"A clear-eyed, expert examination of the state of vaccine confidence globally -- and what it means for the future of life on earth. Considers the widening gulf between messages of medical authority and those on everyman platforms of our digital world, especially as it influences individual choice. C
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onsiders the dawning of vaccine resistance's social acceptance and its implications for human health. Authored by leading authority on vaccine confidence and the health anthropology." (Publisher description)
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"This guide aims to provide some support in planning and delivering effective communications on the local level. It is for us all – the small community organisations as well as the larger NGOs, faith-based leaders and groups as well as media actors, officials and a wide range of other people who i
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n varied walks of life are ‘communicators’ [...] To support our communication there are a range of initiatives and organisations producing resources, and in this guide, we aim to highlight some of the best of these, and also to share other trusted sources where more resources and information can be found." (Introduction)
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"There is an unprecedented need to elevate the role risk communication and community engagement (RCCE) plays in breaking the chains of transmission and mitigating the impact of the pandemic. A revised RCCE strategy was needed to reflect this and the learning from the response to-date. The new strate
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gy will cover six months from December 2020 to May 2021. Analysis of socio-behavioural data shows us some broad trends. In general, people know about COVID-19 and the preventive measures necessary. However, people are becoming complacent and risk perceptions are lowering. In general, people are feeling less confident in what they can do to control the virus. As the pandemic becomes more protracted, pandemic fatigue is increasing. The growing fatigue, the stress caused by uncertainty, lowering risk perceptions and reducing trust in government responses, is taking its toll on the fabric of our communities." (Executive summary)
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"This Information Ecosystem Assessment includes the thoughts and opinions of 48 migrant community leaders and migrant workers in Thailand. The information was collected through a series of qualitative and quantitative techniques, using remote data collection methodologies to ensure the safety of par
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ticipants and researchers and compliance with global and Thai specific restrictions on movement and gathering. Key findings: Information on labor rights and immigration status is not widely available and contributes to increased anxiety, and exploitation of migrants by employers. Risk communication during the pandemic readily conveys how to prevent spread and how to identify symptoms, but most migrants are more concerned about the economic impact of the crisis, and the impact on their legal work and immigration status. Migrants with a low comprehension of Thai language are dependent on community leaders, NGOs and secondhand information delivered through informal networks. Migrants called for government and media to share more information relevant to them in their primary language or to use more simplified Thai terminology when sharing health information and explaining government restrictions in relation to COVID-19." (Executive summary)
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"Though this toolkit explores COVID-19 as a focus topic, the methodology of remote outreaches and campaigns should be used in all the themes you report on in your radio shows; themes such as climate change, sexual and reproductive health, education, migration, violence and community safety, and othe
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rs. This process requires identifying the issues you want to tackle beyond the airwaves, considering how big an impact you’d like to make, who you would like to reach, and the steps it will take to get there while adhering to COVID-19 safety measures." (Introduction)
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"• General public health emergency legislation should not allocate broad discretion to public authorities to limit the right to information through subordinate legal rules but should, instead, subject this to a requirement that any restriction is either “necessity” or “strictly required by t
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he exigencies of the situation”, and is also quite clear regarding how the right to information is being limited.
• No blanket suspensions of the right to information, including blanket time limit extensions for responding to requests for information, should be imposed during emergencies. Instead, emergency provisions should establish the conditions for extending time limits on a case-by-case basis in response to individual requests.
• No limits should be imposed on requests for information related to the emergency and government responses to it, especially where the purpose of the request is to disseminate this information to the public. Better practice is to prioritise these requests, for example by responding more quickly than the law requires.
• Any limits on the right to information should be reviewed regularly and limited in duration to the period during which emergency conditions justify them.
• During a health emergency, necessary changes to the way in which information is recorded and stored should be introduced to ensure that there is no loss of continuity in the recording of government decisions and actions.
• Where an emergency continues for more than the short term, any limits to the right to information that were introduced early on should be lifted or downgraded as soon as possible." (Executive summary, page iii)
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"Fallar en el tratamiento del suicidio (publicitar el método, el lugar, simplificar las causas) puede provocar un efecto contagio en personas vulnerables. Acertar, al contrario, puede ser un pilar muy importante en la prevención. Pero no es sencillo informar bien sobre el suicidio. Tantas décadas
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de silencio ha dejado a los periodistas huérfanos de formación. Y ese silencio, precisamente, lo que más ha contagiado ha sido eso, más silencio. Un silencio social que lleva a los que sufren a callar en lugar de hablar y pedir ayuda; un silencio que cristaliza el tabú y el estigma, que agrava el duelo insoportable de los supervivientes, que hace invisible cualquier presión a los gobiernos para actuar? Ha llegado el momento de hablar del suicidio. Los medios no pueden seguir callados ante una realidad que se llevó 3.569 vidas en España en 2016, el doble que por accidente de tráfico, doce veces más que por homicidio y 81 veces más que por violencia de género. Hablemos de una vez por todas del suicidio. Pero hablemos bien." (Editorial)
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"Risky sexual behaviors are associated with the transmission of sexually transmitted infections (STIs) and unwanted pregnancies, both major health concerns for youth worldwide. This review studies the effectiveness of narrated mass media programs in promoting safer sexual practices among youth in de
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veloped and developing countries." (Abstract)
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"Background: Interventions to raise community awareness about malaria prevention and treatment have used various approaches with little evidence on their efficacy. This study aimed to determine the effectiveness of loudspeaker announcements regarding malaria care and prevention practices among peopl
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e living in the malaria endemic villages of Banmauk Township, Sagaing Region, Myanmar.
Methods: Four villages among the most malaria-burdened areas were randomly selected: two villages were assigned as the intervention group, and two as the control. Prior to the peak transmission season of malaria in June 2018, a baseline questionnaire was administered to 270 participants from randomly selected households in the control and intervention villages. The loudspeaker announcements broadcasted health messages on malaria care and prevention practices regularly at 7:00 pm every other day. The same questionnaire was administered at 6-month post intervention to both groups. Descriptive statistics, Chi-square, and the t-test were utilized to assess differences between and within groups.
Results: Participants across the control and intervention groups showed similar socio-economic characteristics; the baseline knowledge, attitude and practice mean scores were not significantly different between the groups. Six months after the intervention, improvements in scores were observed at p-value<0.001 in both groups, however; the increase was greater among the intervention group. The declining trend of malaria was also noticed during the study period. In addition, more than 75% of people expressed positive opinions of the intervention.
Conclusions: The loudspeaker intervention was found to be feasible and effective, as shown by the significant improvement in scores related to prevention and care-seeking practices for malaria as well as reduced malaria morbidity. Expanding the intervention to a larger population in this endemic region and evaluating its long-term effectiveness are essential in addition to replicating this in other low-resource malaria endemic regions." (Abstract)
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"Suicide attempt rates are on the rise in predominantly Islamic Republic of Pakistan. However, there exists an indigenous academic apathy toward exploring media-suicide relationships. This study, using content analysis and interviews, examines the lack of compliance with international ethical guidel
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ines for suicide reporting by Pakistani newspapers. In 553 reported suicide cases, 2,355 guideline violations were detected. The overall tone of suicide news stories remained overwhelmingly irresponsible, and analysis indicates that both Urdu and English language newspapers made similar violations. Largely ignorant of international standards, Pakistani journalists report attempted suicide cases just like any other crime. This study suggests a prompt action on the part of appropriate bodies to amend relevant codes of ethics and eventually educate relevant journalist fraternities to report suicides in a socially responsible way." (Abstract)
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"Interviews with health communicators and residents in September 2019 found that language barriers impede understanding of critical information on Ebola. Information in French and Swahili does not reach everyone. People misunderstand seemingly simple medical words in French. Swahili is best understo
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od in the version local to Beni, while women and older people in the Beni area need information in localized Nande. Military personnel and their families need information in Lingala. To effectively communicate about Ebola, information needs to be relayed in all four languages. The use of technical terminology presents its own language barrier. Key terms related to Ebola are in French and are not consistently translated. Health communicators themselves misunderstand them. Study participants explained that some words related to the outbreak are socially and culturally unacceptable. People consider those words harsh and offensive, especially words they associate with death. As a result, many people are reluctant to use those words. Health communicators replace them with their own euphemistic explanations. These alternatives can be inconsistent and vague, potentially leading to misunderstandings. Health communicators need support to translate Ebola-related terms in a socially acceptable and consistent way. The content of the information provided is also problematic. Current messages on Ebola offer only basic information and instructions. They do not provide information that will help people to better understand why and how the prevention and treatment of Ebola works. People’s questions have evolved with the dynamics of the outbreak and changes in the response strategy. Study participants asked for complex and transparent information in a language and style that is familiar to them. They want in-depth explanations that relate to the latest developments. Yet health communicators lack communication tools and training adapted to these developments, and struggle to provide clear and consistent answers. The resulting misunderstandings and contradictions confuse people, and the lack of detailed explanations creates further doubt and frustration." (Summary)
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"A growing body of evidence shows that young people are regularly using the digital world as a key source of information about sexuality. This review seeks to understand the opportunity for digital sexuality education by exploring what young people search for online, the range of digital sexuality e
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ducation platforms currently available in the region, the impact of these platforms and issues of online safety. While limitations exist in the depth and breadth of digital sexuality media currently available in the East Asia and Pacific region, this review finds that such platforms offer an opportunity to positively impact the sexual and reproductive health, knowledge and behaviours of young people. Digital media provides scope for targeted interventions and the potential to reach adolescent populations at scale, anytime, anywhere. There is a need for more research to better understand how they impact knowledge, attitudes and behaviour and what increases appeal and usefulness for young people." (Executive summary)
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"This manual, which has been developed by African Women’s Development and Communication Network (FEMNET) has recognized SRHR as an advocacy issue with media being a key partner in driving this agenda. In many African societies, gender relations are characterized by unequal power relations that are
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dominated within a culture of shared beliefs, values, customs and behaviours. It is within culture that women and girls face violations and discrimination of their Sexual Reproductive Health and Rights. Culture is a learning process which changes over time and journalists can play a huge role in changing social thinking and attitudes to enable women and girls achieve human development and lead long healthy lives where their rights are respected. The media advocacy on access to SRHR will lead to abandonment of discriminatory practices and encourage policies and practices that will enable women to take control of their SRHR by expressing their own demands and finding solutions to their own problems." (Page vii)
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"While examples of the rapid spread of misinformation date back to the earliest days of scientific medicine, the internet, by allowing instantaneous communication and powerful amplification has brought about a quantum change. In democracies where ideas compete in the marketplace for attention, accur
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ate scientific information, which may be difficult to comprehend and even dull, is easily crowded out by sensationalized news. In order to uncover the current evidence and better understand the mechanism of misinformation spread, we report a systematic review of the nature and potential drivers of health-related misinformation. We searched PubMed, Cochrane, Web of Science, Scopus and Google databases to identify relevant methodological and empirical articles published between 2012 and 2018. A total of 57 articles were included for full-text analysis. Overall, we observe an increasing trend in published articles on health-related misinformation and the role of social media in its propagation. The most extensively studied topics involving misinformation relate to vaccination, Ebola and Zika Virus, although others, such as nutrition, cancer, fluoridation of water and smoking also featured. Studies adopted theoretical frameworks from psychology and network science, while co-citation analysis revealed potential for greater collaboration across fields. Most studies employed content analysis, social network analysis or experiments, drawing on disparate disciplinary paradigms. Future research should examine susceptibility of different sociodemographic groups to misinformation and understand the role of belief systems on the intention to spread misinformation. Further interdisciplinary research is also warranted to identify effective and tailored interventions to counter the spread of health-related misinformation online." (Abstract)
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"A small, local-level communication initiative aimed to bring about social change and development in communities affected by sustained conflict in Mindanao, Philippines. A realist evaluation involved a secondary analysis of existing data sets that revealed previously undetected mechanisms and 13 out
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comes for improving dialogue, livelihood, and participatory communication. This article describes the method developed for the realist evaluation and constructs Context-Mechanism-Outcome configurations from the existing data sets. The realist evaluation represents what took place in a context characterized by conflict, disadvantage and disempowerment through 2 key mechanisms, community-Centered radio and community radio volunteers. Both mechanisms became voices for the voiceless. The community-Centered radio program supported community volunteers to mobilize communities to participate in radio segments, offering opportunities for their voices to be heard on local issues resulting in discussion, provision of services not previously offered, community leaders more responsive to community needs, and coordinated community action that resolved needs." (Abstract)
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"Addressing depression in young people is a health-care policy need in sub-Saharan Africa. There exists poor mental health literacy, high levels of stigma, and weak capacity at the community level to address this health-care need. These challenges are significant barriers to accessing mental health
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care for depression, soon to be the largest single contributor to the global burden of disease. We here describe an innovative approach that addresses these issues simultaneously while concurrently strengthening key mental health components in existing education and health-care systems as successfully applied in Malawi and replicated in Tanzania. Improving the pathway to care for young people with depression requires the following: improving mental health literacy (MHL) of communities, youth, and teachers; enhancing case identification and linking schools to community health clinics; improving the capacity of community health-care providers to identify, diagnose, and effectively treat depression in youth. Funded by Grand Challenges Canada, we developed and applied a program called “An Integrated Approach to Addressing the Challenge of Depression Among the Youth in Malawi and Tanzania” (IACD). This was an example of, a horizontally integrated pathway to care model designed to be applied in low-resource settings. The model is designed to 1) improve awareness/knowledge of mental health and mental disorders (especially depression) in communities; 2) enhance mental health literacy among youth and teachers within schools; 3) enhance capacity for teachers to identify students with possible depression; 4) create linkages between schools and community health clinics for improved access to mental health care for youth identified with possible depression; and 5) enhance the capacity of community-based health-care providers to identify, diagnose, and effectively treat youth with depression. With the use of interactive, youth-informed weekly radio programs, mental health curriculum training for teachers and peer educators in secondary schools, and a clinical competency training program for community-based health workers, the innovation created a “hub and spoke” model for improving mental health care for young people. Positive results obtained in Malawi and replicated in Tanzania suggest that this approach may provide an effective and potentially sustainable framework for enhancing youth mental health care, thus providing a policy ready framework that can be considered for application in sub-Saharan Africa." (Abstract)
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