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Research Survey (Barrier Analysis) November 2021

A consortium of NGOs (Mercy Corps, Save the Children, International Fertilizer Development Center) is implementing the Feed the Future Rural Resilience Activity (RRA) project infour states in northern Nigeria (Adamawa,Borno,Gombe, Yobe)with the aim of promoting social stability, nutritional improvement, and poverty reduction through long-term and sustainable market improvements. As part of this project, we decided to formulate a Social Behavior Change Communication (SBCC) strategy for improving nutrition among women and children, and conducted a Barrier Analysis survey for this purpose.

Research Survey (Barrier Analysis)

We conducted a behavior change (BCC) survey for nutrition improvement in two locations: northern Uganda, where we conducted a nutrition survey in early 2018, and the Borno region in northern Nigeria. Simply conveying knowledge to prevent malnutrition will not change mothers' behavior. In this survey, we conducted a method called "barrier analysis (BA)" to find the barriers that prevent mothers from changing their behavior. From the results of the BA, we found that, for example, even if mothers have knowledge about breastfeeding and weaning, they are strongly influenced by their grandmothers' opinions, lack of fathers' support, and are unable to put their knowledge into action due to various reasons such as mothers' stress. Based on these results, we compiled a behavior change strategy plan that outlined "who to convey what message to, and how to convey it."

Why is behavior change needed?

Most of the various development issues that NGOs and international organizations tackle can be prevented or improved by people changing their behavior. Research and empirical studies have shown that nutritional issues can also be improved with just a few small changes to the parenting behavior of mothers and their families.

How can you successfully change your behavior?

We who deal with development issues tend to think about teaching people "what benefits will come from taking that action," but is that really the best way to do it? There are cases where this type of knowledge-spreading communication can change behavior, but aren't we overemphasizing this and overlooking other factors behind it? It is necessary to understand "why people cannot change their behavior even if they know."

Behavioral science theory dictates that people's behavior does not change suddenly, but rather changes gradually through the stages of unconsciousness → consciousness → preparation → action → maintenance (Stage of Change). It is known that various obstacles prevent people from moving on to the next stage at each stage, and sometimes they regress to the previous stage. On the other hand, it is also known that our behavior is influenced and shaped by our own factors (knowledge, skills, habits, confidence, etc.) and the surrounding environmental factors (family, friends, community, society's overall thinking, politics, economic situation, etc.).

Take exclusive breastfeeding as an example.

Mothers in the unconscious (or pre-consideration) stage believe that their current behavior (giving water and food to the baby) is completely fine, so it is necessary to "make them aware of the problem" through educational and awareness-raising activities. Next, those in the awareness stage are aware of the problem with their current behavior, but are hesitant to actually take action because they feel anxious about the costs of doing so (for example, not giving anything other than breast milk, which takes up their time). Many people get stuck at this stage and are unable to move on. For those at this stage, it is necessary to explain that the benefits of exclusive breastfeeding outweigh the costs, dispel their anxieties, and give them the confidence to take a step forward. In the next preparation stage, they have already begun to take concrete actions. For example, they may listen to the stories of people who are exclusively breastfeeding. For those at this stage, specific know-how on how to breastfeed, advice, and support groups are effective. Mothers in the action stage have actually started exclusive breastfeeding. However, many mothers give up when they face difficulties such as crying babies or not producing enough breast milk. At this stage, praising behaviours that have already been initiated and providing problem-solving support to overcome difficulties with breastfeeding can be useful.

As you can see, behavior change is at various stages depending on the person, and at each stage it is influenced by various factors, and progresses by sometimes going back and forth.So Barrier Analysis aims to conduct interviews in the target area to find out at what stage mothers are most likely to be and what obstacles are keeping them there.Based on what we find from the survey, we will identify appropriate messages and targets, and work on individual mothers or their surrounding environments to remove obstacles and promote behavior change.

ナイジェリアのボルノ地区はボコハラムの影響で国内避難民となっている人々が多く、また栄養不良率も非常に高い状況下、セーブ・ザ・チルドレンが2014年から栄養事業を行っています。しかし、母乳や離乳食による育児行動の指標数値は改善が遅く、その要因を調べる必要がありました。調査の結果の一例として、完全母乳育児について母親はその重要性について意識があっても、父親の意見の影響で実行できないケースが多いこと、またストレスや食糧不足から母乳が出ないと感じている母親が途中で諦めてしまうことも多いこと、などがわかりました。他にも、出生後一時間以内の授乳、子どもの離乳食の多様性や食事頻度などについての有用な調査結果が得られ、今後の栄養改善の行動変容コミュニケーションの提言を行いました。

The survey in Uganda looked at hand-washing habits, in addition to breastfeeding and weaning behaviors. In the target area, Tippy Taps (simple hand-washing tools) were widely installed near toilets, and most mothers washed their hands after using the toilet, but they often forgot to do so before eating. As a result, they fed their children with germ-contaminated hands, which led to diarrhea. Therefore, posters and visual aids were proposed to remind mothers to wash their hands before eating.

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