This analytical study in Social and Behavior Change Communication (SBCC) study seeks to contribute to USAID Africa Bureau objectives to expand its analytic capacity, incorporate these principles into activity design and ultimate impact, and enhance its ability to better understand how African governments are using SBCC campaigns to improve the well-being of African citizens. Understanding SBCC best practices and their potential for improving state-society relations contribute to establishing a framework for future USAID Africa project design, which can further contribute to the development of compelling theories of change.