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Socialise to Immunise: boosting vaccination uptake through Facebook

In Myanmar's Kachin state only 54-60% of children under 2 years have received all basic vaccinations. However, the rates for individual vaccination of children is much higher, such as 91.2% for the BCG vaccine.[i] We know that vaccine hesitancy is a complex issue. The WHO identifies three main driving factors; confidence, complacency and convenience. Conventional methods to increase basic child vaccination rates, mostly target caregivers directly to increase people’s knowledge and thus change attitudes and behaviour. Our own research shows that social networks have a strong influence on immunisation behaviour.[ii] An important factor in this respect is the ‘social bandwagon effect’, meaning that caregivers do what everyone does, adhere to the social-cultural norm regarding vaccination, which can be to either follow or not follow the vaccination schedules. The slightest increase in uptake by influential individuals in a group leads to positive spillover in the wider community.[iii] Our Socialise to Immunise project will be piloting and testing an unconventional approach, using Facebook. This interactive approach, based on the premise that the social norm of vaccination behaviour is strongly influenced by peer pressure (social bandwagon), will involve and connect different stakeholders in the vaccination-demand process: caregivers, household decision-makers, community immunisation champions, community members, health care providers. This approach is innovative as it will trial a digital social network which simultaneously addresses the three driving factors as identified by WHO. This update shows how the first stages of the project are progressing and some learnings we are taking forward. [ii] Shi et al., Voluntary vaccination through self organizing behaviors on locally mixed social networks, Scientific Reports 7, 2017 (2665) [iii] Buttenheim AM, Asch DA. Behavioral economics: the key to closing the gap for MDGs 4 and 5? Maternal and child health journal 2013; 17 (4): 581-5 [i] Myanmar Demographic and Health Survey, 2015-2016

Socialize to Immunize project phase 1 two pager

Socialize to Immunize phase 1 two pager

Partnership for Change: Christian Aid in Kenya

Christian Aid has been working in Kenya since 1997, in partnership with local civil society agencies, public authorities, private sector actors, churches and other religious organisations. We are working to build community capacities and create enabling environments in which men, women and children can thrive and break out of chronic cycles of poverty.

Appendices - Marsabit County Resilience Study

Appendices to the Marsabit County Resilience Study. A fieldwork study carried out over two weeks in May 2017 to assess the value of investing in resilience work within pastoralist communities. 

Kenya: a closer look at older age and disability in health programming

Christian Aid’s PPA programme looks at reaching the most vulnerable through health care interventions. Here we share some case studies from Kenya.

Kenya: health governance (INTRAC) - a theory-based approach

Kenya is one of five country studies carried out as part of an organisational assessment of Christian Aid’s work on accountable governance.

LPRR: action learning research

In order for productive learning to occur within the context of this project, monitoring practices must be robust and go beyond collecting data against indicators. This is especially important within a resilience context, as the pre-emptive baseline measurement that is usually used for measuring progress/success is not desirable here. Instead, an ‘outcome harvesting’ approach is more practical, as it does not measure progress towards predetermined outcomes or objectives, but rather collects evidence of what has been achieved, and works backward to determine whether and how the project or intervention contributed to the change. Within the LPRR project there is a need for rigorous evaluation, which balances accountability and learning. Given the ever-evolving evidence base of ‘what works under what conditions’ coupled with the need to demonstrate quality, impactful programming in both upwards and downwards accountability, these types of robust evaluations are essential. In order to ensure learning and accountability are achieved through evaluations, they must be well-planned and budgeted for. This is where the role of the learning strand comes in; by recognising that learning is essential at the outset, it enables it to be included within the design of the project.

Myanmar case study: working towards health convergence

Case study exploring 'convergence’ - a crucial issue in Myanmar’s health sector. Since a civilian government took power in 2011, opportunities for a more comprehensive and unified health system have increased.

Extending maternal and child health services to villages in eastern My

Case study exploring maternal, neonatal and child health - a vital component of Christian Aid's community health programmes in eastern Myanmar.

Controlling malaria in eastern Myanmar

Myanmar has the highest incidence of malaria and mortality rates in Southeast Asia. This case study looks at Christian Aid's work to control malaria in eastern Myanmar.

Exploring the impact of community-based care for vulnerable children

The Community Based Care for Orphans and Vulnerable Children (CBCO) program operated during 2006‐2011 in Nyanza Province and portions of Eastern Province.  Christian Aid partnered with two NGOs, the Benevolent Institute for Development Initiatives (BIDII) in Eastern Province and Anglican Development Services (ADS, formerly known as Inter Diocesan Christian Community Services) in Nyanza Province, to implement the program. The central component of the CBCO program was to support household economic strengthening through the development of village 'saving and loan associations' (SLAs), which for the CBCO program consisted of a group of approximately 30 OVC caregivers.

Action2020 family planning: Kenya context analysis

An in-depth investigation into the context and opportunities for civil society-led accountability on family planning in Kenya.