Giuffrida); University of California, San Diego (
Lundgren) As efforts to achieve the Sustainable Development Goals gain momentum, better understanding of underlying social and individual factors that influence unmet need could improve social and behavior change efforts.
Women in low- and middle-income countries (LMICs) face complex and multifaceted obstacles in managing their fertility. For instance, gender role expectations and other social factors related to family planning (FP) communication and decision-making play roles in method adoption and continuation. Research indicates that unmet need for FP in West Africa continues to grow. This longitudinal, qualitative cohort study investigates the processes involved in FP behaviour change among women and men in southwest Benin, leading to a typology of FP users based on FP need, attitudes, and behaviours, as well as the role of enabling factors and barriers, such as social and gender norms.
Igras, Kohli, Tier); Makerere University (
Bukuluki); London School of Hygiene and Tropical Medicine Faculty of Public Health and Policy (
Cislaghi); Sesame Workshop (
Khan) .hope to spark conversations that can raise our field s awareness of the need to engage with the ethical questions that arise in the design and implementation of NSI and to set a foundation for the development of practical tools and guidelines. The past few decades have seen growing use of norms-shifting interventions (NSI) in low and middle-income countries (LMICs) to promote social and health behaviour change (SBC) toward achievement of the United Nations 2030 Sustainable Development Goals (SDGs). One type of NSI, community-based NSI, seek to address gender, other inequalities, and the power structures that hold inequalities in place by creating and reinforcing positive norms that are rooted within communal values. In such contexts, designers and implementers, as community outsiders, must ask ethical q