"As part of the process to develop food-based dietary guidelines (FBDGs) for Ghana, this rapid evidence review examined the nature, extent, sources, and medium of food and nutrition information dissemination and promotion in Ghana. PubMed, Cochrane, Google Scholar, and Open Access Theses Dissertatio
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ns (OATD) databases were searched systematically using keywords to identify relevant peer-reviewed and grey literature. The review included 31 documents, after excluding 1,302 documents for ineligibility (based on irrelevant title, abstract, and duplicates). Limited reporting of undernutrition was found in print and electronic media. Unhealthy foods, including sugar-sweetened beverages, snacks, yogurt, instant noodles, candy/chocolate, and ice cream were frequently advertised through various communication media. Children are highly exposed to food advertisements, which target them. Promotional characters, animation, billboards, and front-of-store displays; product-branded books, and toys are common strategies for food marketing and advertisement in Ghana. The most frequently reported sources of health and nutrition information were television, radio, social media, health professionals, families, and friends. Children and adults experienced changes in food preferences and choices as a result of exposure to food advertised on television. The commonly used traditional media were radio and television; printed newspaper use has declined tremendously in the past decade. Social media use (particularly WhatsApp, Facebook, and YouTube) is highest in urban areas, and is growing rapidly; young adults are the most active users of social media platforms. Experts recommend regulation as a mitigation for nutrition miscommunication and inaccurate promotion. The current review highlights the need for regulation of food marketing, and advertisement to safeguard a healthy food environment in Ghana." (Abstract)
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"This edited volume focuses on the lived experiences of children during the first wave of the COVID-19 outbreak in the spring of 2020, their knowledge and emotional reactions, the adjustments they made in their everyday lives, and the strengths and skills they developed in response. A central theme
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of inquiry is the place media held in all of these aspects: the roles they played for children’s informational, emotional, and social needs, how these have changed under the pandemic circumstances, and the media competencies children developed in utilizing and controlling the media in their lives. The book is based on responses of 4,200 children ages 9-13 to an international survey administered in 42 countries as well as additional complementaries localized studies. Comparative dimensions are central to this unique collection of chapters, along geographical and cultural lines, as well as gender, age, class, health, and refugee status. With 40 authors from around the world, this book highlights the potential of media to assist children and their families in times of crisis as well as their potential drawbacks." (Publisher description)
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"This programme and meeting document contains details and reflections on the Communication and Information Programme that developed activities such as the promotion of access to credible and reliable information on the pandemic, journalists' safety, media development, media and information literacy
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to counter misinformation, etc." (commbox)
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"This report provides an assessment of the reporting trends in the coverage of COVID-19 in nine SADC countries. The countries are Botswana, Eswatini, Lesotho, Malawi, Mozambique, Namibia, South Africa, Zambia and Zimbabwe. Stories published between 1 January and 30 June 2021 were selected from 38 ne
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ws websites from the different countries. COVID-19 has remained on the media's news agenda and journalists have continued to extensively cover the different aspects of the pandemic. The media however continued to focus on hard news on the pandemic, with most news articles based on statements by government officials. Media continued to report mostly on the numbers of COVID-19. While these figures are important, the media is also encouraged to report more on qualitative aspects of the pandemic, including beliefs, culture and religion that drive citizens' behavior around the pandemic." (Executive summary)
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"The article analyzes the QAnon phenomenon and the anti-vaxxer movement of COVID-19 deniers as typological manifestations of conspiratorial “alternative rationality.” A number of hypotheses have been proposed: during a pandemic and a parallel infodemic, conspiracy thinking quickly becomes transb
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oundary; all conspiracy theories share certain features; they are discursive (according to Foucault) and underlain by the question of power; growing public distrust of the government is one of the fundamental reasons for the popularity of conspiracy theories. The article proves that the transboundary nature of information contributes to the global spread of conspiracy theories, but they cannot be universalized because they have local specifics in each country (region)." (Abstract)
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"The prevalence of emerging infectious diseases (EIDs) is rising at an unprecedented rate, and influencing human behavior is often the first line of defense to slow disease transmissions. We synthesize the contributions that social and behavior change research and programming has made in 6 recent EI
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Ds that reached epidemic proportions: HIV, severe acute respiratory syndrome, Middle East respiratory syndrome, Zika virus, Ebola virus disease, and coronavirus disease. Analysis of successful and unsuccessful responses to EID outbreaks suggests 5 primary lessons learned that can be used by social and behavior change (SBC) experts in future EID responses: engage communities, build trust through transparent risk communication, segment audiences for tailored interventions, prioritize behaviors, and cultivate political will and commitment. Incorporating SBC experts into EID responses can reduce mortality and improve efficiency in such precarious and time-sensitive settings." (Key messages)
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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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"The purpose of the current paper is to provide an overview and describe methods in this emerging field, present use cases, describe a future agenda, and raise central questions to be addressed in future digital health research for behavior change. Digital media for behavior change employs three mai
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n methods: (1) digital media interventions, (2) formative research using digital media, and (3) digital media used to conduct evaluations. We examine use cases across several content areas including healthy weight management, tobacco control, and vaccination uptake, to describe and illustrate the methods and potential impact of this emerging field of study. In the discussion, we note that digital media interventions need to explore the full range of functionality of digital devices and their near-constant role in personal self-management and day-to-day living to maximize opportunities for behavior change. Future experimental research should rigorously examine the effects of variable levels of engagement with, and frequency and intensity of exposure to, multiple forms of digital media for behavior change." (Abstract)
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"Media studies are important for vaccine hesitancy research, as they analyze how the media shapes risk perceptions and vaccine uptake. Despite the growth in studies in this field owing to advances in computing and language processing and an expanding social media landscape, no study has consolidated
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the methodological approaches used to study vaccine hesitancy. Synthesizing this information can better structure and set a precedent for this growing subfield of digital epidemiology [...] The following five major categories of studies arose: antivaccination themes centered on the distrust of institutions, civil liberties, misinformation, conspiracy theories, and vaccine-specific concerns; provaccination themes centered on ensuring vaccine safety using scientific literature; framing being important and health professionals and personal stories having the largest impact on shaping vaccine opinion; the coverage of vaccination-related data mostly identifying negative vaccine content and revealing deeply fractured vaccine communities and echo chambers; and the public reacting to and focusing on certain signals—in particular cases, deaths, and scandals—which suggests a more volatile period for the spread of information." (Abstract)
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"To manage the rapid rise of misleading information on the coronavirus disease (COVID-19) during the pandemic, the Breakthrough ACTION project developed a theory-based rumortracking system to inform Guyana’s COVID-19 communication campaign. The rumor-tracking project used the extended parallel pro
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cessing model (EPPM) to identify and categorize rumors reflecting perceived high versus low vulnerability to COVID-19 and high versus low efficacy of engaging in recommended COVID-19 prevention behaviors. The project designed contextually relevant social and behavior change messages, called “MythBusters,” responded to rumor categories with the following objectives: (1) high perceived vulnerability and high efficacy rumors included a call to action; high perceived vulnerability and low efficacy rumors educated about effective and achievable solutions; (3) low perceived vulnerability and high efficacy rumors educated about risk; and (4) low perceived vulnerability and low efficacy rumors educated about risk and effective and achievable solutions. Results: Most rumors emanated from regions 4 and 8 (29%). Over two-thirds of the rumors (71%) recurred. Rumors were typically related to COVID-19 treatment or prevention (40%) and transmission (35%). Most rumors (48%) reflected low perceived vulnerability and low efficacy, 29% reflected high perceived vulnerability and low efficacy, 13% reflected low perceived vulnerability and high efficacy, and 10% reflected high perceived vulnerability and high efficacy. The project rapidly developed 12 MythBusters from June through December 2020 and integrated them into the national COVID-19 communication campaign, disseminated via radio, television, and Facebook. Estimates indicate that they have reached most of the target Guyanese population." (Abstract)
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"The current systematic review identified seven overall findings with distinct programmatic and research implications for capacity strengthening (CS) in social and behavior change communication (SBCC). First, there is a scarcity of literature about specific evaluation of CS for SBCC. Although CS has
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become a ‘buzz word’ in international development (Hawe et al., 2000), published evaluations of CS activities that aim to build SBCC capacity in LMICs are rare. Only 19 publications met the study’s eligibility criteria, and only three focused solely on CS findings. This review’s findings complement previous literature which has noted that evaluation of CS efforts for SBCC is rare (Lettenmaier et al., 2014). Future evaluations should publish their findings more widely in order to share lessons learned with others interested in implementing CS activities in SBCC and generate further knowledge about what works and what does not work. Second, the review found that among publications that described evaluation findings of CS for SBCC, most did not emphasize the assessment of CS activities. The details of how CS activities were evaluated was often lost in description of large multi-arm interventions that were not focused on SBCC or CS [...] Third, the current systematic review found that evaluation assessments of CS for SBCC generally employ non-experimental designs. Of the reviewed publications, only one described an experimental design [...] Fourth, in terms of the SBCC Capacity Ecosystem, while evaluations commonly addressed organization-level capacity and individual-level competencies, they rarely addressed system-level capacity [...] Fifth, publications highlighted several challenges regarding assessing sustainability of CS activities. Although CS is key to ensuring sustainable gains in development, most publications did not explicitly assess sustainability [...] Sixth, authors identified the shortcomings in terms of quality, both in terms of the writing as well as providing sufficient detail and documentation to support claims. Problems of clarity in the writing, particularly in gray literature, made it difficult to understand what kind of CS activities were most effective at strengthening capacity for SBCC [...] Finally, publications did not consistently support all of their recommendations and conclusions with evaluation findings." (Discussion, page 13-14)
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"Our search identified 31 systematic reviews, of which 17 were published. The proportion of health-related misinformation on social media ranged from 0.2% to 28.8%. Twitter, Facebook, YouTube and Instagram are critical in disseminating the rapid and far-reaching information. The most negative conseq
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uences of health misinformation are the increase of misleading or incorrect interpretations of available evidence, impact on mental health, misallocation of health resources and an increase in vaccination hesitancy. The increase of unreliable health information delays care provision and increases the occurrence of hateful and divisive rhetoric. Social media could also be a useful tool to combat misinformation during crises. Included reviews highlight the poor quality of published studies during health crises. Conclusion: Available evidence suggests that infodemics during health emergencies have an adverse effect on society. Multisectoral actions to counteract infodemics and health misinformation are needed, including developing legal policies, creating and promoting awareness campaigns, improving health-related content in mass media and increasing people’s digital and health literacy." (Abstract)
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"Access to information about family planning (FP) continues to have financial, physical and social barriers among young women living in Kenya. This paper draws on social norms theory to explore how young women and their social networks access FP information on digital media (e.g., WhatsApp, websites
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). Qualitative phone interviews were conducted with 40 participants – young women, their partners and key influencers – in seven peri-urban wards in Nairobi, Kenya. Data were analyzed using thematic analysis. Findings suggested that young women, their partners and key influencers predominately accessed FP information online through their informal networks, but identified healthcare workers as the most trusted sources of FP information. In digital spaces, participants described beingmore comfortable sharing FP information as digital spaces allowed for greater privacy and reduced stigma to talk about FP openly. Our findings highlight the importance of digital media in disseminating FP information among young women and their networks, the differences in norms governing the acceptability to talk about FP online vs. in-person and the significance of targeting misinformation about FP in digital media spaces." (Abstract)
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"This paper describes an infodemic management system workflow based on digital data collection, qualitative methodology, and human-centered systems to support the COVID-19 vaccine rollout in Ghana with examples of system implementation. Methods: The infodemic management system was developed by the H
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ealth Promotion Division of the GHS and the UNICEF Country Office. It uses Talkwalker, a social listening software platform, to collect misinformation on the web. The methodology relies on qualitative data analysis and interpretation as well as knowledge cocreation to verify the findings. A multi-sectoral National Misinformation Task Force was established to implement and oversee the misinformation management system. Two members of the task force were responsible for carrying out the analysis. They used Talkwalker to find posts that include the keywords related to COVID-19 vaccine–related discussions. They then assessed the significance of the posts on the basis of the engagement rate and potential reach of the posts, negative sentiments, and contextual factors. The process continues by identifying misinformation within the posts, rating the risk of identified misinformation posts, and developing proposed responses to address them. The results of the analysis are shared weekly with the Misinformation Task Force for their review and verification to ensure that the risk assessment and responses are feasible, practical, and acceptable in the context of Ghana." (Abstract)
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"Kilkari is the largest direct-to-beneficiary mobile communication programme in the world and has reached over 10 million women and their families across 13 states in India. Our study is the first randomised controlled trial conducted to date of a beneficiary mobile communication programme at scale.
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Exposure to Kilkari was significantly associated with improvements in a few important health practices, including the use of reversible contraceptive methods, but not others, including exclusive breast feeding. Subgroup analyses highlight the differential impact among key population segments, including the poorest." (Page 2)
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"To understand how communication action is conceived and practiced, we conducted a scoping review with a focus on two diseases currently targeted for elimination: lymphatic filariasis (LF) and Chagas disease (CD). We examined 43 studies published between 2012 and 2020 to identify communication pract
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ices, theoretical frameworks informing communication action and levels of intended influence. Community participation was the goal most commonly pursued through communication action, both in LF and CD strategies; important attempts at expanding the scope and reach of this practice were identified. However, our results indicate that while the field of health communication has gained complexity in the understanding of the nature of communication ecologies in public health interventions, neglected tropical diseases (NTD) research has maintained a superficial involvement with health communication theory and science. This article is a call to action to consider the resources offered by the health communication field when researching, designing, or implementing NTD interventions to enhance the possibilities of communication action in implementation settings." (Author summary)
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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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"In the light of recent emergencies in Europe and around the globe—including COVID-19 and the war in Ukraine—the spotlight has shifted towards the scarcity of Risk Communication and Community Engagement (RCCE) research applied to health emergencies. RCCE nurtures the sense of empowerment among c
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ommunities since it ensures that individuals and communities are part of the solution creation, thus they take informed decisions to protect their health and in turn, contribute to emergency control. Therefore, RCCE can play an important role as core public health intervention across health emergency preparedness and response. However, its tremendous impact, is still underestimated and not widely common. This viewpoint showcases the RCCE measures applied to the Ukrainian emergency to ensure that Ukrainian refugees access health services in host countries, based on their needs and concerns." (Abstract)
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"Adolescents in Mexico experience high pregnancy and birth rates. A collaboration with Grupo Televisa led to the development of an entertainment-education telenovela intervention, Overcome the Fear (OTF), which aired in 2020 to a national audience and addressed adolescent sexual and reproductive hea
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lth (SRH) topics. This study details the development and evaluation of OTF’s impact on adolescent contraceptive practices and parent-adolescent SRH communication in Mexico" [...] Conclusions: This study suggests that viewership of a high-quality entertainment-education telenovela informed by extensive formative research is related to adolescent health outcomes and to parent-adolescent SRH communication on a country-wide scale in Mexico. Entertainment-education remains an underutilized public health strategy, despite its promise to engage viewers and motivate healthful behaviors." (Abstract)
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"This report takes stock of the early behavioural sciences literature on COVID-19 misinformation. Specifically, it addresses the following three main questions: (1) Who was most likely to believe or share COVID-19 misinformation? (2) What were the consequences of being exposed to or believing COVID-
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19 misinformation? (3) Which behavioural policy interventions were effective in countering COVID-19 misinformation? In addition to addressing these core questions, the report also provides a snapshot of the narratives of COVID-19 misinformation and the prevalence and spread of this misinformation. The report provides insights into policies that can help foster societal resilience against misinformation beyond the specific case of COVID-19, thereby contributing to policy preparation for future crises." (Abstract, page 1)
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