Child-to-Child: A Practical Guide Empowering Children as Active Citizens

This guide, written by Sara Gibbs, Gillian Mann and Nicola Mathers, outlines the Child-to-Child (CtC) approach to health and community development that is led by children. It describes the step-by-step process for implementing CtC and includes a range of tools and techniques for evaluation.


"Some of the intended results of the CtC approach:

  • Children feel more able to tackle community problems
  • Children feel better about themselves
  • Children work better in groups
  • Children know more about their chosen issue
  • Children and adults communicate more openly with one another
  • Children being more likely to speak out about issues of concern to them
  • Children know more about resources and services that exist in their community
  • The community being more open to listening and involving children
  • Family and community respecting children’s ideas and capabilities" (Gibbs, Mann & Mathers 2002)


  • Child-to-Child (CtC): What is it? 1
  • Who is this Manual For? 3
  • History of CtC 6
  • Pillars of CtC 7
  • Facilitation of CtC 10
  • Overview of the 6 Steps of CtC 13
  • Step 1: Group Work 17
  • Step 2: Our ideas 22
  • Step 3: Choose an Issue 26
  • Step 4: Find Out More 32
  • Step 5: Plan and Take Action 39
  • Step 6: Think it Over 44
  • What If’s… 49
  • Tough Questions to ask Yourself 53
  • Setting up a CtC Project 55
  • Tools and Techniques for Evaluation 58
  • Evaluation Tools 60
  • Reflection Tools 68
  • Games 71
  • Reading List and Additional Resources 83
  • Sample Lesson Plans 85


Gibbs S, Mann G, Mathers N. (2002) Child-to-Child A Practical Guide. Retrieved from:

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