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I have read with interest the two comments to my posting. in general, I concur with both comments. We definitely have to look at the larger context and structures that influences individuals, but right now more efforts are towards individuals behaviour change. In our programme in India we are actually developing a strategy to address changing social norms. It is however still an area in its infancy. I strongly believe that cultural mores and social norms can only be truly changed from within that culture, the question is how does that change happen and what can be done from "outside" to facilitate the conditions that will allow that change to happen. I also think that international organizations should focus more on supporting processes of strategy design and capacity building, rather than investing huge amounts of money in equipment/supplies (with the exception of emergency situations). I also agree that concepts such as engagement and listening are more important than numeric assessments, but the two can be combined in a rigorous (I also do not like much the "scientific" terminology) manner. Change is a complex phenomenon, one difficult to assess precisely, but that does not mean that is not happening. it actually might mean that we do not have the instruments to measure it (especially social change). From my point of view and from the experiences I witness everyday, I can say that change is happening, not as fast as I would like, but it is definitely happening.