Social and Behavioral Change Communication: Programming and Barriers to Implementation in Developing Countries

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Authors : Chidimma Ezenwa Anyanwu


This study examines determinants of health and explores how these interact to help man attain or defer from the desired health outcomes. It further examines the role communication plays in an attempt to “influence” the actions of man towards attaining the desired health outcomes emphasizing man’s interaction with his natural environment. Challenges that ensue in this context were analyzed from a programmatic point of view as seen in developing countries and recommendations made based on this hindsight. 


[1.]   Aboud, F. E., Singla, D. R.,(2012). “Challenges to changing behaviors in developing countries”, A critical overview. Social Science & Medicine 75 (2012) 589-594.

[2.]   FHI.,(2002).”Behavior Change Communication (BCC) for HIV/AIDS”. A Strategic Framework. Family Health International Institute for HIV/AIDS.

[3.]   Jhpiego Corporation: The Johns Hopkins University. A Training Program on Community-Directed Intervention (CDI) to Improve Access to Essential Health Services

[4.]   Leclerc-Madlala 2011: Suzanne M Leclerc-Madlala. Relating social change to HIV epidemiology. Future Virol. (2011)6(7).

[5.]   Story and Figueroa 2012: Douglas Story and Maria Elena Figueroa. “Toward a Global Theory of Health Behavior and Social Change.” TheHandbook of Global Health Communication, First Edition. Edited by Rafael Obregon and Silvio Waisbord. John Wiley &Sons, Inc. 2012.

[6.]   UNICEF: available at URC-CHS's Communications Interventions Cycle (available at

[7.]   WHO 2013: The World Health Organization. Accessed December 23, 2012.