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Strengthening Capacity in SBCC Programming

A BCC strategy planning meeting

C-Change provided training and technical assistance to strengthen the SBCC capacity of national and implementing partners engaged in HIV prevention. The effort included strengthening their skills in developing SBCC strategies that use mass media and  interpersonal communication (IPC). This work moved beyond increasing knowledge and numbers of persons reached, emphasizing the development of quality programs that change the behaviors that are driving the HIV epidemic, such as multiple concurrent partners (MCP), cross-generational sex, transactional sex, and alcohol use and abuse.

C-Change has been an active member of national technical working groups on HIV prevention, assisting the development of the National Prevention Strategy and driver-specific SBCC strategies that promote abstinence and/or being faithful, condom use,and avoidance or reduction of risk behaviors.

C-Change has also supported strengthening behavior-change approaches within the mainstreaming of the HIV and AIDS programs of government ministries. The project has also strengthened the capacity of civil-society and private-sector PEPFAR partners engaged in SBCC for HIV prevention in program strategy, design, implementation, and monitoring and evaluation. C-Change has been training trainers and assisting with the collection of behavioral baseline data and the development of  behavior change communication and IPC tools.

C-Change Namibia has developed, tested, and applied an SBCC Capacity Assessment Tool in a participatory process with partners. The project also developed an SBCC Strategy Template for HIV Prevention and a set of behavioral questionnaires that are part of a broad strategy to build and strengthen the capacity of partners to design, develop, and evaluate effective SBCC interventions and programs for HIV prevention.

Available on C-Hub are two campaigns in Namibia that have used these tools and approaches--the "Break the Chain" campaign that addresses HIV prevention and MCP and the "Stand Up" campaign that addresses HIV prevention and alcohol use.  


C-Change and UNICEF assist the Namibian MOHSS to design a pilot community-based primary care program and train Health Extension Workers in remote communities in Kunene Region

Health Extension Worker counsels Himba mother with child in Kunene RegionNamibia's Ministry of Health and Social Services, with support from C-Change and UNICEF, has designed and is pilot testing a new community-based primary health care program, the Health Extension Program, in Opuwo District, Kunene Region.
The new program is designed to reach households in remote rural communities with basic services in first aid, maternal and newborn health, child health and nutrition, HIV/AIDS, malaria, TB, social welfare and disabilities through community members, who are trained as Health Extension Workers (HEW). Rural communities in three clinic catchment areas selected 34 community members, who underwent a months-long training to become Health Extension Workers that was conducted by the MOHSS National Health Training Center, C-Change, and UNICEF.
The recently-graduated HEWs are now providing care to households, with continuing field support from C-Change. The development of all pilot training and field materials for the program was led by C-Change, which also led the finalization of all materials following the pilot training. For links to a UNICEF videos and articles on the new program, click the following links: http://www.unmultimedia.org/tv/unifeed/2012/10/namibia-health-workers/ and http://origin-www.unicef.org/infobycountry/namibia_66212.html?p=printme.


 "Stand Up" Campaign - Picture Codes Flip Chart on Alcohol and HIV

C-Change Namibia contributed to the development of interpersonal (IPC) materials, in particular, a Young man resists peer pressure and refuses alcohol flip chart on alcohol and HIV that is used by field workers and volunteers to create conversations for behavior change on alcohol as a driver of the epidemic.  These materials are part of the national 'Stand Up' campaign in Namibia to address alcohol abuse and HIV prevention. The flip chart can be used as part of a comprehensive HIV behavior change curriculum or as stand-alone material. The pages of the flip chart have photos on the front and text on the back. A facilitator shows a photo to a small group or an individual, then uses the text to ask open-ended questions. The facilitator may begin by asking: “What do you see in this photo?” The text provides a summary of talking points.

The flip chart and a fact sheet on the campaign can be downloaded from C-Hub.


"Break the Chain" MCP Campaign to Prevent HIV

Saying 'no' is important but not easyC-Change/Namibia developed the MCP Picture Codes, working closely with the National Prevention Technical Advisory Group on HIV and the Ministry of Health National Multiple Concurrent Partners Technical Working Group, which includes the UN, key local and international NGOs, GTZ, and others.

The MCP picture codes are branded with the Government of Namibia’s logo. They consitute a powerful tool in the multi-level, multi-channel “Break the Chain” MCP campaign and answer urgent requests from civil society and private and public sector organizations in Namibia for effective tools to address prevention of HIV. The "Break the Chain" MCP tools can be accessed on C-Hub.

Field workers and volunteers are using these interpersonal communication materials to create conversations for behavior change that focus on sexual risk behaviors—in particular MCP, transactional sex, and cross-generational sex—as well as positive and negative couples’ communication.

Cross-generational sex scenarioThe picture codes function as a flip chart, organized of a series of pages with a photo on the front and text on the back. A facilitator shows the photo to small groups or individuals and uses the text on the back to ask open-ended questions and generate discussion. For each photo, the facilitator could begin with the following question: “What do you see in this photo?” At the end of each series of questions, the facilitator finds a set of talking points to use to sum up the main points of each discussion.

Partners find these materials to be useful in community, workplace, and clinical settings, and with both urban and rural target audiences. The picture codes can form part of a comprehensive HIV prevention behavior change curriculum or used as stand-alone material.


Quick Glance

Map of Namibia from CIA World Factbook

Click map to enlarge



Total fertility rate

HIV prevalence
13.1% (adult population 15-49)

Contraceptive prevalence
55% (married women 15-49)


Sources: PRB 2011World Factbook