Susan Zimicki FHI360 U.S. Government Evidence Summit on Enhancing Child Survival and Development in Lower- and Middle-Income Countries by Achieving Population-Level Behavior Change June 3-4, 2013 Recommendations

 Dr. Usha S. Nayar, Fmr. Professor & Deputy Director, Tata Institute of Social Sciences, Mumbai, India Chair  Dr. Susan Zimicki, Senior Scientist, FHI350, Washington DC Co-Chair  Benjamin Isquith, HIV/AIDS Program Advisor, USAID, Washington DC, Facilitator  Elizabeth Anderson, Program Assistant, USAID, Washington DC, Coordinator ERT 5 Leadership ERT 5 Members  Kim Seifert-Ahanda, MPH Senior Behavior Change Advisor, USAID Office of HIV/AIDS, Washington DC  Barbara de Zalduondo, MSc, PhD, Senior Advisor to the Deputy Executive Director for Programme, UNAIDS  Mohan j Dutta, Head, Communications and New Media & Director, Center for Culture-Centered Approach to Research and Evaluation, National University of Singapore; Affiliate Professor of Communication, Purdue University  Katherine Fritz, PhD, MPH, Director, Global Health International Center for Research on Women, Washington DC  Zewelanji N. Serpell, Ph.D., Associate Professor, Department of Psychology, Virginia State University  Lorraine Sherr, Ph.D., Professor of Clinical and Health Psychology, University College London UCL  Dr. Janet Shriberg, OVC M&E Advisor, Orphans and Vulnerable Children, Office of HIV/AIDS, USAID, Washington DC  Anne Stangl, Senior Behavioral Scientist, International Center for Research on Women, Washington DC  Vicki Tepper, Ph.D., Division Head, Pediatric Immunology, Rheumatology and Adolescent Medicine; Director, Pediatric AIDS Program; Associate Professor of Pediatrics, University of Maryland School of Medicine  Laura Brady MPH Program Associate, Research and Programs, International Center for Research on Women, Washington DC.

 Compiled after review of all sections  Circulated for comment and revision

 Increased attention to stigma and discrimination in all domains affecting child health. ◦ For example, consider:  Stigma around disease such as HIV or condition (such as pregnant teens)  Stigma around behaviors that are not the social norm  Marginalized groups (ethnic or other) and the children of marginalized groups

1.Summit call for a consensus conceptual model (specifics next slide) 2.Increase investment in stigma interventions and program evaluation 3.Improve reporting about interventions (standard similar to CONSORT statement) 4.Continue qualitative and quantitative research to document the relational and sociocultural contexts of stigma related to child health interventions

◦ Articulate the pathway connecting structural and individual causes and impacts; ◦ Support identification of standard, core measures of stigma causes and outcomes; ◦ Address all program areas related to child health; ◦ Include indirect interventions: e.g., addressing parents and/or addressing disclosure, adherence, access and empowerment; ◦ Include attention to stigma as an unintended consequence: ◦ Be developed with full participation of affected community members.