"For the last 6 months, the Internews' Rooted in Trust project has collected more than 5,238 rumours from seven countries: Afghanistan, Lebanon, Philippines, Colombia, Central African Republic, Mali and Sudan. We work in 12 local languages and collect data across seven major social media platforms a
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nd a wide range of feedback collection channels, including door-to-door surveys, informal meetings, assessments, community meetings, listening groups, SMS, and radio, with 27 partners across the seven countries. This Global Rumour Bulletin brings together our reflections on two key themes that represent more than 20% of all rumours collected across the seven project sites: rumours that the pandemic either doesn’t exist at all, or that it is a conspiracy, and rumours about vaccines and vaccinations. On the final page you will find a set of recommendations on how we feel the response to rumours and misinformation on these two key themes can be improved." (Introduction)
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"This research demonstrates the complexity of the vaccine information ecosystem, where a cacophony of voices and narratives have coalesced to create an environment of extreme uncertainty. Two topics are driving a large proportion of the current global vaccine discourse, especially around a Covid-19
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vaccine: the “political and economic motives” of actors and institutions involved in vaccine development and the “safety, efficacy and necessity” concerns around vaccines. Narratives challenging the safety of vaccines have been perennial players in the online vaccine debate. Yet this research shows that narratives related to mistrust in the intentions of institutions and key figures surrounding vaccines are now driving as much of the online conversation and vaccine skepticism as safety concerns. This issue is compounded by the complexities and vulnerabilities of this information ecosystem. It is full of “data deficits” — situations where demand for information about a topic is high, but the supply of credible information is low — that are being exploited by bad actors. These data deficits complicate efforts to accurately make sense of the development of a Covid-19 vaccine and vaccines more generally. When people can’t easily access reliable information around vaccines and when mistrust in actors and institutions related to vaccines is high, misinformation narratives rush in to fill the vacuum." (Page 2)
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"This guide should help practitioners to: develop an evidence-grounded understanding of misinformation in the context of vaccination, how it spreads and gets traction, what can be done to mitigate its impact; implement evidence-based approaches to address misinformation; develop a comprehensive and
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tailored national strategy for misinformation management [with case studies on polio vaccination in Pakistan, dengue in the Philippines and HPV in Malawi]. The guide should support practitioners working in immunization programs, including immunization managers, C4D communication for development specialists, behaviour and social change specialists, external and digital communications and health teams." (Page 6)
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"Women, the elderly, adolescents, youth, and children, persons with disabilities, indigenous populations, refugees, migrants, and minorities experience the highest degree of socio-economic marginalization. Marginalized people become even more vulnerable in emergencies. This is due to factors such as
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their lack of access to effective surveillance and early-warning systems, and health services. The COVID-19 outbreak is predicted to have significant impacts on various sectors. The populations most at risk are those that: depend heavily on the informal economy; occupy areas prone to shocks; have inadequate access to social services or political influence; have limited capacities and opportunities to cope and adapt and; limited or no access to technologies. By understanding these issues, we can support the capacity of vulnerable populations in emergencies. We can give them priority assistance, and engage them in decision-making processes for response, recovery, preparedness, and risk reduction." (Page 2)
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"The purpose of this guide is to highlight research, theories, models, and research-driven recommendations that will help ensure effective communication strategies for organizations worldwide. The Institute for Public Relations has reviewed more than 100 research articles to assemble this guide. Bel
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ow are 17 Key Findings, which are all backed by research discussed in more detail within the guide." (Executive summary and key findings, page 1)
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"Three communication considerations: 1. What - Define communication goals; 2. Who: Identify needs and persepctives of intended audience; 3. How: Create and disseminate tailored messages." (Page 1)
"Despite major advances in vaccination over the past century, resurgence of vaccine-preventable illnesses has led the World Health Organization to identify vaccine hesitancy as a major threat to global health. Vaccine hesitancy may be fueled by health information obtained from a variety of sources,
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including new media such as the Internet and social media platforms. As access to technology has improved, social media has attained global penetrance. In contrast to traditional media, social media allow individuals to rapidly create and share content globally without editorial oversight. Users may self-select content streams, contributing to ideological isolation. As such, there are considerable public health concerns raised by anti-vaccination messaging on such platforms and the consequent potential for downstream vaccine hesitancy, including the compromise of public confidence in future vaccine development for novel pathogens, such as SARS-CoV-2 for the prevention of COVID-19. In this review, we discuss the current position of social media platforms in propagating vaccine hesitancy and explore next steps in how social media may be used to improve health literacy and foster public trust in vaccination." (Abstract)
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"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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"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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"Once the persuasion took hold that science should open up to the public and these questions were raised, it became clear that coming up with satisfactory answers would be a complex challenge. The inaccessibility of scientific language and methods, due to ever increasing specialisation, is at the ba
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se of its very success. Thus, translating specialised knowledge to become understandable, interesting and relevant to various publics creates particular perils. This is exacerbated by the ongoing disruption of the public discourse through the digitisation of communication platforms. For example, the availability of medical knowledge on the internet and the immense opportunities to inform oneself about health risks via social media are undermined by the manipulable nature of this technology that does not allow its users to distinguish between credible content and misinformation. In countries around the world, scientists, policy-makers and the public have high hopes for science communication: that it may elevate its populations educationally, that it may raise the level of sound decision-making for people in their daily lives, and that it may contribute to innovation and economic well-being. This collection of current reflections gives an insight into the issues that have to be addressed by research to reach these noble goals, for South Africa and by South Africans in particular."
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"Celebrity endorsements are often sought to influence public opinion. We ask whether celebrity endorsement per se has an effect beyond the fact that their statements are seen by many, and whether on net their statements actually lead people to change their beliefs. To do so, we conducted a nationwid
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e Twitter experiment in Indonesia with 46 high-profile celebrities and organizations, with a total of 7.8 million followers, who agreed to let us randomly tweet or retweet content promoting immunization from their accounts. Our design exploits the structure of what information is passed on along a retweet chain on Twitter to parse reach versus endorsement effects. Endorsements matter: tweets that users can identify as being originated by a celebrity are far more likely to be liked or retweeted by users than similar tweets seen by the same users but without the celebrities' imprimatur. By contrast, explicitly citing sources in the tweets actually reduces diffusion. By randomizing which celebrities tweeted when, we find suggestive evidence that overall exposure to the campaign may influence beliefs about vaccination and knowledge of immunization-seeking behavior by one's network. Taken together, the findings suggest an important role for celebrity endorsement." (Abstract)
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"This compendium of 15 SBCC cases presents results and learning from the Communication for Development (C4D) cross-sectoral interventions from 15 states of India – all implemented during the country programme 2013- 2017. Additionally, a national level C4D Results Report ‘Resonating Change’ has
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also been compiled." (Summary note, page 6)
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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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"A web-based system was developed to download and analyse news reports relevant to Ebola vaccine trials. This included monitoring major online newspapers in each country with planned clinical trials, including Ghana. All news articles were downloaded, selecting out those containing variants of the w
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ords “Ebola,” and “vaccine,” which were analysed thematically by a team of three coders. Two types of themes were defined: critiques of the trials and rebuttals in favour of the trials [...] The rumours captured through this research indicate the variety of strong emotions drawn out by the trials, highlighting the importance of understanding the emotional and social context of such research. The uncertainty, fear, and distrust associated with the trials draw from the contemporary context of the Ebola outbreak, as well as longstanding historical issues in Ghana. By analysing the debate from its inception, we can see how the controversy unfolded, and identify points of concern that can inform health communication, suggesting that this tool may be valuable in future epidemics and crises." (Abstract, page 2)
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"This guide provides practical evidence-based and peer-reviewed advice for public health programme managers (PHPMs) and communicators involved with immunisation services. It identifies ways to enhance people’s confidence in vaccination and addresses common issues which underlie vaccination hesitan
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cy. PHPMs are the target audience for this guide, as they are uniquely positioned to initiate, coordinate and monitor the comprehensive system-wide action needed to address the many psychosocial determinants of hesitancy and provide support to healthcare providers in their efforts to enhance vaccination confidence and uptake. This guide serves as a supplement to the ECDC guide Let’s talk about protection, which focuses on strengthening the capacities of healthcare providers to better address concerns about vaccination and tackle obstacles to vaccination uptake." (Introduction)
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"The Polio Communication Global Guide is a how-to manual for planning and building effective mass media and interpersonal communication strategies with the ultimate goal of eradicating polio. This document outlines UNICEF’s global approach to polio communication informed by data and on-the-ground
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experience with a focus on reaching the hardest-to-reach populations in the final polio reservoirs of the world. It provides a comprehensive strategic framework and identifies the key steps of planning and executing an effective and adaptive polio communication response from mass media all the way down to interpersonal communication [...] Previous polio communication strategies often utilised risk communication and targeted individual caregivers with facts about polio and polio vaccination. The new polio strategy is specifically designed to address the dynamic perceptions and social norms that deter caregivers in the remaining 1% of the world from vaccinating their children. Our shift to social norm communication is grounded in recent polling research on populations affected by polio in endemic and outbreak contexts, and their responses to polio eradication efforts. Primarily, this research shows the prevalence of unsupportive social norms in high-risk areas." (Introduction)
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"The main objective of this document is to provide evidence-based guidance on conducting practical social mobilization and communication for a yellow fever vaccination campaign, either preventive or reactive. Information is also given on the monitoring and evaluation of communication and social mobi
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lization techniques. These 10 points from field experience will be especially useful for district-level planning. We aim to impart knowledge from the field about using political structures, communication strategies and grass roots communications; sending key messages; dealing with the local media; training mobilizers; conducting a local assessment; and preparing a local plan. This can be used both in local assessments and district planning at a national level, and will help find the correct media mix in these contexts that balances the effective use of printed materials and social networks." (Introduction, page 1)
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"Entertainment-education for Health Behaviour Change: Issues and Perspectives in Africa is a collection of essays from some of the leading scholars in entertainment-education, including writers from South Africa, Nigeria, and the United States. Chapters cover a wide range of application and strategi
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es for entertainment-education, from mass media campaigns to participatory communication for behaviour change in health interventions including polio eradication and HIV/AIDS. Through reviews of past programmes and discussions of areas of potential research, these scholars highlight an emerging approach that is set to change health education and behaviour change strategies around the world." (Publisher description)
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"This publication analyzes the ways in which health services, public health administration, and healthcare policies are managed in developing countries and how intercultural, intergroup, and mass communication practices are weakening those efforts. If developing countries are to reach their developm
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ent goals, their leaders must have a firm understanding of the impact of infectious diseases on their people and take prompt action to fix socioeconomic issues arising from the problems associated with poor health practices. Drawing on experiences from international health organizations such as the United Nations Population Fund (UNFPA), commissioned in poor countries to assist national governments in improving the wellbeing of their citizens, this volume analyzes maternal and child mortality and the spread of infectious diseases, and offers communication strategies for the management of malaria, HIV Aids, Polio, tuberculosis, and others in Somalia, Madagascar, Ghana, South Africa, Zimbabwe, Nigeria, the Democratic Republic of Congo, and India." (Publisher description)
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