.

To search, use the scrollable list boxes (country, topic, type) and the fill-in box (keyword) on the left to initiate your search. To make more than one selection in the search areas, hold down the Ctrl key and select with the mouse. Similarly, to deselect, hold down the Ctrl key. The Reset button allows you to clear the fields and initiate a new search. 

Apr 24, 2012

Cover-LayeredStigmaMSMinJamaicaC-Change carried out five studies--four research and a mapping assessment--to inform the national response to HIV and AIDS in Jamaica. The studies focused on groups who are stigmatized and also vulnerable to HIV infection: sex workers, men who have sex with men (MSM), and young women and men involved in cross-generational sexual relationships. Some of the main findings of each study are outlined below. The findings are informing interventions currently being implemented .



Apr 01, 2012

Barriers to FP in Malawi-coverC-Change commissioned this research study on the socio-cultural context in which family planning (FP) decisions and fertility behaviors take place in Malawi. The study had two broad and interrelated objectives:

1. Identify factors that facilitate or constrain the use of modern FP methods in Malawi
2. Assess the availability and use of FP communication materials in health facilities
This study was conducted to generate evidence to inform the development of effective social and behavior change communication (SBCC) strategies and interventions to improve sexual and reproductive health (SRH) and the uptake of modern FP methods in Malawi.

Mar 31, 2012

cover of Benin report

C-Change and Georgetown University’s Institute for Reproductive Health (IRH) explored direct-to-consumer distribution in Benin of the paper version of Standard Days Method® (SDM), which helps women to identify “fertile windows” when they are most likely to become pregnant. CycleBeads®, a string of colored beads developed by IRH, is a low-cost visual tool that assists women to use SDM. The study report states that the paper version was well accepted by potential users and healthcare providers. Images, messages, instructions, and diagrams were understood and colors liked. In a two-month period, kiosks and salons disseminated nearly 1,800 paper SDM, sales of CycleBeads® increased, and healthcare providers received more enquiries about SDM and modern family planning methods. The report is available for download, along with executive summaries in French and English.


Mar 30, 2012

VMMC in Kenya Case Study The case study describes C-Change’s role and activities during the rollout of the Government of Kenya’s Voluntary Medical Male Circumcision (VMMC) Program from 2009 to 2011. Under the leadership of National Male Circumcision (MC) Taskforce and the Ministry of Public Health and Sanitation, C-Change provided technical assistance and capacity building in SBCC, working closely with a range of partners to operationalize and implement the National MC Communication Strategy; coordinate VMMC communication activities;and develop effective, evidence-based VMMC communication materials.



Mar 10, 2012

SBCC CATC-Change developed the SBCC Capacity Assessment Tool in three versions to assist: organizations to measure their technical capacity and needs in SBCC; donors and networks to assess their capacity and that of the partners they support and manage; and individuals for an organization or facillitator to assess the capacity of individuals (staff or participants) in SBCC.



Mar 01, 2012

Community Dialogues as a Method to Discuss and Reduce Multiple Concurrent Partnerships in LesothoThe study "Community Dialogues as a Method to Discuss and Reduce Multiple Concurrent Partnerships in Lesotho" evaluated C-Change’s community dialogue intervention titled Relationships: Intimacy Without Risk. The study gathered and analyzed the perspectives of participants in five districts in Lesotho. It aimed to assess whether the dialogues had been effective in improving communication on concurrency (or multiple concurrent partnerships) and on cross‐generational and transactional sex, and whether there had been a positive effect—or potential effect—in reducing these HIV risk behaviors. The evaluation also gathered suggestions from participants on how future community dialogue interventions could be improved. A secondary research objective was to explore the role of concurrency in contributing to the spread of HIV and to identify other issues seen as problematic in communities.

Feb 21, 2012

VMMC Communication Materials Adaptation GuideThe Voluntary Medical Male Circumcision (VMMC) Communication Materials Adaptation Guide offers comprehensive communication guidance for VMMC programs scaling up services in new settings. The guidance is particularly relevant for program managers who lack the resources and time to develop social and behavior change communication (SBCC) materials to support informed demand for VMMC services, address cultural barriers, and promote safe sex after the procedure. While the guidance focuses on adapting SBCC materials on VMMC, it can be applied to other health topics.

A 10-step process for adapting materials and products is detailed in the guide. Steps include engaging with stakeholders and employing the VMMC communication strategy; assessing the time and cost of an adaptation; developing a creative brief that guides the process; and conducting concept tests and pre-tests with members of intended audiences.  An appendix includes a flowchart that outlines the decision-making about adaptation; another appendix provides guidance on conducting audience consultations; and a third appendix includes a creative brief template.

Feb 21, 2012

 VMMC GuideThis guide was developed in the Kenyan context for VMMC program directors, task force leaders, and communication managers who need to engage the media. It outlines how to foster positive relationships with media professionals in order to get accurate and increased coverage of VMMC issues. The genesis of this guide was a consultation held on behalf of two task forces - the National VMMC Task Force and the Nyanza Provincial VMMC Task Force - and a one-day workshop with 22 journalists from 11 media houses in Nyanza Province.

Journalists at the workshop provided the following advice on how programs can obtain media coverage that mobilizes and educates the public on VMMC issues: 1) Provide information on VMMC that simplifies the science; 2) Highlight the advantages and risks of VMMC; and 3) Ensure two-way communication, including letters to the editor, call-in radio shows, and discussions led by experts.

Dec 15, 2011

Zambia SBCC and Family Planning endline reportThis report summarizes evaluation findings on the effectiveness of a series of social and behavior change communication (SBCC) interventions to increase uptake of modern family planning (FP) services within an integrated program in the catchment area of the Mwase Lundazi Zonal Rural Health Center, Eastern Province, Zambia. The CARE and C-Change study used qualitative interviews and community-based surveys to assess FP acceptance and uptake, as well as changes in underlying social norms that influence FP behaviors, including those concerning ideal family size. Between baseline and endline, reported use and approval of modern FP methods increased significantly for most respondents. Women reported greater knowledge of FP sources and methods and a greater proportion reported they wanted no more children. Perceived norms of ideal family size also shifted downward for male and female respondents, and a shift was indicated in some attitudes and beliefs related to desired number of children and joint decision-making on FP.


Nov 19, 2011

Action Media report, JamaicaAction Media Report-Bahamas.Nov2011C-Change conducted a series of Action Media workshops in Jamaica in November 2010 with men who have sex with men (MSM), sex workers, and community educators to inform the development of SBCC resources to support and strengthen HIV prevention interventions with and by these populations. Action Media workshops in The Bahamas were held in September 2011 with MSM, individuals engaged in sex work contexts, and people living with HIV.

The reports from these workshops highlight the challenges, gaps, and needs relating to communication around HIV. Participants played an active role and contributed to the development of ideas and concepts for communication materials. Based on their input, C-Change developed the identified concepts during the workshops, using images, formats, and language preferred by participants.
Workshop findings are informing materials currently being developed for MSM and sex workers in Jamaica. Concepts and information from workshops in The Bahamas have been shared with stakeholders so they can use them to inform their development of communication materials.