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Communication in Practice. 12 th Annual Measles & Rubella Initiative Meeting 10 th -11 th September, 2013 RJ Davis, WB Mbabazi, M Charles, A Patel. “ I wrote a report to the Minister and also sent it to the English-language dailies. He read my report in the newspaper.”
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Communication in Practice 12th Annual Measles & Rubella Initiative Meeting 10th-11th September, 2013 RJ Davis, WB Mbabazi, M Charles, A Patel
“I wrote a report to the Minister and also sent it to the English-language dailies. He read my report in the newspaper.” —S. Ramasundaram, Former Head Health and Family Welfare Department Tamil Nadu, India
Communication Approach we use Audience Sender Objective Message Channels Response Response
Measles/Rubella Control/Elimination • High morbidity and mortality disease entities; • Spread easily and fast causing epidemics • Dictates that We Move Faster • Reaching at least 95% of all infants with the first MCV/RCV in all Districts • Reaching at least 95% of all <5yrs old children with a second dose of MCV in all districts • Through Routine (MSD) • SIAs/Mass Vaccination Campaigns • When we fail to access the less accessible we fail to reach 95%
3. Communication Objectives Advocacy • Mobilize leaders to participate and support Measles/Rubella control/elimination efforts • Mobilize all stakeholders for epidemic prevention and control efforts. Social Mobilization • Promote desired measles control behaviors • Create awareness about measles/Rubella disease, especially outbreaks (predicted or real). • Demystify misinformation, rumors & misconceptions
Communication Objectives cont’d Social Mobilization Cont’d • Mobilize the population to participate in epidemic prevention/containment interventions including: • Community mobilization • Early detection/notification of measles/Rubella epidemics • Active case research/reporting • High-risk populations surveillance • Mapping and knowledge building of community resource persons etc. • Research and evaluation to detect and counter emerging adverse behaviors
4. Rationale for Communication • Definition and mapping of Stakeholders • Builds partnerships • Creates agents of change • Assures community reach bearing in mind that the communities are more affected planners
5. Choice of communication channels Promoting Media Mix • Assure that Communication plans are part of POA/cMYP and cover • Print (leaflets, posters, Banners, Q&A, News Inserts and advertorials) is good but has limited reach • Electronic (Radio, TV and Mobile Phones) has more reach but costs more and is limited by coverage/network range • Folk media (Megaphones, Roadside shows, locally generated drama, community events, using places of worship, etc) is more appropriate but is least thought about • Inter-personal communication (IPC), most effective • Face to face health Education sessions by HWs • House-to-House Canvassing
Who, exactly, is our audience? • Audience number 1 • Planners in the Ministry of Health • Donors • Politicians • Audience number 2. • Health communication experts • Health workers • Researchers • Audience number 3 • Parents/Caretakers (who are also voters) • Any unintended audiences Media that can reach
Formulation of Key messages (<3)? Key considerations of the messages • Does message make news: • Affects lots of people, • Affects them today, • stirs controversy? • Does message have a human face? • Is message important for policy? • Is message short and simple? • Any hidden message? … rationale for Pretests
6. Review of Past Performance in measles/Rubella communication -- Simple, consistent messagin
PRE-CAMPAIGN VOLUNTEER VISITS DOCUMENTATION, Dakar Region, Senegal 2010 Only ¼ of respondents were sensitized prior to the H2H visit of RC volunteers
PRE-CAMPAIGN VOLUNTEER VISITS DOCUMENTATION, Tanzania; Nov 2011 425,087 (34%) H/holds were aware of the measles campaigns before theH2H visit was conducted by TRCS Volunteer
Mobile Phone supported H2H Visits Documentation, Kenya, November 2012 40,904 (56%) households were aware of the measles campaigns before the house visit was conducted by KRCS Volunteers 15
RESULTS OF SITE INTERVIEWS WITH CAREGIVERS, TWO RURAL PROVINCES COVERED BY BURUNDI RC, 2012 SIA
7. Standardizing H2H measles/Rubella communication practices • H2H Canvassing Field Guide • Developed in 2012 • Been tested and used in 5 countries • Prospects • Document use of the H2H field manual • Test use of manual in Routine EPI communication • Publish guide for global use