CHANGE focused on sustainable
solutions to key behavior-related challenges in the
areas of maternal health, child health and nutrition,
HIV/AIDS and infectious disease. Because peoples'
choices can be limited by the context in which they
act, CHANGE worked not only at the individual, community,
institutional and policy levels. The CHANGE approach
always begins with careful examination of the situation
and consideration of the point-of-view of the people
whose practices are at issue.
Examples of problems that CHANGE focused on include
"deadly delay" in seeking treatment for sick
children or women with complications of childbirth,
poor health worker performance, stigmatization of people
who have HIV/AIDS and inappropriate and inadequate use
of medicines and preventive and curative health services.
However, the CHANGE approach focused on assets as well
as deficits. We have emphasized community-health system
collaboration and increasing participation of populations
in preventive and positive behaviors. In addition, CHANGE
advocated comprehensive approaches and building self-regulatory
systems that rely on feedback-- both positive and negative--to
sustain practices.
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