The Past, Present, and Future of Health Development Campaigns: Reflexivity and the Critical-Cultural Approach

Dutta, Mohan J.; Souza, Rebecca de

doi:10.1080/10410230802229704

Cited by 39 publications

(25 citation statements)

References 13 publications

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“…Frequently programmes are assessed as effective if they have high audience figures, although they may not always be useful to or appropriate for audiences [73]. Assessing the impact of media campaigns, particularly in rural and poorer areas is very difficult to achieve [73].…”

Section: Discussionmentioning

confidence: 99%

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Developing effective chronic disease interventions in Africa: insights from Ghana and Cameroon

2010

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BackgroundAfrica faces an urgent but 'neglected epidemic' of chronic disease. In some countries stroke, hypertension, diabetes and cancers cause a greater number of adult medical admissions and deaths compared to communicable diseases such as HIV/AIDS or tuberculosis. Experts propose a three-pronged solution consisting of epidemiological surveillance, primary prevention and secondary prevention. In addition, interventions must be implemented through 'multifaceted multi-institutional' strategies that make efficient use of limited economic and human resources. Epidemiological surveillance has been prioritised over primary and secondary prevention. We discuss the challenge of developing effective primary and secondary prevention to tackle Africa's chronic disease epidemic through in-depth case studies of Ghanaian and Cameroonian responses.MethodsA review of chronic disease research, interventions and policy in Ghana and Cameroon instructed by an applied psychology conceptual framework. Data included published research and grey literature, health policy initiatives and reports, and available information on lay community responses to chronic diseases.ResultsThere are fundamental differences between Ghana and Cameroon in terms of 'multi-institutional and multi-faceted responses' to chronic diseases. Ghana does not have a chronic disease policy but has a national health insurance policy that covers drug treatment of some chronic diseases, a culture of patient advocacy for a broad range of chronic conditions and mass media involvement in chronic disease education. Cameroon has a policy on diabetes and hypertension, has established diabetes clinics across the country and provided training to health workers to improve treatment and education, but lacks community and media engagement. In both countries churches provide public education on major chronic diseases. Neither country has conducted systematic evaluation of the impact of interventions on health outcomes and cost-effectiveness.ConclusionsBoth Ghana and Cameroon require a comprehensive and integrative approach to chronic disease intervention that combines structural, community and individual strategies. We outline research and practice gaps and best practice models within and outside Africa that can instruct the development of future interventions.

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Section: Discussionmentioning

confidence: 99%

“…Assessing the impact of media campaigns, particularly in rural and poorer areas is very difficult to achieve [73]. The content of messaging is often influenced by funding and it appears that many media initiatives from problem pages through to advertorials are not evaluated critically in terms of impact and effectiveness.…”

Section: Discussionmentioning

confidence: 99%

Developing effective chronic disease interventions in Africa: insights from Ghana and Cameroon

2010

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“…The cultural-critical approach is particularly useful in understanding meaning for marginalized groups, especially in health campaigns where vulnerabilities might be central (Dutta & de Souza, 2008). The cultural-critical approach explores how power is experienced from multiple points of view.…”

Section: Introductionmentioning

confidence: 99%

Education and Fear: Black and Gay in the Public Sphere of HIV Prevention

Spieldenner¹,

Castro

2010

Communication Education

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In the third decade of HIV/AIDS in the U.S., African American gay and bisexual men constitute the largest growing part of those testing HIV-positive. Education and prevention efforts are being refocused on this population, but there has been a dearth of research on health promotion efforts specifically tailored for this marginalized group. This project examines HIV prevention media campaigns targeting African American gay and bisexual men through a content analysis and a cultural-critical approach. The researchers found that, among 40 social marketing campaigns, the primary tactics were educational and fear-based to promote HIV-related messaging to African American gay and bisexual men.

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“…As a discipline, we can do more to incorporate readings in our graduate courses that address the emotional work involved in critical health communication (Dutta and de Souza, 2008). Additionally, experiential learning with transformative social organizing would better prepare future critical researchers for these everyday challenges (Artz, 2001).…”

Section: Researching Transformative Change Requires Possibly Unique Fmentioning

confidence: 99%

Critical Health Communication Methods: Challenges in Researching Transformative Social Change

Zoller

2019

Front. Commun.

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This reflexive essay describes how methodological choices involved with critical commitments to understanding the economic and political roots of health status lead to challenges in the field that intersect with the politics of academic training, visibility, and publishing. Through the lens of my own research experiences, I discuss lessons learned as well as ways that I continue to struggle. I consider issues that are primarily personal and those that we should address as a field. In the essay, I describe six observations from my experiences researching transformative social change that have implications for critical health communication scholars and the discipline of health communication.Keywords: critical health communication, qualitative methods in health communication, health communication and social change, health and the economy, health organizing

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The Past, Present, and Future of Health Development Campaigns: Reflexivity and the Critical-Cultural Approach

Cited by 39 publications

References 13 publications

Developing effective chronic disease interventions in Africa: insights from Ghana and Cameroon

Developing effective chronic disease interventions in Africa: insights from Ghana and Cameroon

Education and Fear: Black and Gay in the Public Sphere of HIV Prevention

Critical Health Communication Methods: Challenges in Researching Transformative Social Change

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