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Family Planning
Family Planning and Social and Behavior Change Communication
C-Change is conducting research to understand how social norms inform family planning and reproductive health (FP/RH) choices. Results from the research are used to inform the implementation of social and behavior change communication (SBCC) programs that will effect positive changes in family planning behaviors at individual, family, and community levels.
Efforts to improve FP and RH outcomes, for women in particular and the family and greater society in general, benefit from attention to the ways gender norms inform behaviors such as contraceptive use, delay of first births, and healthy timing and spacing of pregnancy. C-Change is working to improve understanding of the relationship between gender and social norms and family planning and to design appropriate SBCC-based intervention programs.
Tanzania Operations Research
In Tanzania, for instance, C-Change is conducting a qualitative study among young, married men and women to determine the role of gender norms and female empowerment in decisions regarding contraceptive use. Results from this research will inform the development of SBCC interventions to be tested in a subsequent operations research study.
Albania Integrated Communication Program
Elsewhere, C-Change’s efforts to challenge social norms related to FP and RH require other approaches. In Albania, C-Change is implementing a program to combat misperceptions and misinformation about modern contraceptive methods. Before the 1990s, access to modern contraceptives was limited, and abortion was the accepted way to end a pregnancy. An integrated communication program is seeking to change social norms among young men and women in Albania. It includes a mass media campaign with messages developed for broadcast and print media and community-based interventions. The program is also training journalists as family planning “champions” by providing information on how to incorporate messages that promote healthy reproductive behaviors and lifestyles into media coverage.
C-Change will evaluate the added value of intensive interpersonal communication with a focus on young men and women. Research will also examine the factors underlying contraception method choice to inform the development of additional programs.

