I support a newborn health program in Nepal, and one of our biggest challenges was reaching rural audiences, who have limited access to health services and even mass media, such as radio and television. Our program worked to scale up Chlorhexidine for newborn cord care nationally across Nepal, and conducted a number of nationwide SBCC efforts through mass media, IPC though health workers and Female Community Health Volunteers, and other efforts.
But in a mountainous country like Nepal, even visits from Female Community Health Volunteers were difficult in the most remote communities. When program monitoring found that many women were unreached by our SBCC efforts, we revised our SBCC strategy to include targeted community-based efforts, including community mobilization, wall paintings, street dramas, and other more local efforts to ensure that even those in remote communities would understand the product and ensure its use for home deliveries or institutional births.
The Nepal Demographic Health Survey 2016 found that Chlorhexidine was the most heard health message in Nepal, showing that the combination of national efforts as well as tailored approaches was really successful in ensuring that community members knew about the product and could advocate for its use.