SAHAN was the demand creation component of FCDO’s Somali Health and Nutrition Programme (SHINE). SAHAN was the first large-scale, dedicated demand-creation for health programme in Somalia. Unlike typical development projects with pre-determined activities and interventions, this programme aimed to first gain a deeper understanding of the primary target audience and the influential human actors surrounding her. The overarching programme approach used an evidence-based, participatory design to better understand the persistent barriers to uptake of health services and healthy seeking behaviour and develop and test innovations in demand creation that target the external factors in a person’s life that influence individual behaviour. The aim of the programme was to develop and pilot a set of interventions, which, when scaled, would have the potential to improve health service uptake and promote healthy behaviours of Somali women and children under five.
Values Clarification and Transformation (VCAT) for family planning is one of the interventions developed under SAHAN. This intervention was designed to address issues around health workers’ personal values and attitudes to improve capacity to deliver confidential, non-judgmental birth spacing services.