Can mass media interventions reduce child mortality?

Head, Roy; Murray, Joanna; Sarrassat, Sophie; Snell, Will; Méda, Nicolas; Ouédraogo, Moctar; Deboise, Laurent

doi:10.1016/s0140-6736(14)61649-4

Cited by 26 publications

(28 citation statements)

References 15 publications

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“…Sociodemographic differences were observed between the intervention arms in Sidoarjo district of East Java, and the control sites in Kudus in Central Java, suggesting that these sites were less comparable than we had assumed. The challenges of using randomised control trials to measure the effect of mass media campaigns on behaviour change are recognised . Future studies might employ alternative designs for measuring the effect of mass communication, for example using interrupted time‐series data as the counterfactual.…”

Section: Discussionmentioning

confidence: 99%

Can gossip change nutrition behaviour? Results of a mass media and community‐based intervention trial in East Java, Indonesia

White

Schmidt

Sahanggamu

et al. 2016

Tropical Med Int Health

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Abstractobjective It is unclear how best to go about improving child feeding practices. We studied the effect of a novel behaviour change intervention, Gerakan Rumpi Sehat (the Healthy Gossip Movement), on infant and young child feeding practices in peri-urban Indonesia.methods The pilot intervention was designed based on the principles of a new behaviour change theory, Behaviour Centred Design (BCD). It avoided educational messaging in favour of employing emotional drivers of behaviour change, such as affiliation, nurture and disgust and used television commercials, community activations and house-to-house visits as delivery channels. The evaluation took the form of a 2-arm cluster randomised trial with a non-randomised control arm. One intervention arm received TV only, while the other received TV plus community activations. The intervention components were delivered over a 3-month period in 12 villages in each arm, each containing an average of 1300 households. There were two primary outcomes: dietary diversity of complementary food and the provision of unhealthy snacks to children aged 6-24 months.results Dietary diversity scores increased by 0.8 points in the arm exposed to TV adverts only (95% CI: 0.4-1.2) and a further 0.2 points in the arm that received both intervention components (95% CI: 0.6-1.4). In both intervention arms, there were increases in the frequency of vegetable and fruit intake. We found inconsistent evidence of an effect on unhealthy snacking.conclusion The study suggests that novel theory-driven approaches which employ emotional motivators are capable of having an effect on improving dietary diversity and the regularity of vegetable and fruit intake among children aged 6-24 months. Mass media can have a measurable effect on nutrition-related behaviour, but these effects are likely to be enhanced through complementary community activations. Changing several behaviours at once remains a challenge.

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Section: Discussionmentioning

confidence: 99%

Can gossip change nutrition behaviour? Results of a mass media and community‐based intervention trial in East Java, Indonesia

White

Schmidt

Sahanggamu

et al. 2016

Tropical Med Int Health

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“…Deane considers our Saturation+ approach 3 to be eccentric; this remark is also surprising. Within commercial advertising, few would question the importance of the intensity and volume of broadcasting.…”

Section: Health Effects Of Mass-media Interventions Author's Replymentioning

confidence: 99%

“…Of course we would have preferred to have tested different output combinations as part of our trial, but with just 14 clusters, this was impossible statistically. We therefore tested a method that worked consistently well in previous campaigns, 3 has served as the backbone of the advertising industry since the 1920s, and was identified as the crucial missing link in Hornik's seminal evaluation of previous, failed RCTs. 2 Deane raises several other concerns, none of which stand up to scrutiny.…”

Section: Health Effects Of Mass-media Interventions Author's Replymentioning

confidence: 99%

Health effects of mass-media interventions – Author's reply

Head¹

2018

The Lancet Global Health

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“…It was developed following many years of experience in designing, implementing, and evaluating media campaigns. 1 …”

Section: The Saturation+ Approachmentioning

confidence: 99%

“…Between March 2012 and January 2015, Development Media International (DMI) implemented a 35-month mass media campaign in Burkina Faso and tested the impact of this intervention on child mortality through a cluster randomized controlled trial (RCT), funded by the Wellcome Trust and Planet Wheeler Foundation. 1 , 2 The media intervention consisted of daily radio broadcasts (60-second spots and longer, interactive dramas) that targeted changes to multiple, key behaviors to improve child survival. We broadcast in 7 randomized geographic areas (clusters, which correspond to areas covered by local community FM radio stations) across Burkina Faso, with 7 additional clusters serving as controls.…”

Section: Introductionmentioning

confidence: 99%

The Saturation + Approach to Behavior Change: Case Study of a Child Survival Radio Campaign in Burkina Faso

Murray¹,

Remes²,

Ilboudo³

et al. 2015

Glob Health Sci Pract

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This randomized radio campaign focused on the 3 principles of the Saturation+ approach to behavior change: (1) saturation (high exposure to messages), (2) science (basing design on data and modeling), and (3) creative storytelling. Locally developed short spots and longer dramas targeted multiple child survival-related behaviors and were delivered entirely by local radio stations. Innovative partnerships with radio stations provided free airtime in return for training, equipment, and investment in solar power.

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Can mass media interventions reduce child mortality?

Cited by 26 publications

References 15 publications

Can gossip change nutrition behaviour? Results of a mass media and community‐based intervention trial in East Java, Indonesia

Can gossip change nutrition behaviour? Results of a mass media and community‐based intervention trial in East Java, Indonesia

Health effects of mass-media interventions – Author's reply

The Saturation + Approach to Behavior Change: Case Study of a Child Survival Radio Campaign in Burkina Faso

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