The Manoff Group has applied its innovative behavior-centered approach to many aspects of the HIV/AIDS pandemic, tailoring activities to each context. Our prevention work with vulnerable populations results in reduced infection risk, and we are achieving sustainable improvements in practices related to the care and treatment of People Living With HIV/AIDS (PLWHA).

Targeted Prevention Strategies

The Manoff Group’s prevention approach focuses on behavior change activities that reduce high-risk behaviors and infection rates in vulnerable populations. Our prevention work includes reducing risk for adolescents, promoting condom use, comprehensive Prevention of Mother-to-Child Transmission, injection safety, and awareness and advocacy.

Care of HIV-affected Individuals
The Manoff Group has worked to enhance the lives of PLWHA, their families, and community members through improved nutrition and hygiene practices and through activities to reduce fear, stigma, and discrimination. Our behavior change activities have included training on how to discuss test results with a partner and research on overcoming obstacles to disclosure, as well as training on proper disclosure for medical professionals.

Key Practices for Effective Treatment

As Anti-Retroviral Therapy (ART) programs scale up worldwide, there is increased concern about treatment adherence. The Manoff Group’s formative research and experience in Behavior-Centered ProgrammingSM and social marketing are ideal for addressing barriers to adherence, which include stigma, health care, drug access, and management of side effects. In addition, a widespread barrier to long-term adherence is feeling better, as this often causes HIV-infected individuals to stop treatment.

Supporting PLWHA through WASH for caregivers
Hygiene improvement can reduce incidence of diarrheal disease for people living with HIV/AIDS (PLWHA) by 30 percent or more. The Hygiene Improvement Project (HIP) conducted workshops in October 2009 in Uganda for 47 master trainers from 23 home-based care (HBC) organizations to equip them with skills for integrating Water, Sanitation, and Hygiene (WASH) into HBC and support for people living with HIV/AIDS (PLWHA) and other chronic illnesses. Little has been done until this training to address how HBC providers can help household members overcome the many daily obstacles to improved WASH behaviors in the home. The training was based on the principle that WASH practices in the household can be improved—that new practices can be adopted and current practices can be modified in small ways that are acceptable to and feasible for the householder.

Mozambique: Making Medical Injections Safer

MMIS works with the Ministry of Health to reduce unnecessary injections and make injections safer for health staff, patients, and communities. The Manoff Group led the development of a highly participatory training program that engages health staff in understanding risky practices and devising feasible solutions. The approach encourages teamwork and the breaking down of barriers between various levels of staff. MMIS is funded by USAID/PEPFAR and led by JSI.


Zambia: Medical Injection Safety Project

MISP aims to prevent the medical transmission of HIV and other blood-borne diseases by achieving appropriate safe injection practices through reducing unsafe and unnecessary injections. The Manoff Group is responsible for behavior change communication and advocacy, and plays an important role in capacity building and work with private providers. Manoff staff support the Zambian Ministry of Health in influencing behavior change among healthcare providers, clients, patients, and community members to reduce the demand for and use of unnecessary injections.
MISP is funded by USAID/PEPFAR and managed by Chemonics.

Click here to read about BCC Advisor Answell Chipukuma's work on MISP.