Findings from the learning pilot show the immense potential of these programs to change couples’ family planning and nutrition behaviours and provide early indications of influence on gender and health outcomes. We see these programs as ready to enter large-scale testing, to strengthen our evidence on sustained behaviour change and outcomes. This can be done by saturating the state of Bihar; deploying the programs across multiple Indian states; or at-scale testing to make further program refinements and adjustments. In addition, lessons on using an integrated HCD and behavioural science approach to program design, with a strong gender lens; as well as an approach to health programming that builds both individual and couple’s agency and joint decision-making, can be applied to other fields, both within and outside the domain of health.
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