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1. Achieving large-scale results UNICEF’s current C4D activities in West and Central Africa are neither designed nor delivered at a scale large enough to make a measurable contribution to the health-related MDGs or to improve rates of child survival and development (CSD). UNICEF’s Office in Nigeria, for example, is currently implementing more than 11 different C4D activities - but few reach more than a few hundred communities. Each communication initiative focuses on an individual sector such...[