Social and behavior change communication in the fight against malaria in Mozambique

Arroz, Jorge

doi:10.1590/s1518-8787.2017051006360

Cited by 7 publications

(10 citation statements)

References 12 publications

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“…The community participation and functionality observed in this study is aligned with the SEM [ 3 , 6 , 7 ] and current strategies for malaria prevention and control. As per the GTS 2016-30, a close collaboration between communities and the health sector is desired and can add value in malaria prevention interventions [ 2 – 5 ].…”

Section: Discussionsupporting

confidence: 60%

“…To have all community and institutional actors trained in malaria prevention and approaches of social behaviour change (SBC) can add value to malaria prevention interventions [ 3 ]. Health professionals, health community workers, community leaders, teachers, and malaria officers are considered the greatest influencers on malaria prevention practices [ 4 ].…”

Section: Introductionmentioning

confidence: 99%

“…The SEM considers individual behaviour as the product of multiple individual, social and environmental influences, and it combines individual change in order to influence social context in which the individual operates [ 6 ]. According to this model, working with community actors and institutions (e.g., those in health and education) results in more significant change in individual and community behaviour [ 3 , 7 ]. This study was conducted to understand the interconnections between institutional and community actors on malaria prevention activities.…”

Section: Introductionmentioning

confidence: 99%

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Are we interconnected? A qualitative study on the role and perception of different actors on malaria social behaviour change interventions in rural Mozambique

Fonseca¹,

Arroz²,

Martins

et al. 2020

Malar J

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Background Interconnecting institutions (health and education sector) and community (through a network of community structures) in social and behaviour change (SBC) activities can add value in an effort for malaria prevention towards a long-term objective of elimination. This approach has been implemented since 2011 in some rural districts of Mozambique. The objective of this study is to describe the perceptions of community and institutional actors on malaria prevention interventions in rural Mozambique. Methods A descriptive qualitative study with a constructivist research paradigm was conducted in October 2018 in two rural districts of Zambezia Province with high malaria burden in Mozambique. Key-informant sampling was used to select the study participants from different actors and layers: malaria community volunteers, health professionals, non-governmental actors, and education professionals. In-depth interviews (IDIs) and focus group discussions (FGDs) were used to explore the perceptions of these actors. Classic content analysis looking for themes and semantics was used, and saturation guided the sample size recruitment. Results A total of 23 institutional actor IDIs took place, and 8 FGDs were held. Four themes emerged from the content analysis: (1) organizational and functional aspects; (2) knowledge about malaria; (3) perception of institutional actors on SBC and community involvement; and, (4) perception of institutional actors on the coordination and leadership on SBC malaria interventions. Community structures were well organized, linked to the health sector and operational, with good knowledge of malaria prevention. Education sector (school teachers) links with the health sector were in some cases good, and in other cases, non-existent. The importance of SBC interventions for malaria control was recognized by health actors, although the activities are delegated to non-governmental institutions. Domestic budgetary allocation constraints, quality of intervention and lack of SBC standard indicators were also identified by health actors as aspects for improvement. Conclusions Community structures, volunteers and primary school teachers have good knowledge on malaria prevention and regularly sensitize community members and students. Institutional health actors and partners recognize their role on malaria prevention activities, however, more interconnection is needed at different levels.

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Section: Discussionsupporting

confidence: 60%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Are we interconnected? A qualitative study on the role and perception of different actors on malaria social behaviour change interventions in rural Mozambique

Fonseca¹,

Arroz²,

Martins

et al. 2020

Malar J

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“…Different audiences may be motivated from different mode of communication. Arroz (2017) states that Radio, dramas, lectures, posters and pamphlet, and folk programmes could considered as synergetic approaches but not replace one another (35). There was a significant difference between the respondents who listened HI message from radio and enrollment in HI compared to those who did not.…”

Section: Characteristics Of Respondents and Householdsmentioning

confidence: 99%

Role of information, education, and communication in enrollment of health insurance: A case of Nepal

Acharya

Devkota

Gautam

et al. 2019

Preprint

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Background Most of the studies have indicated that various programmes were failing due to lack of appropriate information, education, and communication [IEC] to the target audiences. But still unanswered that which methods or means of communication could be the most powerful for changing behaviour, decision making,and or desired action. The paper aims to assess the effects of IEC on the enrollment of health insurance in Nepal.Methods A cross-sectional study, with randomly selected 810 [405 enrolled and 405 not-enrolled] households, was conducted at Baglung and Kailali districts of Nepal in 2018 using pretested structured interview tool. Background characteristics of family and respondents, and exposure to the means of communication were independent variables; and enrollment of health insurance was the dependent variable. Univariate, bivariate, and multivariate analyses were done to interpret the data.Results Data show that socio-demographics and exposure to communication were associated with the enrollment of health insurance. Demographic characteristics of the respondents and households particularly household head, age, wealth status, ability to feed the family, and presence of chronic diseases in the family were significantly associated with the enrollment of health insurance. Similarly, exposure to communication and media such as knowledge on health insurance and contribution amount of health insurance, having health insurance related books or guidelines, participation in training and workshop, discussion with peers and neighbours, exposure to health insurance related messages from radio and television, seen hoarding board, newspaper, and health insurance related pamphlet, brochure, and posters were significantly associated with enrollment in health insurance. Knowledge about health insurance and contribution amount, having health insurance related books and guidelines, and discussion with peers and neighbours appeared to be the positive and significant predictors for enrollment in health insurance scheme.Conclusion Communication and interaction with peers and neighbours about health insurance scheme of the government could lead to higher participation in health insurance programme. It would be better to incorporate this strategy while planning policies and interventions on health insurance.

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“…Different audiences may be motivated from different mode of communication. Arroz (2017) states that Radio, dramas, lectures, posters and pamphlet, and folk programmes could considered as synergetic approaches but not replace one another (37). There was a significant difference between the respondents who listened HI message from radio and enrollment in HI compared to those who did not.…”

Section: Characteristics Of Respondents and Householdsmentioning

confidence: 99%

Association of information, education, and communication; and enrollment in health insurance: A case of Nepal

Acharya

Devkota

Gautam

et al. 2019

Preprint

View full text Add to dashboard Cite

Background Most of the studies have indicated that various programmes were failing due to lack of appropriate information, education, and communication [IEC] to the target audiences. But still unanswered that which methods or means of communication could be the most powerful for changing behaviour, decision making, and or desired action. The paper aims to assess the effects of IEC on the enrollment of health insurance [HI] in Nepal.Methods A cross-sectional study, with randomly selected 810 [405 enrolled and 405 not-enrolled] households, was conducted at Baglung and Kailali districts of Nepal in 2018 using pretested structured interview tool. Background characteristics of family and respondents, and exposure to the means of communication were independent variables; and enrollment of HI was the dependent variable. Univariate, bivariate, and multivariate analyses were done to interpret the data.Results Data show that socio-demographics and exposure to HI related information were associated with the enrollment of HI. Demographic characteristics of the respondents and households particularly age, wealth status, and presence of chronic diseases in the family were significantly associated with the enrollment of HI. Similarly, exposure to communication and media such as heard about HI and knowledge of contribution amount of HI, having HI related books or guidelines, participation in training and workshop, discussion with peers and neighbours, exposure to HI related messages from radio and television, seen hoarding board, newspaper, and HI related pamphlet, brochure, and posters were significantly associated with enrollment in HI. Heard about HI and knowledge of contribution amount, having HI related books and guidelines, and discussion with peers and neighbours appeared to be the positive and significant predictors for enrollment in HI.Conclusion Communication and interaction with peers and neighbours about HI scheme of the government could lead to higher participation in HI programme. It would be better to incorporate this strategy while planning policies and interventions on HI.

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Social and behavior change communication in the fight against malaria in Mozambique

Cited by 7 publications

References 12 publications

Are we interconnected? A qualitative study on the role and perception of different actors on malaria social behaviour change interventions in rural Mozambique

Are we interconnected? A qualitative study on the role and perception of different actors on malaria social behaviour change interventions in rural Mozambique

Role of information, education, and communication in enrollment of health insurance: A case of Nepal

Association of information, education, and communication; and enrollment in health insurance: A case of Nepal

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