Key Social Norms Take-aways The Tékponon Jikuagou (TJ) project demonstrates that addressing unmet need for family planning (FP) through social network diffusion can effectively shift deeply rooted gender and social norms. Integrating participatory dialogue and reflection into existing development projects enabled changes in attitudes, behaviors, and community expectations around FP. The approach fostered individual and community-level reflection, promoted gender equity, and leveraged influential community members to normalize discussion and action on FP.

Objectives This report assesses the scale-up phase of the TJ social network diffusion package, exploring how it was integrated into non-health projects by local NGO partners and what effects it had at programmatic, organizational, and personal levels.

Methods A qualitative assessment was conducted by focal points from each implementing partner and a consultant evaluator. Methods included eight focus groups and multiple interviews with NGO staff, senior leaders, and technical support teams from CARE, Plan, and the Ministry of Health. Data were analyzed thematically using participatory validation.

Intervention Details The TJ package includes five components: 1) social network mapping, 2) group-based reflective dialogue, 3) engagement of influential individuals, 4) the “Each One Invites Three” FP referral campaign, and 5) radio broadcasts to create an enabling environment. Implemented across four host NGOs working in savings groups, literacy, nutrition, and WASH projects, the intervention was adapted with minimal changes and guided by a detailed User’s Guide.

Results All partners appreciated the approach’s relevance, especially its emphasis on social norms and gender equity. Social network mapping improved targeting and group engagement. Reflective dialogue facilitated personal attitude change among staff and catalyzers. Projects observed improved FP demand, diffusion of key ideas to non-participating communities, and even changes to unrelated project components. Challenges included managing integration with existing workloads and literacy-related barriers in using French-language materials. Despite initial resistance, all partners endorsed maintaining all five components of the package.

Conclusions TJ’s social network diffusion approach is scalable and adaptable across sectors. It offers a practical, participatory pathway for shifting social norms and increasing FP uptake. Integration into host projects enhanced both FP and non-health project outcomes. For future success, early planning, staff capacity building, and continued emphasis on reflection and diffusion are essential.