"BBC Media Action has been using mass media to help audiences recognise risks and keep safe from explosive ordnance (EO), which is widespread across Afghanistan following years of conflict. We conducted a panel study in 10 most affected provinces to evaluate the impact of our programme. We found tha
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t increased exposure to our content, which reached 5.4 million Afghans, was linked to increased ability to identify explosive ordnance risks; improved knowledge of what to do to keep safe; and increased discussion with others." (Introduction)
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"Using a two-level randomized experiment covering 5 million people in Burkina Faso, we examine the impact on family planning knowledge and behavior of both general exposure to mass media (800 women receive radios in status quo areas) and an intensive evidence-based family planning campaign (8 of 16
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radio stations receive the campaign and 800 women receive radios in campaign areas). Women receiving radios in status quo areas reduce contraception use by 5.2 percentage points. This negative effect is concentrated among those who wanted fewer children, consistent with mass media increasing social pressure to conform to the modal behavior in the media market. In contrast, receiving a radio in campaign areas increases contraception use by 5.8 percentage points. Comparing women in campaign vs noncampaign areas we find contraception use is 5.9 percentage points higher, births 10% lower, misperceptions about contraception lower, and reported welfare 0.27 standard deviations higher in campaign areas." (Abstract)
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"Indigenous Language for Social Change Communication in the Global South brings together voices from the margins to engage in dialogue about common social change issues in Latin America, Africa, and Asia. This book argues that resistance and social movements, expressed in music and songs and exchang
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ed via radio, remain fundamental to ensure that the linguistic and cultural diversity of the world progresses despite colonizing pressures. Contributors present cases that explore how indigenous communities use mediums such as the radio to help support their language, identity, and expand their own social change. Highlighting the centrality of music in the development of political discussions and language as a central part of collective identity, contributors analyze how these mediums function as both a vessel and a link for information and cultural cohesion of those engaging in social change." (Publisher description)
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"Radio-based entertainment education (EE) programs have long been a way to communicate health-related information, particularly in developing countries. To explore the effectiveness of these campaigns, we used meta-analysis to examine the results of 20 published studies on the effectiveness of healt
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h messages embedded in radio-based EE programs. The results suggest that these messages had small but significant effects in changing health related knowledge, attitudes, and behaviors. We also found that research methods, health issues, and exposure levels were significant moderators of these effects. These results have both theoretical and practical implications." (Abstract)
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"To date, no study has evaluated the effect of a radio-only campaign on infant vaccination coverage, timeliness, and related morbidity in a low-income country. We implemented the "10+10+30" radio campaign involving broadcasting a weekly 10-minute radio drama series on vaccination, followed by a 10-m
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inute discussion by community health workers, and then a 30-minute listener phone-in segment in Jimma Zone, Ethiopia for three months. To assess the impact of 10+10+30, which was aired on a community radio station, we recruited mothers of infants up to 5 weeks old in intervention district clusters that were inside the radio station's reception range (n = 328 dyads) and control district clusters that were outside of the range (n = 332 dyads). Intention-to-treat and per-protocol analyses, adjusted for pre-intervention differences between the districts, were conducted to examine the co-primary outcome of Penta-3 vaccination coverage and timeliness as well as those of other vaccines and outcomes related to infant morbidity. Both intention-to-treat and per-protocol analyses revealed higher vaccine coverage and more timely vaccine administration in the intervention district relative to the control district, with infants in the intervention district being 39% more likely to receive a Penta 3 vaccination. In addition, adjusted regression analyses of maternal retrospective reports over a two-week period revealed 80% less infant diarrhoea, 40% less fever and 58% less cough in the intervention district relative to the control district. This study provides compelling initial evidence that a radio drama integrated with discussion and phone-in components may improve infant vaccination coverage and timeliness and may reduce infant morbidity." (Abstract)
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"Las 13 experiencias de radios de salud mental que se exponen aquí, han sido un medio terapéutico que a la fecha no ha logrado ser reconocida de manera relevante por las formas hegemónicas establecidas encaminadas al tratamiento de padecimientos mentales, pero la buena noticia es que este texto h
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ace evidente el efecto positivo que genera la comunicación en las personas, y que inevitablemente también debe denunciar, aunque sea de forma muy somera, que el encierro no es la respuesta al tratamiento del sufrimiento mental. Si las 13 “radios locas” que se dan a conocer en las páginas de esta aventura fueran personas, podríamos darnos cuenta que siempre existirá una pluralidad o diversidad que es intrínseca a la vida y que, dentro de esa variedad de características, la comunicación, la empatía y el amor son elementos que no faltan en ninguna de esas personas, las cuales tienen mucho que contar y que afortunadamente en su mayoría son buenas noticias y vivencias." (Prólogo, página 10)
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"We illustrate the principles and processes of gender transformative communication by presenting a case study of a long-running social change initiative spearheaded by Minga Perú, a community-based organization in the Peruvian Amazon. Applying a gender and power lens, we illustrate how communicatio
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n transforms existing gender structures. Specifically, we analyze the monumental shifts that are occurring in roles, norms, hierarchies and relationships between women and men in the Peruvian Amazon emanating from Minga’s gender transformative approach. Our analysis highlights gendered shifts at the individual, family, community and institutional level. Through our analysis we outline a communicative process for gender transformation, highlighting how the Minga approach contributes to multiple gender-related outcomes across health, violence, participation, agency and decision-making. We argue that each component of Minga’s process is essentially communicative in nature. Simply put, communication serves as both a means and an end to achieving gender transformation." (Abstract)
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"This evaluation covers two independent projects implemented by BBC Media Action in Zambia. Tikambe provides information to young people about sexual reproductive health and rights and youth-friendly services via different platforms. Radio Waves supports independent media as a platform for dialogue
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and accountability. The evaluation concludes that the projects are relevant and achieved important results. In the future, the projects would benefit from strengthening their participatory approach in project design, sustainability considerations in the organisational capacity development of media actors, vulnerability profile and outreach (Tikambe) and budget design transparency (Radio Waves)." (Back cover)
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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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"Media campaigns can potentially reach a large audience at relatively low cost but, to our knowledge, no randomised controlled trials have assessed their effect on a health outcome in a low-income country. We aimed to assess the effect of a radio campaign addressing family behaviours on all-cause po
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st-neonatal under-5 child mortality in rural Burkina Faso [...] A comprehensive radio campaign had no detectable effect on child mortality. Substantial decreases in child mortality were observed in both groups over the intervention period, reducing our ability to detect an effect. This, nevertheless, represents the first randomised controlled trial to show that mass media alone can change healthseeking behaviours." (Summary)
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"Radio is an effective source of health information in many resource poor countries. In Malawi, 53% of households own radios however few radio programmes in Malawi focus on health issues in the context of medical research. An interactive health-talk radio programme ‘Umoyo nkukambirana’ was intro
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duced by Malawi-Liverpool-Wellcome Trust Clinical Research Programme on a national radio station. The aim was to increase awareness of health and medical research, and improve engagement between researchers, healthcare workers and the public. The content and presentation were developed through participatory community consultations. Focus Group Discussions were conducted with established Radio Listening Clubs whilst quantitative data was collected using toll free FrontlineSMS to explore national response. A total of 277 to 695 SMS (Median: 477) were received per theme. The majority of SMS were received from men (64%) and mainly from rural areas (54%). The programme improved knowledge of medical research, health and dispelled misconceptions. This study suggests that the radio may be an effective means of increasing the exposure of men to health information in resource poor settings." (Abstract)
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"Since 2013, BBC Media Action has been working closely with Unicef to support polio eradication. Through mass media programming – radio magazine shows and drama, and radio and TV public service announcements (PSAs) – it has sought to break down barriers to immunising against polio and other chil
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dhood vaccines among vulnerable and hard-to-reach communities in Afghanistan, Nigeria and Somalia to increase demand for and uptake of them. This briefing synthesises findings from research conducted in the three countries – Afghanistan, Nigeria and Somalia - with a focus on Afghanistan. Research findings suggested that BBC Media Action’s programming provided listeners with accurate, trusted and clear information against misinformation and harmful rumours, increased knowledge on the requirement of multiple doses of vaccines and vaccination schedules, prompted discussion and dialogue in communities, garnered trust and confidence among caregivers through the use of doctors and religious leaders and encouraged parents to vaccinate their children by dispelling misconceptions about vaccinations." (https://www.bbc.co.uk/mediaaction)
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"Following decades of civil war, South Sudan still lacks a functioning healthcare system and has some of the worst maternal and child health indicators in the world. To help address this, between 2012 and 2017 BBC Media Action produced and broadcast a range of national radio programmes seeking to in
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fluence knowledge, attitudes, discussion and the social norms most likely to drive improvements in the RMNCH-related behaviours of women and their families. It also worked to strengthen the capacity of local radio stations to produce similar high-quality, audience-driven health programming. This report presents a synthesis of all research and analysis completed under this project. In brief, it finds that the challenging country context (e.g. the limited availability of quality healthcare nationally and the ongoing humanitarian crisis) limited the extent to which the project was able to contribute to improved health outcomes. Despite this, audiences were generally optimistic about the shows’ influence and value, and reported gaining knowledge and making some behavioural changes as a result of tuning in. Likewise, local radio station partners reported that the capacity-strengthening support had improved their technical skills, editorial confidence and engagement with audiences." (BBC Media Action website)
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"We use a “natural experiment” in media markets in Benin to examine the impact of community radio on government responsiveness to citizens. Contrary to prior research on the impact of mass media, in this experiment government agents do not provide greater benefits to citizens whose exposure to c
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ommunity radio increased their demand for those benefits. Households with greater access to community radio were more likely to pay for government-provided bed nets to combat malaria than to receive them for free. Mass media changed the private behavior of citizens—they invested more of their own resources in the public health good of bed nets—but not citizens’ ability to extract greater benefits from government. While the welfare consequences of these results are ambiguous, the pattern of radio's effects that we uncover has implications for policy strategies to use mass media for development objectives." (Abstract)
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"Boosting health care in rural areas is a serious challenge. Involving local radio stations can help. In northern Uganda, a local FM station supports the fight against leprosy." (Introduction)
"1. Radio, particularly BBC Somali, is an effective medium for reaching people in remote areas of Somalia who are typically hard to reach, including the poorest [...] 2. Drama has been shown to have a particularly powerful role in encouraging audiences to absorb new and relevant information. Tragic
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stories illustrating the potentially fatal results of not adhering to recommended health practices were most recalled by listeners and most associated with improved health practices. The tragic storylines led to an emotional response among the audience, and this has been linked with shifts in knowledge, attitudes and behaviour in the survey. 3. Sufficient time has to be allowed in media interventions to establish a wide audience base and contribute to change in deeply rooted practices and beliefs. In Somalia, preliminary signs that people were broadly aware of and learning from the programme appeared only after more than 30 episodes were aired." (Conclusions)
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"Despite the many HIV/AIDS communication initiatives, combined with support and infrastructural support in South Africa, risky behaviour associated with the spread of the epidemic is increasing amongst many groups. This calls for a re-evaluation of endeavours aimed at curbing the spread of the epide
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mic. This article is only concerned with the communicational aspects of the epidemic, but does not negate the interaction of these with other measures taken to address the epidemic. As is the case with most health communication initiatives, HIV/AIDS communication initiatives have evolved to favour the participatory approach above one-directional transmission of information to the public. The participatory approach rests on the assumption that an HIV/AIDS communication initiative stands the best chance of resulting in behaviour change if members of the target community participate in the communication initiative. The assumption is that as many people as possible should be involved in the maximum number of phases of the communicative initiative (such as initial research, planning, implementation and evaluation of the project). Some research has recently started to explore new forms of community participation, including inviting community participation through, for example, internet-based platforms such as social media, and mobile phone platforms such as WhatsApp and BBM. However, the reality broadcast genre – more specifically, talk radio – has been neglected, as only a few research investigations focused on talk radio and most of these are not exclusively about HIV/AIDScommunication but focus on other health topics. From a participatory communication perspective, two sets of critique against the existing HIV/AIDS communication projects hold water: firstly, they do not make the maximum use of participatory communication principles and, secondly, they are externally initiated projects and emanate from outside the target community. To address both of these concerns, this article explores a wider range of participatory principles and the potential workings of these in an internally initiated communication initiative aimed at addressing the epidemic. More specifically, this article investigates ways in which radio listeners experience the reality broadcast genre – the talk radio show, Positive Talk – as participatory communication. Positive Talk is not an externally initiated project, as it is not part of a pre-planned, goal-oriented project that is owned and controlled outside the target community. In contrast, it has been initiated by Criselda Kananda, an individual not linked to any of the existing initiatives outside the community. She started the show to earn a living. She became a well-known person, is fairly knowledgeable in the field and was granted this opportunity as she is HIV-positive. In order to investigate how radio listeners use the show to engage in HIV/AIDS communication, 20 in-depth interviews were held with avid listeners of the show. The respondents indicated that they appreciate ordinary people phoning in. When expressing their opinions about the show, they found Kananda’s life story credible, believed her public and private life to be congruent, valued Kananda’s personality and respectful manner and could identify with the views expressed. In the article, it is argued that these ideas are largely in line with the principles of participatory communication tied to democracy, the participatory turn, the ordinary, validation of identity and respectful dialogue. Although the findings of this qualitative study cannot be generalised to the whole listening population of the show, they indicate that it is worth investigating the value of communication initiatives that emerge spontaneously from communities (instead of those strategically engineered from outside the general population) as a future direction of HIV/AIDS communication in the country." (Abstract)
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"In this study, we assessed the relevance and effectiveness of radio broadcasting as a strategy that facilitates the adoption and use of safer sexual practices among students at a South African university. Based on ethnographic data, the article highlights that the essential and critical contributio
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n of campus radio lies in its ability to create a social space for HIV/AIDS communication. The overall aim of this study was to assess the relationship between exposure to radio broadcasting messages and the adoption of safer sexual practices. Our analysis suggests that campus broadcasting can be instrumental in promoting HIV/AIDS awareness and education." (Abstract)
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"A national survey was completed in November 2004, designed to measure: media access and use; knowledge of Malaria, its prevention and cure; reach of the radio programme Bolongodala. The sample achieved represented the adult (15+) population of the Gambia estimated to be 768,200. Mandinka is the mos
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t widely spoken language with 61% claiming to speak it well. This was followed by Wolof (47%), Fula (36%) and English (17%). Radio is by far the most used medium. 97% were radio listeners, 53% had listened to radio on the day before the survey interview and 88% during the previous week. 88% have a working radio at home. Radio listening is something that most listeners do with someone else rather than on their own. Despite widespread knowledge of Mandinka, most people prefer to hear radio programmes in their own language. The radio station with both the highest national Share and Reach is GRTS Banjul with a 39% Share and 69% weekly Reach. The radio audience has a very broad demographic profile, matching the Gambian population profile very well. However, women listen less often than men. TV is the next most important medium. 83% were TV viewers, 23% had watched TV on the day before the survey interview and 56% during the previous week. 40% have a working TV set at home." (Executive summary)
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