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Improving health worldwide
www.lshtm.ac.uk
SOCIAL NORMS:
PRACTICAL STUFFBen Cislaghi
Assistant Professor in Social Norms
London School of Hygiene and Tropical Medicine
ben.cislaghi@lshtm.ac.uk
LSHTM Norms and GBV
•Selected group of world-leading
practitioners and scholars
•Focus on norms sustaining violence
against women and children
•Working meetings addressing one
question at the time
•Outputs are reports and articles http://strive.lshtm.ac.uk/resources/norms-
measurement-meeting-learning-report
Georgetown Social Norms
•Funded by Gates
•150 participants
•40 organisations
•Three communities: theory, measurement, scale-up
•Focus on Adolescent sexual and reproductive health
and rights
ODI Initiative on Gender Norms
•Funded by Gates
•Web-based platform
•Thematic areas with curators
•Emerging and work in progress
Many schools of social norms as beliefs
Behavioural
economics
Marketing
Moral
Philosophy
Game
theory
Political
Science
Moral
Psychology
Consumer
behaviour
Social
Psychology
Health Science
Communicati
on
Implementation
science
Evolutionary
psychology
Organisational
Science
Health
Psychology
Social Norms as Beliefs
• 1. What people believe others
do
• 2. What people believe
others approve and
disapprove of
(Injunctive norms or
normative expectations)
“1 AND 2” VS “1 AND/OR 2”
(Descriptive norms or
empirical expectations)
How do norms spread?
Harmful OutcomeHealthful Outcome
Effect of Interaction of Social Norms and Personal
Attitudes on health outcomes
Healthful
Norm
Healthful
Attitude
Harmful
Attitude
Healthful
Norm
Harmful
Norm
Harmful
Norm
Harmful
Attitude
Healthful
Attitude
CONTEXT AND SALIENCE MATTER
NORM:
FGC
RELATION NORM / BEHAVIOUR
DIRECT
(PROXIMAL)
INDIRECT
(DISTAL)
BEHAVIOUR:
FGC
BEHAVIOUR:
HITTING WIFE
NORM:
FAMILY
PRIVACY
NORM:
TOLERANCE OF
VIOLENCE
NORM:
FAMILY
HONOUR
Cislaghi, B., & Heise, L. (under review). Four avenues of normative influence.
A practice or behaviour that is
Independent Interdependent
Less detectable More detectable
Under Weaker Sanctions
More Likely or
Stronger Sanctions
Under Indirect Influence Under Direct Influence
Weaker Normative Influence  Is more likely under  Stronger Normative Influence
Cislaghi, B., & Heise, L. (under review). Four avenues of normative influence.
Cislaghi, B., & Heise, L. (under review). A dynamic
framework for using social norms to prevent
harmful behaviours in low and mid-income
countries.
Social Norms
Services
Laws and
policies
Economic
Conditions
Knowledge
And
aspirations
Social Norms
Services
Laws and
policies
Economic
Conditions
Knowledge
And
aspirations
Social Norms
Services
Laws and
policies
Economic
Conditions
Knowledge
And
aspirations
Social Norms
Services
Laws and
policies
Economic
Conditions
Knowledge
And
aspirations
Individual and
collective
aspirations
VISION
INDIVIDUAL
CHANGES
COLLECTIVE
CHANGES
Public Speaking
Project Management
Collective Action
Democratic Discussions
KNOWLEDG
EAND
SKILLS
MOTIVATION
HUMAN
RIGHTS
DISCUSSION
ON
VALUES AND
PRACTICES
New
Beliefs
and
Norms
New
Beliefs
and
Norms
New
Beliefs
and
Norms
New
Beliefs
and
Norms
New
Beliefs
and
Norms
THE GROUP
EXPANDS
TO MANY
PUBLIC
ACTIONS
AND
COMMITT
MENTS
New
Beliefs
and
Norms
STRATEGIC
DELIBERATIONS
Public Speaking
Project Management
Collective Action
Democratic Discussions
KNOWLEDGE
AND SKILLS
New
Beliefs
and
Norms
Cislaghi, B (2018); Human Rights and Community-led Development; Edinburgh: EUP.
See Also: Cislaghi, Mackie, Gillespie (2016) Values Deliberation and collective action in Rural Senegal
TOSTAN MODEL FOR CHANGING NORMS
Different tools depending on what you know
Good
evidence or
ideas of what
norms are in
place
Good evidence
that norms are
in place and of
the strength of
their influence
No evidence
whether
norms are in
place
Kwasnicka, D; Dombrowski, S; White, M; Sniehotta, F (2016)
Improving health worldwide
www.lshtm.ac.uk
SOCIAL NORMS:
PRACTICAL STUFF
THANK YOU!

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