Social and Behavior Change Flow Chart

The Social and Behavior Change (SBC) Flow Chart is a process used to develop effective SBC activities. The Flow Chart process actively and meaningfully engages end-users and stakeholders from start to finish, ensuring true co-creation. It harnesses the Breakthrough ACTION consortium partner disciplines (i.e., design, behavioral science, community engagement, market research, and communication) into a new hybrid process that has its roots in the P Process, the human-centered design and behavioral economics design processes, and the Community Action Cycle.

The three phases—Define, Design & Test, and Apply—offer project managers a process to more deeply explore and understand context, formulate insights that uncover new truths, build new designs with community members, and test and iterate on locally made designs. Real-time monitoring is the key to ensuring designs are implemented at scale with intended results. Borrowing heavily from human-centered design principles, the SBC Flow Chart requires users to adopt a beginner’s mind to identify new insights to solve sticky public health problems.

The SBC Flow Chart Introduction outlines the disciplines, explains their underpinning methodologies, and explores the tools and techniques that comprise the Flow Chart phases.

The country Spotlights showcase how Breakthrough ACTION has used the SBC Flow Chart to address health problems in various countries:

Phase 1: Define

Establish the foundational understanding of the problem and context from two perspectives: existing knowledge and published literature, and the new, shared knowledge developed during the design thinking process including data sources and lived experiences in households, communities, health systems and the political environment. 

Phase 2: Define & Test

Insights are translated into solutions in the highly creative, collaborative, and energetic Design and Test Phase. Grounded in deeper understanding, this phase informs how practitioners will address SBC by involving community members in the brainstorming process. We continuously develop and test ideas and concepts within the context in which they will be applied to reach optimal outcomes.

Phase 3: Apply

Prototypes that have been successfully tested and monitored move into the Apply Phase. Once programs synthesize testing feedback into a prioritized suite of solutions, this phase marks the start of implementation of these solutions. We use real-time monitoring and evaluation to assess success and make necessary tweaks and adjustments as we scale solutions over time.