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Norms shifting and behavior change in uncertain times

Assessing the state of the evidence

Bibliographic Data

ID15540871
AuthorsSajiga Agha (0000-0001-7049-9933, World Vision), Sohail Agha (Global Health Vision and Africa Behavioral Science Network), Courtney McLarnon (University of California San Diego, corresponding author), R N Rimal (0000-0003-1413-9305, Johns Hopkins University), Ben Cislaghi (0000-0002-6296-4644, Institute of Development Studies), Beniamino Cislaghi (Institute of Development Studies, Brighton, UK; Makerere University), W D Evans (0000-0002-7559-1592, George Washington University), Elizabeth Costenbader (0000-0002-5104-7672, Independent consultant), Elizabeth Larson (0000-0003-0105-4134, Center on Gender Equity and Health, University of California San Diego), Elizabeth A Larson (0000-0002-5859-3115, University of California San Diego), Sarah Smith (0000-0003-0857-5039, University of California San Diego), C Hunter Davis (University of California San Diego), Rebecka Lundgren (0000-0002-9607-5722, University of California San Diego)
Year2026
Volume21
Issue1
Pages2632391-2632391
Publication date2026-02-19
Open AccessYes
TypeARTICLE
VenueGlobal Public Health (JOURNAL)
Journal identifiersISSN: 1744-1692 • E-ISSN: 1744-1706
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/17441692.2026.2632391
PMID41711270
OpenAlexW7130514807
LanguageEN
References cited40

This commentary reflects on the current state of evidence on social norms interventions focused on improving health and economic outcomes for adolescent girls and young women in low- and middle-income countries. Drawing on a newly published global evidence review, it highlights how the field has evolved from narrow, individual-level strategies toward community-centered approaches. While conceptual clarity and implementation tools have improved, significant gaps persist in how interventions measure normative change, assess sustainability, and support communities to navigate pushback. Many programs adopt the language of norms without distinguishing them from individual attitudes, and without engaging reference groups or measuring shifts in collective expectations. Cost data and documentation of long-term impacts remain sparse. This commentary calls for a reimagined evidence agenda to build a stronger foundation for assessing implementation effectiveness and sustainability. It emphasizes the importance of understanding pushback not as failure but as a diagnostic of contested progress, and advocates for greater engagement of men and boys, whose roles in norm change remain underexplored. In the context of shrinking funding and rising resistance to gender equity, producing actionable evidence to support community-led change is imperative. This means building knowledge systems that are not only rigorous, but also community-centered, inclusive, resilient, and responsive

CLARITY · Conceptual framework · Context (archaeology · Documentation · Norm (philosophy · Normative · Psychological intervention · Resistance (ecology · Adolescent Sexual and Reproductive Health · Child Nutrition and Water Access · Health Policy Implementation Science

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Highly citedNo

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