This document discusses aligning health programming using behavioral outcomes to improve impact and coordination. It argues that intervention-driven programming can dilute impact by creating silos and lack of shared accountability. A behavior-centered approach focuses investments on integrated strategies to change key behaviors that drive issues like maternal and child mortality, such as seeking care for pneumonia or using modern contraceptives. This approach must be applied at all levels from donor portfolios to implementing partner projects. It promises increased coordination, shared accountability, and adaptive management among implementing partners.

1. Aligning Health Programming Using
Behavioral Outcomes
a
Changing Behaviors Is Everybody’s Business
Neha Shah, Vice President, The Manoff Group, Inc.
April 21, 2017

2. Intervention-Driven Health Programming Can Dilute Impact or
Miss the Target
Goal
Objectives
Outputs
Insurance
Offered
Campaigns
Launched
Managers
Trained
Providers
Trained
Increased
Financing
Increased
Demand
Improved
Governance
Improved
Quality
Reduce Maternal and Child Mortality
Data Analysis
Policy and
Financing
SBCC
Systems
Strengthening
Service
Delivery

3. Intervention-Driven Programming Creates
Problems
• Silos of intervention activities and
priorities
• Difficult coordination
• Wastage
• No shared accountability for ultimate
outcome
3
Flat-lining results

4. Objectives
Outputs
Behavioral
Outcome
Data AnalysisBehaviors to Address Drivers of Mortality
Aligning Programming Using Behavioral Outcomes Focuses
Investments to Get to the Target
Goal
Insurance
Offered
Campaigns
Launched
Managers
Trained
Providers
Trained
Integrated, coordinated strategies in Policy & Financing, SBCC,
Health Systems Strengthening, Service Delivery
Reduce Maternal and Child Mortality
Seek and Receive Care for
Pneumonia
Use Modern Contraceptive
Method for Birth Spacing

5. To Be Successful, This Behavior-
Centered Approach Must Be
Applied at All Levels
Donor or Government Health Portfolios
Health Sector, Multi-Sector, Sub-Sector
Implementing Partner Activity or Project
The Manoff Group 5

6. ACCELERATE Overview
For more information: acceleratorbehaviors.org

7. THINK|BIG: Behavioral Integration Guidance
Set Priorities
Select priority behaviors and outcome targets
Create Behavior Profiles
Analyze each behavior
Review Steps
Determine
Factors
Identify
Supporting
Actors and
Actions
Apply Behavior Profiles
Design and manage health programming by applying a behavioral lens
Track Behavioral Outcomes
Monitor progress and make course corrections
Outline strategy

8. What Could This Mean for Us
as Implementing Partners?
Increased coordination
Shared accountability
Adaptive management

9. Aligning health
programming using
behavioral outcomes
Everybody Can See Through a Behavioral Lens
A behavior-centered
approach to programming