"The HIV/AIDS pandemic is a global issue that has unequally affected several countries. Due to the complexity of this condition and the human drama it represents to those most affected by it, several fields have contributed to solving or at least alleviating this situation, and the information syste
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ms (IS) field has not been absent from these efforts. With the importance of antiretroviral therapy (ART) as a starting point, several initiatives in the IS field have focused on ways to improve the adherence and effectiveness of this therapy: mobile phone reminders (for pill intake and appointments), and mobile interfaces between patients and health workers are popular contributions. However, many of these solutions have been difficult to implement or deploy in some countries in the Global South, which are among the most affected by this pandemic. This paper presents one such case. Using a case-study approach with an extreme-case selection technique, the paper studies an m-health system for HIV patients in the Kalangala region of Uganda. Using Heeks' design—reality gap model for data analysis, the paper shows that the rich interaction between social context and technology should be considered a central concern when designing or deploying such systems." (Abstract)
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"Public health advocates in the US and South Africa emphasise that many of the vaccine hesitant are not hardened conspiracy theorists, may have reasonable fears about side-effects and are potentially open to persuasion, especially if their concerns are taken seriously by interlocuters they trust. Bu
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t the fact that trusted interlocuters are needed at all is indicative of the scale of challenge posed by conspiratorial moves against scientific medicine. In December 2022 the New York Times reported that medical professionals continued to be frustrated by the persistence of ‘outlandish’ narratives about COVID-19 vaccines (such as containing injectable microchips for surveillances purposes) that discourage vaccination. That suspicions towards, and even conspiracy theories about, vaccines have social, political, and psychological dimensions makes the task of persuasion more difficult than merely providing correct information about a vaccine or drug. The involvement of organised commercial and/or political interests in spreading misinformation – and the role of social media in amplifying it – complicates the challenge yet further. We have emphasised the persistent synergistic connections, from AIDS to COVID-19, between conspiratorial moves against medical science and the promotion of ‘alternative’ therapies. Cultropreneurs, dissident scientists and their libertarian funders often imply that the medical establishment (and even science itself) has been corrupted by political and commercial interests. The irony here is that cultropreneurs themselves have commercial interests in spreading misinformation about scientific medicine, and libertarian donors have obvious political agendas. Pointing this out is grist for the mill of pro-science activists, but they face an uphill struggle in today’s post-truth social context." (Conclusion)
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"This study explores how and why young people engage with MTV Shuga, a popular mass media campaign in South Africa, to understand what makes effective HIV edutainment. Young MTV Shuga viewers from the Eastern Cape, South Africa and their parents participated in remote individual interviews and focus
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groups in 2020. Qualitative data were transcribed and analysed using a thematic iterative approach. Young participants engaged with MTV Shuga for relatable, tolerant and complex stories about young people navigating HIV and relationships. These stories, which made viewers aware of sexual health services, inspired young people to reflect on how they might engage with different sexual health scenarios. MTV Shuga initiated conversations among peers, partners and some families about HIV that made them feel supported and equipped to tackle problems in their own lives. Complex, relatable, non-judgemental and youth-centred storylines can make HIV edutainment engaging to youth audiences. This approach allows space for reflection and inspires discussion and debate, turning young people from passive recipients of HIV messaging to active decision-makers. Television-based interventions can disseminate resources and knowledge into communities, however, watching them with parents can expose young people to judgement. HIV edutainment should therefore be available through different mediums so young people can engage in tolerant environments." (Abstract)
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"Objective: To investigate the effect of exposure to 'MTV Shuga:Down South’ (MTVShuga-DS) during the scale-up of combination HIV-prevention interventions on awareness and uptake of sexual reproductive health (SRH) and HIV-prevention services by adolescent girls and young women (AGYW) [...] Conclus
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ions: Among both urban and rural AGYW in South Africa, MTVShuga-DS exposure was associated with increased PrEP awareness and improved demand for some HIV prevention and SRH technologies but not sexual health outcomes. However, exposure to MTVShuga-DS was low. Given these positive indications, supportive programming may be required to raise exposure and allow future evaluation of edu-drama impact in this setting." (Abstract)
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"Adolescent girls and young women (AGYW), aged 15.24 years, are disproportionately affected by HIV and other sexual and reproductive health (SRH) risks due to varying social, cultural, and economic factors that affect their choices and shape their knowledge, understanding, and practices with regard
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to their health. Social Behavioral Change Communication (SBCC) interventions targeted at strengthening the capabilities of individuals and their networks have supported the demand and uptake of prevention services and participation in biomedical research. However, despite growing global recognition of the domain, high-quality evidence on the effectiveness of SBCC remains scattered. This evidence and gap map (EGM) report characterizes the evidence base on SBCC interventions for strengthening HIV Prevention and Research among AGYW in low- and middle-income countries (LMICs), identifying evidence gaps and outlining the scope of future research and program design." (Abstract)
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"This paper examines the extent to which an edutainment programme, MTV-Shuga, was reported to influence young people’s engagement with sexual and reproductive health (SRH) information in rural KwaZulu-Natal, South Africa. In 2019 we conducted eight community-based screenings of MTV-Shuga episodes
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followed by 25 individual indepth interviews and 13 focus group discussions with young people aged between 15 and 30. Interviews were audio recorded and transcribed verbatim. Data analysis was thematic and complemented by constant comparison and deviant case analysis techniques. In this rural and poor setting with a high burden of HIV, young people exhibited high levels of awareness of SRH and HIV but had constrained access to services, and limited ability to engage with parents or guardians on SRH matters. MTV Shuga provided an entertaining guide of ways to navigate the risks that they faced in a way that resonated with them. The findings highlight the importance of enabling young people in rural areas to watch MTV Shuga with peers in a safe space in which discussion of the content is facilitated. There is also value in encouraging parents to watch MTV Shuga as a means of enabling discussions between children and adults in their lives about SRH matters." (Abstract)
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"This book analyses the partnership between applied theatre and sexual health communication in a theatre-making project in Nyanga, a township in South Africa. By examining the bridges and schisms between the two fields as they come together in the project, an alternative way of approaching sexual he
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alth communication is advocated. This alternative considers what it is that applied theatre does, and could become, in this context. Moments of value which lie around the margins of the practice emerge as opportunities that can be overlooked. These somewhat ephemeral, intangible moments, which appear on the edges, are described as 'apertures of possibility' and occur when one takes a step back and realises something unnoticed in the moment. This book offers an invitation to pause and notice the seemingly insignificant moments that often occurs tangentially to the practice. The book also calls for more outcry about sexual health and sexual violence, arguing for theatre-making as a route to multitudes of voices, nuanced understandings, and diverse spaces in which discussions of sexuality and sexual health are shared, felt, and experienced." (Publisher description)
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"This paper tests the effectiveness of an entertainment education television series, MTV Shuga, aimed at providing information and changing attitudes and behaviors related to HIV/AIDS. Using a simple model, the paper shows that “edutainment” can work through an individual or a social channel. Th
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is study is a randomized controlled trial conducted in urban Nigeria, where young viewers were exposed to MTV Shuga or a placebo television series. Among those exposed to MTV Shuga, the trial created additional variation in the social messages they received and the people with whom they watched the show. The study finds significant improvements in knowledge and attitudes toward HIV and risky sexual behavior. Treated subjects are twice as likely to get tested for HIV eight months after the intervention. The study also finds reductions in sexually transmitted diseases among women. These effects are stronger for viewers who reported being more involved with the narrative, consistent with the psychological underpinnings of edutainment." (Abstract)
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"The SRP was piloted in Tanzania following the model of the Sara Communication Initiative (SCI). The main objective of SRP was to improve skills among school children, especially girls, on negotiation, communication skills and positive social behaviour. Activities to foster and support engagement of
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the key target audiences through Sara Radio Programme (SRP) are being piloted in Iringa DC since 2016, with the aim of identifying elements that can be scaled up nationally. Two radio stations are carrying out the broadcast twice a week during school-term; Tanzania Broadcasting Corporation (TBC), which has national coverage and Ebony FM, with coverage that is limited to Mbeya, Iringa and Njombe regions (MIN). The SRP included developing, pre-recording and broadcasting 100 episodes. The radio drama series featured a young girl, Sara and her friends. The SRP was crafted in a way to be fun as well as engaging pupils - girls and boys, teachers and parents in discussions around key messages. Primary standard four to seven school children (10 - 14-year olds) are the main target audience for the programme. Teachers and parents were key secondary audiences that got information through direct listening and messages from children. The programme addressed social norms to promote school girls’ retention and completion. In addition, the SRP aimed at imparting a change in knowledge and attitudes towards HIV/AIDS, sexual and reproductive health, early marriage, early pregnancy, social inclusion and protection. The long-term objective of the programme is to empower girls to decide and control what happens to them, to be safe, and to pursue what they want in life.
[.] Findings on SRP thematic components
SRP Information: Almost all the children (93.5%, N=339) interviewed in Iringa DC confirmed that they were aware of the SRP implemented in their schools. The high percentage of awareness of the SRP by the children can be attributed to the frequency of attendance for listening to the episodes. The majority of children mentioned that Sara radio episodes were broadcasted twice a week, on Tuesday and Thursday between 1530hrs to 1600hrs.
HIV/AIDS: Children were asked whether they have heard of HIV/AIDS and majority 95.9% had heard of HIV/AIDS while a mere 3.9% had not. Regarding source of information on HIV/AIDS, the majority of children (87.0%) mentioned schools/teachers as their main source, followed by parents/guardians/family (33.0%) while radios contributed 17%. On spreading of HIV virus, the majority of children (87.0%) confirmed that unsafe sex increases chances of acquiring HIV virus, against 10.7% who did not. There was a small percentage difference between boys (88.0%) and girls (85.8%) who confirmed the risks of unsafe sex on acquiring the HIV virus. [.]" (Executive summary, p. viii-ix)
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"The entertainment–education (E-E) strategy in development communication has been widely described as the panacea to development challenges in Africa. However, despite its growing application on the continent, E-E is still argued to be inhibited from contributing meaningfully toward development ef
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forts. E-E interventions are argued to be hamstrung by their failure to embrace theoretical advances in development communication and E-E scholarship and for remaining rooted in the modernization paradigm. Using the social change paradigm as its framework, this article assesses the notions of development, change, communication, audiences, and education that underpin the conceptualization and design of Tsha Tsha, an E-E television drama that uses a novel cultural approach to address issues surrounding HIV and AIDS in South Africa. The data informing the study were gathered through a Focused Synthesis Approach and analyzed using qualitative content analysis. The study’s findings show that significant efforts have been made by Tsha Tsha’s producers to bridge E-E practice and contemporary development communication and E-E scholarship. The data analyzed in the study show that Tsha Tsha’s notions of development, change, education, communication, and audience have been significantly remoored in line with the core tenets of the E-E for Social Change paradigm. The implications of the study are that more engagement and synergies need to be cultivated between E-E practitioners and development communication and E-E scholars if E-E’s full potential, in contributing to development challenges on the continent, is to be realized." (Abstract)
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"Using cultural studies as its conceptual framework and reception analysis as its methodology, this study investigated and accounted for the oppositional readings that subaltern black South African youths negotiate from Tsha Tsha, an E-E television drama on HIV and AIDS in South Africa. Results from
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the study show that HIV and AIDS messages in Tsha Tsha face substantial resistances from situated youth viewers whose social contexts of consumption, shared identities, quotidian experiences and subjectivities, provide critical lines along which the E-E text is often resisted and inflected. These findings do not only hold several implications for E-E practice and research, they further reflect the utility of articulating cultural studies and reception analysis into a more nuanced theoretical and methodological framework for evaluating the ‘impact’ of E-E interventions on HIV and AIDS." (Abstract)
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"This paper is based on a qualitative study of couples living in SASA communities and secondary analysis of endline quantitative data collected as part of a cluster randomised control trial designed to evaluate the impact of the SASA! intervention. The primary trial was conducted in eight communitie
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s in Kampala, Uganda between 2007 and 2012. The secondary analysis of follow up survey data used multivariate logistic regression to examine associations between intervention exposure and interpersonal communication, and relationship change (n = 928). The qualitative study used in-depth interviews (n = 20) and framework analysis methods to explore the intervention attributes that facilitated engagement with the intervention and uptake of new ideas and behaviours in intimate relationships. We found communication materials and mid media channels generated awareness and knowledge, while the concurrent influence from interpersonal communication with community-based change agents and social network members more frequently facilitated changes in behaviour. The results indicate combining community mobilisation components, programme content that reflects peoples’ lives and direct support through local change agents can facilitate diffusion and powerful collective change processes in communities." (Abstract)
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"Young people are among the most affected and vulnerable groups in the HIV epidemic. Targeting young people in prevention strategies requires inclusive and participatory approaches. This paper discusses a film production project that involved youths in a remote rural community in the Highlands of Pa
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pua New Guinea. It explores some of the processes and impacts of integrating a visual methods community action project in a local community context while targeting young people in an effort to engage them in a reflective dialogue on HIV and AIDS." (Abstract)
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"This study examines the role of non-governmental organisations (NGOs) in shaping health reporting in Tanzania. Drawing on in-depth interviews with representatives from NGOs cited in HIV/AIDS-related stories published in the Tanzanian newspapers, the Daily News and The Guardian, the analysis focuses
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on financial incentives and resources committed by NGOs to foster collaborative relationships with journalists. Findings reveal that media training opportunities, seminars and “sitting fees” are used to gain and keep journalists’ attention on health issues, increasing promotional and advocacy-based reporting. Incentive-based reporting raises ethical and normative questions about editorial freedom for both news sources and journalists." (Abstract)
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"Much of framing scholarship focuses either exclusively on the analysis of words or of visuals. This book aims to address this gap by proposing a six-step approach to the analysis of verbal frames, visual frames and the interplay between them—an integrative framing analysis. This approach is then
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demonstrated through a study investigating the way words and visuals are used to frame people living with HIV/AIDS in various communication contexts: the news, public service announcements and special interest publications. This application of integrative framing analysis reveals differences between verbal frames and visual frames in the same messages, underscoring the importance of looking at these frames together." (Publisher description)
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"Applied Theatre: Performing Health and Wellbeing is the first volume in the field to address the role that theatre, drama and performance have in relation to promoting, developing and sustaining health and wellbeing in diverse communities. Challenging concepts and understanding of health, wellbeing
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and illness, it offers insight into different approaches to major health issues through applied performance. With a strong emphasis on the artistry involved in performance-based health responses, situated within a history of the field of practice, the volume is divided into two sections: Part One examines some of the key questions around research and practice in applied performance in health and wellbeing, specifically addressing the different regional challenges that dominate the provision of health care and influence wellbeing: how the aging population of the global north creates pressure on lifetime healthcare provision, while the global south is dominated by a higher birth rate and a larger population under 15 years old. Part Two comprises case studies and interviews from international practitioners that reflect the diversity of practices across the world and in particular differences between work in the northern and southern hemispheres. These case studies include a sanitation project in a Hmong refugee camp in Thailand in the 1980s, and the sanitation and rural development projects initiated by the traveling theatre troupes of a number of University theatre departments in Africa – Makerere in Kampala, Uganda; Botswana; Lesotho and Dar es Salaam, Tanzania – which began in the 1960s. It considers the emergence of Theatre for Development's use as a health approach, considering the work of Laedza Batanani and the influences of Augusto Boal's Theatre of the Oppressed." (Publisher description)
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