Breakthrough Action (BA)

Breakthrough ACTION (BA) Nepal is a 20-month USAID funded activity with the overall objective of strengthening the institutional and technical capacity of the Government of Nepal (GON) to design, implement, evaluate, and coordinate effective social behavior change communication (SBCC) programs by enhancing capacity and coordination of the GON. The key GON partners are the National Health Education Information Communication Center (NHEICC), Family Health Division (FHD), and Child Health Division (CHD). The activity will work closely with USAID’s Strengthening Systems for Better Health (SSBH) activity and other partners to ensure synergies and maximum impact. USAID has supported the Ministry of Health and Population’s SBCC programs over the past 60 years. Under BA Nepal, USAID will provide further support to strengthen SBCC systems at the federal level while responding to the emerging needs of the provincial and municipal governments. Under the new federal structure, provincial and municipal level entities are now responsible and have decision-making power over health programs. BA Nepal is designed to support the GON to rapidly identify the SBCC gaps and opportunities under the new federal system to achieve the following two outcomes:

  • Enhanced capacity of the GON to design, implement, and evaluate SBCC programs
  • Enhanced GON coordination of SBCC programming


Effective SBCC requires a supportive system, capable organizations, and skilled individuals to implement interventions that lead to improved health outcomes among families and communities. These elements—individuals, organizations, and systems—make up the SBCC Capacity Ecosystem and are interconnected (individuals sit in organizations, which operate in systems). Strengthening systems and organizations is an important part of improving the health of Nepal’s SBCC system and ensuring sustainable, effective, high quality SBCC work that is widely disseminated. With this goal in mind, BA Nepal will support the NHEICC to take a lead role in implementing this approach by providing technical support to identify and strengthen competencies for SBCC capacity across systems, organizations and individuals at the federal, provincial, and municipal levels.


1.Assess and strengthen SBCC systems within the GON’s health system

BA Nepal will work with NHEICC tol analyze the current state of the SBCC system, including roles, responsibilities, activities, coordination, data use, decision-making for SBCC resource allocation, program planning, implementation, and other key activities from the federal to the palika levels. A participatory SBCC capacity mapping exercise at the federal, pradesh, and palika levels will be used to assess existing competencies and design action plans to strengthen the current SBCC system. Based on the assessment, guidelines and existing media materials will be reviewed, systems strengthening activities will be conducted, and a palika SBCC package will be pilot tested in 4 representative Nagarpalikas/Gaupalikas in Province 6. Lessons learned from this process will be shared to inform future SBCC capacity strengthening activities in the newly federalized health system. The program will evaluate progress using the outcome harvesting approach.

2.Strengthen the GON’s use of high-quality data to inform program decisions at all levels

BA Nepal will work with NHEICC to identify priority issues and analyze existing data sources in Nepal from the government and partners to fill gaps in knowledge and inform SBCC activities throughout the country pertaining to reproductive, maternal, newborn, child, and adolescent health and nutrition in Nepal. The project will ensure to make the data user-friendly and easily accessible for critical decision-makers at appropriate levels.

3.Assess and strengthen coordination of the “SBCC system” among institutions, organizations, and individuals practicing SBCC

SBCC stakeholder engagements will be conducted to refine and advance SBCC in Nepal. SBCC health partners and stakeholders will gather together to map the relationships, responsibilities, and resources in the newly federalized health system. They will harmonize messages and approaches and strengthen SBCC coordination. There will also be opportunities to exchange lessons learned and advance high quality SBCC programming through periodic ‘deep dives’ based on partner interest in key SBCC skills such as audience segmentation, monitoring, or new behavioral insights.

Last updated: December 07, 2018

Share This Page