MODULE 10
BEHAVIOR CHANGE
ACTIVITIES
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OBJECTIVES
After completing this session, participants will be able to:
Describe the three behavior change activities
Facilitate an action-oriented group using the steps: Observe,
Think, Try, and Act
Facilitate a breastfeeding and nutrition support group of
mothers/fathers/caregivers to help them support each other in
their IYCF practices
Identify the steps in conducting a home visit.
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BEHAVIOR CHANGE ACTIVITIES
Multiple channels and various methods reinforce knowledge and practice
1. Action-oriented groups
๏ Use the steps Observe, Think, Try, and Act during their health talks to
encourage group participants to reflect, learn, and make decisions
2. Breastfeeding and nutrition support groups
๏ Mothers/fathers/caregivers share their own experiences and provide mutual
support
3. Home visits
๏ Community worker assesses home and family situations to provide necessary
health related activities
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ACTION-ORIENTED GROUPS
‣ ACTION-ORIENTED GROUP is slightly different from traditional group/ health
talks
‣ Group/health talks communicate ideas or convey information to a group
‣ In action-oriented group, participants are encouraged to personalize the
information and to try something new or different (an action)
‣ Health talks effective for giving information but do not necessarily lead to
changes in behavior
‣ Apply the steps:
OBSERVE THINK TRY ACT
๏ Used to encourage group participants to reflect on and
personalize their experiences
๏ Learn from them and make a decision to change behavior
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BREASTFEEDING AND NUTRITION SUPPORT GROUPS
‣ The group allows participants to:
๏ Share infant feeding information and personal experience
๏ Mutually support each other through their own experience
๏ Strengthen or modify certain attitudes and practices
๏ Learn from each other
‣ Enables participants to reflect on their experience, doubts, difficulties,
popular beliefs, myths, information, and infant feeding practices
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BREASTFEEDING AND NUTRITION SUPPORT GROUPS
‣ Not LECTURES or CLASSES
‣ Participants play an active role
‣ Focus on the importance of one-to-one communication
‣ Sitting arrangement allows all participants to have eye-to-eye contact
‣ Group size varies from 3 to 12
‣ Facilitated by an experienced Facilitator/Mother who listens and guides the
discussion
‣ Open allows anyone who is interested to attend
‣ Facilitator and the participants decide the length of the meeting and
frequency of the meetings
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HOME VISITS
‣ Allows the community worker to assess home and family situations in order to
provide necessary health related support:
๏ Greeting and introduction
๏ Establish comfortable setting with caregiver
๏ Building confidence and giving support skills
๏ Listening and learning counseling skills
๏ IYCF-3 Step Counseling: Assess, Analyze, Act
๏ During the Assess Step (ask, listen, and observe), observe the home
situation: Is there food? Are there feeding bottles?
๏ Can use appropriate Counseling Cards
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KEY MESSAGES
A mix of behavior change activities can be utilized to reinforce
knowledge and practice
An action-oriented group encourages participants to reflect,
learn, and make decisions
A support group provides the opportunity to learn from others’
experiences and provide support to others
A home visit can give the health worker additional insight on an
infant’s family situation and possible barriers and facilitators to
behavior change for the mother
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